ArticleScandinavian journal of primary health care2019
Unsanctioned techniques for having sickness certificates accepted: a qualitative exploration and description of the strategies used by Swedish general practitioners.
Article in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 14 citations in OpenAlex.
- Medical certification in sickness benefit scheme (II): practical approaches for evaluating work disability.Annals of occupational and environmental medicine · 2025Review
- To Our Nurse Friends: An Ode to Resistance.Nursing philosophy : an international journal for healthcare professionals · 2025Article
- Rehabilitation coordinator - managers' experiences of a new function in health care.BMC health services research · 2024Article
- Resistance and the delivery of healthcare in Australian immigration detention centres.Monash bioethics review · 2023Article
- Everyday Resistance in the U.K.'s National Health Service.Journal of bioethical inquiry · 2023Article
- 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
- Psychiatrists' Experience of Vocational Rehabilitation for Patients with Mental Illness.The Psychiatric quarterly · 2021Article
- Doctors that "doctor" sickness certificates: cunning intelligence as an ability and possibly a virtue among Swedish GPs.Medicine, health care, and philosophy · 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
- 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
- Validity must be discussed.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
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore informal and unsanctioned techniques general practitioners (GPs) employ as a means to increase the likelihood of sickness certificate approval, following the Swedish Social Insurance Agency's (SSIA's) consolidation of the gatekeeping role in sickness benefit evaluation.
designQualitative semi-structured interviews with 20 GPs working in Swedish primary care. A thematic analysis of the transcribed material was carried out to map different techniques employed by the practitioners.
resultsEight techniques were identified, particularly with respect to the way in which the sickness certificate is written to ensure approval by the SSIA. The identified techniques were most commonly adopted when the patient's case was perceived to be at high risk for rejection by the SSIA (such as psychiatric illnesses, chronic pain etc.).
conclusionsThe findings imply that the informal and unsanctioned techniques are complex and ambiguous. They are used intentionally and covertly. The study also suggests that, while the consolidation of SSIA's gatekeeping role may have resolved some sickness absence issues, a consequence may be that GPs develop unsanctioned techniques to ensure compliance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.