dc.contributor.author | Nilsen, Stein | |
dc.contributor.author | Werner, Erik L | |
dc.contributor.author | Mæland, Silje | |
dc.contributor.author | Eriksen, Hege Randi | |
dc.contributor.author | Magnussen, Liv Heide | |
dc.date.accessioned | 2018-04-17T10:12:59Z | |
dc.date.available | 2018-04-17T10:12:59Z | |
dc.date.issued | 2011 | |
dc.identifier.issn | 0281-3432 | |
dc.identifier.uri | https://hdl.handle.net/1956/17620 | |
dc.description.abstract | Objectives. 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.language.iso | eng | eng |
dc.publisher | Taylor & Francis | eng |
dc.relation.ispartof | <a href="http://hdl.handle.net/1956/17622" target="_blank">Allmennlegers erfaringer som portvakt. Utfordringer, håndtering og konsekvenser</a> | |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/ | eng |
dc.subject | Education | eng |
dc.subject | family practice | eng |
dc.subject | primary health care | eng |
dc.subject | sickness certifi cation | eng |
dc.subject | sick-listing | eng |
dc.subject | subjective health complaints | eng |
dc.subject | work incapacity | eng |
dc.title | Considerations made by the general practitioner when dealing with sick-listing of patients suffering from subjective and composite health complaints | eng |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.description.version | publishedVersion | |
dc.rights.holder | Copyright 2011 Informa Healthcare | eng |
dc.identifier.doi | https://doi.org/10.3109/02813432.2010.514191 | |
dc.identifier.cristin | 830835 | |
dc.source.journal | Scandinavian Journal of Primary Health Care | |
dc.source.40 | 29 | |
dc.source.14 | 1 | |
dc.source.pagenumber | 7-12 | |