title: Correspondence in Stakeholder Assessment of Health, Work Capacity and Sick Leave in Workers with Comorbid Subjective Health Complaints? A Video Vignette Study.
abstract: Purpose The purpose of this study is to test if there is correspondence in stakeholders' assessments of health, work capacity and sickness certification in four workers with comorbid subjective health complaints based on video vignettes. Methods A cross sectional survey among stakeholders (N = 514) in Norway in 2009/2010. Logistic regression and multinomial logistic regression was used to obtain the estimated probability of stakeholders choosing 100 % sick leave, partial sick leave or work and the estimation of odds ratio of stakeholder assessment compared to the other stakeholders for the individual worker. Results The supervisors were less likely to assess poor health and reduced work capacity, and more likely to suggest partial sick leave and full time work compared to the GPs for worker 1. The public was less likely to assess comorbidity and reduced work capacity, and 6 and 12 times more likely to suggest partial sick leave and full time work compared to the GPs for worker 1. Stakeholders generally agreed in their assessments of workers 2 and 3. The public was more likely to assess poor health, comorbidity and reduced work capacity, and the supervisors more likely to assess comorbidity and reduced work capacity, compared to the GPs for worker 4. Compared to the GPs, all other stakeholders were less likely to suggest full time work for this worker. Conclusions Our results seem to suggest that stakeholders have divergent assessments of complaints, health, work capacity, and sickness certification in workers with comorbid subjective health complaints.
authors.affiliation: Uni Research Health, Postbox 7810, 5020, Bergen, Norway. silje.maeland@uni.no.|Department of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway. silje.maeland@uni.no.
authors.forename: Silje
authors.initials: S
authors.lastname: Maeland
authors.affiliation: Department of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway.|Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
authors.forename: Liv Heide
authors.initials: LH
authors.lastname: Magnussen
authors.affiliation: Uni Research Health, Postbox 7810, 5020, Bergen, Norway.|Hemil, Research Centre for Health Promotion, University of Bergen, Bergen, Norway.
authors.forename: Hege R
authors.initials: HR
authors.lastname: Eriksen
authors.affiliation: Research Unit for General Practice, Uni Research Health, Bergen, Norway.|Department of General Practice, University of Oslo, Oslo, Norway.
authors.forename: Erik L
authors.initials: EL
authors.lastname: Werner
authors.affiliation: GAMUT - Grieg Academy Music Therapy Research Centre, University of Bergen/Uni Research Health, Bergen, Norway.
authors.forename: Anna
authors.initials: A
authors.lastname: Helle-Valle
authors.affiliation: Section of Social Medicine and Epidemiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
authors.forename: Gunnel
authors.initials: G
authors.lastname: Hensing
mesh_terms: D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D009664:Norway / Q000453:epidemiology; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D018582:Sick Leave / Q000191:economics / Q000706:statistics & numerical data*; D014938:Work Capacity Evaluation
keywords: Comorbidity; General practitioners; Return to work; Sick leave; Work capacity evaluation