Money Annemarie, Hann Mark, Turner Susan, Hussey Louise, Agius Raymond
1Research Associate,Centre for Occupational and Environmental Health,Centre for Epidemiology,Institute of Population Health,University of Manchester,Manchester,UK.
2Research Fellow,Centre for Primary Care,Institute of Population Health,University of Manchester,Manchester,UK.
Prim Health Care Res Dev. 2015 Sep;16(5):528-39. doi: 10.1017/S1463423614000577. Epub 2015 Jan 6.
Aim To investigate the attitudes to health and work of general practitioners (GPs) with training in occupational medicine (OM) compared with non-OM trained GPs, since the introduction of the fit note.
Changes to the UK sickness certification system since 2010 and the introduction of the fit note required GPs to change their focus to what patients can do, rather than what they cannot do in relation to work. In an effort to reduce the UK sickness absence burden, GPs completion of the fit note should help to keep people in work, or assist patients to return to work as quickly as possible after a period of absence.
Questionnaire data were collected via the 7th National General Practitioner Worklife Survey. Findings Results indicate that responses from GPs who had undertaken training in OM, and GPs having received some form of work and health training in the 12-month period before the study were associated with significantly more positive attitudes to patients' returning to work and to the fit note. This study reveals evidence of a difference between trained and non-trained GPs in their attitude to the fit note, and to work and health generally. Further work investigating the effect of specific training in OM on the management and recognition of ill-health by GPs is recommended.
目的 自“适合工作证明”引入以来，调查接受职业医学（OM）培训的全科医生（GP）与未接受OM培训的GP对健康和工作的态度。
自2010年以来英国疾病认证系统发生了变化，“适合工作证明”的引入要求GP将重点转向患者能够做什么，而不是他们在工作方面不能做什么。为了减轻英国的病假负担，GP填写“适合工作证明”应有助于让人们继续工作，或帮助患者在缺勤一段时间后尽快重返工作岗位。
通过第七次全国全科医生工作生活调查收集问卷数据。结果 结果表明，接受过OM培训的GP以及在研究前12个月内接受过某种形式的工作与健康培训的GP对患者重返工作岗位和“适合工作证明”的态度明显更为积极。本研究揭示了受过培训和未受过培训的GP在对“适合工作证明”以及总体上对工作和健康的态度上存在差异的证据。建议进一步开展工作，调查OM方面的特定培训对GP对健康不佳的管理和认知的影响。
