Characteristics of sick-listing cases that physicians consider problematic–analyses of written case reports. Engblom, M., Alexanderson, K., & Rudebeck, C. E. Scandinavian journal of primary health care, 27(4):250–5, 2009. abstract bibtex OBJECTIVE: The aim was to discern common characteristics in the sick-listing cases that physicians in general practice and occupational health services find problematic., DESIGN: Descriptive categorization within a narrative theoretical framework., SETTING: Sickness-insurance course for physicians in general practice and occupational health services., SUBJECTS: A total of 195 case reports written by 195 physicians. Main outcome measures. Categories of features regarding medical, work, and social situation as well as medical interventions., RESULTS: Beside age and sex, the following information was often provided: family situation, stressful life events, occupation, problem at work, considerations concerning diagnoses, medical investigations, treatments, and vocational rehabilitation measures. Two-thirds of the patients had been sickness absent for more than a year. The most common type of case reports concerned women, employed in non-qualified nursing occupations, and sick listed due to mental disorders. The most common measures taken by the physicians were referrals to psychotherapy and/or physiotherapy, and prescribing antidepressants (SSRI). Facts about alcohol habits were rarely provided in the cases., CONCLUSIONS: Some of the circumstances, such as prolonged sick-listing, are likely to be more or less inevitable in problematic sick-listing cases. Other circumstances, such as stress-full life events, more closely reflect what the reporting physicians find problematic. The categories identified can be regarded as markers of problematic sick-listing cases in general practice and occupational health service.
@article{engblom_characteristics_2009,
title = {Characteristics of sick-listing cases that physicians consider problematic--analyses of written case reports.},
volume = {27},
issn = {1502-7724},
abstract = {OBJECTIVE: The aim was to discern common characteristics in the sick-listing cases that physicians in general practice and occupational health services find problematic., DESIGN: Descriptive categorization within a narrative theoretical framework., SETTING: Sickness-insurance course for physicians in general practice and occupational health services., SUBJECTS: A total of 195 case reports written by 195 physicians. Main outcome measures. Categories of features regarding medical, work, and social situation as well as medical interventions., RESULTS: Beside age and sex, the following information was often provided: family situation, stressful life events, occupation, problem at work, considerations concerning diagnoses, medical investigations, treatments, and vocational rehabilitation measures. Two-thirds of the patients had been sickness absent for more than a year. The most common type of case reports concerned women, employed in non-qualified nursing occupations, and sick listed due to mental disorders. The most common measures taken by the physicians were referrals to psychotherapy and/or physiotherapy, and prescribing antidepressants (SSRI). Facts about alcohol habits were rarely provided in the cases., CONCLUSIONS: Some of the circumstances, such as prolonged sick-listing, are likely to be more or less inevitable in problematic sick-listing cases. Other circumstances, such as stress-full life events, more closely reflect what the reporting physicians find problematic. The categories identified can be regarded as markers of problematic sick-listing cases in general practice and occupational health service.},
number = {4},
journal = {Scandinavian journal of primary health care},
author = {Engblom, Monika and Alexanderson, Kristina and Rudebeck, Carl Edvard},
year = {2009},
keywords = {*Sick Leave, Adult, Decision Making, Family Practice, Female, Male, Middle Aged, Occupational Health Services, Occupations, Physician's Practice Patterns, Rehabilitation, Vocational, Sex Factors, Socioeconomic Factors, Work Capacity Evaluation, humans},
pages = {250--5},
}
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Categories of features regarding medical, work, and social situation as well as medical interventions., RESULTS: Beside age and sex, the following information was often provided: family situation, stressful life events, occupation, problem at work, considerations concerning diagnoses, medical investigations, treatments, and vocational rehabilitation measures. Two-thirds of the patients had been sickness absent for more than a year. The most common type of case reports concerned women, employed in non-qualified nursing occupations, and sick listed due to mental disorders. The most common measures taken by the physicians were referrals to psychotherapy and/or physiotherapy, and prescribing antidepressants (SSRI). Facts about alcohol habits were rarely provided in the cases., CONCLUSIONS: Some of the circumstances, such as prolonged sick-listing, are likely to be more or less inevitable in problematic sick-listing cases. Other circumstances, such as stress-full life events, more closely reflect what the reporting physicians find problematic. The categories identified can be regarded as markers of problematic sick-listing cases in general practice and occupational health service.","number":"4","journal":"Scandinavian journal of primary health care","author":[{"propositions":[],"lastnames":["Engblom"],"firstnames":["Monika"],"suffixes":[]},{"propositions":[],"lastnames":["Alexanderson"],"firstnames":["Kristina"],"suffixes":[]},{"propositions":[],"lastnames":["Rudebeck"],"firstnames":["Carl","Edvard"],"suffixes":[]}],"year":"2009","keywords":"*Sick Leave, Adult, Decision Making, Family Practice, Female, Male, Middle Aged, Occupational Health Services, Occupations, Physician's Practice Patterns, Rehabilitation, Vocational, Sex Factors, Socioeconomic Factors, Work Capacity Evaluation, humans","pages":"250–5","bibtex":"@article{engblom_characteristics_2009,\n\ttitle = {Characteristics of sick-listing cases that physicians consider problematic--analyses of written case reports.},\n\tvolume = {27},\n\tissn = {1502-7724},\n\tabstract = {OBJECTIVE: The aim was to discern common characteristics in the sick-listing cases that physicians in general practice and occupational health services find problematic., DESIGN: Descriptive categorization within a narrative theoretical framework., SETTING: Sickness-insurance course for physicians in general practice and occupational health services., SUBJECTS: A total of 195 case reports written by 195 physicians. 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