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Oncologists' experiences of and prerequisites for sickness certification tasks: A nationwide questionnaire study.
Karolinska Institutet, Sweden; Mälardalen University, Sweden.ORCID iD: 0000-0001-5391-623X
Karolinska Institutet, Sweden; Sophiahemmet University, Sweden.ORCID iD: 0000-0002-3457-4737
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.ORCID iD: 0000-0002-3868-0254
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2021 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 30, no 4, article id e13414Article in journal (Refereed) Published
Abstract [en]

Oncologists frequently have sickness certification (SC) consultations, however, little is known about their experiences of such tasks.

OBJECTIVE: To investigate oncologists' experiences of organisational prerequisites for SC tasks, and if lack of resources was related to experiencing SC as problematic.

METHOD: Questionnaire data from 342 oncologists in Sweden were used for descriptive statistics and to calculate odds ratios (OR) with 95% confidence intervals (CI).

RESULTS: The majority (92.2%) had SC consultations weekly; 17.8% of the oncologists experienced such consultations as problematic weekly. About a third appreciated the national guidelines for SC (34.5%) and had joint routines/policies regarding SC at their clinic (29.7%). Experiencing SC consultations as problematic was associated with stating not having enough resources for such work (OR 3.47; 95% CI 1.92-6.25). Lack of resources was associated with: experiencing lack of competence in insurance medicine (3.34; 1.92-5.82), conflicts with patients regarding SC (4.22; 1.96-9.07), finding it problematic to manage the two roles as medical expert and as the patient's treating physician (3.31; 2.04-5.34), or to assess work capacity (2.28; 1.46-3.56).

CONCLUSION: Although oncologists often had SC tasks, most did not experience them as problematic weekly. However, lack of resources for SC tasks was associated with experiencing SC as problematic.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021. Vol. 30, no 4, article id e13414
Keywords [en]
cancer, insurance medicine, oncology, physician, sick leave, sickness certification
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:sh:diva-45248DOI: 10.1111/ecc.13414ISI: 000613871400001PubMedID: 33529474Scopus ID: 2-s2.0-85100147423OAI: oai:DiVA.org:sh-45248DiVA, id: diva2:1547193
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2021-04-26 Created: 2021-04-26 Last updated: 2021-08-20Bibliographically approved

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Svärd, Veronica

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Söderman, MirkkaWennman-Larsen, AgnetaSvärd, Veronica
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Citation style
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