Skip to main content

Table 4 Variables associated with sickness certifying for longer periods than actually necessary due to patient or physician factors

From: Reasons for and factors associated with issuing sickness certificates for longer periods than necessary: results from a nationwide survey of physicians

  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)
  1. a OR denotes odds ratio; CI denotes confidence interval. b The multivariable analysis was performed by simultaneously entering into the model all variables that were significantly associated with the dependent variable. * = Significant at p < 0.01; ** = Significant at p < 0.001.