Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

Nilsing, Emma; Söderberg, Elsy; Berterö, Carina; Öberg, Birgitta

doi:10.1007/s10926-013-9418-0

Cited by 32 publications

(51 citation statements)

References 37 publications

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“…It is conceivable that the diagnostic process may differ between countries due to the different healthcare and social insurance systems. It is also possible that the diagnostic procedure lacks precision, as physicians find it more difficult to determine symptombased diagnoses [47].…”

Section: Discussionmentioning

confidence: 99%

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

et al. 2015

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Objectives: The study aims to identify individual and workplace factors associated with early return to work [RTW] -defined as within 3 months -and factors associated with later RTW -between 3 and 12 months after being sick-listed -in a cohort of newly sick-listed individuals with common mental disorders.Methods: In a prospective cohort study, a cross-sectional analysis was performed on baseline measures of patients granted sick leave due to common mental disorders. A total of 533 newly sicklisted individuals fulfilled the inclusion criteria and agreed to participate. A baseline questionnaire was sent by post within three weeks of their first day of certified medical sickness; 354 (66%) responded. Those who were unemployed were excluded, resulting in a study population of 319 individuals. Sick leave was recorded for each individual from the Social Insurance Office during one year. Analyses were made with multiple Cox regression analyses.Results: Early RTW was associated with lower education, better work ability at baseline, positive expectations of treatment and low perceived interactional justice with the supervisor. RTW after three months was associated with a need to reduce demands at work, and turnover intentions.Conclusions: Early RTW among sick-listed individuals with common mental disorders seems to be associated with the individual's need to secure her/his employment situation, whereas later RTW is associated with variables reflecting dissatisfaction with work conditions. No health measures were associated with RTW. The study highlights the importance of considering not only health and functioning, but also workplace conditions and relations at the workplace in implementing RTW interventions.

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Section: Discussionmentioning

confidence: 99%

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

et al. 2015

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“…GPs often found the decision about issuing a sickness certificate difficult, especially if the patients describe symptoms without clinical findings [21, 24]. Likewise, GPs stated that they had poor knowledge of the workplace environment and the labor market [23, 25], and they reported that they barely talked to patients about their work situation [26, 27]. Today, GPs have no established practice for early identification of patients at risk for sick leave caused by adverse psychosocial factors.…”

Section: Introductionmentioning

confidence: 99%

Early identification in primary health care of people at risk for sick leave due to work-related stress – study protocol of a randomized controlled trial (RCT)

et al. 2016

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BackgroundEarly identification of persons at risk of sickness absence due to work-related stress is a crucial problem for society in general, and primary health care in particular. Tho date, no established method to do this exists. This project’s aim is to evaluate whether systematic early identification of work-related stress can prevent sickness absence. This paper presents the study design, procedure and outcome measurements, as well as allocation and baseline characteristics of the study population.Method/designThe study is a two-armed randomized controlled trial with follow-up at 3, 6 and 12 months. Non-sick-listed employed women and men, aged 18 to 64 years, who had mental and physical health complaints and sought care at primary health care centers (PHCC) were eligible to participate. At baseline work-related stress was measured by the Work Stress Questionnaire (WSQ), combined with feedback at consultation, at PHCC. The preventive intervention included early identification of work-related stress by the WSQ, GP training in the use of WSQ, GP feedback at consultation and finding suitable preventive measures. A process evaluation was used to explore how to facilitate future implementation and structural use of the WSQ at the PHCC. The primary outcome to compare the preventive sick leave intervention by the general practitioner (GP) versus treatment as usual is sick leave data obtained from the Swedish Social Insurance Agency register.DiscussionEarly screening for sick leave due to work-related stress makes it possible not only to identify those at risk for sick leave, but also to put focus on the patient’s specific work-related stress problems, which can be helpful in finding suitable preventive measures. This study investigates if use of the WSQ by GPs at PHCCs, combined with feedback at consultation, prevents future sickness absence.Trial registrationClinicalTrials.gov. Identifier: NCT02480855. Registered 20 May 2015

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“…Many qualitative studies have showed that issuing sick leave is a burden on general practitioners daily work and carries many challenges with each encounter. 3,18 The high patient demand of sickness certification might affect the quality of clinical consultations and overall performance of clinical system.…”

Section: Discussionmentioning

confidence: 99%

Trends of Sickness Certifications in Primary Health Care in Muscat, Sultanate of Oman

A’Rashdy¹,

Al-Hosni

Al-Rawahi

et al. 2015

Oman Med J

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Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

Cited by 32 publications

References 37 publications

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

Early identification in primary health care of people at risk for sick leave due to work-related stress – study protocol of a randomized controlled trial (RCT)

Trends of Sickness Certifications in Primary Health Care in Muscat, Sultanate of Oman

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