Marschall B
Socialmedicinsk afsnit, Odense Kommune.
Ugeskr Laeger. 1991 Dec 16;153(51):3623-6.
In the Tarup district of Odense, an investigation was carried out concerning certificates in connection with maintenance allowances during a period olf two months. A total of 148 maintenance allowance certificates were collected consecutively for one month. Correspondingly, 81 certificates concerning 44 cases which were the subjects of sociomedical analysis were collected during the subsequent month, Four fifths of the certificates were written by the general practitioners. About half of the certificates were only of limited value for analysis of the cases, while one fifth supplied constructive supplementary information. Women in the age group 40-49 years were overrepresented and conditions in the locomotor system predominated (30-50%). These were followed by mental problems and disturbances with 14% and 11%, respectively. Great differences were found between the durations of sick-leave as assessed in the certificates and the factual durations. As assessment of the duration of sick-leave is important for the course of the maintenance allowance, an alteration in the certificate forms is proposed so that maintenance allowance cases are easier to classify.
在欧登塞的塔罗普区,针对两个月期间与抚养津贴相关的证明文件展开了一项调查。连续一个月共收集了148份抚养津贴证明。相应地,在随后的一个月里,收集了涉及44个接受社会医学分析案例的81份证明。五分之四的证明由全科医生开具。大约一半的证明对于案例分析的价值有限,而五分之一提供了有建设性的补充信息。40至49岁年龄组的女性占比过高,运动系统疾病占主导(30%-50%)。其次是精神问题和障碍,分别占14%和11%。证明文件中评估的病假时长与实际病假时长之间存在很大差异。由于病假时长的评估对抚养津贴的发放过程很重要,因此建议更改证明表格,以便抚养津贴案例更易于分类。