Sickness certificates issued for longer periods than necessary due to patient factors | Sickness certificates issued for longer periods than necessary due to physician factors | ||||
---|---|---|---|---|---|
Unadjusted ORa(99% CI) | MultivariatebOR (99% CI) | Unadjusted ORa(99% CI) | MultivariatebOR (99% CI) | ||
Gender | Female | 1 | 1 | 1 | - |
Male | 0.82 (0.72-0.94)** | 0.96 (0.80-1.16) | 1.12 (0.97-1.29) | - | |
Age | – 34 | 1 | 1 | 1 | 1 |
35 – 44 | 0.84 (0.69-1.01) | 0.83 (0.65-1.07) | 0.75 (0.61-0.91)** | 0.84 (0.62-1.12) | |
45 – 54 | 0.78 (0.64-0.95)** | 0.67 (0.51-0.87)** | 0.55 (0.44-0.67)** | 0.68 (0.46-1.00) | |
55 – 64 | 0.64 (0.53-0.78)** | 0.55 (0.42-0.72)** | 0.52 (0.42-0.63)** | 0.83 (0.56-1.23) | |
65 – | 0.44 (0.30-0.66)** | 0.55 (0.32-0.93)* | 0.29 (0.18-0.47)** | 0.54 (0.26-1.10) | |
Board certified specialist | 1 | - | 1 | 1 | |
Yes (Reference = no) | 0.69 (0.60-0.79) | - | 0.57 (0.49-0.65)** | 1.04 (0.77-1.41) | |
Sickness certification consultations | |||||
1-5 times a week | 1 | 1 | 1 | 1 | |
More than 6 times a week | 3,29 (2.85-3.80)** | 1.91 (1.57-2.33)** | 2.35 (2.02-2.73)** | 1.57 (1.27-1.94)** | |
Well established workplace policy | |||||
Yes (Reference = no) | 0.94 (0.80-1.10) | - | 0.58 (0.47-0.70)** | 0.56 (0.43-0.75)** | |
Support from your management | |||||
Yes (Reference = no) | 1.10 (0.96-1.28) | - | 0.95 (0.82-1.10) | - | |
Frequency of the following situations related to sickness certification: | |||||
Delicate interactions with patients | 2.52 (2.34-2.70)** | 1.74 (1.59-1.90)** | 2.88 (2.67-3.11)** | 2.12 (1.92-2.34)** | |
Lack of time | 2.04 (1.87-2.23)** | 1.42 (1.25-1.62)** | 2.22 (2.01-2.45)** | 1.34 (1.17-1.54)** | |
Collaboration, referrals, and support | 2.10 (1.96-2.24)** | 1.46 (1.30-1.64)** | 1.39 (1.30-1.49)** | 1.04 (0.91-1.19) | |
Need for more competence | 1.68 (1.56-1.81)** | 0.98 (0.88-1.10) | 1.99 (1.83-2.16)** | 1.17 (1.04-1.32)** | |
Perceived problems regarding sickness certification: | |||||
Problems with the sickness certification guidelines | 0.91 (0.85-0.97)** | 1.06 (0.96-1.16) | 1.07 (0.99-1.15) | - | |
General problems with sickness certification | 1.73 (1.61-1.85)** | 0.99 (0.88-1.12) | 1.98 (1.84-2.15)** | 0.93 (0.82-1.06) | |
Problems with assessments | 2.10 (1.94-2.27)** | 1.28 (1.09-1.49)** | 2.40 (2.20-2.62)** | 1.09 (0.92-1.29) | |
Problems with patient contacts | 2.00 (1.86-2.15)** | 1.30 (1.12-1.50)** | 2.98 (2.72-3.26)** | 2.03 (1.73-2.38)** | |
Clinic | |||||
Internal medicine | 1 | 1 | 1 | 1 | |
Occupational health | 4.36 (2.84-6.72)** | 2.63 (1.34-5.16)** | 1.09 (0.65-1.81) | 1.28 (0.57-2.89) | |
Orthopedic | 3.56 (2.41-5.24)** | 1.99 (1.22-3.24)** | 2.62 (1.85-3.71)** | 1.24 (0.80-1.95) | |
Primary health care | 5.52 (4.00-7.63)** | 2.51 (1.64-3.84)** | 2.70 (2.04-3.57)** | 1.30 (0.88-1.91) | |
Psychiatry | 9.50 (6.68-13.51)** | 6.10 (3.85-9.67)** | 2.22 (1.58-3.13)** | 1.37 (0.86-2.18) | |
Neurology | 1.36 (0.65-2.84) | 1.16 (0.49-2.73) | 1.15 (0.59-2-24) | 0.92 (0.40-2.14) | |
Rheumatology | 2.07 (1.03-4.16)* | 1.83 (0.83-4.06) | 1.17 (0.57-2.42) | 0.92 (0.39-2.17) | |
Pain | 2.29 (0.83-6.33) | 1.35 (0.30-6.20) | 0.93 (0.27-3.17) | 1.67 (0.37-7.51) | |
Rehabilitation | 2.69 (1.35-5.36)** | 2.30 (0.99-5.38) | 0.24 (0.05-1.12) | 0.39 (0.08-1.96) | |
Surgery | 0.56 (0.33-0.96)* | 0.72 (0.39-1.34) | 1.08 (0.74-1.58) | 1.19 (0.75-1.91) | |
Gynecology | 1.30 (0.80-2.12) | 1.22 (0.66-2.23) | 1.94 (1.33-2.83)** | 1.57 (0.96-2.58) | |
Infection | 0.77 (0.33-1.80) | 0.60 (0.18-2.00) | 0.68 (0.32-1.44) | 0.66 (0.26-1.69) | |
Oncology | 0.23 (0.06-0.86)* | 0.38 (0.09-1.52) | 0.78 (0.40-1.52) | 1.50 (0.68-3.29) | |
Child and youth | 1.04 (0.34-3.20) | 1.80 (0.46-7.03) | 0.71 (0.23-2.16) | 0.93 (0.18-4.88) | |
Ear, nose and throat | 0.56 (0.24-1.31) | 0.76 (0.28-2.03) | 0.49 (0.23-1.04) | 0.56 (0.22-1.37) | |
Dermatology | 1.52 (0.38-6.02) | 1.05 (0.13-8.67) | 0.75 (0.16-3.53) | 0.52 (0.05-5.17) | |
Eye | 1.05 (0.31-3.58) | 1.82 (0.39-8.51) | 0.87 (0.29-2.68) | 0.75 (0.14-3.91) |