ArticleBMC family practice2013
Quality of sickness certification in primary health care: a retrospective database study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Quality assessment in sickness certificates - changes over an eight-year period in Sweden and associated factors.Scandinavian journal of primary health care · 2026Article
- Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study.JMIR medical informatics · 2021Article
- Primary care physicians' concerned voices on sickness certification after a period of reorganization. Focus group interviews in Sweden.Scandinavian journal of primary health care · 2020Article
- The quality of the sickness certificate. A case control study of patients with symptom and disease specific diagnoses in primary health care in Sweden.Scandinavian journal of primary health care · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the period 2004-2009, national and regional initiatives were developed in Sweden to improve the quality of sickness certificates. Parameters for assessing the quality of sickness certificates in primary health care have been proposed. The aim of this study was to measure the quality of sickness certification in primary health care by means of assessing sickness certificates issued between 2004 and 2009 in Stockholm.
methodsThis was a retrospective study using data retrieved from sickness certificates contained in the electronic patient records of 21 primary health care centres in Stockholm County covering six consecutive years. A total number of 236 441 certificates were used in the current study. Seven quality parameters were chosen as outcome measures. Descriptive statistics and regression models with time, sex and age group as explanatory variables were used.
resultsDuring the study period, the quality of the sickness certification practice improved as the number of days on first certification decreased and the proportion of duly completely and acceptable certificates increased. Assessment of need for vocational rehabilitation and giving a prognosis for return to work were not significantly improved during the same period. Time was the most influential variable.
conclusionsThe quality of sickness certification practice improved for most of the parameters, although additional efforts to improve the quality of sickness certificates are needed. Measures, such as reminders, compulsory certificate fields and structured guidance, could be useful tools to achieve this objective.
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