Stockholm Centre for Healthcare Ethics (CHE), Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
BMC Public Health. 2013 Mar 23;13:268. doi: 10.1186/1471-2458-13-268.
Previous research shows that how patients perceive encounters with healthcare staff may affect their health and self-estimated ability to return to work. The aim of the present study was to explore long-term sick-listed patients' encounters with social insurance office staff and the impact of these encounters on self-estimated ability to return to work.
A random sample of long-term sick-listed patients (n = 10,042) received a questionnaire containing questions about their experiences of positive and negative encounters and item lists specifying such experiences. Respondents were also asked whether the encounters made them feel respected or wronged and how they estimated the effect of these encounters on their ability to return to work. Statistical analysis was conducted using 95% confidence intervals (CI) for proportions, and attributable risk (AR) with 95% CI.
The response rate was 58%. Encounter items strongly associated with feeling respected were, among others: listened to me, believed me, and answered my questions. Encounter items strongly associated with feeling wronged were, among others: did not believe me, doubted my condition, and questioned my motivation to work. Positive encounters facilitated patients' self-estimated ability to return to work [26.9% (CI: 22.1-31.7)]. This effect was significantly increased if the patients also felt respected [49.3% (CI: 47.5-51.1)]. Negative encounters impeded self-estimated ability to return to work [29.1% (CI: 24.6-33.6)]; when also feeling wronged return to work was significantly further impeded [51.3% (CI: 47.1-55.5)].
Long-term sick-listed patients find that their self-reported ability to return to work is affected by positive and negative encounters with social insurance office staff. This effect is further enhanced by feeling respected or wronged, respectively.
先前的研究表明，患者如何看待与医护人员的接触可能会影响他们的健康和自我估计的重返工作能力。本研究旨在探讨长期请病假的患者与社会保险办公室工作人员的接触情况，以及这些接触对自我估计重返工作能力的影响。
随机抽取 10042 名长期请病假的患者，向他们发放一份包含有关积极和消极接触经历的问题的问卷，以及具体说明这些经历的项目清单。受访者还被问及这些接触是否让他们感到受尊重或受委屈，以及他们如何估计这些接触对其重返工作能力的影响。统计分析采用 95%置信区间（CI）进行比例计算，以及归因风险（AR）和 95%CI。
回应率为 58%。与感到受尊重强烈相关的接触项目包括：倾听我、相信我、回答我的问题等。与感到受委屈强烈相关的接触项目包括：不相信我、怀疑我的病情、质疑我工作的动机等。积极的接触促进了患者自我估计的重返工作能力[26.9%（CI：22.1-31.7）]。如果患者感到受尊重，这种效果显著增加[49.3%（CI：47.5-51.1）]。消极的接触阻碍了自我估计的重返工作能力[29.1%（CI：24.6-33.6）]；当感到受委屈时，重返工作的能力进一步显著受阻[51.3%（CI：47.1-55.5）]。
长期请病假的患者发现，他们自我报告的重返工作能力受到与社会保险办公室工作人员的积极和消极接触的影响。这种影响分别通过感到受尊重或受委屈而进一步增强。
