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关于挪威抑郁症患者病假认证的全科医生态度和做法 - 一项横截面研究
Øystein Hetlevik1, Sabine Ruths2,3, Ina Grung2,3
1Department of Global Public Health and Primary Care, University of Bergen,, Årstadveien 17, Bergen, 5018, Norway. oystein.hetlevik@uib.no.
BMC health services research
|December 5, 2024
概括
大多数全科医生 (GPs) 采用严格的方法来治疗抑郁症的病假,许多人认为患者的要求不合适. 然而,很大一部分人将病假视为治疗,这影响了他们的认证实践和与社会保障机构的合作.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 一般的做法一般的做法
背景情况:
- 抑郁症是导致工作缺勤的主要原因,但卫生当局主张工作的健康益处.
- 在推的严格病假实践和管理抑郁患者的现实之间存在着明显的紧张关系.
研究的目的:
- 调查全科医生 (GPs) 对于诊断患有抑郁症的患者的病假认证的态度和做法.
- 探索影响一般医生生病假决策的因素,以及他们与挪威劳工和福利管理局 (Nav) 的合作.
主要方法:
- 在2021年,挪威对221名全科医生 (70%的响应率) 进行了横截面调查.
- 收集了一般医生关于病假认证,患者期望以及与雇主和航海合作的观点.
- 统计分析包括交叉测定与千平方测试和后勤回归来确定全科医生之间的差异.
主要成果:
- 62%的全科医生经常遇到患者要求病假证书的请求,其中46%认为这些期望不合适 (女性和年轻的全科医生中更常见).
- 虽然68%的人将病假视为治疗的一部分,但只有16%的人在没有患者要求的情况下开始病假;67%的人尽可能避免将病假列在病名单上.
- 一般医生认为请求不合适,不太可能将病假视为治疗或与Nav合作. 相反,那些将病假视为治疗的人更有可能提出它并采取不那么严格的方法.
结论:
- 大多数全科医生对抑郁症病假持严格立场,尽管三分之一采用了更宽松的方法.
- 关于病名单适当性的观点差异突出了患者治疗和获得社会保障福利的差异.
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