Sällström Randsalu Lottie, Stigmar Kjerstin
Primary Healthcare Center Staffanstorp, Region Skåne, Sweden.
Department of Health Sciences, Lund University, Lund, Sweden.
Scand J Prim Health Care. 2025 Sep;43(3):602-612. doi: 10.1080/02813432.2025.2486145. Epub 2025 Apr 4.
Absence from work due to illness is common in many western countries and has many negative consequences for both the individual and society. Since 2020 Swedish healthcare regions are required to provide resources to coordinate the rehabilitation process, a complex system involving medical as well as work-related parties, where both the physician and the rehabilitation coordinator play a central role. The aim of this study was to describe how primary care physicians experience the role of and the collaboration with a rehabilitation coordinator.
We used a qualitative design doing semi-structured interviews with primary care physicians (n= 9) in the Skåne healthcare region. The interviews were recorded, transcribed and analyzed using qualitative content analysis.
One main category "An external and internal connecting point that has improved the sick-listing and rehabilitation process", and four subcategories: "Provides relief for the individual physician"; "Offers practical support at the clinic"; "Gives increased sense of security for the patients" and "Sufficiently trained, with potential to take further responsibility", were determined.
The study shows that primary care physicians experienced benefits from a close collaboration with a rehabilitation coordinator, feeling less lonely. The rehabilitation coordinator is often regarded as having a central role in insurance medicine related tasks, but an even more active role is desired.
在许多西方国家,因病缺勤十分常见,这对个人和社会都有诸多负面影响。自2020年起,瑞典医疗保健区域被要求提供资源以协调康复过程,这是一个涉及医疗及与工作相关各方的复杂系统,其中医生和康复协调员都发挥着核心作用。本研究的目的是描述基层医疗医生如何看待康复协调员的角色以及与康复协调员的合作情况。
我们采用定性设计,对斯科讷医疗保健区域的基层医疗医生(n = 9)进行了半结构化访谈。访谈进行了录音、转录,并采用定性内容分析法进行分析。
确定了一个主要类别“改善病假记录和康复过程的外部与内部连接点”以及四个子类别:“为个体医生减轻负担”;“在诊所提供实际支持”;“增强患者的安全感”;“训练有素,有承担更多责任的潜力”。
研究表明,基层医疗医生从与康复协调员的密切合作中受益,感觉不那么孤单。康复协调员在保险医学相关任务中通常被视为发挥着核心作用,但人们期望其发挥更积极的作用。