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Sickness certification in general practice: a review.

G Tellnes1

  • 1Department of General Practice, University of Oslo, Norway.

Family Practice
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

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Sickness certification, a common general practice task, shows significant variations in studies. Further research is needed to understand sickness absence epidemiology and doctor decision-making.

Area of Science:

  • General Practice
  • Occupational Health
  • Public Health

Background:

  • Sickness certification is a frequent general practice task.
  • Existing studies on sickness certification lack standardized terminology and methodology.
  • Variations in sickness certification practices are observed across different settings.

Purpose of the Study:

  • To review and discuss concepts and terms related to sickness certification.
  • To analyze patient- and doctor-related variables influencing sickness certification.
  • To identify gaps in current research and suggest future directions.

Main Methods:

  • Literature review of earlier studies on sickness certification.
  • Conceptual analysis of 'sickness certification', 'absence from work', and 'sickness absence'.

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  • Examination of reported measurements and results, considering patient and doctor variables.

    • Main Results:

    • Significant variations exist in sickness certification practices.
    • Reasons for variation may include differences in morbidity, diagnostics, and sickness benefit acts.
    • Studies often fail to define the 'population at risk' (employed individuals eligible for benefits).

    Conclusions:

    • Further epidemiological studies on sickness certification and absence duration are necessary.
    • Future research should focus on the basis of doctors' decisions, patient perspectives, and inter-doctor variations.
    • There is a need to improve the reliability and validity of measurements and develop theoretical frameworks for sickness certification practice.