ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Work-related sickness absence negotiations: GPs' qualitative perspectives.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- The effect of a short educational intervention in social insurance medicine: A randomized controlled trial.Nursing open · 2020Trial
- Sick-listed workers' expectations about and experiences with independent medical evaluation: a qualitative interview study from Norway.Scandinavian journal of primary health care · 2018Trial
- Will my patients get their residence permit? A critical analysis of the ethical dilemmas involved in writing medical certificates for residence permits in France.BMC medical ethics · 2020Article
- Possible causes of experiencing problems with sick leave questions in telephone nursing.Upsala journal of medical sciences · 2017Article
- The Health and Occupation Research Network: An Evolving Surveillance System.Safety and health at work · 2017Review
- 'Working is out of the question': a qualitative text analysis of medical certificates of disability.BMC family practice · 2017Article
- Fostering needs assessment and access to medical rehabilitation for patients with chronic disease and endangered work ability: protocol of a multilevel evaluation on the effectiveness and efficacy of a CME intervention for general practitioners.Journal of occupational medicine and toxicology (London, England) · 2017Article
- How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.BMC family practice · 2016Article
- Fit for work? How GPs' decisions about fitness to work can improve health.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- GPs' negotiation strategies regarding sick leave for subjective health complaints.Scandinavian journal of primary health care · 2015Article
- General practitioners' perceptions of working with the certification of sickness absences following changes in the Swedish social security system: a qualitative focus-group study.BMC family practice · 2015Article
- Education and benchmarking among physicians may facilitate sick-listing practice.Journal of occupational rehabilitation · 2012Article
- Fit for work? Changing fit note practice among GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Fit for purpose? Using the fit note with patients with chronic pain: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Physicians' messages in problematic sickness certification: a narrative analysis of case reports.BMC family practice · 2011Article
- Medical certification: is it in the patient's best interest?The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Work, fit notes, and occupational health.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs can find their role as issuers of sickness certification problematic, particularly in trying to maintain a balance between certifying absence and preserving the doctor-patient relationship. Little research has been published on consultations in which sickness absence has been certified.
aimTo explore negotiations between GPs and patients in sickness absence certification, including how occupational health training may affect this process.
methodA qualitative study was undertaken with GPs trained in occupational health who also participate in a UK wide surveillance scheme studying work-related ill-health. Telephone interviews were conducted with 31 GPs who had reported cases with associated sickness absence.
resultsWork-related sickness absence and patients' requests for a 'sick note' vary by diagnosis. Some GPs felt their role as patient advocate was of utmost importance, and issue certificates on a patient's request, whereas others offer more resistance through a greater understanding of issues surrounding work and health acquired through occupational health training. GPs felt that their training helped them to challenge beliefs about absence from work being beneficial to patients experiencing ill-health; they felt better equipped to consider patients' fitness for work, and issued fewer certificates as a result of this.
conclusionComplex issues surround GPs' role in the sickness-certification process, particularly when determining the patient's ability to work while maintaining a healthy doctor-patient relationship. This study demonstrates the potential impact of occupational health training for GPs, particularly in light of changes to the medical statement introduced in 2010.
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