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Earlier studies have found that physicians perceive sickness certification as problematic, and that sickness certificates are often of poor quality [ 7- 13].
- A majority of psychiatrists consider handling sickness certification as problematic.
A systematic review of published studies showed that physicians experience sickness certification as problematic, 1 and this was confirmed by later investigations, 2 8 even to such an extent that it was considered a work environmental problem.
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A large proportion (87.3%) of the psychiatrists experienced sickness certification consultations as problematic at least a few times per year.
Previous studies have indicated that GPs experience several tasks and situations related to sickness certification consultations as problematic.
3 7 In some studies, all cross-sectional, it has been revealed that physicians, especially general practitioners (GPs), experience sickness certification matters as problematic.
Physicians working in primary health care (PHC) had the highest proportions experiencing sickness certification consultations as problematic at least once a week (49.5 %) and as very or fairly problematic (56.6 %), followed by physicians working in psychiatry, pain management, or orthopaedics.
In 2008 a higher proportion had sickness certification consultations more than five times a week compared with 2012 (40.3 % in 2008 compared to 33.8%% in 2012) which can be related to that a somewhat higher proportion experienced sickness certification consultations as problematic at least once a week (34.3 % in 2008 compared to 31.7 % in 2012) [ 4].
The proportions who experienced sickness certification consultations as problematic at least once weekly (i.e., frequency) and as very or fairly problematic (i.e., extent) were highest among physicians working in PHC (49.5 and 56.6 %, respectively), followed by physicians working in psychiatry, pain management, or orthopaedics (Fig. 1).
Overeating can be as problematic as undereating.
But is any of it as problematic as it seems?
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Justyna Jupowicz-Kozak
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