The fact that the PHCCs in the quality network did not get better results than the others may indicate that getting feedback on sickness certification is not enough to improve sickness certification; local quality work is needed as well.
Our finding is in accordance with a recent review of mental health and work which found limited and conflicting evidence that stress management interventions improve sickness absence rates or return to work [ 6].
Thus, the results indicate that much can be gained through focusing on physicians in other types of clinics as well, when planning interventions to improve sickness-certification practice.
Measures for improving physicians' sickness certification practices should be focused on organisational as well as professional levels and might need to differ between specialties.
The results indicate that measures for improving physicians' sickness certification practices should be focused on organisational as well as professional level and that the needs in these aspects differ between specialties.
The results indicate that measures for improving physicians' sickness certification practices need to be focused on organisational as well as professional levels and that the needs in these aspects differ between specialties.
The findings highlight opportunities such as practice guideline development and improvements to the sickness certificate itself that may be targeted to improve GP sickness certification behaviour and return to work outcomes in an Australian context.
The results highlight potential opportunities such as practice guideline development and improvements to the certificate itself that may be targeted to improve GP sickness certification, RTW outcomes and, ultimately, the health of injured patients.
Healthcare work involves high and unpredictable (nonanticipated) loadings of the spine [ 7– 10] that may cause musculoskeletal pain and injury [ 5, 10, 37– 39] in turn potentially leading to long-term sickness, improving the response ability to sudden trunk perturbations by means of exercise and physical training may be crucial for the working life of a healthcare worker.
Thus, the results indicate that much can be gained through focusing on physicians also in other types of clinics when planning interventions to improve physicians' sickness-certification practice.
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