Sturesson Marine, Bylund Sonya Hörnqvist, Edlund Curt, Falkdal Annie Hansen, Bernspång Birgitta
Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Umeå, Sweden.
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
Work. 2020;65(2):409-420. doi: 10.3233/WOR-203093.
General practitioners (GPs) have expressed difficulties in issuing sickness certificates and problems may arise if this work is not performed in an adequate manner. There is scant knowledge about how collaboration with other professions could be organized to enhance this work.
Evaluate the feasibility of occupational therapists (OTs) performing supplementary assessments for persons on sick leave.
Four healthcare centres (HCs) tested a working approach intervention where sick-listed patients were offered a complementary occupational therapy assessment. The OT assessments were intended to provide useful information for GP issued extended sickness certificates. Data on sick leave, sickness certificates and patient questionnaires were collected at different HCs. Interviews were conducted with GPs and OTs and the Consolidated Framework for Implementation Research was used to analyse the intervention's implementation.
No major differences in the sickness certificate quality was found. Available data on sick leave increased for all HCs during the project. Not all GPs used the OT assessments, which indicates that the implementation of the intervention was insufficient.
Testing a new working approach in primary healthcare requires an implementation strategy. To improve sickness certification quality, this work needs to be prioritized as an important healthcare task.
全科医生（GPs）表示在开具病假证明方面存在困难，如果这项工作执行不当可能会出现问题。对于如何组织与其他专业人员的合作以加强这项工作，了解甚少。
评估职业治疗师（OTs）对病假人员进行补充评估的可行性。
四个医疗中心（HCs）测试了一种工作方法干预措施，即向列入病假名单的患者提供补充职业治疗评估。职业治疗师的评估旨在为全科医生开具延长病假证明提供有用信息。在不同的医疗中心收集了病假、病假证明和患者问卷的数据。对全科医生和职业治疗师进行了访谈，并使用实施研究综合框架分析了干预措施的实施情况。
未发现病假证明质量有重大差异。项目期间所有医疗中心的可用病假数据都有所增加。并非所有全科医生都使用职业治疗师的评估，这表明干预措施的实施不充分。
在初级医疗保健中测试一种新的工作方法需要一种实施策略。为提高病假证明质量，这项工作需要作为一项重要的医疗任务予以优先考虑。
