全科医生对病假证明有何看法？系统检索和叙述性综述。
What do GPs feel about sickness certification? A systematic search and narrative review.
机构信息
Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, UK.
出版信息
Scand J Prim Health Care. 2010 Jun;28(2):67-75. doi: 10.3109/02813431003696189.
Abstract
Abstract Objective. To identify GPs' attitudes towards sickness certification. Design. Systematic search and narrative review identifying themes around attitudes towards sickness certification. Results. Eighteen papers were identified for inclusion in the review; these included qualitative, quantitative, and systematic reviews. The papers were predominantly from Scandinavia and the UK. Three themes were identified from the literature: conflict, role responsibility, and barriers to good practice. Conflict was predominantly centred on conflict between GP and patients regarding the need for a certificate, but there was also conflict between all stakeholders. Role responsibility focused on the multiple roles GPs had to fulfil, and barriers to good practice were identified both within and outside the healthcare system. Conclusion. Any potential for changing the certification system needs to focus on reducing the potential for conflict, clarification of the roles of all stakeholders, and improving access to specialist occupational health and rehabilitation services.
摘要
摘要
目的。了解全科医生对病假证明的态度。
设计。系统性检索和叙事性综述，确定与病假证明态度相关的主题。
结果。共纳入 18 篇文献，包括定性、定量和系统性综述。文献主要来自斯堪的纳维亚和英国。文献中确定了三个主题：冲突、角色责任和良好实践的障碍。冲突主要集中在全科医生和患者之间是否需要证明这一问题上，但所有利益相关者之间也存在冲突。角色责任主要集中在全科医生需要履行的多重角色上，良好实践的障碍不仅存在于医疗保健系统内部，也存在于其外部。
结论。任何改变认证系统的潜力都需要集中于减少潜在冲突、澄清所有利益相关者的角色以及改善获得专业的职业健康和康复服务的机会。
相似文献
1
What do GPs feel about sickness certification? A systematic search and narrative review.
Scand J Prim Health Care. 2010 Jun;28(2):67-75. doi: 10.3109/02813431003696189.
2
Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature.
JBI Database System Rev Implement Rep. 2016 Apr;14(4):96-137. doi: 10.11124/JBISRIR-2016-1843.
3
What do general practitioners know about ADHD? Attitudes and knowledge among first-contact gatekeepers: systematic narrative review.
BMC Fam Pract. 2016 Sep 7;17(1):129. doi: 10.1186/s12875-016-0516-x.
4
Home treatment for mental health problems: a systematic review.
Health Technol Assess. 2001;5(15):1-139. doi: 10.3310/hta5150.
5
The experience of adults who choose watchful waiting or active surveillance as an approach to medical treatment: a qualitative systematic review.
JBI Database System Rev Implement Rep. 2016 Feb;14(2):174-255. doi: 10.11124/jbisrir-2016-2270.
6
How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review.
Health Soc Care Deliv Res. 2025 May 21:1-77. doi: 10.3310/WQFV7425.
7
Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review.
Cochrane Database Syst Rev. 2018 Apr 17;4(4):CD010842. doi: 10.1002/14651858.CD010842.pub2.
8
Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis.
Cochrane Database Syst Rev. 2021 Oct 27;10(10):CD013265. doi: 10.1002/14651858.CD013265.pub2.
9
The measurement of collaboration within healthcare settings: a systematic review of measurement properties of instruments.
JBI Database System Rev Implement Rep. 2016 Apr;14(4):138-97. doi: 10.11124/JBISRIR-2016-2159.
10
WITHDRAWN: Interventions for fatigue and weight loss in adults with advanced progressive illness.
Cochrane Database Syst Rev. 2017 Apr 7;4(4):CD008427. doi: 10.1002/14651858.CD008427.pub3.
引用本文的文献
1
Legitimizing incapacity: discursive choices in Norwegian sickness certificates.
BMC Health Serv Res. 2025 May 20;25(1):725. doi: 10.1186/s12913-025-12902-7.
2
General practitioners' attitudes and practices regarding sick leave certification for patients with depression in Norway - a cross-sectional study.
BMC Health Serv Res. 2024 Dec 5;24(1):1550. doi: 10.1186/s12913-024-11974-1.
