Monday J, Therrien S, Duguay M, Lapierre G
Service de Médecine Psychosomatique, Cité de la Santé, Laval, Québec.
Can J Psychiatry. 1988 Oct;33(7):599-605. doi: 10.1177/070674378803300705.
Five attitudes and predicted behaviors characterize the physicians' responses (strategies) to invalidity certificates. These are: 1- scientific objectivation; 2- complicity (meaning: always completing the certificates without objective preoccupations of any kind); 3- socio political (meaning: influenced by the physician's ideas concerning ways the society should consider the non-working people: permissive or repressive); 4- negotiation (implicating a psychobiosocial approach to the patient and the problem); 5- indifference (never completing certificates, referring this role to someone else). Our recent survey (September 1986) including 92 physicians of a General Hospital (Cité de la Santé) in Laval demonstrates a preponderant attitude, the "socio political" one (A3). But, it has no relation to the preponderant predicted behavior which is the negotiation (C4), characterizing a psychobiosocial approach to the patient and the problem. This behavior has been chosen in a statistically significant way. Nevertheless, there is a relation between the attitude A1: scientific objectivation and the corresponding predicted behavior C1: scientific objectivation. Notions of rationability, professionalism and sociable desirability are evoked as explanations of these results.
医生对病假证明的回应（策略）具有五种态度和预测行为。这些是：1 - 科学客观化；2 - 串通（意思是：总是毫无任何客观顾虑地开具证明）；3 - 社会政治（意思是：受医生关于社会应如何看待非在职人员的观念影响：宽容或压制）；4 - 协商（涉及对患者和问题采取心理生物社会方法）；5 - 冷漠（从不开具证明，将此职责转交给他人）。我们最近（1986年9月）对拉瓦尔一家综合医院（健康城）的92名医生进行的调查表明，占主导地位的态度是“社会政治”态度（A3）。但是，它与占主导地位的预测行为即协商（C4）没有关系，协商是对患者和问题采取心理生物社会方法的特征。这种行为是以具有统计学意义的方式被选择的。然而，态度A1：科学客观化与相应的预测行为C1：科学客观化之间存在关联。合理性、专业性和社会可取性的概念被作为这些结果的解释而被提及。
