Family physicians' sick-listing practices in relation to mental disorders: A descriptive study.

BACKGROUND: Mental disorders are among the leading causes of disability for which family physicians are often required to complete sickness certificates. Yet, little is known about family physicians' sick-listing practices in Quebec. OBJECTIVE: This study aims to describe their practices, difficulti...

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Publicado en:Work Vol. 75; no. 1; pp. 211 - 222
Autores principales: Drolet, Lauriane, Caron, Pier-Olivier, Forget, Jacques, Turcotte, Jean-Robert, Guimond, Claude
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
      vid: 75
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/WOR-211301
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        atl: Family physicians' sick-listing practices in relation to mental disorders: A descriptive study.
      aug:
        au:
          Drolet, Lauriane
          Caron, Pier-Olivier
          Forget, Jacques
          Turcotte, Jean-Robert
          Guimond, Claude
        affil: Université du Québec à Montréal, Montreal, QB, Canada
      sug:
        subj:
          Physicians, Family Psychosocial Factors
          Mental Disorders
          Sick Leave
          Practice Patterns
          Human
          Descriptive Research
          Quebec
          Questionnaires
          Certification
          Descriptive Statistics
          Psychotherapy
          Health Services Accessibility
          Male
          Female
          Male
          Female
      ab: BACKGROUND: Mental disorders are among the leading causes of disability for which family physicians are often required to complete sickness certificates. Yet, little is known about family physicians' sick-listing practices in Quebec. OBJECTIVE: This study aims to describe their practices, difficulties and needs. METHODS: Twenty-three family physicians completed a comprehensive questionnaire on sickness certification practices. Descriptive statistics were used. RESULTS: Despite being completed on a weekly basis, sickness certifications were deemed problematic by all participants. While they rarely refused to sick-list a patient, 43.5% reported suggesting accommodations as an alternative to sick leave. Waiting-time to access psychotherapy and delays to set-up workplace accommodations are responsible for many unnecessary sick-leave prolongations. Lack of time, long duration absences, situations where the physician held a different opinion than the patient/healthcare provider and assessing an individual's capacity to work are the most common reported problems. More than half of participants indicated medical schools do not greatly prepare them to carry out these tasks. CONCLUSION: Sickness certifications are deemed problematic, and more training might be key. Our results can be used by medical schools or bodies responsible for continuous education to improve training.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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