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Sickness certification for patients with acute cough/LRTI in primary care in Poland and Norway

Godycki-Cwirko, Maciek, Nocun, Marek, Butler, Christopher Collett, Muras, Magdalena, Fleten, Nils and Melbye, Hasse 2011. Sickness certification for patients with acute cough/LRTI in primary care in Poland and Norway. Scandinavian Journal of Primary Health Care 29 (1) , pp. 13-18. 10.3109/02813432.2010.544898

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Objective. To compare the frequency and duration of sickness certificates issued by GPs to Polish and Norwegian working adults with acute cough/lower respiratory tract infection (LRTI). Design. Cross-sectional observational study with clinicians from nine primary care centres in Poland and 11 primary care centres in Norway. GPs filled out a case report form for all patients, including information on antibiotic prescribing, sickness certification, and advice to stay off work. Setting. Primary care research networks in Poland and Norway. Subjects. Working adults with a new or worsening cough or clinical presentation suggestive of LRTI. Main outcome measures. Issuing sickness certificates and advising patients to stay off work. Results. GPs recorded similar symptoms and signs in patients in the two countries. Antibiotics were prescribed more often in Polish than in Norwegian patients (70.4% vs. 27.1%, p < 0.0001). About half of the patients received a formal sickness certificate (50.5% in Norway and 52.0% in Poland). The proportion of patients advised to stay off work was significantly higher in the Polish sample compared with the Norwegian sample (75.2% vs. 56.1%, p = 0.002). Norwegian GPs less often issued sick certificates for more than seven days (5.6% vs. 36.9%, p < 0.0001). Conclusion. The overall proportion of sickness certification for acute cough/LRTI was similar in Norwegian and Polish patients. However, in the Polish sample, GPs more often advised patients to take time off work without issuing a sick note. When sickness certificates were issued, duration of longer than seven days was more common in Polish than in Norwegian patients. Read More:

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Systems Immunity Research Institute (SIURI)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Uncontrolled Keywords: acute cough, adults, GRACE-LRTI, primary care, sickness certification
Publisher: Informa Healthcare
ISSN: 0281-3432
Last Modified: 30 Jun 2017 02:26

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