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Table 5 Percentages and odds ratios (OR) with 95 % confidence intervals (CI) for physicians experiencing sickness certifications of different durations as very or fairly problematic. Stratified by clinical settings using physicians working in internal medicine (n = 1749) as reference group. The ORs were adjusted for continuous age

From: Problems with sickness certification tasks: experiences from physicians in different clinical settings. A cross-sectional nationwide study in Sweden

 

Found it very or fairly problematic to…

 

… assess the degree to which the reduced functioning limits unemployed patients’ work capacity

… handle short-term sickness certifications (<15 days)?

… handle sickness certifications (15–90 days)?

… handle long-term sickness certifications (91–180 days)?

… handle very long-term sickness certifications (>180 days)?

 

%

OR (95 % CI)

%

OR (95 % CI)

%

OR (95 % CI)

%

OR (95 % CI)

%

OR (95 % CI)

Internal medicine

63.4

1

6.1

1

32.5

1

48.2

1

44.7

1

Orthopaedics

63.2

1.07 (0.90–1.28)

9.7

1.65 (1.21–2.24)

26.2

0.77 (0.64–0.92)

55.5

1.43 (1.21–1.69)

57.1

1.72 (1.45–2.03)

Primary health care

79.1

2.59 (2.28–2.95)

5.8

0.94 (0.74–1.19)

54.5

2.70 (2.40–3.05)

76.9

4.03 (3.57–4.56)

76.4

4.32 (3.83–4.88)

Occupational health service

42.8

0.70 (0.54–0.90)

1.8

0.28 (0.12–0.66)

13.1

0.41 (0.29–0.57)

25.9

0.53 (0.40–0.69)

35.9

0.87 (0.68–1.12)

Rehabilitation

50.4

0.70 (0.48–1.01)

1.7

0.26 (0.06–1.08)

15.2

0.41 (0.25–0.67)

25.6

0.42 (0.27–0.63)

30.4

0.59 (0.40–0.87)

Pain management

55.4

1.05 (0.61–1.80)

12.5

2.17 (0.90–5.24)

23.6

0.79 (0.42–1.48)

30.4

0.61 (0.34–1.09)

35.7

0.82 (0.47–1.44)

Oncology

51.6

0.66 (0.52–0.84)

4.6

0.74 (0.43–1.30)

10.7

0.26 (0.18–0.37)

24.6

0.37 (0.28–0.48)

34.6

0.68 (0.53–0.87)

Psychiatry

67.2

1.40 (1.18–1.66)

8.7

1.46 (1.08–1.98)

32.4

1.08 (0.91–1.28)

52.0

1.30 (1.11–1.53)

55.4

1.66 (1.41–1.95)

Rheumatology

72.6

1.87 (1.32–2.64)

6.7

1.10 (0.59–2.04)

40.8

1.58 (1.15–2.16)

57.8

1.68 (1.23–2.30)

65.0

2.52 (1.82–3.47)

Neurology

72.8

1.61 (1.19–2.18)

7.4

1.23 (0.73–2.07)

31.7

0.98 (0.74–1.31)

58.1

1.53 (1.16–2.01)

55.9

1.59 (1.21–2.08)

Surgery

49.4

0.56 (0.48–0.65)

5.7

0.93 (0.68–1.26)

23.6

0.65 (0.55–0.76)

32.2

0.51 (0.44–0.59)

27.3

0.46 (0.40–0.54)

Gynaecology

58.4

0.90 (0.76–1.07)

6.9

1.13 (0.81–1.58)

27.9

0.85 (0.71–1.02)

28.3

0.45 (0.38–0.54)

18.0

0.28 (0.23–0.35)

Infectious diseases

54.3

0.68 (0.53–0.87)

2.2

0.35 (0.16–0.76)

31.0

0.94 (0.72–1.22)

40.4

0.73 (0.57–0.93)

31.1

0.56 (0.43–0.72)

Dermatology

52.4

0.74 (0.54–1.02)

7.3

1.21 (0.65–2.25)

32.7

1.10 (0.79–1.55)

37.3

0.71 (0.51–0.99)

34.5

0.70 (0.50–0.98)

Others

45.1

0.50 (0.43–0.59)

6.3

1.04 (0.75–1.44)

22.1

0.61 (0.51–0.73)

27.6

0.43 (0.36–0.51)

26.4

0.46 (0.39–0.54)

Administration

59.7

1.18 (0.70–2.00)

0.0

0 (0–0)

16.4

0.48 (0.24–0.96)

36.1

0.76 (0.45–1.30)

37.7

0.87 (0.51–1.48)