Health care management of sickness certification tasks: results from two surveys to physicians
Health care in general and physicians in particular, play an important role in patients' sickness certification processes. However, a lack of management within health care regarding how sickness certification is carried out has been identified in Sweden. A variety of interventions to increase t...
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| creator | Lindholm, Christina von Knorring, Mia Arrelöv, Britt Nilsson, Gunnar Hinas, Elin Alexanderson, Kristina |
| description | Health care in general and physicians in particular, play an important role in patients' sickness certification processes. However, a lack of management within health care regarding how sickness certification is carried out has been identified in Sweden. A variety of interventions to increase the quality of sickness certification were introduced by the government and County Councils. Some of these measures were specifically aimed at strengthening health care management of sickness certification; e.g. policy making and management support. The aim was to describe to what extent physicians in different medical specialties had access to a joint policy regarding sickness certification in their clinical settings and experienced management support in carrying out sickness certification.
A descriptive study, based on data from two cross-sectional questionnaires sent to all physicians in the Stockholm County regarding their sickness certification practice. Criteria for inclusion in this study were working in a clinical setting, being a board-certified specialist, |
| doi_str_mv | 10.1186/1756-0500-6-207 |
| format | Article |
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A descriptive study, based on data from two cross-sectional questionnaires sent to all physicians in the Stockholm County regarding their sickness certification practice. Criteria for inclusion in this study were working in a clinical setting, being a board-certified specialist, <65 years of age, and having sickness certification consultations at least a few times a year. These criteria were met by 2497 physicians in 2004 and 2204 physicians in 2008. Proportions were calculated regarding access to policy and management support, stratified according to medical specialty.
The proportions of physicians working in clinical settings with a well-established policy regarding sickness certification were generally low both in 2004 and 2008, but varied greatly between different types of medical specialties (from 6.1% to 46.9%). Also, reports of access to substantial management support regarding sickness certification varied greatly between medical specialties (from 10.5% to 48.8%). More than one third of the physicians reported having no such management support.
Most physicians did not work in a clinical setting with a well-established policy on sickness certification tasks, nor did they experience substantial support from their manager. The results indicate a need of strengthening health care management of sickness certification tasks in order to better support physicians in these tasks.</description><identifier>ISSN: 1756-0500</identifier><identifier>EISSN: 1756-0500</identifier><identifier>DOI: 10.1186/1756-0500-6-207</identifier><identifier>PMID: 23701711</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Certification ; Cross-Sectional Studies ; Data Collection ; Humans ; Medical records ; Medicin och hälsovetenskap ; Physicians ; Sick Leave</subject><ispartof>BMC RESEARCH NOTES, 2013-05, Vol.6 (1), p.207-207, Article 207</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Lindholm et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Lindholm et al.; licensee BioMed Central Ltd. 2013 Lindholm et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5257-e00ab033cd14a5d8a2137492c9fca25539ac55b7bdeadc9cedc168044d640e683</citedby><cites>FETCH-LOGICAL-c5257-e00ab033cd14a5d8a2137492c9fca25539ac55b7bdeadc9cedc168044d640e683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671141/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671141/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23701711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:223701711$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindholm, Christina</creatorcontrib><creatorcontrib>von Knorring, Mia</creatorcontrib><creatorcontrib>Arrelöv, Britt</creatorcontrib><creatorcontrib>Nilsson, Gunnar</creatorcontrib><creatorcontrib>Hinas, Elin</creatorcontrib><creatorcontrib>Alexanderson, Kristina</creatorcontrib><title>Health care management of sickness certification tasks: results from two surveys to physicians</title><title>BMC RESEARCH NOTES</title><addtitle>BMC Res Notes</addtitle><description>Health care in general and physicians in particular, play an important role in patients' sickness certification processes. However, a lack of management within health care regarding how sickness certification is carried out has been identified in Sweden. A variety of interventions to increase the quality of sickness certification were introduced by the government and County Councils. Some of these measures were specifically aimed at strengthening health care management of sickness certification; e.g. policy making and management support. The aim was to describe to what extent physicians in different medical specialties had access to a joint policy regarding sickness certification in their clinical settings and experienced management support in carrying out sickness certification.
A descriptive study, based on data from two cross-sectional questionnaires sent to all physicians in the Stockholm County regarding their sickness certification practice. Criteria for inclusion in this study were working in a clinical setting, being a board-certified specialist, <65 years of age, and having sickness certification consultations at least a few times a year. These criteria were met by 2497 physicians in 2004 and 2204 physicians in 2008. Proportions were calculated regarding access to policy and management support, stratified according to medical specialty.
