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Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.

Abstract：

OBJECTIVE:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were invited to participate. Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care". The therapists used methods and tools they normally use in their clinical work. MAIN OUTCOME MEASURE:Proportion of patients still sick-listed three months after randomization, total and net days on sick leave, and proportion who were on part-time sick leave. Results. At follow-up after three months, in contrast to the pre-trial hypothesis, there was a trend toward a higher proportion of patients still sick-listed in the intervention group (7/18) as compared with the control group (3/15). The intervention group also had significantly longer sick-listing periods (mean 58 days) than the control group (mean 36 days) (p = 0.038). The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027). CONCLUSIONS:In this study an early multidisciplinary assessment was associated with longer periods on sick leave and more individuals on part-time sick leave.

journal_name

Scand J Prim Health Care

journal_title

Scandinavian journal of primary health care

authors

Carlsson L,Englund L,Hallqvist J,Wallman T

doi

10.3109/02813432.2013.811943

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

141-6

issue

3

eissn

0281-3432

issn

1502-7724

journal_volume

31

pub_type

杂志文章,随机对照试验

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