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dc.contributor.authorGodycki-Cwirko, M.
dc.contributor.authorNocun, Marek
dc.contributor.authorButler, Christopher C
dc.contributor.authorLittle, Paul
dc.contributor.authorVerheij, Theo
dc.contributor.authorHood, Kerenza
dc.contributor.authorFleten, Nils
dc.contributor.authorKowalczyk, Anna
dc.contributor.authorMelbye, Hasse
dc.date.accessioned2017-03-15T15:50:17Z
dc.date.available2017-03-15T15:50:17Z
dc.date.issued2016
dc.description.abstractBackground Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. Aim to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. Methods Prospective observational study in primary care networks in 12 countries, with multilevel mixed-effects binomial logistic regression. Results 324 FPs recruited 1616 employed adults who presented to primary care with LRTIs. The proportion of patients advised to take time off work varied from 7.6% in the Netherlands to 89.2% in Slovakia, and of these, 88.2% overall were advised to stay off work for seven days or less. None of Finnish or Dutch patients were advised to take more than 7 days off, in contrast to 35.5% of Polish and 27.0% of Slovak patients. The strongest predictors of FPs’ advice about time off work were: patient symptoms interfering with normal activities (OR 4.43; P<0.001), fever (2.49; P<0.001), patients feeling generally unwell (2.21; P<0.001), antibiotic prescribing (1.51; P = 0.025) and auscultation abnormality (1.50; P = 0.029). Advice to take time off was not associated with patient reported recovery. Conclusions There is large variation in FPs’ advice given to patients with LRTIs in Europe about taking time off work, which is not explained by differences in patients’ reported illness duration, but might be explained by differences in regulations around certification and sick pay. Evidence based guidance for advising patients about taking time off work for this common condition is needed.en_US
dc.description.sponsorshipThe study data are from the GRACE project funded by the 6th Framework Programme of the European Commission under the reference LSHM-CT-2005-518226en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.1371/journal.pone.0164779>http://doi.org/10.1371/journal.pone.0164779</a>. License <a href=https://creativecommons.org/licenses/by/4.0/>CC BY 4.0</a>.en_US
dc.identifier.citationGodycki-Cwirko M, Nocun M, Butler, Little P, Verheij T, Hood K, Fleten N, Kowalczyk A, Melbye H. Family practitioners' advice about taking time off work for lower respiratory tract infections: A prospective study in twelve European primary care networks. PLoS ONE. 2016;11(10)en_US
dc.identifier.cristinIDFRIDAID 1411206
dc.identifier.doi10.1371/journal.pone.0164779
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/10037/10717
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.journalPLoS ONE
dc.rights.accessRightsopenAccessen_US
dc.subjectAntibioticsen_US
dc.subjectCoughingen_US
dc.subjectPatientsen_US
dc.subjectEuropeen_US
dc.subjectPrimary careen_US
dc.subjectFeversen_US
dc.subjectPolanden_US
dc.subjectLower respiratory tracten_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.titleFamily practitioners' advice about taking time off work for lower respiratory tract infections: A prospective study in twelve European primary care networksen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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