Development of an appropriate medical certificate of employment for administrative purposes

Authors

  • Subsookumnuay P Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen
  • Chaiear N Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen
  • Krisorn P Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen

Keywords:

medical certificate, employment, communication, risk-free, fit to work

Abstract

Objectives The study aimed to develop a ‘fit to work’ certificate written in a format appropriate for Thai culture and law and to canvas the opinions of stakeholders regarding a ‘fit to work’ certificate.

Methods The Modified Delphi technique was used to canvas the opinions of experts in 13 clinical disciplines and medical law specialties. The study was divided into two phases: Phase 1 was a questionnaire survey regarding ‘fit to work’ certificates around the world and the opinions of experts in the medical field about aspects of ‘fit to work’ certificates. Phase 2 was a study of the opinions of stakeholders working in the medical profession in different capacities.

Results Study results indicated that a medical certificate should include 14 elements. In round 1, the cohort of experts agreed on all existing components and recommended 5 additional elements. In round 2, the experts agreed (median 4 to 5), while in round 3, the experts agreed on all suggested components except component 19. In phase 2, each component was judged suitable for use in the Thai context.

Conclusions None of the components in the proposed certificate contravene Thai law, especially regarding the confidentiality of some information, and the certificate can be used to collect data regarding potential workplace-related health problems, thereby enabling employees who are fit to work and to return to their job. Training physicians on how to complete a ‘fit to work’ certificate may be necessary.

