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Psychiatry is a discipline where any sickness certification consultation could be a challenge, irrespective of the duration, based on difficulties establishing diagnosis and how the symptoms or disease affect the patient's work capacity [ 48, 49].
On the other hand, doctors also experience difficulties with the relationship during sickness certification consultation, but they believe that communication is one of the most important aspects of sickness certification as well [ 5].
In spite of the many similarities between the social insurance systems of Sweden and Norway, several differences were found regarding the frequency of sickness certification consultation and to what extent different tasks and situations were experienced as problematic.
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We cannot judge whether our findings are transferable to problematic sickness certification consultations in real life.
All the orthopaedists had sickness certification consultations at least once a week.
Physicians working in oncology had sickness certification consultations frequently, however, a relatively low proportion of them found these tasks problematic.
A large proportion (87.3%) of the psychiatrists experienced sickness certification consultations as problematic at least a few times per year.
A larger proportion of non-specialists and of GPs with fewer sickness certification consultations had benefitted from the guidelines.
Previous studies have indicated that GPs experience several tasks and situations related to sickness certification consultations as problematic.
A significantly larger proportion, 55% of GPs in Sweden and 43% in Norway, reported finding it problematic to handle sickness certification consultations at least once a week.
There were large differences between clinical settings regarding how often and to what extent sickness certification consultations were perceived as problematic.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com