Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, UK.
Scand J Prim Health Care. 2010 Jun;28(2):67-75. doi: 10.3109/02813431003696189.
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
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。
