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Insights & documents

Knowledge from practice

Short videos by our founders and the documents that are actually needed in an absence case.

Videos

Please note: the videos are recorded in German.

Intervention

Why absences in Switzerland rise year after year

Dr. med. Mathias Siegfried MBA, Mitgründer

Absences in Swiss companies keep rising – driven above all by mental health strain among younger employees. Why sound medical and organisational support is the most effective lever.

What does a day of sickness absence really cost?

Dr. med. Mathias Siegfried MBA, Mitgründer

Direct wage costs, lost output, overtime, team morale: a single day of absence quickly adds up to between CHF 600 and CHF 1,000.

Why the first few days are decisive

Dr. med. Mathias Siegfried MBA, Mitgründer

From day 30, 60 or 90 onwards an absence can hardly be influenced any more – by then it has usually become chronic. Only early involvement works.

The blind spot in long-term absences

Dr. med. Mathias Siegfried MBA, Mitgründer

In longer absences nobody involved has an overview: no one knows exactly what the issue is, and no one can steer the process.

The role of leadership in absences

Dr. med. Mathias Siegfried MBA, Mitgründer

Reintegration succeeds where managers and employees talk to each other and plan the workload together, step by step.

What partial capacity for work brings employees

Dr. med. Mathias Siegfried MBA, Mitgründer

Staying at home for months means losing structure and connection. Especially in long illnesses, a regular daily routine helps.

Reducing absences means rethinking

Dr. med. Mathias Siegfried MBA, Mitgründer

Absences only fall sustainably when HR, employees and physicians talk to each other instead of about each other.

What partial capacity for work means in practice

Dr. med. Mike Egloff, Mitgründer

Not the whole working day, but part of it – limited in time or to certain activities, always clarified case by case.

Insurers and employers are not the villains

Dr. med. Mike Egloff, Mitgründer

In the system they are quickly cast as opponents. Yet they are the ones who can actually put partial capacity for work into practice.

HR and medicine have to talk to each other

Dr. med. Mike Egloff, Mitgründer

Only direct dialogue makes partial capacity for work real – and with it the return to an actual workplace.

Independent medical examiner

Incapacity for work is more than a diagnosis

Dr. med. Mathias Siegfried MBA, Mitgründer

Incapacity for work is usually assessed in purely medical terms. The actual workplace is left out of the equation – and the result is 100%.

Why absences last longer than necessary

Dr. med. Mathias Siegfried MBA, Mitgründer

Anyone unfamiliar with the workplace cannot relate the capacity for work to it. That is precisely where many sickness certificates fall short.

The last two minutes of the consultation

Dr. med. Mathias Siegfried MBA, Mitgründer

In the GP's practice, the medical certificate is usually written at the very end, almost in passing. An honest assessment from a doctor's perspective.

Why sick leave is granted longer across the board

Dr. med. Mike Egloff, Mitgründer

How long an absence will last can rarely be predicted precisely. Without time for a proper assessment, sick leave tends to be granted generously.

Why doctors shy away from contacting the employer

Dr. med. Mike Egloff, Mitgründer

Doctors see themselves on their patients' side. Add to that uncertainty about who to contact – and simply a lack of time.

How a poor medical certificate comes about

Dr. med. Mike Egloff, Mitgründer

Not assessed, not discussed, issued across the board: such a certificate helps no one and only hardens positions in a conflict.

What makes a good medical certificate

Dr. med. Mike Egloff, Mitgründer

Workplace-related, specific and with pointers for reintegration – without the diagnosis ever having to come up.

Data protection is no excuse

Dr. med. Mike Egloff, Mitgründer

Many doctors are unsure what they are allowed to say. Standardised questions create clarity – diagnoses always stay out of it.

Why certificates so often state 100%

Dr. med. Mike Egloff, Mitgründer

Where time and knowledge of the actual workplace are lacking, blanket statements follow. That is exactly what we want to avoid.

What doctors may tell the company

Dr. med. Mike Egloff, Mitgründer

Functional limitations and prognosis yes, diagnosis no: whatever is needed for resource planning may be communicated.

Prevention

Night shifts and the body clock

AcciMed

How night work affects the body clock – and what an occupational medical examination contributes.

Documents

Specialist literature

The foundations we work with — published by third parties and available directly from them.

Case law

Five rulings that shape our daily work — each with what it means in practice.

  • BGE 143 IV 209

    An independent medical examiner appointed by the employer is bound by professional secrecy under art. 321 SCC and may not disclose to the employer any information beyond art. 328b CO.

    Ruling on bger.ch(External site)
  • BGE 141 V 281

    The structured assessment procedure for psychosomatic conditions: what counts is the functional impact, not the diagnosis alone.

    Ruling on bger.ch(External site)
  • BGE 145 V 2

    Pension recipients with reintegration resources have not only a right but also a duty to take part in reasonable reintegration measures.

    Ruling on bger.ch(External site)
  • 4A_42/2026 vom 22. April 2026

    Medical reports, including certificates without stated reasons, qualify as documents under the revised art. 177 CPC and can prove an incapacity for work. Designated for the official collection.

  • 9C_468/2025 vom 15. Juli 2026

    A specialist medical assessment can in principle only be rebutted by another specialist medical assessment.

For decisions not officially published, use the Federal Supreme Court full-text search.

Take action

With AcciMed you make the difference

Targeted return-to-work strategies, partial work models and structured support measurably reduce illness and accident costs – with greater stability for everyone involved.