Abstract:
OBJECTIVE:To investigate associations between patients' family, leisure time, and work-related factors and physicians' measure as to whether or not to sickness certify the patient in connection with the consultation. DESIGN:Questionnaire survey to physicians in general practice and their patients. Setting. General practitioners (GPs) and their patients in Orebro county, Sweden. SUBJECTS:A total of 474 patient-physician consultations from 65 physicians with up to 10 patients each. Main outcome measure. Whether or not a sickness certificate was issued. RESULTS:Among work-related factors, high "authority over decisions" and high "social support" correlated with 30% or more reduced sickness certification probability. Worrying about becoming ill or being injured from work correlates with almost doubled sickness certification risk. Among family and leisure-time variables, only living with a common law partner and having no children correlated with increased sickness certification risk. In addition to analyses of the whole group (all diagnoses), the two largest diagnostic subgroups, infectious diseases and musculoskeletal diseases, were examined. For the infectious diseases subgroup, high demands in work correlated with increased sickness certification risk, while in the musculoskeletal diseases subgroup, worry about work-related injury or illness was the main factor correlating with increased risk for sickness certification. CONCLUSIONS:Work-related factors were the most important factors related to sickness certification in this study. Determinants for sickness certification risk differed between diagnostic subgroups.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Norrmén G,Svārdsudd K,Andersson DKdoi
10.3109/02813431003765265subject
Has Abstractpub_date
2010-06-01 00:00:00pages
76-81issue
2eissn
0281-3432issn
1502-7724journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:To investigate the prevalence of adverse reactions to food and food allergy in Icelandic and Swedish 18-month-old children. DESIGN:Prospective multicentre comparative study. SETTING:Primary health care centres in Sweden and Iceland. SUBJECTS:A total of 324 children in Iceland and 328 in Sweden who attended...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134399750002863
更新日期:1999-03-01 00:00:00
abstract::Demonstration of significant bacteriuria by quantitative culture of a urine specimen by use of dip-slides is a well proved diagnostic procedure in general practice. Susceptibility testing from urine specimens by use of dip-slides or agar-plates seems likewise easy to perform in general practice, but commercial methods...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014832
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 g...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430510031324
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN:A semi-structured telephone survey on four risk factors; blood pressure, ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003124
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To study awareness of having lesbian women in the consultation among general practitioners (GPs) and their knowledge of lesbian health-related issues. DESIGN:A mailed questionnaire study using closed and open-ended questions, with an analysis using both quantitative and qualitative methods. SETTING:The city...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302321004845
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:To explore the negative predictive value (NPV), positive predictive value (PPV), sensitivity, and specificity of natriuretic peptides, cut-off levels, and the impact of gender and age in elderly patients with systolic heart failure (HF). DESIGN:Cross-sectional exploratory study. SETTING:One primary healthca...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813430903345074
更新日期:2010-03-01 00:00:00
abstract::A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750002945
更新日期:1998-12-01 00:00:00
abstract::Objective: Explore the perceptions of patients and health care professionals about patients' ideas, concerns, expectations (ICE), and satisfaction in consultations with general practitioners (GPs), district nurses (DNs) and physiotherapists (PTs).Design: Cross-sectional questionnaire study of participants in planned c...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/02813432.2019.1684430
更新日期:2019-12-01 00:00:00
abstract::The aim of the study was to evaluate the efficiency of different strategies of intervention to reduce prescription of hypnotics/sedatives in general practice. All 356 general practitioners in the county of Aarhus, Denmark, were divided in three groups. One group received personal information at meetings, another recei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994941
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING:Cross-sectional register-based study on all patients with ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1569369
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430510015259
更新日期:2005-06-01 00:00:00
abstract:PURPOSE:To reduce the country's sick leave rate, Norwegian politicians have suggested independent medical evaluations (IMEs) for sick-listed workers. IME was tested in a large, randomized controlled trial in one Norwegian county (Evaluation of IME in Norway, or 'the NIME trial'). The current study´s aim was to explore ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.1080/02813432.2018.1459168
更新日期:2018-06-01 00:00:00
abstract::Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen dist...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1619829
