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首页> 外文期刊>Scandinavian journal of primary health care. >New rules meet established sickness certification practice: a focus-group study on the introduction of functional assessments in Norwegian primary care.
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New rules meet established sickness certification practice: a focus-group study on the introduction of functional assessments in Norwegian primary care.

机译：新规则符合既定的疾病认证实践：在挪威初级保健中引入功能评估的焦点小组研究。

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摘要

OBJECTIVE: To explore how general practitioners view and handle new standards for functional assessments in sickness certification practice. DESIGN: Qualitative study using focus group interviews. Data were analysed according to Giorgi's phenomenological approach and supported by theories on knowledge. SETTING: General practitioners from three neighbouring counties in Norway. SUBJECTS: Four focus groups with a total of 23 participants were recruited through the Norwegian Medical Association and its Continuous Medical Education system. RESULTS: The participants reported difficulties and reluctance to act in accordance with new functional assessment demands on both a practical and a conceptual level. In established sickness certification practice functional assessment was described as an unspoken part of the medical examination. After the introduction of formal, written functional assessments they identified problems of terminology, communication, and trust. Strategies were developed to circumvent these problems. CONCLUSIONS: A gap was noticeable between the participants' established practice and the new standards' demand for a more theoretical and communicative functional assessment. The general lack of training, being confronted with new terminology, and increasingly high pressure to reduce sickness absences create an atmosphere of insecurity when assessing function.
机译：目的：探讨全科医生如何看待和处理疾病认证实践中功能评估的新标准。设计：使用焦点小组访谈进行定性研究。数据是根据Giorgi的现象学方法进行分析的，并得到知识理论的支持。地点：挪威三个邻近县的全科医生。主题：通过挪威医学协会及其持续医学教育系统招募了四个焦点小组，共有23名参与者。结果：参与者报告了困难和不愿意按照实际和概念上的新功能评估要求采取行动。在已确定的疾病证明实践中，功能评估被描述为体检的不言而喻的一部分。在引入正式的书面功能评估之后，他们确定了术语，沟通和信任方面的问题。制定了规避这些问题的策略。结论：参与者的既定实践与新标准对更具理论性和沟通性的功能评估的需求之间存在明显的差距。普遍缺乏培训，面临着新术语，以及减少疾病缺席的压力越来越大，这在评估职能时产生了不安全感。

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