[An analysis of the level of accuracy of the official diagnosis of temporary work incapacity].
OBJECTIVE
To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW.


METHODS
A descriptive, prospective and observational study.


METHODS
Health Centre in an urban area in Vitoria.


METHODS
All the sickness occasioning time off work between May and July, 1991, recorded at the above Health Centre: a sample of 224 TUW.


RESULTS
In 11.6% of the TUW the diagnoses did not coincide. The main reasons for the lack of correspondence were: initial ignorance of the diagnosis (34.6%); confidentiality before a third party (25.9%); pretense (14.8%). There was a notable difference between the psychological diagnoses (12) and those found in the official certificate 3 for TUW (p = 0.032). The most common diagnostic group was the locomotive one (29%).


CONCLUSIONS
There is considerable inexactness in the diagnoses on the official TUW certificate. A lot of time off for psychological reasons is covered up by organic complaints. The locomotive group of complaints is the most commonly found one. We propose that the CIAP classification should be adopted to standardise diagnoses in this area.
Abraín Aznar
A
A
Lafuente
M P
MP
Urraca
J
J
Olasagasti
C
C
Gil
J M
JM
Ruiz Téllez
A
A
D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D000368:Aged; D003219:Confidentiality; D003951:Diagnostic Errors; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000145:classification / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data; D011446:Prospective Studies; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data
Análisis del nivel de exactitud del diagnóstico oficial de la incapacidad laboral transitoria.