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病假条对我们的病人有害吗?

Are sickness certificates doing our patients harm.

作者信息

Dunstan Debra A

机构信息

Cognitive and Social Sciences, University of New England, Armidale, New South Wales.

出版信息

Aust Fam Physician. 2009 Jan-Feb;38(1-2):61-3.

PMID:19283239
Abstract

BACKGROUND

Over the past 9 years there has been a 70% increase in requests for sickness certificates in Australia. In this same period, an increasing number of people have been certified as permanently disabled for work.

OBJECTIVE

This article highlights the relationship between work and health, and emphasises the detrimental effects of certified work absence. It calls for a reduction in the number and duration of sickness certifications.

DISCUSSION

Current certification practices suggest a lack of understanding of the risks associated with work absence. Issuing a sickness certificate can have negative impacts on health and wellbeing, and general practitioners need to be as cautious when issuing sickness certificates as they are when delivering other treatments associated with significant health risks.

摘要

背景

在过去9年里,澳大利亚对病假证明的需求增长了70%。在同一时期,越来越多的人被证明永久丧失工作能力。

目的

本文强调了工作与健康之间的关系,并强调了经证明的缺勤的有害影响。它呼吁减少病假证明的数量和时长。

讨论

当前的证明做法表明对与缺勤相关的风险缺乏了解。开具病假证明可能会对健康和幸福产生负面影响,全科医生在开具病假证明时需要像提供其他有重大健康风险的治疗时一样谨慎。

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1
Are sickness certificates doing our patients harm.病假条对我们的病人有害吗?
Aust Fam Physician. 2009 Jan-Feb;38(1-2):61-3.
2
Patient factors associated with duration of certified sickness absence and transition to long-term incapacity.与经认证的病假时长及转为长期无工作能力相关的患者因素。
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Sickness certificates as a basis for decisions regarding entitlement to sickness insurance benefits.疾病证明作为决定是否有权享受疾病保险福利的依据。
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Scand J Prim Health Care. 2007 Sep;25(3):178-85. doi: 10.1080/02813430701430854.
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[Is the new LAE 355 certificate useful for extended sick leave benefits?].
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Issuing sickness certificates: a difficult task for physicians: a qualitative analysis of written statements in a Swedish survey.开具病假证明:医生面临的一项艰巨任务:瑞典一项调查中书面陈述的定性分析
Scand J Public Health. 2009 Jan;37(1):57-63. doi: 10.1177/1403494808097170. Epub 2008 Nov 27.
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Sickness-certification practice in different clinical settings; a survey of all physicians in a country.
不同临床环境中的病假证明开具实践;对一个国家所有医生的调查。
BMC Public Health. 2010 Dec 6;10:752. doi: 10.1186/1471-2458-10-752.