Patient/employee-level, GP-level and general practice-level factors associated with certified sickness episodes exceeding (1) 3 weeks (2) 6 weeks and (3) 12 weeks in duration (including only patients at the 68 practices recorded as ‘in work’)
| (1) Sickness episode longer than 3 weeks | (2) Sickness episode longer than 6 weeks | (3) Long-term sickness episode (>12 weeks) | |
|---|---|---|---|
| OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Level 1: Episode | |||
| Diagnostic category of episode: | |||
| Respiratory problem | 1.00 | 1.00 | 1.00 |
| Mental health problem | 7.03 (5.69 to 8.69) | 6.39 (4.81 to 8.51) | 4.33 (2.95 to 6.37) |
| Musculoskeletal | 4.39 (3.48 to 5.52) | 4.93 (3.64 to 6.66) | 4.67 (3.13 to 6.99) |
| Circulatory illness | 6.51 (5.38 to 13.2) | 9.53(6.33 to 14.4) | 9.30 (5.69 to 15.2) |
| Other diagnosis group | 3.66 (2.99 to 4.49) | 3.90 (2.95 to 5.17) | 2.97 (2.03 to 4.36) |
| ‘May be fit’ note at end of episode | 1.89(1.62 to 2.19) | 1.61 (1.39 to 1.86) | 0.72 (0.60 to 0.86) |
| Level 2: Patient/employee | |||
| Female | 1.00 | 1.00 | 1.00 |
| Male | 1.18 (1.08 to 1.30) | 1.30 (1.18 to 1.45) | 1.35 (1.19 to 1.54) |
| Age (10 year age-bands) | 1.19 (1.14 to 1.23) | 1.09 (1.04 to 1.13) | 1.03 (1.01 to 1.06) |
| Living in one of 20% most deprived neighbourhoods in country | 1.24 (1.09 to 1.41) | 1.23 (1.08 to 1.41) | 1.24 (1.04 to 1.48) |
| Level 3: Certifying GP | |||
| Male GP | 1.00 | 1.00 | 1.00 |
| Female GP | 1.06 (0.92 to 1.22) | 1.02 (0.88 to 1.18) | 1.04 (0.86 to 1.26) |
| Aged under 35 | 1.00 | 1.00 | 1.00 |
| 35–50 | 0.98 (0.82 to 1.17) | 0.98 (0.82 to 1.19) | 0.98 (0.77 to 1.26) |
| Over 50 | 1.01 (0.82 to 1.24) | 1.13 (0.91 to 1.39) | 1.03 (0.78 to 1.36) |
| Partner in practice | 1.12 (0.96 to 1.30) | 1.14 (0.97 to 1.33) | 1.25 (1.02 to 1.54) |
| Works full-time | 1.07 (0.93 to 1.23) | 1.02 (0.88 to 1.18) | 0.99 (0.81 to 1.20) |
| Level 4: Practice | |||
| List size <5000 patients | 1.00 | 1.00 | 1.00 |
| 5000–10 000patients | 0.92 (0.78 to 1.09) | 0.91 (0.77 to 1.08) | 0.87 (0.66 to 1.14) |
| Over 10 000 patients | 0.92 (0.78 to 1.08) | 0.92 (0.78 to 1.08) | 0.83 (0.62 to 1.11) |
| Rural practice area | 1.00 | 1.00 | 1.00 |
| Urban practice area | 1.14 (0.98 to 1.34) | 1.11 (0.95 to 1.31) | 1.08 (0.84 to 1.41) |
| Patient population classed as “very deprived” | 1.18 (1.01 to 1.37) | 1.14 (0.97 to 1.33) | 1.15 (0.88 to 1.52) |
Statistically significant effects in bold.