The proportions of physicians working in clinical settings with a well-established policy regarding sickness certification were generally low both in 2004 and 2008, but varied greatly between different types of medical specialties (from 6.1% to 46.9%). Also, reports of access to substantial management support regarding sickness certification varied greatly between medical specialties (from 10.5% to 48.8%). More than one third of the physicians reported having no such management support.
Most physicians did not work in a clinical setting with a well-established policy on sickness certification tasks, nor did they experience substantial support from their manager. The results indicate a need of strengthening health care management of sickness certification tasks in order to better support physicians in these tasks.</description><subject>Certification</subject><subject>Cross-Sectional Studies</subject><subject>Data Collection</subject><subject>Humans</subject><subject>Medical records</subject><subject>Medicin och hälsovetenskap</subject><subject>Physicians</subject><subject>Sick Leave</subject><issn>1756-0500</issn><issn>1756-0500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>D8T</sourceid><recordid>eNp1kk1v1DAURSMEoh-wZocssaGLtLYTOwkLpKoCWqlSN8ASy-O8zLiT2IOf0zL_HoeZTjsIlEWsl3Ouo6uXZW8YPWWslmesEjKngtJc5pxWz7LD3eT5k_NBdoR4S6lkdc1eZge8qCirGDvMflyC7uOCGB2ADNrpOQzgIvEdQWuWDhCJgRBtZ42O1jsSNS7xAwmAYx-RdMEPJN57gmO4gzWS6MlqsU6y1Q5fZS863SO83r6Ps2-fP329uMyvb75cXZxf50ZwUeVAqZ7RojAtK7Voa81ZUZUNN01nNBeiaLQRYlbNWtCtaQy0hsmalmUrSwqyLo6zfJOL97AaZ2oV7KDDWnlt1Xa0TCdQgjdcysQ3_-VXwbeP0oPIHzpL7seNm4Ah_UmqK-h-P2Lvi7MLNfd3qpBJL6eA99uA4H-OgFENFg30vXbgR1SskIIKxlmT0Hd_obd-DC5V-YeqGWNSPFJz3YOyrvPpXjOFqnNRlFUtKzp1dPoPKj0tDNZ4B51N8z3hZE9ITIRfca5HRHV1832fPduwJnjEAN2uD0bVtKpqWkY1LaOSKq1qMt4-rXHH73r-DfNg5F4</recordid><startdate>20130523</startdate><enddate>20130523</enddate><creator>Lindholm, Christina</creator><creator>von Knorring, Mia</creator><creator>Arrelöv, Britt</creator><creator>Nilsson, Gunnar</creator><creator>Hinas, Elin</creator><creator>Alexanderson, Kristina</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20130523</creationdate><title>Health care management of sickness certification tasks: results from two surveys to physicians</title><author>Lindholm, Christina ; 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However, a lack of management within health care regarding how sickness certification is carried out has been identified in Sweden. A variety of interventions to increase the quality of sickness certification were introduced by the government and County Councils. Some of these measures were specifically aimed at strengthening health care management of sickness certification; e.g. policy making and management support. The aim was to describe to what extent physicians in different medical specialties had access to a joint policy regarding sickness certification in their clinical settings and experienced management support in carrying out sickness certification.
A descriptive study, based on data from two cross-sectional questionnaires sent to all physicians in the Stockholm County regarding their sickness certification practice. Criteria for inclusion in this study were working in a clinical setting, being a board-certified specialist, <65 years of age, and having sickness certification consultations at least a few times a year. These criteria were met by 2497 physicians in 2004 and 2204 physicians in 2008. Proportions were calculated regarding access to policy and management support, stratified according to medical specialty.
The proportions of physicians working in clinical settings with a well-established policy regarding sickness certification were generally low both in 2004 and 2008, but varied greatly between different types of medical specialties (from 6.1% to 46.9%). Also, reports of access to substantial management support regarding sickness certification varied greatly between medical specialties (from 10.5% to 48.8%). More than one third of the physicians reported having no such management support.
Most physicians did not work in a clinical setting with a well-established policy on sickness certification tasks, nor did they experience substantial support from their manager. The results indicate a need of strengthening health care management of sickness certification tasks in order to better support physicians in these tasks.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23701711</pmid><doi>10.1186/1756-0500-6-207</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerNature Journals; SWEPUB Freely available online; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Certification Cross-Sectional Studies Data Collection Humans Medical records Medicin och hälsovetenskap Physicians Sick Leave |
| title | Health care management of sickness certification tasks: results from two surveys to physicians |
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