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Table 1 The analytical steps

From: Sickness certification as a complex professional and collaborative activity - a qualitative study

Meaning unit

It is a misuse of recourses. Instead of one visit at the specialist clinic, the patient first has to see the specialist for a diagnose and then has to make an additional appointment to the family doctor for the medical certificate – and that for the same disease

Condensed meaning unit

A misuse of resources. First visit a specialist for a diagnose and then the family doctor for the medical certificate

Code

Low effectiveness of the use of limited health care resources

Challenge category

Collaboration and resource allocation within the healthcare system

Associated generic competence*

Contribute effectively to improved health of patients and communities and to recognize and respond to those issues where advocacy is appropriate

Physician CanMEDS role

Health advocate

Stakeholders involved

The Health Care System of the region

  1. * One of the generic competences needed to fulfil the physician role as a health advocate.