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Table 2 Proportion of psychiatrists (N=597) reporting frequencies of different situations regarding sickness certification

From: Psychiatrists′ work with sickness certification: frequency, experiences and severity of the certification tasks in a national survey in Sweden

Nr How often in your clinical work do you… At least once a week About once a month/ a few times/year Never or almost never
1 … find sickness certification cases to be problematic? 11.7 75.6 12.7
2 … encounter a patient who wants to be on sick leave for some reason other than work incapacity due to disease or injury? 4.1 59.3 36.6
3 … say no to a patient who asks for a sickness certificate? 1.4 47.0 51.5
4 … have patients who partly or completely say no to a sick leave you suggest? 1.3 43.7 55.0
5 … issue a sickness certificate so that a patient will be eligible for higher benefits than unemployment or welfare benefits? .0 31.8 68.2
6 … have conflicts with patients about sickness certification? 3.3 39.6 57.1
7 … worry that a patient will report you to the medical disciplinary board in connection with sickness certification? 4.2 31.6 64.2
8 … feel threatened by a patient in connection with sickness certification? 1.6 28.2 70.2
9 … worry that patients are going to change physician if you don’t issue a sickness certificate? .0 36.4 63.6
10 … have patients saying they will change physician if you don’t issue a sickness certificate 2.3 13.8 83.8
11 … collaborate with or refer patients to physical or occupational therapists when handling cases involving sickness certification? 4.7 58.8 36.5
12 … collaborate with or refer patients to social workers and/or psychologists when handling cases involving sickness certification? 13.0 66.2 20.8
13 … confer with other doctors when handling cases involving sickness certification? 1.9 39.5 58.6
14 … have time alone or with colleagues for supervision/feedback/reflection related to sickness certification issues? 1.5 40.0 58.5
  When handling sickness certification tasks, how often do you not have enough time…    
15 … with your patients? 60.9 22.6 16.5
16 … to manage patient-related aspects (e.g. issuing certificates, contacting other stakeholders, documentation and meetings)? 76.6 17.0 6.3
17 … for further education, supervision or reflection? 69.2 20.2 10.6
  How often in your clinical work do you…    
18 … refer/send patients to occupational health services? .3 30.5 69.2
19 … issue sickness certificates to patients without seeing them (e.g. by telephone)? 4.5 62.0 33.5
20 … apply the new national guidelines for sickness certification? 6.8 55.7 37.5
21 … or does your health care team participate in coordination meetings with social insurance and/or employers about patients to whom you issue sickness certificates? 1.3 66.3 32.4
22 … or does your care team contact employers in ways other than via the coordination meetings? 1.1 45.9 53.0
23 … contact social services when handling cases involving sickness certification? 1.7 46.1 52.3
24 … contact the employment offices when handling cases involving sickness certification? 1.0 37.6 61.4
25 … wish there was someone (e.g. a coach or an advisor) who could coordinate measures implemented for patients? 15.6 54.0 30.5