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Many physicians regard sickness certification problematic [ 24, 34] and report that they lack management concerning this task [ 35].
Generally, a majority of the GPs in both countries found all the specified aspects of sickness certification problematic.
Indeed, many physicians find sickness certification problematic [ 7- 10], especially when the decisions that are made must be based solely on the patients' descriptions of their symptoms [ 11, 12], and the physicians also tend to be influenced by how the patients give these descriptions [ 13- 15].
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In a systematic literature review of studies of sickness-certification practice, scientific evidence could be established for only two issues; that the sickness certificates had low quality and that the physicians found sickness-certification problematic [ 1, 11].
Earlier studies have found that physicians perceive sickness certification as problematic, and that sickness certificates are often of poor quality [ 7- 13].
About one third of the physicians found sickness certification consultations problematic at least once a week (32 %) and very or fairly problematic to handle (39%%).
In summary, about a third (31.7 %) of the physicians found sickness certification consultations problematic at least once a week and found them very or fairly problematic to handle (39%%).
Many physicians find sickness certification tasks problematic.
- A majority of psychiatrists consider handling sickness certification as problematic.
The rates of physicians finding sickness certification task problematic varied much with clinical setting, and were highest among physicians in PHC.
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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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com