Leger i primærhelsetjenesten sine holdninger til og erfaringer med sykmelding og sykefraværsoppfølging - En    scoping-oversikt

Aamland, Aase; Mæland, Silje

doi:10.18261/issn.2464-3076-2016-02-04

Cited by 6 publications

(6 citation statements)

References 94 publications

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“…For instance, SIOs and physicians typically favour different medical frameworks. Where SIOs are obliged by law to use the biomedical framework, physicians typically adopt the biopsychosocial framework, which includes broader social factors (Aamland & Maeland, 2016;Rasmussen & Rø, 2018). In a previous review of SIO practices, Söderberg and Alexanderson (Söderberg & Alexanderson, 2005) found that SIOs felt unsure about how to handle benefit eligibility assessments and contact with other public organisation staff.…”

Section: The Perspective Of the Siomentioning

confidence: 99%

“…The findings related to difficulties in conducting workability assessments align well with the research in a wider international context. Internationally, sickness certification and cooperation between the different stakeholders in the sick-leave process is often characterised as challenging by physicians (Aamland & Maeland, 2016;Wynne-Jones et al, 2010), and there is not yet any consensus on how to define workability (Lederer et al, 2014). However, in their review of primary care physicians' attitudes and experiences with sick-leave, Aamland and Maeland (2016) criticise the research literature's orientation towards problematic sick-leave cases and call for more research-based knowledge on successful follow-up processes in sick-leave.…”

Section: The Perspective Of the Siomentioning

confidence: 99%

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A scooping review of Scandinavian studies of sick‐listed' and social insurance officers' experiences of their encounters'

et al. 2022

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In the Scandinavian countries, social insurance officers (SIOs) hold key positions with regard to coordinating the return‐to‐work (RTW) process of workers on long‐term sick‐leave. This article aimed to systematically explore the experience of encounters between the sick‐listed and SIOs and set out the current scientific knowledge base on factors related to the encounter that are perceived as having an impact on the sick‐listed's RTW. A scoping review was conducted that included peer‐reviewed articles published in the English language in the period January 2000 to February 2021. Of the 435 articles reviewed to determine eligibility, 38 were included. Most of the articles included were qualitative (68%) and focused on the sick‐listed's experience of encounters with RTW professionals. The main finding of this review is that the majority of the sick‐listed perceived the encounters with SIOs as positive. The perspective of SIOs was less subject to study, and the research focus was more often concerned with practical aspects of the encounter, such as stakeholder cooperation and the impact of policy on SIOs' working conditions. Furthermore, we found that SIOs experience challenges in stakeholder cooperation and in performing workability assessments, especially where objective medical information is scarce. The findings of this review suggest that future studies should pay more attention to the SIO perspective in encounters between sick‐listed and SIOs.

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Section: The Perspective Of the Siomentioning

confidence: 99%

Section: The Perspective Of the Siomentioning

confidence: 99%

A scooping review of Scandinavian studies of sick‐listed' and social insurance officers' experiences of their encounters'

et al. 2022

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“…Kompetansekultur er et kollektivt begrep, og handler om at det er noe helsearbeidere har til felles. Kulturen i en organisasjon er en sammensmelting av de normer, verdier, oppfatninger og handlingsformer som kjennetegner hvordan grupper og individer fungerer sammen for å få ting utført (Bang, 2011). Kulturen dreier seg ikke bare om hva personer tenker eller ønsker i en organisasjon, men om hvordan personer i organisasjonen faktisk opptrer, og hvilke holdninger de har.…”

Section: Kunnskap Og Kompetanseunclassified

1. God helse – Kunnskap for framtidens kommunehelsetjeneste

Hedlund¹,

Moe²

2021

God Helse

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Sammendrag Flere pasienter med komplekse behov, kombinert med mangel på fagpersonell, vil i årene som kommer, medføre et større press på kommunale helseog omsorgstjenester. Denne boka bidrar til nye tenkemåter, løsninger og organisering for å møte noen av disse utfordringene. Målet er å bedre kunnskapsgrunnlaget og bidra til kunnskapsbasert helsehjelp. Dette kapitlet drøfter utfordringer og kunnskapsbehov i kommunale helsetjenester, og argumenterer for mer forskning for å utvikle tjenestene framover.

