ArticleScandinavian journal of primary health care2015
GPs' negotiation strategies regarding sick leave for subjective health complaints.
Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Innovation and testing in general practitioners' practice - the challenging path from idea to new practice.Scandinavian journal of primary health care · 2025Article
- General practitioners' attitudes and practices regarding sick leave certification for patients with depression in Norway - a cross-sectional study.BMC health services research · 2024Article
- Stretching oneself too thin and facing ethical challenges: Healthcare professionals' experiences during the COVID-19 pandemic.Nursing ethics · 2024Article
- Between Public Guidelines for User Involvement and Ideals About Free Research: Using Collaborative Autoethnography to Explore Researcher Experiences From a User Involvement Process.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Suitability of issuing sickness certifications in remote consultations during the COVID-19 pandemic. A mixed method study of GPs' experiences.Scandinavian journal of primary health care · 2024Article
- General practitioners' stay-at-work practices in patients with musculoskeletal disorders: using Intervention Mapping to develop a training program.Scandinavian journal of primary health care · 2023Article
- Family physicians' questions about the COVID-19 pandemic: a content analysis of 2,272 helpline calls.BMC primary care · 2023Article
- Conditions for gatekeeping when GPs consider patient requests unreasonable: a focus group study.Family practice · 2022Article
- The Doctor as Parent, Partner, Provider… or Comrade? Distribution of Power in Past and Present Models of the Doctor-Patient Relationship.Health care analysis : HCA : journal of health philosophy and policy · 2021Article
- Positioning work related stress - GPs' reasoning about using the WSQ combined with feedback at consultation.BMC family practice · 2020Article
- 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
- Assessing work capacity - reviewing the what and how of physicians' clinical practice.BMC family practice · 2020Review
- Unsanctioned techniques for having sickness certificates accepted: a qualitative exploration and description of the strategies used by Swedish general practitioners.Scandinavian journal of primary health care · 2019Article
- Work incentives, chronic illnesses and how sickness certificates are written affect sickness absence.Scandinavian journal of primary health care · 2019Article
- NEGOTIATING HEALTH: patients' and guardians' perspective on "failed" patient-professional interactions in the context of the Swedish health care system.BMC health services research · 2018Article
- How general practitioners understand and handle medically unexplained symptoms: a focus group study.BMC family practice · 2018Article
- How do occupational rehabilitation clinicians approach participants on long-term sick leave in order to facilitate return to work? A focus group study.BMC health services research · 2017Article
- What happens when the doctor denies a patient's request? A qualitative interview study among general practitioners in Norway.Scandinavian journal of primary health care · 2017Article
- 'Working is out of the question': a qualitative text analysis of medical certificates of disability.BMC family practice · 2017Article
- Correspondence in Stakeholder Assessment of Health, Work Capacity and Sick Leave in Workers with Comorbid Subjective Health Complaints? A Video Vignette Study.Journal of occupational rehabilitation · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore general practitioners' (GPs') specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints.
designFocus-group study.
settingNine focus-group interviews in three cities in different regions of Norway.
participants48 GPs (31 men, 17 women; age 32-65), participating in a course dealing with diagnostic practice and assessment of sickness certificates related to patients with subjective health complaints.
resultsThe GPs identified some specific strategies that they claimed to apply when dealing with the question of sick leave for patients with subjective health complaints. The first step would be to build an alliance with the patient by complying with the wish for sick leave, and at the same time searching for information to acquire the patient's perspective. This position would become the basis for the main goal: motivating the patient for a rapid return to work by pointing out the positive effects of staying at work, making legal and moral arguments, and warning against long-term sick leave. Additional solutions might also be applied, such as involving other stakeholders in this process to provide alternatives to sick leave. CONCLUSIONS AND IMPLICATIONS: GPs seem to have a conscious approach to negotiations of sickness certification, as they report applying specific strategies to limit the duration of sick leave due to subjective health complaints. This give-and-take way of handling sick-leave negotiations has been suggested by others to enhance return to work, and should be further encouraged. However, specific effectiveness of this strategy is yet to be proven, and further investigation into the actual dealings between doctor and patients in these complex encounters is needed.
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