Skip to main content

Table 2 General problems, personal stressors perceived, and strategies used regarding sickness certification

From: Dealing with sickness certification – a survey of problems and strategies among general practitioners and orthopaedic surgeons

How often do you.......

Orthopaedic surgeons

General practitioners

 

Odds ratio3

 

weekly1 %

monthly %

yearly %

never %

weekly %

monthly %

yearly %

never %

P2

crude

95%CI

adjusted4

95%CI

..have consultations that include consideration of sickness certification

97.3

2.7

0.0

0.0

97.1

2.2

0.7

0.0

Ns

0.9

0.3–2.7

1.0

0.3–3.6

..find it problematic to handle sickness certification

53.0

26.5

12.9

7.5

61.4

31.3

6.0

1.4

S

1.4

0.3–2.0

1.4

0.9–2.0

Personal stressors

             

..encounter a patient who wants to be on sick leave for some reason other than work incapacity due to disease or injury

26.3

33.1

24.3

16.2

35.3

39.8

19.7

5.2

S

1.5

1.0–2.3

1.6

1.0–2.5

.. have conflicts with patients about sickness certification

13.6

30.6

39.5

16.3

19.9

32.2

39.0

8.8

S

1.5

1.0–2.6

1.5

0.9–2.5

..feel threatened by a patient in connection with sickness certification

0.7

2.0

16.1

81.2

2.2

5.5

25.0

66.0

s

5.3

0.7–39.5

4.6

0.6–35.1

Personal strategies

             

..have contact with SIO5 staff about matters concerning sickness certification

10.7

28.9

42.3

18.1

23.4

50.7

23.2

2.7

s

4.4

3.0–6.3

4.2

2.8–6.2

.. make a referral to occupational health

10.0

30.9

32.2

26.8

10.2

36.5

38.9

14.2

s

1.0

0.6–1.9

0.9

0.5–1.8

..issue sickness certificates without personal appointment

36.5

23.0

16.2

24.3

18.3

33.2

22.0

26.3

s

0.4

0.3–0.6

0.5

0.3–0.7

  1. 1 Following response alternatives are combined; more than 20 times a week, 6–20 times a week, 1–5 times a week
  2. 2 The significance of difference between physician categories on the 5% level (Chi2 test with four response alternatives). s = significant, ns = non-significant
  3. 3 The Odds ratio for dichotomized (weekly- less than weekly) response alternatives. Reference group; OS = 1
  4. 4 Adjusted for gender and working years
  5. 5 SIO = Social insurance office