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ExecAim: TfacilitatBringinthe firs

Methointervieagentsof GP sexaminworker

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The rea lack oworkerage ancommuadminifor timpayme(MHC)unfit fo

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n to work r a multidise and size

esearch co93 participed workerscertificationrrent certifi

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the high ramon definitio

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r study findcapacity w

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ates of unfon of the Gcity to wor

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also found t need tothe RTW p

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to provide well as band mixedia.

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observed, ad. The t ysed differedition. Ageation.

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ype of he aed accordine and ge n

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medical opex and me.

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sued by as unfit arter of han 13 in cost n RTW the 12

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ffect care ealth systethem [5]. g patient-p

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Briefly,participto exaworker

Quanticontainexamin124,34

hods tudy used ach ensureval was obt

s about then Appendix

, the quali tpants: GPsmine currers to RTW.

tative modning workene GP a n42 injured w

qualitativeed methodtained from

e quantitatx 1 and 2 r

tative mets, injured went knowle

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s. Using ates our d aesearch Et

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Research s data w a

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a mixed mata[15,16].thics Comm

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ith four g rocheme pe

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greater

oups of rsonnel injured

(CRD) aken to ns (N=

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mmary of Gnds in GP rtification ptterns of htification.

mmary o

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ds: Rates ificate. Thenumber ofepresents

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pal findingates to 1 2for MSD

her traumark, with 2were fit fo

ghest propHCs, followther disea

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usion: Thirs in Austraf the state pe and du ron. Injuredate recomm

ve Resantitative a

GP medicamedical c

practices ofhealthcare

of GP me

sis sought tPs in the storkers com

of certificae rates wef workers ithe mid-pth 95% codata. Anato examin

egories. Krcertificate d

gs: Over t24,424 worinjuries an

atic injuries22.7%issueor work ce

portion (94wed by woses recor by workeris present

is is the fialia, and tof Victoriaration of md workers mending a

ults analyses w

al certificatiertificationf GP by theservice u

edical ce

to examinetate of Victmpensation

ation were re calculatn the state

point of th eonfidence inlysis of vae differencruskal-Walduration am

he study prkers. Thend diseases (15.6%).ed for al tertificates (

4%) of unorkers withrded the h irs with MSted in Appe

rst study the first to . The findi

medical cewith menta

alternate or

11

were compl

ion practic behavioureir injured

utilization b

rtificatio

e patterns toria, Austrn system.

calculatedted as the e in 2006/7e study p entervals (C

ariances ances betwelis and Ma

mongst the

period a tote largest pes, followe The majoternate or (Figure 1).

nfit for wo rh fractures ighest pro

SD conditioendix 3, Pa

to assess assess cengs of thisrtificates isal health cr modified

eted:

es. r over timeworker ca

by injured

on practic

of sicknesralia over a

d for each number of

7 financial yeriod. RateCIs). Descrnd Chi-squeen medicaann- Whitn groups.

tal of 9,750proportion d by back

ority of certmodified

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ons and baaper 1.

medical ceertification s study shossued by conditions duties, wh

e. seload. workers f

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ss certificatan 8 year p

condition af certificateyear. This es are pr eriptive anauare tests fal certifica

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0 GPs issuof certifica

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ates was i straumatic alternate dck pains a

ertification by GPs inow a substGPs, depeare least lile those w

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ued initial mates (40.2%d strains (

71.4%) wernd the re m

ssued to winjuries. W

duties certand strain.

of injuredn a populattantial variending on ikely to re

with more p

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red and ng data

ch type divided chosen

er 1000 used to ndence s injury nducted

medical %) was (16.4%) re unfit maining

workers Workers tificates A more

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Figureinjury/il

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12

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2. Tre

Aim: Teight y

Methocalculanumbeincidenwithin s

Principrates pnumbeGPs ineach y1.19-1.proport(95 CI%length male a(IRR: 0p

Figure

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14

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Table1Group 1 2 3 4 Total

Group adjustmnature were aof certTo inve2010) dfour GPCost of

Principcase loall injuduring fewer t

Table 2indicateN = 12= 12433.189, pairwis

rtificatio

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outcomes ioad.

ds: Descrr, age grouate type, aon four Ging to the

1 CharacteWorker1 -13 (214-26 (527-48 (749+ (10

differencements were

of afflictioanalysed uificates weestigate thdollars, anP case loaf medical t

pal findingoad. A smared workethe study

than 13 ce

2 illustratesed that diff

24342) = 4342) = 8.1p = 0.363

se compari

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f the studyGPs level. The studo the numn injured w

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GP case lonumber (p

eristics of G

rs per GP 25pct) 50pct) 75pct) 00pct)

es were e applied on, employsing ANOV

ere analyshe total R Tnd durationad groups treatment w

gs: Table all proportier certificat

period. Artificates d

s RTW outferences b14.81, p