Licencia médica psiquiátrica: revisión de los efectos positivos y negativos del reposo
Author
dc.contributor.author
Almonte, Juan
Author
dc.contributor.author
Muñoz, Pablo
Author
dc.contributor.author
Parrini, Javiera
Admission date
dc.date.accessioned
2018-11-26T12:59:07Z
Available date
dc.date.available
2018-11-26T12:59:07Z
Publication date
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2018-04
Cita de ítem
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rev Med chile 2018; 146: 494-501
es_ES
Identifier
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0034-9887
Identifier
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10.4067/s0034-98872018000400494
Identifier
dc.identifier.uri
https://repositorio.uchile.cl/handle/2250/152860
Abstract
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There is no consensus amongst physicians, social security representatives and researchers about optimum sick leaves. This is an indication that should maximize positive outcomes and minimize potential side effects, both for the patient and society. The use of sick leaves during the last decade rose steadily, particularly in the psychiatric field. The most important causes of this increase are: changes in public policies, overuse of psychiatric diagnosis to cover up unmet social needs, and modifications to labour structure. It is analysed the impact that this situation has implied for physician patient relationship as well as for health budget. Even though sick leave diminishes presentism associated to a psychiatric disorder, published evidence about the effect of prolonged sick leave shows that damage overruns potential benefits: augmented morbidity and mortality, work-place phobia, economic loss, among others.