Document Detail


Medicalization of sickness absence.
MedLine Citation:
PMID:  20978331     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: During the last decades, medical certificates have become the core administrative mechanism for a variety of redistributive policies within public administration. This article explores variations in sickness absence as a result of medicalization.
METHODS: The study focuses on the meaning of illness and work disability over time among physicians and the officials in the national insurance offices who are responsible for deciding on matters of sickness absence. 230 casebooks (including medical certificates) are included in the study. The material covers two time periods: the end of the 1970s and the end of the 1990s.
RESULTS: The findings indicate that over time officials and physicians have adopted a broader definition of illness and work disability. Different attention and meanings have been given to conditions and symptoms in the southern and northern parts of Sweden, resulting in a difference in diagnoses between the two regions.
CONCLUSIONS: The results indicate medicalization as one explanation for changing sickness figures and differences in the patterns of diagnoses, and the necessity of placing further emphasis on social insurance offices and their role in changing patterns of sickness absence.
Authors:
Isabell Schierenbeck
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Work (Reading, Mass.)     Volume:  37     ISSN:  1875-9270     ISO Abbreviation:  Work     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-27     Completed Date:  2011-02-04     Revised Date:  2011-03-07    
Medline Journal Info:
Nlm Unique ID:  9204382     Medline TA:  Work     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  241-50     Citation Subset:  IM    
Affiliation:
Department of Political Science, Gothenburg University, Gothenburg, Sweden. isabell.schierenbeck@pol.gu.se
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MeSH Terms
Descriptor/Qualifier:
Health Knowledge, Attitudes, Practice
Humans
Physicians / trends
Policy
Sick Leave / trends*
Social Security / trends*
Social Work / trends
Sweden
Work Capacity Evaluation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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