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dc.contributor.authorNilsen, Steinen_US
dc.contributor.authorMalterud, Kirstien_US
dc.contributor.authorWerner, Erik L.en_US
dc.contributor.authorMæland, Siljeen_US
dc.contributor.authorMagnussen, Liv Heideen_US
dc.PublishedScandinavian Journal of Primary Health Care 2015, 33(1):40-46eng
dc.description.abstractObjectives. To explore general practitioners’ (GPs’) specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints. Design. Focus-group study. Setting. Nine focus-group interviews in three cities in different regions of Norway. Participants. 48 GPs (31 men, 17 women; age 32–65), participating in a course dealing with diagnostic practice and assessment of sickness certificates related to patients with subjective health complaints. Results. The GPs identified some specific strategies that they claimed to apply when dealing with the question of sick leave for patients with subjective health complaints. The first step would be to build an alliance with the patient by complying with the wish for sick leave, and at the same time searching for information to acquire the patient's perspective. This position would become the basis for the main goal: motivating the patient for a rapid return to work by pointing out the positive effects of staying at work, making legal and moral arguments, and warning against long-term sick leave. Additional solutions might also be applied, such as involving other stakeholders in this process to provide alternatives to sick leave. Conclusions and implications. GPs seem to have a conscious approach to negotiations of sickness certification, as they report applying specific strategies to limit the duration of sick leave due to subjective health complaints. This give-and-take way of handling sick-leave negotiations has been suggested by others to enhance return to work, and should be further encouraged. However, specific effectiveness of this strategy is yet to be proven, and further investigation into the actual dealings between doctor and patients in these complex encounters is needed.en_US
dc.publisherTaylor & Franciseng
dc.relation.ispartof<a href="" target="_blank">Allmennlegers erfaringer som portvakt. Utfordringer, håndtering og konsekvenser</a>
dc.rightsAttribution CC BY-NCeng
dc.subjectFamily practiceeng
dc.subjectfocus groupseng
dc.subjectGeneral practiceeng
dc.subjecthealth communicationeng
dc.subjectreturn to workeng
dc.subjectsick leaveeng
dc.titleGPs' negotiation strategies regarding sick leave for subjective health complaintsen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2015 The Authors
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::General practice: 751
dc.subject.nsiVDP::Medisinske fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806
dc.subject.nsiVDP::Midical sciences: 700::Health sciences: 800::Health service and health administration research: 806

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