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Family Practitioners’ Advice about Taking Time Off Work for Lower Respiratory Tract Infections: A Prospective Study in Twelve European Primary Care Networks

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Listed:
  • Maciek Godycki-Cwirko
  • Marek Nocun
  • Christopher C Butler
  • Paul Little
  • Theo Verheij
  • Kerenza Hood
  • Nils Fleten
  • Anna Kowalczyk
  • Hasse Melbye

Abstract

Background: Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. Aim: to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. Methods: Prospective observational study in primary care networks in 12 countries, with multilevel mixed-effects binomial logistic regression. Results: 324 FPs recruited 1616 employed adults who presented to primary care with LRTIs. The proportion of patients advised to take time off work varied from 7.6% in the Netherlands to 89.2% in Slovakia, and of these, 88.2% overall were advised to stay off work for seven days or less. None of Finnish or Dutch patients were advised to take more than 7 days off, in contrast to 35.5% of Polish and 27.0% of Slovak patients. The strongest predictors of FPs’ advice about time off work were: patient symptoms interfering with normal activities (OR 4.43; P

Suggested Citation

  • Maciek Godycki-Cwirko & Marek Nocun & Christopher C Butler & Paul Little & Theo Verheij & Kerenza Hood & Nils Fleten & Anna Kowalczyk & Hasse Melbye, 2016. "Family Practitioners’ Advice about Taking Time Off Work for Lower Respiratory Tract Infections: A Prospective Study in Twelve European Primary Care Networks," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-13, October.
    • Handle: RePEc:plo:pone00:0164779
    DOI: 10.1371/journal.pone.0164779
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