...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Scandinavian journal of public health >Does multidisciplinary assessment of long-term sickness absentees result in modification of sick-listing diagnoses?
【24h】

Does multidisciplinary assessment of long-term sickness absentees result in modification of sick-listing diagnoses?

机译：对长期病假的多学科评估是否会导致病假诊断的改变？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AIMS: The aim was to study whether sick-leave diagnoses of long-term sickness absentees were modified after a multidisciplinary assessment and if modifications differed with type of medical specialty of the latest physician to sick-list the patient. METHODS: A sample of 635 long-term sickness absentees referred to a multidisciplinary assessment by Social Insurance Offices was included. Data were obtained through sickness certificates and medical records. Patients were examined by board-certified specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine. Descriptive statistics were used. RESULTS: The multidisciplinary assessment resulted in an increase from 1-2 to 2-3 diagnoses for most patients. Forty-five per cent of the male and 47% of the female patients had only somatic diagnoses at referral. After the multidisciplinary assessment these percentages were 20% and 29%, respectively. The rate of women and men given both psychiatric and somatic diagnoses increased from 30% at referral to about 55%. The shift from either only psychiatric or only somatic diagnoses to having these diagnoses in combination was associated with type of specialty of the physician who had sick-listed the patient. CONCLUSIONS: The study indicates that many patients on long-term sick-leave with unclear diagnoses may suffer from unrecognized, and therefore probably untreated, medical disorders and co-morbidity.
机译：目的：目的是研究在经过多学科评估后是否修改了长期缺席患者的病假诊断，以及该修改是否与最新列出患者名单的医师的医学专业类型有所不同。方法：纳入了由社会保险办公室进行多学科评估的635名长期病患者的样本。通过疾病证明和病历获得数据。由董事会认证的精神病学，骨科手术和康复医学专家对患者进行检查。使用描述性统计。结果：多学科评估导致大多数患者的诊断从1-2增加到2-3。 45％的男性患者和47％的女性患者在转诊时仅进行了身体诊断。经过多学科评估后，这些百分比分别为20％和29％。接受精神病和躯体诊断的男女比例从转诊时的30％增加到约55％。从仅精神病学诊断或仅躯体诊断转变为结合这些诊断与患者名单上的医生的专科类型有关。结论：该研究表明，许多长期病假且诊断不明确的患者可能患有无法识别的疾病，因此很可能未经治疗而患有医学疾病和合并症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号