Lous J, Nord-Larsen M, Olesen F
Aarhus Universitet, Institut for Almen Medicin og Forskningsenheden for Almen Medicin.
Ugeskr Laeger. 1997 Jun 30;159(27):4266-9.
The aim was to study why long sick leave benefit cases had taken a long time with special focus on the communication between the general practitioner and the social service department. An explorative study was made of the development and communication in 27 consecutive lengthy sick leave cases that had lasted more than 13 weeks, that were discussed at three audit panels with participation of the social worker/officer in charge, the general practitioner and the representatives from the local hospital. The study took place in Aarhus County in 1994. The results were that many of the same problems were found in various cases, such as insufficient certificates, inappropriate use of benefit certificates, waiting times for examinations, treatment and especially rehabilitation. In the more complicated cases, of which there were many, a coordinating person would have helped matters. The GP's were willing to take on this role. The main reasons for lengthy benefit cases were that the illness was medically complicated and of a long duration.
目的是研究长期病假补贴案例耗时长久的原因，特别关注全科医生与社会服务部门之间的沟通。对连续27例持续超过13周的长期病假案例的进展和沟通情况进行了探索性研究，这些案例在三个审核小组中进行了讨论，参与人员包括社会工作者/负责人、全科医生以及当地医院的代表。该研究于1994年在奥胡斯郡开展。结果发现，各类案例中存在许多相同的问题，如证明文件不足、补贴证明使用不当、检查、治疗尤其是康复的等待时间过长。在众多较为复杂的案例中，若有协调人员会有助于解决问题。全科医生愿意承担这一角色。长期补贴案例的主要原因是疾病在医学上较为复杂且持续时间长。
