Problems experienced by gynecologists/obstetricians in sickness certification consultations

摘要

Objective To explore frequencies and experiences with problems in sickness certification consultations among gynecologists and obstetricians in two different years. Design Cross-sectional surveys on two occasions; in 2004 and 2008. Setting Gynecological, obstetric and maternal health care. Sample Physicians working in gynecology, obstetrics or maternal health care in two Swedish counties from two samples: in 2004 (n = 315), and in 2008 (n = 327). Methods Data regarding sickness certification consultations were obtained from comprehensive questionnaires that had been mailed to the physicians in two Swedish counties in 2004 and in 2008, respectively. Outcome measures Frequencies and types of problems in sickness certification consultations, organizational support, and need to acquire more competence. Results The majority experienced that patients requested to be on sick leave for a reason other than work incapacity due to disease or injury, at least a few times per year (85% in 2004 and 88% in 2008). The most problematic situation to handle was when the physician and the patient had different opinions about the need for sick leave (2004: 66% and 2008: 58%). The physicians expressed a need for more competence about the options and responsibilities of employers, social insurance officers and physicians in sickness certification cases. Conclusions Most gynecologists/obstetricians find sickness certification consultations problematic and especially when encountering patients requesting to be on sick leave for reasons other than disease. The physicians expressed a need for more competence in insurance medicine, especially about their own and other stakeholders' options and responsibilities.