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GPs’ negotiation strategies regarding sick leave for subjective health complaints
Objectives. To explore general practitioners’ (GPs’) specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints. Design. Focus-group study. Setting. Nine focus-group interviews in three cities in different regions of Norway. Participants. 48...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Informa Healthcare
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377738/ https://www.ncbi.nlm.nih.gov/pubmed/25602364 http://dx.doi.org/10.3109/02813432.2015.1001943 |
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author | Nilsen, Stein Malterud, Kirsti Werner, Erik L Maeland, Silje Magnussen, Liv Heide |
author_facet | Nilsen, Stein Malterud, Kirsti Werner, Erik L Maeland, Silje Magnussen, Liv Heide |
author_sort | Nilsen, Stein |
collection | PubMed |
description | Objectives. To explore general practitioners’ (GPs’) specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints. Design. Focus-group study. Setting. Nine focus-group interviews in three cities in different regions of Norway. Participants. 48 GPs (31 men, 17 women; age 32–65), participating in a course dealing with diagnostic practice and assessment of sickness certificates related to patients with subjective health complaints. Results. The GPs identified some specific strategies that they claimed to apply when dealing with the question of sick leave for patients with subjective health complaints. The first step would be to build an alliance with the patient by complying with the wish for sick leave, and at the same time searching for information to acquire the patient's perspective. This position would become the basis for the main goal: motivating the patient for a rapid return to work by pointing out the positive effects of staying at work, making legal and moral arguments, and warning against long-term sick leave. Additional solutions might also be applied, such as involving other stakeholders in this process to provide alternatives to sick leave. Conclusions and implications. GPs seem to have a conscious approach to negotiations of sickness certification, as they report applying specific strategies to limit the duration of sick leave due to subjective health complaints. This give-and-take way of handling sick-leave negotiations has been suggested by others to enhance return to work, and should be further encouraged. However, specific effectiveness of this strategy is yet to be proven, and further investigation into the actual dealings between doctor and patients in these complex encounters is needed. |
format | Online Article Text |
id | pubmed-4377738 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-43777382015-04-08 GPs’ negotiation strategies regarding sick leave for subjective health complaints Nilsen, Stein Malterud, Kirsti Werner, Erik L Maeland, Silje Magnussen, Liv Heide Scand J Prim Health Care Original Article Objectives. To explore general practitioners’ (GPs’) specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints. Design. Focus-group study. Setting. Nine focus-group interviews in three cities in different regions of Norway. Participants. 48 GPs (31 men, 17 women; age 32–65), participating in a course dealing with diagnostic practice and assessment of sickness certificates related to patients with subjective health complaints. Results. The GPs identified some specific strategies that they claimed to apply when dealing with the question of sick leave for patients with subjective health complaints. The first step would be to build an alliance with the patient by complying with the wish for sick leave, and at the same time searching for information to acquire the patient's perspective. This position would become the basis for the main goal: motivating the patient for a rapid return to work by pointing out the positive effects of staying at work, making legal and moral arguments, and warning against long-term sick leave. Additional solutions might also be applied, such as involving other stakeholders in this process to provide alternatives to sick leave. Conclusions and implications. GPs seem to have a conscious approach to negotiations of sickness certification, as they report applying specific strategies to limit the duration of sick leave due to subjective health complaints. This give-and-take way of handling sick-leave negotiations has been suggested by others to enhance return to work, and should be further encouraged. However, specific effectiveness of this strategy is yet to be proven, and further investigation into the actual dealings between doctor and patients in these complex encounters is needed. Informa Healthcare 2015-03 2015-03 /pmc/articles/PMC4377738/ /pubmed/25602364 http://dx.doi.org/10.3109/02813432.2015.1001943 Text en © 2015 The Author(s) http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) |
spellingShingle | Original Article Nilsen, Stein Malterud, Kirsti Werner, Erik L Maeland, Silje Magnussen, Liv Heide GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title | GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title_full | GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title_fullStr | GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title_full_unstemmed | GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title_short | GPs’ negotiation strategies regarding sick leave for subjective health complaints |
title_sort | gps’ negotiation strategies regarding sick leave for subjective health complaints |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377738/ https://www.ncbi.nlm.nih.gov/pubmed/25602364 http://dx.doi.org/10.3109/02813432.2015.1001943 |
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