更新日期:2019-06-01 00:00:00
abstract::This study explores the diagnostic process of general practitioners confronted with ill-defined and ambiguous complaints, which eventually appeared to be caused by a malignancy. Three aspects were rated: (a) the adequacy of the initial problem definition; (b) the carefulness of further diagnostic methods; and (c) how ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909103670
更新日期:1989-03-01 00:00:00
abstract::This study which focused on the 169 approved certificates for patients applying for the right for "free" medication in a sickness insurance district during one year in Finland shows two interesting findings. These, cannot of course be generalized because of the low number of observations and of doctors involved (total...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017717
更新日期:1984-11-01 00:00:00
abstract:OBJECTIVE:Feasibility of comparing risk profiles by questionnaire of participants and nonparticipants in a cervical screening programme: does asking information on sexual behaviour by means of a questionnaire lead to high non-response? is the non-response selective (related to participation in the screening) and if so ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439409003700
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE:To evaluate barriers to adherence to hypertension guidelines among publicly employed general practitioners (GPs). DESIGN:Questionnaire-based survey distributed to GPs in 24 randomly selected primary care centres in the Region of Skåne in southern Sweden. SUBJECTS:A total of 109 GPs received a self-administe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430802202111
更新日期:2008-01-01 00:00:00
abstract::A cross-sectional study carried out among 269 mother-infant pairs in Istanbul showed that the majority of infants began receiving regular complements or had been weaned before the age of three months. A prospective study carried out among 24 mothers beginning the last month of pregnancy and continuing until the time w...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014837
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:To examine if abstention from smoking in pregnancy increases with opportunities to limit workload. DESIGN:Cross-sectional study based on self-administered questionnaires to women post partum. SETTING:All maternity wards in Norway, 16 October-26 November 1989. SUBJECTS:5 438 women, or 87.2% of all parturien...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439608997064
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:To compare frequent attenders in different age and sex groups with a control group according to characteristics and use of primary health care. DESIGN:Descriptive study of medical records. SETTING:Primary health care centre. SUBJECTS:341 frequent attenders, divided by age and sex, were compared with 1025 c...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430310001149
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:To describe the occurrence of "health realists", "health pessimists" and "health optimists" in a non-patient population by identifying cases of concordance and discordance between doctor-evaluated health and self-evaluated health and to describe the distribution of selected life-style-related physiological ri...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/02813430410000941
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To explore the association between abdominal obesity and insulin resistance in patients with type 2 diabetes. DESIGN:A cross-sectional observational study. SETTING:Primary care in Skara, Sweden. SUBJECTS:A total of 198 men and 186 women with type 2 diabetes who consecutively completed an annual check-up in...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430601035290
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:A health economic evaluation of two alternative treatment settings, inpatient care and outpatient care, for acute deep venous thrombosis. DESIGN:A randomised multicentre trial in a defined population in regular clinical practice. SETTING:Hospitals and related health care centres in the Jönköping county coun...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1080/02813430310003543
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1117283
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in Mar...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134300448788
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms. DESIGN:Web-based nationwide cross-sectional questionnaire study. SET...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1487377
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To study associations between dairy fat intake and development of central obesity. DESIGN:A prospective population-based cohort study with two surveys 12 years apart. SETTING:Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS:1782 men (farmers ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2012.757070
更新日期:2013-06-01 00:00:00
abstract::A prospective evaluation was made of an algorithm for a selective use of throat swabs in patients with sore throat in general practice. The algorithm states that a throat swab should be obtained (a) in all children younger than 15 years; (b) in patients aged 15 years or more who have pain on swallowing and at least th...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014077
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499590
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439608997089
更新日期:1996-12-01 00:00:00