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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.
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Two roles
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Dual roles
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Physicians’ difficulties in their professional role
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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.
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Cooperation with other professionals
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Cooperation
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Collaboration with other professionals facilitates the COSA
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But there are actually few really justified sick leaves; you can question a lot of the sick leaves.
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Few justified sick leaves
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Doubts
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Physicians’ approach in relation to the patient
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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.
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Decreased claim
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Less demand for sick leave
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An easier COSA process.
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