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Inter-doctor Variation in Sickness Certification

机译:疾病证书的医生间差异

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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.
机译:医生相关因素是否会影响疾病证明发作的持续时间? 1985年,在为期4周的时间里,由挪威的Buskerud县的107名全科医生对2 999名经认证的病人进行了分析,研究了这个问题。通过基于12条陈述的索引来衡量医生对疾病证书的态度(Likert秤),通过主成分分析“称重”。医生的疾病证明实践是通过每次疾病证明持续时间来衡量的。分析显示,医生对疾病证明的态度与发作持续时间之间没有关联。但是,Cox回归分析显示,对于年纪最大的医生,病程明显更长,而在全科医师和兼职为工业医务人员的全科医生中,病程较短。

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