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Rose Ann Soloway, associate director of the association, said she could not comment on a specific certification case.
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Five different types of messages were identified, which described how the participating physicians wrote about problematic sickness certification cases.
A majority (51.6%) also had extensive or some support regarding sickness certification cases from their immediate manager (Table 3).
Furthermore, within a narrative framework, we previously conducted descriptive analyses of physicians' written case reports about sickness certification cases that they perceived as problematic [ 17].
The case reports analysed in this study showed that physicians write in clearly different ways about the problems they face when handling sickness certification cases.
There is little knowledge on how physicians handle problems that arise in sickness certification cases, but our results can now give some guidance.
A majority of physicians in most types of clinics/practices, not only primary care, indicated the need for more knowledge and skills in handling sickness certification cases.
This can be due to fewer sickness certification cases and/or better training and organizational support for handling of these tasks.
Nearly one-third stated that the guidelines had helped them develop their competence and had also greatly improved the quality of their management of sickness certification cases.
Physicians working at clinics/practices with a workplace policy for handling sickness certification cases had lower need for further knowledge and skills.
Moreover, for a third (33.5%), the diagnosis-specific guidelines had improved the quality of their management of sickness certification cases (table 3).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com