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Table 2 Analysis structure

From: General practitioners’ perceptions of working with the certification of sickness absences following changes in the Swedish social security system: a qualitative focus-group study

Meaning unit

Code

Subcategory

Category

When you’re the treating physician, so to say, you have a role. When you're issuing a sick note as a physician then that’s a completely different role as well… You're the Social Insurance Agency’s extended arm or a public authority person, which has nothing to do with the role of treating physician.

Two roles

Dual roles

Physicians’ difficulties in their professional role

But there I think we've learned to take more help from other professionals who at our medical centres. So I feel it’s improved a lot, that we’ve begun to understand that we’re not the only ones who have to manage this.

Cooperation with other professionals

Cooperation

Collaboration with other professionals facilitates the COSA

But there are actually few really justified sick leaves; you can question a lot of the sick leaves.

Few justified sick leaves

Doubts

Physicians’ approach in relation to the patient

The pressures to be placed on sick leave have gotten much lower; today people won’t come and demand to be placed on sick leave.

Decreased claim

Less demand for sick leave

An easier COSA process.