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Justifications nosologiques et fonctionnelles des arrêts maladie : une étude transversale dans le Rhône
| Content Provider | Semantic Scholar |
|---|---|
| Author | Leguevaques, Julie Carol, Cécile Letrilliart, Laurent |
| Copyright Year | 2014 |
| Abstract | Abstract Background Although sick leave has significant medical and economic stakes, justifications for sick leave are poorly known in France. Our objective was to describe the medical justifications for sick leave, in nosological, functional and contextual terms. Methods Cross-sectional study, based on 1,143 sick leave certificates collected by the Health Insurance Fund of the Rhone district in February 2011. The medical justifications for sick leave were classified and coded in nosological terms according to the International Classification of Primary Care (ICPC-2) and in functional and contextual terms according to the “AT-CIF questionnaire”, derived from the International Classification of Functioning (ICF). Results Among the 1,073 sick leaves containing a medical justification (93.9%), 757 (70.5%) could be classified only according to the ICPC-2 and 316 (29.5%) according to both the ICPC-2 and the AT-CIF questionnaires. The health problems most frequently reported in sick leave justifications concerned, in order of decreasing frequency: respiratory (26.9%), psychological (13.7%), or digestive (12.1%) systems; general problems (10.7%); pregnancy (3.5%); the neurological system (2.9%). Furthermore, 346 functional deficiencies, five restrictions of activity and one environmental barrier were identified. Conclusion Sick leave certificates almost always provide justifications for sick leave in nosological terms, but in less than one third of certificates provide information in functional or contextual terms. Training practitioners to make functional and contextual assessments may allow them to more optimally decide on the indication and the duration of sick leave, and facilitate communication around the patient. |
| Starting Page | 145 |
| Ending Page | 152 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.respe.2014.01.111 |
| Volume Number | 62 |
| Alternate Webpage(s) | http://www.cispclub.org/cispclub/docs/27/000333/0000554.pdf |
| Alternate Webpage(s) | https://doi.org/10.1016/j.respe.2014.01.111 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
