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Table 3 Physicians reporting "very problematic" or "rather problematic" about tasks related to sickness certification

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

  OS GP   Odds ratio3
Type of problem1 % % P2 crude 95% CI adjusted4 95% CI
Assessment        
To assess whether a patient's functional capacity is reduced 19.4 63.6 s 7.2 4.7–11–2 7.1 4.5–11.3
To assess the degree to which reduced functional capacity limits a patient's work ability 53.4 80.9 s 3.7 2.5–5.4 4.0 2.7–6.1
To ascertain the optimum duration and degree of sickness certification 44.3 77.6 s 4.4 3.0–6.3 4.2 2.8–6.3
To suggest a plan of action and/or measures to be taken during the sick leave? 37.8 55.2 s 2.0 1.4–2.9 2.1 1.4–3.0
Certification        
To issue sickness certificates to be used by SIO5 47.0 46.4 ns 1.0 0.7–1.4 0.9 0.6–1.3
To decide whether to authorize prolongations of a period of sick leave that was previously certified by another physician? 52.0 75.1 s 2.8 1.9–4.0 2.4 1.6–3.5
Role        
To manage the two different roles as the patient's physician and medical expert for the social insurance offices and other authorities? 39.9 65.1 s 2.9 2.0–4.2 2.9 1.9–4.4
To handle situations in which you and a patient have different opinions about the need for sickness absence? 52.4 81.0 s 3.9 2.7–5.7 3.5 2.3–5.2
To discuss with patients the advantages and disadvantages of being on sick leave? 30.2 50.7 s 2.4 1.6–3.5 2.2 1.4–3.2
  1. 1 The questions began "How problematic do you find it ... and the response alternatives were; very problematic, fairly problematic, not very problematic, not problematic
  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 Odds ratio dichotomized (problematic-not problematic) response alternatives. Reference group; OS = 1
  4. 4 Adjusted for gender and working years
  5. 5 SIO = Social insurance office