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Table 3 Summary of the two GPs’ practice profiles for managing sick leave

From: How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study

Dimensions Practice profile 1 Practice profile 2
Assessment of the Contribution of Work Stressors to Work Disability
 How work environment stressors are taken into account in a decision to authorize sick leave Work stressors seen as exceeding the patient’s current adaptive capacity, but as possibly diminishing over the short term Work stressors seen as having an adverse effect on the patient’s health
- Give sick leave to remove the patient from the adverse effect of the stressors
- Postpone the decision
- Give short-term sick leave
Sense-giving regarding Sick Leave and RTW
 Meaning of sick leave as explained to the patient Sick leave is part of the treatment and of limited duration Time to rest
 Message passed on early about the RTW RTW presented at beginning of sick leave (i) as part of the treatment and (ii) as inevitable No specific message
 Messages about the RTW passed on during follow-up RTW helps wind up the recovery Complete severing of contact with the workplace is preferable
Need to contact co-workers or the supervisor to reduce apprehensions about RTW
Planning of Steps towards RTW
 How the work environment is taken into account during preparation of the RTW Patient asked to contact his/her supervisor to discuss a realistic RTW plan Drafting of the RTW plan, taking into account the employer’s constraints, as understood by the patient
Specialized occupational rehabilitation resources recommended if the stressors are significant and persistent
No particular action to proactively mobilize specialized occupational rehabilitation resources