Sick-listing as a psychosocial work problem:: A survey of 3997 swedish physicians
Sick-listing as a psychosocial work problem:: A survey of 3997 swedish physicians
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DOI：
10.1007/s10926-007-9090-3
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发表时间：
2007-09-01
影响因子：
3.3
通讯作者：
Wahlstroerm, Rolf A.
中科院分区：
文献类型：
--
作者：
Swartling, Malin S.;Hagberg, Jan;Wahlstroerm, Rolf A.
目标：量化三类医生情绪紧张的病假单问题的程度，并找出与工作场所特征的关联。方法：对 3997 名医生进行了问卷调查（答复率：71%）。结果：与其他诊所的医生相比，骨科诊所，尤其是初级卫生保健中心 (PHCC) 的医生中，更大比例的医生遇到了病号列出的问题。百分之十的 PHCC 医生每月至少一次感到受到患者的威胁，涉及疾病证明或担心被报告给纪律委员会。 PHCC 医生发现，与其他医生相比，病号列出问题更严重（OR 4.9；95% CI 4.1-6.0）。制定关于病假名单的工作场所政策与降低遇到多种问题的风险相关（OR 0.5-0.6，P < 0.05）。结论：病假单问题的程度和性质值得进一步关注，特别是在 PHCC 中。应阐明所感知到的威胁的性质。应鼓励制定有关病假名单的工作场所政策。
Objectives: To quantify the extent of emotionally straining sick-listing problems among three categories of physicians and find associations with workplace characteristics. Methods: A questionnaire was answered by 3997 physicians (response rate: 71%). Results: A larger proportion of physicians at orthopaedic clinics and, in particular, at Primary Health Care Centres (PHCCs), experienced sick-listing problems, compared to physicians at other clinics. Ten percent of PHCC physicians felt threatened by patients, at least once per month, in relation to sickness certification or worried about getting reported to the disciplinary board. PHCC physicians found sick-listing more problematic compared to others (OR 4.9; 95% CI 4.1-6.0). Having a workplace policy on sick-listing was associated with a reduced risk of experiencing several problems (OR 0.5-0.6, P < 0.05). Conclusion: The extent and nature of sick-listing problems warrant further concerns, especially in PHCCs. The nature of perceived threats should be elucidated. Developing workplace policies on sick-listing should be encouraged.