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On July 5, Dr. Johan Månflod, 53, working in a private health center in Uppsala, posted a video on Facebook accusing the Social Insurance Agency of absorbing more hours of work of the doctor.
As a physician, he himself felt the frustration of having to spend time on paperwork rather than care – something that he takes in his clip
"If the patient needs a certificate and that it remains a quarter "Johan Månflod in the video and continues:
" Since the insurance fund began to harden its legal line there is more from one year, we had less time and more time to write certificates.
READ MORE: Anna Bäsén: We have a doctor failure in Sweden – Let those who care
Johan:
Johan believes that the number of supplements has increased and that the conception of diseases has changed in several counties, which has led to the fact that diseases take more time for the doctor.
Johan takes a quarter to write a medical certificate, while a normal patient's visit takes an average of 30 minutes.
Johan says that many of his colleagues are unhappy and that many doctors have an increased workload.
"Fatigue syndrome has increased since they started with their new tactics, especially among primary care physicians," says Johan in the video. According to him, the scope of the medical certificate has increased as well as the need for details in medical certificates – he says that doctors must fill out more information now than before.
– The requirements have increased to the level that leads to a medical risk, says Johan Månflod
Photo: Facebook / Johan Månflod
The Swedish Medical Association shares photos as time for the medical certificate writing has increased. Vice President Ove Andersson confirms that many doctors are finding that completions are taking longer and that the requirements for medical certificates are more numerous. According to Ove Andersson, for example, doctors should fulfill the patient's work capacity, which can be problematic in the most difficult cases because it includes non-medical aspects and a doctor is not the right person to pronounce.
Martin Jonasson, head of the collaboration of health insurance partners in Försäkringskassan, now responds to criticism and says he does not recognize in the picture that the Swedish Social Insurance Agency would pursue a legal line stricter for about a year.
Martin Jonasson also says that the proportion of additions has not increased – which, on the other hand, has made the total number of additions because the number of holidays of disease has increased. According to Jonasson, there is an average of 1 in 10 medical certificates to complete.
However, he confirms that a new type of medical certificate will be introduced in 2018.
– One of the purposes of the new medical certificate is that the insurance fund gets the right information to avoid having to add unnecessary additions,
Photo: Facebook / Johan Månflod
Jonasson does not believe that Johan Månflod's proposal that the working conditions of the patient should be examined by the Swedish Social Insurance Agency before the physician writes medical certificates works in practice.
– We are already conducting numerous investigations into the situation in the workplace today, but as the law now provides, the Swedish Social Security Agency needs to get the job done. permission of the attending physician to share this information with the doctor. currently 2.6 million impressions and 69,000 divisions. He is surprised by the reactions.
– It shows that it is something that concerns, it's a sign of a society that many do not like, he says.
Doctors struggle to meet requirements
A review by the National Audit Office in May shows that many primary care physicians have difficulty meeting Försäkringskassan's requirements for mental health leave.
A 2016 report titled "Completion Box", produced by industry professionals, showed that doctors considered two out of three additions to medical certificates to be irrelevant.
https://www.facebook.com/johan.manflod/videos/10156462353093540/
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