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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