Quality in sickness certificates in a Swedish social security system perspective

Sturesson, Marine; Bylund, Sonya Hörnqvist; Edlund, Curt; Falkdal, Annie Hansen; Bernspång, Birgitta

doi:10.1177/1403494815597163

Cited by 11 publications

(17 citation statements)

References 27 publications

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“…It was suggested that multi-professional team efforts can be important for such patient-groups (90). This is in line with previous studies that point to the strength of including multi-professional competence in the RTW process (78,83,177).…”

Section: The Potential Of Implementing Rework-sci In a Sci Rehabilitasupporting

confidence: 92%

“…Research also points to a lack of routines among stakeholders (80,82) and a lack of knowledge in regard to the expertise of other stakeholders involved in the process (78,81). To improve work ability assessments, Sturesson et al (78,83) point to the necessity of team cooperation, and the possibility of using the competence of occupational therapists.…”

Section: Sickness Absence and Rtw Within In A Swedish Socio-politicalmentioning

confidence: 99%

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Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

2018

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Involving persons with spinal cord injury (SCI) as experts in their lives is important for research to design relevant health care interventions. The purpose of this study was to use photovoice methods to explore experiences of barriers and possibilities in return to work among working adults with SCI. The photovoice group consisted of six persons living with SCI that met weekly over 2 months to share and discuss photos related to return to work. Five themes were identified: (a) there is only one way, (b) welcome back-or not, (c) to be like anyone else-or to be perceived as someone else, (d) friction in the absence of clarity, and (e) finding integrated strategies for everyday life with work. Work was experienced as rewarding and viable, but due to lack of societal and workplace support, a need to map out one's own paths toward work was identified.

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Section: The Potential Of Implementing Rework-sci In a Sci Rehabilitasupporting

confidence: 92%

Section: Sickness Absence and Rtw Within In A Swedish Socio-politicalmentioning

confidence: 99%

Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

2018

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“…Thus, nine papers were from Switzerland [ 10 , 26 – 33 ] four were from the USA [ 34 – 37 ], three from Italy [ 38 – 40 ], two from Germany [ 41 , 42 ], one from Canada [ 43 ], UK [ 44 ], Portugal [ 45 ], Turkey [ 46 ], Slovenia [ 47 ], Spain [ 48 ], Israel [ 49 ], and Taiwan [ 50 ]. Five papers were authored by an international [ 38 , 51 – 54 ], three were from settings in Sweden [ 55 – 57 ], and three from Norway [ 58 – 60 ].…”

Section: Resultsmentioning

confidence: 99%

International Classification of Functioning, Disability and Health in Vocational Rehabilitation: A Scoping Review of the State of the Field

et al. 2018

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Purpose The purposes of this study were to provide an outline of the existing literature on operationalization of the International Classification of Functioning, Disability and Health (ICF) within vocational rehabilitation (VR) and to explore the ICF utility within VR. Methods The process was undertaken in five stages according to a framework of scoping review. Screening and extraction of data were done by two independent reviewers, and data was summarized according to content analysis. Results Fifty papers (25 qualitative and 25 quantitative) were included. The operationalization of the ICF was described in four different ways: In total 18 (36%) papers described use of the ICF for structuring information, 8 (15%) for linking information to ICF, 12 (24%) for analysis of results, and 12 (24%) for development of a model. In total 15 (29%) papers described VR interventions involving stakeholders, whereas 32 (62%) were reviews. Forty of the papers described all the ICF components. Conclusions The review revealed use of the ICF within the field VR in 50 papers, and in various settings. The ICF framework was most often operationalized for structuring or linking information of functioning. A majority of papers were reviews and involved researchers only, whereas different stakeholders and VR professionals were involved in the interventions. In 40 papers all the ICF components were described, and the ICF was considered a useful tool to inform the VR professionals´ assessment of functioning. However, more research within VR is needed to standardize and ease the use of the ICF.

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“…Colleagues from the same PHCC in the focus group interviews reflected the current staffing with a mix of age and professional experience of participants to explore the research questions from various aspects. This is a strength as earlier studies in the field have most often only included experienced GPs [11,13,14]. A potential drawback was that the discussion might be hampered if senior physicians dominated the discussion and younger less experienced ones suppressed their views [21].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Follow-up of the effects of the Swedish reforms showed that the costs of sickness benefit declined during the first years, thereafter it has been fluctuating [9]. Studies on the sickness certification practice have shown that many certificates still are incomplete [10][11][12]. Swedish physicians' views on sickness certification and rehabilitation after the reforms have been conflicting.…”

Section: Introductionmentioning

confidence: 99%

Primary care physicians’ concerned voices on sickness certification after a period of reorganization. Focus group interviews in Sweden

Boström

Starzmann

Östberg

2020

Scandinavian Journal of Primary Health Care

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Objective: This study explored the views of primary health care (PHC) physicians on sickness certification after reforms in 2005 prompted by the Swedish government to increase the quality and decrease the inequalities, and costs of sickness certification. Design: Qualitative design with focus group interviews. Data were analysed using qualitative content analysis. Setting: Urban and rural PHC centres in Region V€ astra G€ otaland, Sweden. Subjects: GPs, interns, GP trainees and locums working in PHC centres 2015. Six focus group interviews with 28 physicians were performed. Main outcome measures: Experiences and reflections about the sickness certification system. Results: The latent content was formulated in a theme: 'The physicians perceived the sickness certification process as emotive and a challenge to master with differing demands and expectations from authorities, management and patients'. Sickness certification could be easy in clearcut situations or difficult when other factors besides the pure medical were ruling the decisions. The physicians' coping strategies for the task included both active measures (cooperation with health care staff and social insurance officers) and passive adaptation (giving in or not caring too much) to the circumstances. Proposals for the future were to transfer lengthy sickness certifications and rehabilitation to specialized teams and increase cooperation with rehabilitation coordinators and social insurance officers. Conclusions: Political decisions on laws and regulations for sickness certification impacted the primary health care making the physicians' work difficult and burdensome. Their views and suggestions should be carefully considered in future organization of primary care. KEY POINTS In 2005 Swedish government introduced reforms to decrease the inequalities and costs of sickness certification and facilitate the physicians' work. Focus group interviews with Swedish primary care physicians revealed that sickness certification was challenging due to differing demands from authorities, management and patients. Coping strategies for the sick-listing task included both active measures and passive adaptation to the circumstances. A proposal for future better working conditions for physicians was to transfer lengthy sickness certifications and rehabilitation to specialized teams.

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Quality in sickness certificates in a Swedish social security system perspective

Abstract: Our study indicates a need for increased knowledge about the descriptions of functioning for sick-listed persons; more cooperation between health professionals in primary health care and a better gender awareness in health care encounters.

Cited by 11 publications

References 27 publications

Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

International Classification of Functioning, Disability and Health in Vocational Rehabilitation: A Scoping Review of the State of the Field

Primary care physicians’ concerned voices on sickness certification after a period of reorganization. Focus group interviews in Sweden

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