Show simple item record

dc.contributor.authorNilsen, Stein
dc.contributor.authorWerner, Erik L
dc.contributor.authorMæland, Silje
dc.contributor.authorEriksen, Hege Randi
dc.contributor.authorMagnussen, Liv Heide
dc.description.abstractObjectives. To explore GPs’ considerations in decision-making regarding sick-listing of patients suffering from SHC. Design. Qualitative analysis of data from nine focus-group interviews. Setting. Three cities in different regions of Norway. Participants. A total of 48 GPs (31 men, 17 women; aged 32–65) participated. The GPs were recruited when invited to a course dealing with diagnostic practice and assessment of sickness certificates related to patients with composite SHCs. Results. Decisions on sick-listing patients with SHCs were regarded as a very challenging task. Trust in the patient's own story and self-judgement was deemed crucial, but many GPs missed hard evidence of illness and loss of function. Several factors that might influence decision-making were identified: the patients’ ability to present their story to evoke sympathy, the GP's prior knowledge of the patient, and the GPs’ own experience as a patient and their tendency to avoid conflicts. The approach to the task of sick-listing differed from patient-led cooperation to resistant confrontation. Conclusion and implications. Issuing sickness certification in patients with composite health complaints is considered challenging and burdensome. It is seen as mainly patient-driven, and the decisions vary according to GPs’ attitudes, beliefs, and personalities. Guiding the GPs to a more focused awareness of the decision process should be considered.en_US
dc.publisherTaylor & Franciseng
dc.relation.ispartof<a href="" target="_blank">Allmennlegers erfaringer som portvakt. Utfordringer, håndtering og konsekvenser</a>
dc.rightsAttribution CC BYeng
dc.subjectfamily practiceeng
dc.subjectprimary health careeng
dc.subjectsickness certifi cationeng
dc.subjectsubjective health complaintseng
dc.subjectwork incapacityeng
dc.titleConsiderations made by the general practitioner when dealing with sick-listing of patients suffering from subjective and composite health complaintseng
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2011 Informa Healthcareeng
dc.source.journalScandinavian Journal of Primary Health Care

Files in this item


This item appears in the following Collection(s)

Show simple item record

Attribution CC BY
Except where otherwise noted, this item's license is described as Attribution CC BY