PMID: 15232524Jul 3, 2004Paper

Sick leave certification: an unwelcome administrative burden for the family doctor? The role of sickness certification in Maltese family practice

The European Journal of General Practice
Jean K Soler, Inge Okkes

Abstract

In Malta, sickness certificates are needed from the first day of illness, and are issued by family doctors (FDs) either employed in the government primary healthcare system, or self-employed in private practice, or employed directly by an employer for this purpose alone. Patients visiting self-employed FDs pay directly, and are not reimbursed unless privately insured. We aimed to contribute to the discussion on the impact of sickness certification in family practice by studying the phenomenon using electronic data from an electronic patient record (EPR) used by self-employed FDs. We used this data to study the frequency of sickness certification and the relationship between the patient's reason for encounter, with or without a formal request for a certificate, and the doctor's diagnosis and certification practice. We used data collected by FDs in day-to-day private family practice using an episode-oriented EPR. The EPR database included all encounters in all episodes of care over a period of one year (1 January to 31 December 2001) documented by ten self-employed FDs, comprehensively coded with ICPC-2-E (Electronic Version of the International Classification of Primary Care, version 2). The EPR database documented care for 7497...Continue Reading

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Citations

Aug 1, 2007·Annals of Family Medicine·Ana I González-GonzálezTomás Hernández-Fernández
Jan 18, 2015·Journal of Occupational Rehabilitation·M LewisD van der Windt
Dec 5, 2012·The European Journal of General Practice·Laurent Letrilliart, Anne Barrau
Jan 10, 2019·The Journal of Antimicrobial Chemotherapy·Erika A Saliba-GustafssonCecilia Stålsby Lundborg
May 31, 2007·The European Journal of General Practice·E G H KenterH Lamberts

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