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Table 3 The physician's assessment of how problematic they experienced different sickness-certification tasks to be (%).

From: Sickness-certification practice in different clinical settings; a survey of all physicians in a country

How problematic do you generally find it to... Very
%
Fairly
%
Somewhat
%
Not at
all%
...handle sickness-certification of patients? 6.8 33.1 43.2 17.0
...assess whether a patient's functional capacity is reduced? 14.6 33.7 37.3 14.4
...assess whether the reduced functional capacity is due to disease or injury? 10.0 28.3 41.5 20.1
...assess the degree to which the reduced functional capacity limits a patient's work capacity? 22.6 37.3 30.8 9.3
...provide a long-term prognosis about the future work capacity of sick-listed patients? 22.3 36.1 28.2 13.4
...assess the optimum duration and degree of sickness absence? 16.2 36.7 36.1 11.0
...suggest a plan of action and/or measures to be taken during the sick leave? 8.9 26.0 37.4 27.7
...decide whether to certify a prolongation of a sick- leave period initially certified by another physician? 17.8 34.5 32.7 15.0
...manage your dual role of being a doctor for your patients and a medical expert for the Social Insurance Office and other authorities? 16.3 28.4 32.5 22.9
...discuss possible changes in lifestyle and life circumstances with a patient who is being issued a sickness certificate? 8.0 29.4 38.8 23.8
...discuss and know how to deal with other psychosocial problems (e.g. economic difficulties or physical or substance abuse) when managing a patient on sick leave? 12.0 28.5 36.1 23.4
...manage situations in which you and a patient have different opinions about the need for sickness absence? 15.6 30.7 37.4 16.3
...discuss with the patient the advantages and disadvantages of being on sick leave? 4.7 23.3 44.9 27.0
...issue sickness certificates for the social insurance officers? 10.8 26.4 38.5 24.4
...provide the SIO with other types of certificates? 16.6 33.3 31.9 18.2
...know what aspects of the sickness-certification process that is to be documented in the patient's chart? 4.3 14.9 37.6 43.2
...handle situations in which you and other members of the healthcare team have different opinions about sickness-certification of a patient? (Not applicable for 44.7%) 2.7 9.2 23.9 19.6