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Table 4 Physicians (%) who experienced sickness-certification as very or fairly problematic stratified on clinics.

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

How problematic do you generally find it to...
  ...handle sickness- certification of patients? ...to assess the degree which the reduced functional capacity limits a patient's work capacity? ...provide a long-term prognosis about the future work capacity of a sick-listed patient? ...assess the optimum duration and degree of sickness absence? ...decide whether certify a prolongation of a sick-leave period initially certified by another physician?
Clinical setting: % ORb (95% CI) % ORb (95% CI) % ORb (95% CI) % ORb (95% CI) % ORb (95% CI)
Internal medicinea 33.2 1 57.9 1 58.2 1 54.1 1 53.0 1
Primary health care 60.5 3.30 (2.93-3.72) 81.5 3.51 (3.09-3.98) 78.2 2.80 (2.48-3.17) 70.0 2.15 (1.91-2.42) 70.0 2.17 (1.93-2.43)
Rheumatology 50.5 2.57 (1.87-3.52) 64.3 1.61 (1.16-2.22) 66.3 1.65 (1.19-2.29) 52.8 1.20 (0.88-1.65) 56.9 1.33 (0.97-1.81)
Psychiatry 47.2 1.96 (1.67-2.31) 61.9 1.28 (1.08-1.50) 70.5 1.83 (1.54-2.16) 55.7 1.16 (0.98-1.36) 47.5 0.83 (0.71-0.97)
Neurology 44.0 1.88 (1.41-2.51) 61.1 1.35 (1.01-1.81) 63.3 1.42 (1.06-1.90) 55.1 1.29 (0.96-1.72) 49.6 0.97 (0.73-1.28)
Pain management 38.1 1.66 (0.98-2.82) 58.1 1.35 (0.80-2.27) 63.5 1.56 (0.92-2.64) 45.2 0.99 (0.59-1.66) 44.4 0.86 (0.51-1.43)
Orthopaedic 42.7 1.61 (1.36-1.92) 61.0 1.24 (1.04-1.47) 61.0 1.20 (1.02-1.43) 52.6 1.04 (0.87-1.23) 56.5 1.23 (1.04-1.45)
Occupational health 28.6 1.14 (0.89-1.45) 41.6 0.72 (0.58-0.90) 43.1 0.70 (0.56-0.88) 36.0 0.71 (0.57-0.90) 38.9 0.70 (0.56-0.88)
Dermatology 32.3 1.13 (0.81-1.58) 44.6 0.68 (0.50-0.93) 52.2 0.89 (0.65-1.21) 39.8 0.67 (0.49-0.92) 43.8 0.76 (0.56-1.04)
Rehabilitation 30.0 1.05 (0.73-1.50) 45.6 0.73 (0.52-1.01) 58.8 1.19 (0.85-1.66) 41.5 0.75 (0.53-1.05) 34.0 0.51 (0.36-0.72)
Gynaecology 30.5 1.02 (0.85-1.22) 50.9 0.86 (0.73-1.02) 28.0 0.30 (0.25-0.36) 45.4 0.83 (0.70-0.98) 46.6 0.85 (0.72-1.01)
Administration 26.2 0.94 (0.53-1.66) 56.9 1.27 (0.76-2.11) 46.2 0.76 (0.46-1.25) 41.5 0.84 (0.50-1.40) 38.5 0.66 (0.40-1.11)
Geriatrics 24.3 0.78 (0.49-1.24) 40.0 0.58 (0.39-0.88) 44.2 0.66 (0.44-0.99) 38.8 0.67 (0.44-1.02) 28.8 0.40 (0.26-0.62)
Infectious diseases 24.8 0.67 (0.51-0.89) 55.0 0.92 (0.71-1.18) 51.6 0.78 (0.61-1.00) 51.3 0.93 (0.72-1.19) 51.3 0.96 (0.75-1.23)
Ophthalmology 20.1 0.60 (0.45-0.81) 38.3 0.53 (0.42-0.68) 34.6 0.43 (0.34-0.56) 33.1 0.51 (0.39-0.66) 29.0 0.40 (0.31-0.52)
Child and adolescent 19.9 0.59 (0.44-0.79) 25.6 0.29 (0.22-0.37) 26.6 0.29 (0.22-0.38) 28.5 0.40 (0.31-0.52) 26.8 0.36 (0.28-0.47)
Surgery 21.8 0.58 (0.49-0.68) 44.4 0.60 (0.51-0.69) 41.5 0.52 (0.45-0.60) 40.0 0.58 (0.50-0.67) 40.8 0.63 (0.54-0.73)
Ear, nose, and throat 17.6 0.50 (0.38-0.66) 45.7 0.72 (0.58-0.90) 44.3 0.65 (0.52-0.81) 38.9 0.65 (0.52-0.82) 41.5 0.71 (0.57-0.89)
Oncology 14.7 0.35 (0.25-0.49) 38.2 0.46 (0.35-0.59) 50.6 0.76 (0.60-0.97) 31.2 0.38 (0.29-0.50) 27.0 0.33 (0.25-0.43)
Other 28.0 0.93 (0.76-1.13) 41.1 0.58 (0.48-0.70) 41.3 0.57 (0.47-0.69) 38.3 0.62 (0.51-0.75) 37.9 0.61 (0.51-0.74)
  1. a reference group (n = 1,874), b adjusted for rate of board certified specialists.
  2. Bold figures indicates OR that is significantly greater or smaller than 1.