Research Article

Obstetricians/Gynecologists’ Problems in Sickness Certification Consultations: Two Nationwide Surveys

Table 2

Proportions (%) of O/Gs (having sickness certifications at least weekly) reporting frequencies of different situations in sickness certification consultations in 2008 () and in 2012 (), respectively, and p values for differences between 2008 and 2012.

How often in your clinical work…YearAt least once a weekA few times per month or yearNever or almost neverMissing informationBetween-group comparison
(%) (%) (%) (%)p valu

…do you find it problematic to handle sickness certifications? 2008234 (31.7)459 (62.1)38 (5.1)8 (1.1)0.367
2012202 (30.5)421 (63.6)37 (5.6)2 (0.3)
…do you encounter a patient who wants to be on sick leave for some other reason than work incapacity due to disease or injury?2008156 (21.1)487 (65.9)82 (11.1)14 (1.9)0.001
2012106 (16.0)450 (68.0)101 (15.3)5 (0.8)
…do patients say no, partly or completely, to a sick leave you suggest? 200851 (6.9)457 (61.8)221 (29.9)10 (1.4)0.001
201237 (5.6)371 (56.0)251 (37.9)3 (0.5)
…do you say no to a patient who wants a sickness certificate? 200879 (10.7)591 (80.0)50 (6.8)19 (2.6)0.078
201262 (9.4)550 (83.1)47 (7.1)3 (0.5)
…do you experience conflicts with patients about sickness certification? 200871 (9.6)506 (68.5)151 (20.4)11 (1.5)0.009
201257 (8.6)425 (64.2)175 (26.4)5 (0.8)
…do you worry that a patient will report you to the medical disciplinary board regarding sickness certification? 200811 (1.5)92 (12.4)630 (85.3)6 (0.8)0.311
20125 (0.8)78 (11.8)576 (87.0)3 (0.5)
…do you feel threatened by a patient in connection with sickness certification? 20087 (0.9)108 (14.6)615 (83.2)9 (1.2)0.041
20122 (0.3)73 (11.0)577 (87.2)10 (1.5)
…do you issue sickness certificates to patients without seeing them (e.g., by telephone)? 200840 (5.4)495 (67.0)196 (26.5)8 (1.1)0.612
201229 (4.4)456 (68.9)175 (26.4)2 (0.3)
…do you worry that patients will change physician if you don’t issue a sickness certificate? 20088 (1.1)61 (8.3)665 (90.0)5 (0.7)0.630
20127 (1.1)48 (7.3)601 (90.8)6 (0.9)
…do patients say that they will change physician if you don’t issue a sickness certificate? 20083 (0.4)118 (16.0)610 (82.5)8 (1.1)0.005
20122 (0.3)74 (11.2)582 (87.9)4 (0.6)

ann–Whitney U test.