The influence of prior training on GPs’ attitudes to sickness absence certification post-fit note

Money, Annemarie; Hann, Mark; Turner, Susan; Hussey, Louise; Agius, Raymond

doi:10.1017/s1463423614000577

Cited by 6 publications

(7 citation statements)

References 13 publications

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“…Therefore, there are significant barriers in implementation. However, these concerns from GPs are amenable to training: GPs who receive some form of work and health training have more positive attitudes to patients' returning to work and to the fit note 50. The National Education Programme implemented in 2009 to support the introduction of the fit note, addressed both knowledge and skills for the management of the health and work consultation.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of fit note use for workers in the UK

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Systematic review of fit note use for workers in the UK

et al. 2018

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“…Investigations of the role of health services and GPs in absence due to sickness is a growing research area, supplementing studies on individual and workplace-based factors. 42–44 …”

Section: Discussionmentioning

confidence: 99%

New episodes of musculoskeletal conditions among employed people in Norway, sickness certification and return to work: a multiregister-based cohort study from primary care

et al. 2018

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ObjectivesTo identify new cases of musculoskeletal (MSK) disorders among employed people presenting in Norwegian primary care in 2012, frequency of sickness certification and length of sick leave. To identify patient-, diagnosis- and GP-related predictors of sickness certification, prolonged sick leave and return to work (RTW).MethodsAn observational multiregister-based cohort study covering all employed persons in Norway(1 176 681 women and 1 330 082 men) based on claims data from all regular GPs merged with individual sociodemographic data from public registers was performed. Participants were employed patients without any GP consultation during the previous 3 months who consulted a GP with a diagnosis of a MSK condition. Those not on sick leave and with a known GP affiliation were included in the analyses. Outcomes were incidence, proportion sickness certified and proportion on sick leave after 16 days, according to the diagnosis, ORs with 95% CIs for sickness certified and for sick leave exceeding 16 days and HRs with 95% CIs for RTW.ResultsOne-year incidence of MSK episodes was 159/1000 among employed women and 156/1000 among employed men. 27.1% of the women and 28.2% of the men were sickness certified in the initial consultation. After 16 days, 10.5% of women and 9.9% of men were still on sick leave. Upper limb problems were most frequent. After adjustments, medium/high education predicted a lower risk of absence from work due to sickness and rapid RTW after 16 days. Back pain, fractures and female gender carried a higher risk of sickness certification but faster RTW. Older age was associated with less initial certification, more sick leave exceeding 16 days and slower RTW. Male patients with male GPs had a lower risk of sickness absence, which was similar to patients with GPs born in Norway and GPs with many patients. After 16 days, GP variables had no effect on RTW.ConclusionUpper limb problems and GPs as stakeholders in ‘the inclusive workplace’ strategy need more attention.

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“…A previous study of the management of back pain through work interventions reported that lack of training and expertise in occupational health was one reason for work-related problems not being given higher priority [14]. This is a factor that has also arisen in previous studies of sickness certification [25,26]. Poor communication about the aims and goals of the policy may consequently have hindered its implementation, which is in line with Martin et al [27].…”

Section: Discussionmentioning

confidence: 64%

Nationwide implementation of a national policy for evidence-based rehabilitation with focus on facilitating return to work: a survey of perceived use, facilitators, and barriers

Brämberg

Jensen

Kwak

2018

Disability and Rehabilitation

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Aim: The aim is to assess whether the national policy for evidence-based rehabilitation with a focus on facilitating return-to-work is being implemented in health-care units in Sweden and which factors influence its implementation. Methods: A survey design was used to investigate the implementation. Data were collected at county council management level (process leaders) and clinical level (clinicians in primary and secondary care) using web surveys. Data were analyzed using SPSS, presented as descriptive statistics. Results: The response rate among the process leaders was 88% (n ¼ 30). Twenty-eight percent reported that they had already introduced workplace interventions. A majority of the county councils' process leaders responded that the national policy was not clearly defined. The response rate among clinicians was 72% (n ¼ 580). Few clinicians working with patients with common mental disorders or musculoskeletal disorders responded that they were in contact with a patient's employer, the occupational health services or the employment office (9-18%). Nearly, all clinicians responded that they often/always discuss workrelated problems with their patients. Conclusions: The policy had been implemented or was to be implemented before the end of 2015. Lack of clearly stated goals, training, and guidelines were, however, barriers to implementation. ä IMPLICATIONS FOR REHABILITATIONClinicians' positive attitudes and willingness to discuss workplace interventions with their patients were important facilitators related to the implementation of a nationwide policy for workplace interventions/rehabilitation. A lack of clearly stated goals, training, and guidelines were barriers related to the implementation. The development of evidence-based policies regarding rehabilitation and its implementation has to rely on very structured and clear descriptions of what to do, preferably with the help of practice guidelines. Nationwide implementation of rehabilitation policies has to allow time for preparation including communication of goals and competence assurance in a close collaboration with the end users, namely clinicians and patients.

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The influence of prior training on GPs’ attitudes to sickness absence certification post-fit note

Cited by 6 publications

References 13 publications

Systematic review of fit note use for workers in the UK

Systematic review of fit note use for workers in the UK

New episodes of musculoskeletal conditions among employed people in Norway, sickness certification and return to work: a multiregister-based cohort study from primary care

Nationwide implementation of a national policy for evidence-based rehabilitation with focus on facilitating return to work: a survey of perceived use, facilitators, and barriers

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