No physician gender difference in prescription of sick-leave certification: a retrospective study of the Skaraborg Primary Care Database.

Scandinavian Journal of Primary Health Care
Karin StarzmannKristina Bengtsson Boström

Abstract

The primary objective was to investigate how physicians' gender and level of experience affects the rate and length of sick-leave certificate prescription. The secondary objective was to study the physicians' gender and professional experience in relation to the diagnoses on the certificates. Retrospective, cross-sectional study of computerized medical records from 24 health care centres in 2005. Primary care in Sweden. Primary care physicians (n = 589) and patients (n = 88 780) aged 18-64 years. Rate and duration of sick leave certified by different categories of physicians and for different diagnoses and gender of patients. Sick leave was certified in 9.0% (musculoskeletal (3%) and psychiatric (2.3%) diagnoses were most common) of all contacts and the mean duration was 32.2 days. Overall there was no difference between male and female physicians in the sick-leave certification prescription rate (9.1% vs. 9.0%) or duration of sick leave (32.1 vs. 32.6 days). The duration of sick leave was associated with the physician's level of professional experience in general practice (GPs (Distriktläkare) 37, GP trainees (ST-läkare) 26, interns (AT-läkare) 20 and locum (vikarier) 19 days, p < 0.001). Contrary to earlier studies we found n...Continue Reading

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Citations

Jun 19, 2014·Scandinavian Journal of Primary Health Care·Monica Ericson SjöströmCecilia Björkelund
May 11, 2013·Scandinavian Journal of Primary Health Care·Aase AamlandKirsti Malterud
Dec 23, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Boris Kaiser
Jun 29, 2014·Scandinavian Journal of Public Health·Marianne Rudbeck

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