Isolated specialist or system integrated physician – different views on sickness certification among orthopaedic surgeons: an interview study
2008

Orthopaedic Surgeons' Views on Sickness Certification

Sample size: 17 publication Evidence: moderate

Author Information

Author(s): Malin Swartling, Rolf Wahlström

Primary Institution: Uppsala University

Hypothesis

How do orthopaedic surgeons perceive their role in sickness certification?

Conclusion

Some orthopaedic surgeons may certify sickness benefits sub-optimally due to a narrow view of their role in the health care system or due to poor skills in handling discordant opinions with patients.

Supporting Evidence

  • Orthopaedic surgeons are the most exposed physicians in Sweden regarding sick-listing.
  • 53% of orthopaedic surgeons experience problems with sick-listing at least once a week.
  • The views on sick-listing practices differ significantly between orthopaedic surgeons and general practitioners.

Takeaway

Doctors who help people with bones sometimes have a hard time deciding if someone should stay home from work when they're hurt. They might not always make the best choice because they see their job differently.

Methodology

Semi-structured interviews with seventeen orthopaedic surgeons from five clinics in four Swedish counties.

Potential Biases

Potential bias in self-reported views and experiences of the surgeons.

Limitations

The study may not be generalizable to other countries due to different healthcare systems.

Participant Demographics

Seventeen orthopaedic surgeons (15 males), aged 44-66 years.

Digital Object Identifier (DOI)

10.1186/1472-6963-8-273

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