Berg J E, Tellnes G, Noreik K, Melsom H
Rikstrygdeverket, Oslo.
Tidsskr Nor Laegeforen. 1990 Apr 30;110(11):1393-7.
In 1988 the National Insurance Administration in Norway introduced a compulsory sickness certificate to be issued by the doctor after eight weeks of incapacity of work (sickness certificate II). The form contains 25 specified items to be filled in by the doctor. We registered and analysed the sickness certificates received by the local National Insurance offices in five municipalities during the last three months of 1988 (n = 735). The patients included a slight majority of males. 1/3 of the patients were younger than 30 years old and 2/3 younger than 50. 1/4 of the items had not been filled in by the doctors. The most frequent diagnostic groups were musculo-skeletal/connective tissue diseases (46.4%), mental disorders (11.2%), and complications related to pregnancy and birth (9.6%). Sickness certificate II included a five-level prognosis scheme. 68.3% of the patients were allocated to prognosis A, i.e. full recovery as a result of medical treatment only. Few doctors noted that cooperation with other health and social welfare personnel was desirable. The level of unemployment was reported as being higher in patients who were certified sick for greater than or equal to 8 weeks than in the general population of the countries included in the study. The extra costs of introducing sickness certificate II are estimated to equal one day's sickness allowance for each of the 735 patients.
1988年，挪威国家保险管理局推出了一种强制疾病证明，要求医生在患者丧失工作能力八周后开具（疾病证明II）。该表格包含25项特定内容，需由医生填写。我们对1988年最后三个月五个市镇的地方国家保险办公室收到的疾病证明进行了登记和分析（n = 735）。患者中男性略占多数。三分之一的患者年龄小于30岁，三分之二小于50岁。四分之一的项目医生未填写。最常见的诊断类别为肌肉骨骼/结缔组织疾病（46.4%）、精神障碍（11.2%）以及与妊娠和分娩相关的并发症（9.6%）。疾病证明II包含一个五级预后方案。68.3%的患者被归类为预后A，即仅通过医疗治疗即可完全康复。很少有医生指出需要与其他健康和社会福利人员合作。据报告，经认证患病超过或等于8周的患者的失业率高于研究中所涵盖国家的一般人群。引入疾病证明II的额外费用估计相当于这735名患者每人一天的疾病津贴。