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References

1. Sartorius N. The meanings of health and its promotion. Croat Med J. 2006;47:662-4.
2. van der Noordt M, IJzelenberg H, Droomers M, Proper KI. Health effects of employment: a systematic review of prospective studies. Occup Environ Med. 2014;71:730-6.
3. Zuelke AE, Luck T, Schroeter ML, Witte AV, Hinz A, Engel C, et al. The association between unemployment and depression-results from the population-based LIFE-adult-study. J Affect Disord. 2018;235:399-406.
4. Gallo W T, Teng H M, Falba T A, Kasl S V, Krumholz H M, Bradley EH. The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey. Occup Environ Med. 2006;63:683-7.
5. Suntory and Toyota International Centres for Economics and Related Disciplines. The impact of low income on child health: evidence from a birth cohort study [Internet]. 2004 [cited 2019 Aug 22]. Available from: https://bit.ly/3bWIysk
6. Department for Work and Pensions. Impact assessment of the social security (medical evidence) and statutory sick pay (medical evidence) (amendment) regulations 2010 [Internet]. 2010 [cited 2019 Apr 22]. Available from: https://bit.ly/2IOyFkZ
7. Medical Council of New Zealand. Statement on medical certification [Internet]. n.d. [cited 2019 Apr 25]. Available from: https://bit.ly/3fo8qxG
8. Service Canada. Medical certificate [Internet]. 2017 [cited 2019 Apr 26]. Available from: https://bit.ly/3nBns5F
9. Australian Medical Association. Medical certificates [Internet]. 2016 [cited 2019 Apr 27]. Available from: https://bit.ly/3pT5aPm
10. U.S. Department of Labor Wage and Hour Division. Certification of health care provider for employee’s serious health condition under the family and medical leave act [Internet]. 2020 [cited 2020 Jul 11]. Available from: https://bit.ly/32LoGns
11. Singapore General Hospital. Digital medical certificates [Internet]. 2019 [cited 2019 Apr 27]. Available from: https://bit.ly/3iP0xlr
12. Dorrington S, Roberts E, Mykletun A, Hatch S, Madan I, Hotopf M. Systematic review of fit note use for workers in the UK. Occup Environ Med. 2018;75:530-9.
13. National Health Act B.E. 2550 (A.D. 2007). Royal Thai Government Gazette. 2007;124 (Pt 16 K):1-18. (in Thai)
14. Official Information Act B.E. 2540 (A.D. 1997). Royal Thai Government Gazette. 1997;114 (Pt 46 K):1-16. (in Thai)
15. The Criminal Code B.E. 2499 (A.D. 1956). Royal Thai Government Gazette. 1956;73 (Pt 95):1-4. (in Thai)
16. The Medical Council of Thailand. The declaration of patient’s right [Internet]. n.d. [cited 2019 Jul 12]. Available from: https://bit.ly/3fm5mBT
17. The Medical Council of Thailand. Regulations of the medical council on medical ethics [Internet]. n.d. [cited 2019 Jul 14]. Available from: https://bit.ly/2KmECWu
18. Mental Health Act B.E. 2551 (A.D. 2008). Royal Thai Government Gazette. 2008;125 (Pt 36 K):37-54. (in Thai)
19. Mental Health Act No. 2 B.E. 2562 (A.D. 2019). Royal Thai Government Gazette. 2019;136(Pt 50 K):210-9. (in Thai)
20. Labor Protection Act B.E. 2541 (A.D. 1998). Royal Thai Government Gazette. 1998;115 (Pt 8 K):1-44. (in Thai)
21. Ministerial Regulation on the Health Check for Employees who Work with Risk Factors B.E. 2563 (A.D. 2020). Royal Thai Government Gazette. 2020;137(Pt 80 K):30-3. (in Thai)
22. Personal Data Protection Act B.E. 2562 (A.D. 2019). Royal Thai Government Gazette. 2019;136(Pt 69 K): 52-95. (in Thai)
23. Nashir I M, Mustapha R, Maarof N N M I, Rui T J. Modified delphi technique: the development of measurement model for innovative instructional leadership in technical and vocational education systems. J Tech Educ Train. 2020;12:24-37.
24. Charernputh V, Chirinang P. Future research techniques; delphi technique. Western University Research Journal of Humanities and Social Science. 2015;1:26-40.
25. Soonthornvinit W, Chaiear N. Quality of working life (QoWL) among doctors in the university hospitals in the Northeastern Thailand. J Med Assoc Thai. 2019;102:S39-46.
26. Bruinsma S M, Roobol M J, Carroll P R, Klotz L, Pickles T, Moore C M, et al. Expert consensus document: semantics in active surveillance for men with localized prostate cancer - results of a modified delphi consensus procedure. Nat Rev Urol. 2017;14:312-22.
27. Wichaikhum O, Abhicharttibutra K, Nantsupawat A, Kowitlawakul Y, Kunaviktikul W. Developing a strategic model of participation in policy development for nurses. Int Nurs Rev. 2020;67:11-8.
28. Phanchanikul N. Using E-learning to improve english communication skills of Thai undergraduate students. (dissertation). Pathum Thani: Thammasat Univ.; 2016.
29. The Medical Council of Thailand. Medical certificate [Internet]. 2019 [cited 2019 Oct 19]. Available from: https://bit.ly/3qhPxkd
30. Social Security Office. Medical certificate 16/1 [Internet]. n.d. [cited 2019 Jul 1]. Available from: https://bit.ly/3oHIKQs
31. The Medical Council of Thailand. Application for medical compensation claims outpatient due to accident [Internet]. n.d. [cited 2019 Jul 1]. Available from: https://bit.ly/334pIuy
32. The Medical Council of Thailand. Admission (form A) [Internet]. n.d. [cited 2019 Jul 2]. Available from: https://bit.ly/2HKt3U3
33. The Medical Council of Thailand. (Form B) Physician discharge summary [Internet]. n.d. [cited 2019 Jul 2]. Available from: https://bit.ly/2HKYCxb
34. Department for Work & Pensions. Getting the most out of the fit note [Internet]. n.d. [cited 2019 May 24]. Available from: https://bit.ly/3nMhZcI
35. The University of Tokyo Health Service Center. Medical certificate [Internet]. n.d. [cited 2019 Jun 4]. Available from: https://bit.ly/32BqBdZ
36. The South African Labour Guide. Medical certificates - what constitutes a “valid” medical certificate? [Internet]. n.d. [cited 2019 Jul 12]. Available from: https://bit.ly/2UNpDXR
37. The Bhutan Medical and Health Council. Bhutan Medical and Health Council Guidelines for writing medical certificates and report 2009 [Internet]. n.d. [cited 2019 Jul 15]. Available from: https://bit.ly/39rYTmo
38. Electronic Transactions Development Agency. Authentication -identification -authorization [Internet]. n.d. [cited 2019 Jul 21]. Available from: https://bit.ly/3iOJYX1
39. Biz fluent. What are job tasks? [Internet]. 2017 [cited 2019 Jul 11]. Available from: https://bit.ly/3ftF2Gg
40. Messing K, Dumais L, Courville J, Seifert AM, Boucher M. Evaluation of exposure data from men and women with the same job title. J Occup Med. 1994;36:913-7.
41. Manotham M, Chaiear N, Yimtae K, Thammaroj T. Completeness of occupational history taking record for out-patients with potential work-related disorders at a university hospital in Northeast of Thailand. Srinagarind Med J. 2015;30:562-71.
42. Social Security Office. Number of compulsory insured persons (Under Social Security Act, B.E. 2533 Section 33) [Internet]. n.d. [cited 2020 Jan 12]. Available from: https://bit.ly/3bs3wzH
43. Personal Data Protection Act B.E. 2562 (A.D. 2019). Royal Thai Government Gazette. 2019;136 (Pt 69 K):52-95. (in Thai)
44. American Occupational Therapy Association. Functional capacity evaluation [Internet]. n.d. [cited 2020 Jun 25]. Available from: https://bit.ly/3fqgPAr
45. Ministerial Regulation on the Health Check for Employees who Work with Risk Factors B.E. 2563 (A.D. 2020). Royal Thai Government Gazette. 2020;137 (Pt 80 K):30-3. (in Thai)
46. The Medical Council of Thailand. Number of physicians that has been approved by the medical council of Thailand 1964-2019 [Internet]. n.d. [cited 2020 Jun 25]. Available from: https://bit.ly/2MWHtqA
47. Social Security Office. Social security statistics 2019 [Internet]. n.d. [cited 2021 Apr 16]. Available from: https://bit.ly/3dnfawk
48. Linked in. Manager Guide: The pros and cons of a phased return to work [Internet]. 2015 [cited 2020 Jun 16]. Available from: https://bit.ly/3hP8p5t
49. Chaiear N, Bumrerraj S, Thanawirattananit P, Ngoencharee J, Maskasem S, Sawanyawisuth K, et al. Under-graduate students’ knowledge and understand of occupational medicine at Khon Kaen University. Srinagarind Med J. 2006;21:275-81.
50. Awang H, Shahabudin S M, Mansor N. Return-to-work program for injured workers: factors of successful return to employment. Asia Pac J Public Health. 2016; 28:694-702.

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Published

2021-10-01

How to Cite

1.
P S, N C, P K. Development of an appropriate medical certificate of employment for administrative purposes. Chiang Mai Med J. [Internet]. 2021 Oct. 1 [cited 2022 May 25];60(4):449-62. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/253918

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Original Article