Trident Medical Services Ltd, Highfield Court Tollgate, Chandlers Ford, Eastleigh, Hants SO53 3TY, UK
Occup Med (Lond). 2014 Dec;64(8):577-9. doi: 10.1093/occmed/kqu146. Epub 2014 Oct 16.
The fit note replaced the sick note in 2010. The statement of fitness for work (fit note) is expected to benefit the British economy by helping more people stay in work and prevent long-term sickness absence. Understanding and responding to employers' views on the fit note is key, in order for this goal to be achieved.
To explore employers' views on the fit note.
A qualitative study was undertaken and face-to-face interviews were conducted with participants representing employers from a variety of industries.
There were 21 participants who were mainly human resources officers and line managers. Employers welcomed the introduction of the fit note and felt that it was an improvement on the sick note. The majority of employers felt the fit note had the potential to promote an earlier return to work, if used properly. The main problems reported were the completion of the fit notes and quality of advice received from general practitioners. Employers felt that the most helpful advice came from fit notes with information on the functional effects of the medical condition. Some employers found return to work decisions problematic.
The fit note has the potential to promote an earlier return to work. In order for the fit note to achieve its aim, further understanding of the difficulties employers are having when making return to work decisions is important, in order to develop guidance to enable them to provide the practical support employees need to return to work sooner.
Fit note 于 2010 年取代 sick note。预计工作能力状况说明（Fit note）将通过帮助更多人继续工作并预防长期病假，使英国经济受益。为了实现这一目标，了解和回应雇主对 Fit note 的看法是关键。
探讨雇主对 Fit note 的看法。
进行了一项定性研究，并对来自各种行业的雇主代表进行了面对面的访谈。
共有 21 名参与者，主要是人力资源官员和直线经理。雇主欢迎 Fit note 的引入，并认为它比 sick note 有所改进。大多数雇主认为，如果使用得当，Fit note 有可能促进更早地重返工作岗位。报告的主要问题是 Fit note 的填写和全科医生提供的建议的质量。雇主认为最有用的建议来自于包含医疗状况对功能影响信息的 Fit note。一些雇主发现重返工作岗位的决策存在问题。
Fit note 有可能促进更早地重返工作岗位。为了使 Fit note 实现其目标，进一步了解雇主在做出重返工作岗位决策时遇到的困难非常重要，以便制定指导方针，使他们能够为员工提供重返工作岗位所需的实际支持。
