Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan
The ability to work can be reduced if a person has health problems which may lead to periods of sick leave. In Sweden sickness certification is issued by physicians. Many general practitioners (GPs) find sickness certification to be problematic. Some studies indicate that collaboration with other he...
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Umeå universitet, Arbetsterapi
2015
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ftumeauniv:oai:DiVA.org:umu-109757 2023-10-09T21:54:38+02:00 Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan Sturesson, Marine 2015 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109757 swe swe Umeå universitet, Arbetsterapi Umeå : Umeå universitet Umeå University medical dissertations, 0346-6612 1744 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109757 urn:isbn:978-91-7601-332-8 info:eu-repo/semantics/openAccess Primary health care Sickness certification Work ability Health care encounters Occupational Therapy Return to work Arbetsterapi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Doctoral thesis, comprehensive summary info:eu-repo/semantics/doctoralThesis text 2015 ftumeauniv 2023-09-22T13:48:36Z The ability to work can be reduced if a person has health problems which may lead to periods of sick leave. In Sweden sickness certification is issued by physicians. Many general practitioners (GPs) find sickness certification to be problematic. Some studies indicate that collaboration with other health care professions could be beneficial. The aim of the thesis was to provide knowledge on how the work with the sick leave process in primary health care can be improved and how occupational therapists’ (OT) assessment could be used prior to the decision on sick leave and rehabilitation. Initially seven focus groups were held, four with OTs and three with physicians. The discussions in the focus gropes were analysed by qualitative content analysis. An intervention project was initiated, where four health care centres in northern Sweden tested a working approach where sick listed patients were offered a supplementary assessment of activity and work-related problems by an OT. Data on sick leave, sickness certificates and patient questionnaires were collected from intervention health care centres (IHCC) and other health care centres (OHCC). Interviews were conducted with patients, GPs and OTs. The quality of the information in the collected sickness certificates was evaluated. Average values of sick leave were compared between the IHCCs and the OHCCs in the county. The interviews with sick listed patients were analysed by qualitative content analysis. In order to analyse the implementation of the intervention the Consolidated Framework for Implementation Research, CFIR, was used. An overall theme and four categories emerged from the focus groups. The theme expressed work ability as an obscure, complex and unique concept. The four categories illustrate the affecting factors and confirmed the complex structure of work ability: the person, the context of life, the work, and the society. No significant differences between IHCCs and OHCCs in data on sick leave or the mandatory information in the certificates were found. ... Doctoral or Postdoctoral Thesis Northern Sweden Umeå University: Publications (DiVA) |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
Swedish |
topic |
Primary health care Sickness certification Work ability Health care encounters Occupational Therapy Return to work Arbetsterapi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
spellingShingle |
Primary health care Sickness certification Work ability Health care encounters Occupational Therapy Return to work Arbetsterapi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Sturesson, Marine Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
topic_facet |
Primary health care Sickness certification Work ability Health care encounters Occupational Therapy Return to work Arbetsterapi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
description |
The ability to work can be reduced if a person has health problems which may lead to periods of sick leave. In Sweden sickness certification is issued by physicians. Many general practitioners (GPs) find sickness certification to be problematic. Some studies indicate that collaboration with other health care professions could be beneficial. The aim of the thesis was to provide knowledge on how the work with the sick leave process in primary health care can be improved and how occupational therapists’ (OT) assessment could be used prior to the decision on sick leave and rehabilitation. Initially seven focus groups were held, four with OTs and three with physicians. The discussions in the focus gropes were analysed by qualitative content analysis. An intervention project was initiated, where four health care centres in northern Sweden tested a working approach where sick listed patients were offered a supplementary assessment of activity and work-related problems by an OT. Data on sick leave, sickness certificates and patient questionnaires were collected from intervention health care centres (IHCC) and other health care centres (OHCC). Interviews were conducted with patients, GPs and OTs. The quality of the information in the collected sickness certificates was evaluated. Average values of sick leave were compared between the IHCCs and the OHCCs in the county. The interviews with sick listed patients were analysed by qualitative content analysis. In order to analyse the implementation of the intervention the Consolidated Framework for Implementation Research, CFIR, was used. An overall theme and four categories emerged from the focus groups. The theme expressed work ability as an obscure, complex and unique concept. The four categories illustrate the affecting factors and confirmed the complex structure of work ability: the person, the context of life, the work, and the society. No significant differences between IHCCs and OHCCs in data on sick leave or the mandatory information in the certificates were found. ... |
format |
Doctoral or Postdoctoral Thesis |
author |
Sturesson, Marine |
author_facet |
Sturesson, Marine |
author_sort |
Sturesson, Marine |
title |
Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
title_short |
Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
title_full |
Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
title_fullStr |
Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
title_full_unstemmed |
Primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
title_sort |
primärvårdens arbete med sjukskrivna – patientmötet, bedömningar och samverkan |
publisher |
Umeå universitet, Arbetsterapi |
publishDate |
2015 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109757 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Umeå University medical dissertations, 0346-6612 1744 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109757 urn:isbn:978-91-7601-332-8 |
op_rights |
info:eu-repo/semantics/openAccess |
_version_ |
1779318307642408960 |