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“…Two reviews show how GPs worldwide report conflict with the multiple roles they have to fulfil when certifying sickness absences, and the two reviews indicate that GPs feel more competent in treating patients than acting as society’s gate-keepers [4, 5]. Furthermore, when promoting return to work (RTW) among their sick-listed patients, GPs describe challenges with assessing work ability, the percentage of functional work-capacity and the length of sick-leave periods [4, 5]. If the patient is reluctant to RTW, the GP may avoid the issue to preserve a good relationship [4, 5].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, when promoting return to work (RTW) among their sick-listed patients, GPs describe challenges with assessing work ability, the percentage of functional work-capacity and the length of sick-leave periods [4, 5]. If the patient is reluctant to RTW, the GP may avoid the issue to preserve a good relationship [4, 5]. Denying a patient’s request for sick-leave might come at a high price, for instance the patient might change her GP, and thus terminate a close doctor-patient relationship which may have a strong emotional impact on GPs [6].…”

Section: Introductionmentioning

confidence: 99%

Independent medical evaluation for sick-listed patients: a focus group study of GPs´ expectations and experiences

Aamland

Husabø

Mæland

2018

BMC Health Serv Res

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BackgroundNorwegian general practitioners (GPs) are important stakeholders because they manage 80% of people on long-term sick-leave. Independent medical evaluation (IME) for long-term sick-listed patients is being evaluated in a large randomized controlled trial in one county in Norway in an effort to lower the national sick-leave rate (the NIME trial: Effect Evaluation of IME in Norway). The aim of the current study was to explore GPs’ expectations of and experiences with IMEs.MethodsWe conducted three focus group interviews with a convenience sample of 14 GPs who had had 2–9 (mean 5) of their long-term sick-listed patients summoned to an IME. We asked them to recollect and describe their concrete expectations of and experiences with patients assigned to an IME. Systematic text condensation, a method for thematic cross-case analysis, was applied for analysis.ResultsTo care for and to reassure their assigned sick-listed patients, the participants had spent time and applied different strategies before their patients had attended an IME. The participants welcomed a second opinion from an experienced GP colleague as a way of obtaining constructive advice for further sick-leave measures and/or medical advice. However, they mainly described the IME reports in negative terms, as these were either too categorical or provided unusable advice for further follow-up of their sick-listed patients. The participants did not agree with the proposed routine use of IMEs but instead suggested that GPs should be able to select particularly challenging sick-listed patients for an IME, which should be performed by a peer.ConclusionOur participants showed positive attitudes towards second opinions but found the regular IMEs to be unsuitable. The participants did however welcome IMEs if they themselves could select particularly challenging patients for a mandatory second opinion by a peer but emphasized that IME-doctors should not be able to overrule a GP’s sick-leave recommendation. These findings, together with other evaluations, will serve as a basis for the Norwegian government’s decision on whether or not to implement IMEs for long-term sick-listed patients.Trial registrationClinicalTrials.gov NCT02524392. Registered 23 June, 2015.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3481-3) contains supplementary material, which is available to authorized users.

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Leger i primærhelsetjenesten sine holdninger til og erfaringer med sykmelding og sykefraværsoppfølging - En scoping-oversikt

Cited by 6 publications

References 94 publications

A scooping review of Scandinavian studies of sick‐listed' and social insurance officers' experiences of their encounters'

A scooping review of Scandinavian studies of sick‐listed' and social insurance officers' experiences of their encounters'

1. God helse – Kunnskap for framtidens kommunehelsetjeneste

Independent medical evaluation for sick-listed patients: a focus group study of GPs´ expectations and experiences

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