Inter-doctor Variation in Sickness Certification

Do doctor-related factors influence the duration of episodes of sickness certification? This problem was studied in an analysis of 2 999 persons certified sick by 107 general practitioners in Buskerud county, Norway, during a 4-week period in 1985. Doctors' attitudes toward sickness certificati...

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Veröffentlicht in:Scandinavian journal of primary health care 1990, Vol.8 (1), p.45-52
Hauptverfasser: Tellnes, Gunnar, Sandvik, Leiv, Moum, Torbjørn
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container_title Scandinavian journal of primary health care
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creator Tellnes, Gunnar
Sandvik, Leiv
Moum, Torbjørn
description Do doctor-related factors influence the duration of episodes of sickness certification? This problem was studied in an analysis of 2 999 persons certified sick by 107 general practitioners in Buskerud county, Norway, during a 4-week period in 1985. Doctors' attitudes toward sickness certification were measured by composing an index based on 12 statements (Likert scale), "weighed" by principal component analysis. Doctors' sickness certification practice was measured by duration of each episode of sickness certification. The analysis revealed no association between doctors' attitudes toward sickness certification and the duration of the episodes. Cox regression analysis showed, however, that the duration was significantly longer in patients of the oldest doctors, while it was shorter in patients of specialists in general practice and of GPs working part-time as industrial medical officers.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Age Factors
Aged
Attitude of Health Personnel
attitudes
family medicine
Female
health services
Humans
Male
Middle Aged
occupational medicine
Physicians, Family - education
Physicians, Family - psychology
postgraduate education
Regression Analysis
Sex Factors
sickness certification
social medicine
Workers' Compensation
title Inter-doctor Variation in Sickness Certification
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