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- Title
Does the doctor or the patient control sick leave certification? A qualitative study interpreting patients’ interview dialogue.
- Authors
Wrapson, Wendy; Mewse, Avril J
- Abstract
Background. Sickness certification poses challenges and problems for the GP. Patient factors may influence the sick leave period.Objective. To explore how sickness certification occurred based on patients’ reports of medical consultations for a new episode of low back pain.Methods. A qualitative study using semi-structured interviews with 16 employees who were currently or had recently been off work with an episode of low back pain.Results. We present a preliminary typology of sickness certification responses by medical practitioners comprising four response types: ‘process’, ‘cued’, ‘consultative’ and ‘laissez-faire’. All but the process response allows the patient some influence in the sickness certification decision. It is possible that certain types of response may occur at specific stages of recovery.Conclusions. Doctors may allow patients input into the sickness certification process for a number of reasons. As yet, we do not know if this helps or hinders the return to work process.
- Subjects
PHYSICIAN-patient relations; SICK leave; QUALITATIVE research; INTERVIEWING; GENERAL practitioners; BACKACHE; MEDICAL consultation
- Publication
Family Practice, 2011, Vol 28, Issue 2, p202
- ISSN
0263-2136
- Publication type
Article
- DOI
10.1093/fampra/cmq088