3
Early structured communication between general practitioner, sick-listed patient, and employer: Results and lessons learned from a pragmatic trial in the Capacity Note project.
Prim Health Care Res Dev. 2024 Nov 28;25:e64. doi: 10.1017/S1463423624000574.
4
Patients' experiences with receiving sick leave certificates via remote consultations in Norway during the COVID-19 pandemic: a nationwide online survey.
BMJ Open. 2024 Jan 25;14(1):e075352. doi: 10.1136/bmjopen-2023-075352.
5
Suitability of issuing sickness certifications in remote consultations during the COVID-19 pandemic. A mixed method study of GPs' experiences.
Scand J Prim Health Care. 2024 Mar;42(1):7-15. doi: 10.1080/02813432.2023.2282587. Epub 2024 Feb 7.
6
General practitioners' stay-at-work practices in patients with musculoskeletal disorders: using Intervention Mapping to develop a training program.
Scand J Prim Health Care. 2023 Dec;41(4):445-456. doi: 10.1080/02813432.2023.2268674. Epub 2023 Nov 29.
7
Interventions regarding physicians' sickness certification practice - a systematic literature review with meta-analyses.
Scand J Prim Health Care. 2022 Mar;40(1):104-114. doi: 10.1080/02813432.2022.2036420. Epub 2022 Mar 7.
8
Physician's use of sickness certification guidelines: a nationwide survey of 13 750 physicians in different types of clinics in Sweden.
BMJ Open. 2021 Dec 14;11(12):e051555. doi: 10.1136/bmjopen-2021-051555.
9
Factors associated with general practitioners' contacts with sick-listed patients' employers: A Swedish nationwide questionnaire study.
Scand J Public Health. 2023 Jun;51(4):602-610. doi: 10.1177/14034948211053141. Epub 2021 Oct 23.
10
The Doctor as Parent, Partner, Provider… or Comrade? Distribution of Power in Past and Present Models of the Doctor-Patient Relationship.
Health Care Anal. 2021 Sep;29(3):231-248. doi: 10.1007/s10728-021-00432-2. Epub 2021 Apr 27.
本文引用的文献
1
Characteristics of sick-listing cases that physicians consider problematic--analyses of written case reports.
Scand J Prim Health Care. 2009;27(4):250-5. doi: 10.3109/02813430903286286.
2
Barriers to good sickness certification -- an interview study with Swedish general practitioners.
Scand J Public Health. 2008 Jun;36(4):408-14. doi: 10.1177/1403494808090903.
3
Doctors' attitudes and beliefs regarding acute low back pain management: A systematic review.
Pain. 2008 Jun;136(3):388-396. doi: 10.1016/j.pain.2008.01.003. Epub 2008 Apr 18.
4
Problems in sickness certification of patients: a qualitative study on views of 26 physicians in Sweden.
Scand J Prim Health Care. 2008;26(1):22-8. doi: 10.1080/02813430701747695.
5
How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists.
Pain. 2008 Mar;135(1-2):187-95. doi: 10.1016/j.pain.2007.11.010.
6
Dealing with sickness certification - a survey of problems and strategies among general practitioners and orthopaedic surgeons.
BMC Public Health. 2007 Oct 2;7:273. doi: 10.1186/1471-2458-7-273.
7
Frequency and nature of problems associated with sickness certification tasks: a cross-sectional questionnaire study of 5455 physicians.
Scand J Prim Health Care. 2007 Sep;25(3):178-85. doi: 10.1080/02813430701430854.
8
New rules meet established sickness certification practice: a focus-group study on the introduction of functional assessments in Norwegian primary care.
Scand J Prim Health Care. 2007 Sep;25(3):172-7. doi: 10.1080/02813430701267421.
9
Views on sick-listing practice among Swedish General Practitioners--a phenomenographic study.
BMC Fam Pract. 2007 Jul 30;8:44. doi: 10.1186/1471-2296-8-44.
10
Sickness certification in primary care - the physician's role.
Swiss Med Wkly. 2007 Jun 16;137(23-24):341-6. doi: 10.4414/smw.2007.11865.
Zotero 插件