BMJ 1995;310:195 (21 January)

Letters

Auditing absence due to sickness

EDITOR,--Martin McKee and colleagues highlight some difficulties with the use of routine data for audit and refer to experience in obstetrics.1 In occupational health practice we have encountered similar problems in setting up a system to audit absence attributed to sickness. Certificates for absences due to sickness of more than seven days are obtained by employees from general practitioners and usually forwarded to the employer's personnel or finance department. For self certified spells of illness of shorter duration the information about the reason for illness tends to be vague. Not all certificates find their way to the occupational health department.

To audit how such episodes of absence due to sickness are managed it is necessary to determine their causes and the extent to which they contribute to time lost. Trying to code the diagnosis written on the Med 3 forms is difficult without an agreed system. We have considered using . . . [Full text of this article]


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