1,806 results match your criteria Scandinavian Journal of Primary Health Care [Journal]


'Having to learn this so late in our lives…' Swedish elderly patients' beliefs, experiences, attitudes and expectations of e-health in primary health care.

Scand J Prim Health Care 2019 Feb 8:1-12. Epub 2019 Feb 8.

d Department of Health Sciences , Lund University , Lund , Sweden.

Objective: The elderly are an increasing group and large consumers of care in Sweden. Development of mobile information technology shows promising results of interventions for prevention and treatment of chronic diseases. Exploring the elderly patients' beliefs, attitudes, experiences and expectations of e-health services helps us understand the factors that influence adherence to such tools in primary care. Read More

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http://dx.doi.org/10.1080/02813432.2019.1570612DOI Listing
February 2019

Giving callers the option to bypass the telephone waiting line in out-of-hours services: a comparative intervention study.

Scand J Prim Health Care 2019 Feb 2:1-8. Epub 2019 Feb 2.

b Research Unit for General Practice , Aarhus C , Denmark.

Objective: Acute out-of-hours (OOH) healthcare is challenged by potentially long waiting time for callers in acute need of medical aid. OOH callers must usually wait in line, even when contacting for highly urgent or life-threatening conditions. We tested an emergency access button (EAB), which allowed OOH callers to bypass the waiting line if they perceived their health problem as severe. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569427DOI Listing
February 2019

One-session cognitive behavior treatment for long-term frequent attenders in primary care: randomized controlled trial.

Scand J Prim Health Care 2019 Feb 2:1-7. Epub 2019 Feb 2.

f Department of Public Health, Faculty of Medicine , University of Turku , Turku , Finland.

Aim: The aim of the study was to find out, if a single cognitive behavior treatment (CBT) session for long-term frequent attenders in primary care affects the attendance frequency and mental well-being of the patients.

Methods: Out of 193 long-term frequent attenders, 56 participated and were randomized to receive either a one-session CBT intervention or usual care. The groups were compared to each other regarding change in general practitioner visits and change in depressive symptoms, sense of coherence, somatoform symptoms and hypochondriacal anxiety at six months' follow-up. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569371DOI Listing
February 2019

Can the COPD web be used to promote self-management in patients with COPD in swedish primary care: a controlled pragmatic pilot trial with 3 month- and 12 month follow-up.

Scand J Prim Health Care 2019 Jan 31:1-14. Epub 2019 Jan 31.

a Department of Community Medicine and Rehabilitation, Section of Physiotherapy , Umeå University , Umeå , Sweden.

Objective: Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial.

Design: Parallel-group controlled pragmatic pilot trial.

Subjects: There was a total of 83 patients with COPD (mean age 70 ± 8 years with a forced expiratory volume in first second percent predicted of 60 ± 17%). Read More

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http://dx.doi.org/10.1080/02813432.2019.1569415DOI Listing
January 2019
1 Read

Dilemmas of medical overuse in general practice - A focus group study.

Scand J Prim Health Care 2019 Jan 31:1-6. Epub 2019 Jan 31.

a Department of Global Health and Primary Care , University of Bergen , Bergen , Norway.

Objective: To obtain first-hand in-depth accounts of overtesting amongst GPs in Norway, as well as the GPs' perspectives on drivers of overtesting and strategies that can prevent overtesting.

Design And Setting: Four focus groups with GPs were conducted. All participants were asked to share examples of unnecessary testing from their everyday general practice, to identify the driving forces involved in these examples and discuss any measures that might prevent excessive testing. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569370DOI Listing
January 2019

Requirements for implementing online information material for patients with low back pain in general practice: an interview study.

Scand J Prim Health Care 2019 Jan 31:1-9. Epub 2019 Jan 31.

b Center for General Pracitce at Aalborg University , Aalborg , Denmark.

Objective: To identify general practitioners' (GPs) barriers and facilitators regarding the use of health information technology (HIT) in the treatment of patients with low back pain (LBP).

Design: A qualitative study employing a participatory design approach, with an inductive analytical thematic approach utilising semi-structured interviews. Empirical data was analysed using the qualitative data analysis software (QDAS) Nvivo. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569413DOI Listing
January 2019

The use of the Brief Child Abuse Potential Inventory in the general population in Finland.

Scand J Prim Health Care 2019 Jan 28:1-7. Epub 2019 Jan 28.

b Faculty of Social Sciences , Tampere University , Tampere , Finland.

Objective: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample.

Design: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP.

Setting: The study population consisted of parents who were visiting one of the following contexts: a primary maternity health care clinic, a child health care clinic, and the maternity outpatient clinic, various pediatric outpatient clinics, the general pediatric ward, the pediatric surgical ward, or the neonatal intensive care unit in a hospital setting. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2019.1
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http://dx.doi.org/10.1080/02813432.2019.1571002DOI Listing
January 2019
2 Reads

Prescription of antibiotics for urinary tract infection in general practice in Denmark.

Scand J Prim Health Care 2019 Jan 28:1-7. Epub 2019 Jan 28.

a Research Unit for General practice and Department of General Practice , University of Copenhagen , Copenhagen , Denmark.

Objective: The aim of this study was to describe and characterize the prescription of antibiotics for urinary tract infection (UTI) in general practice in Denmark and to evaluate compliance with current recommendations.

Design: National registry-based study Setting: Danish general practice Patients: 267.539 patients who redeemed a prescription for antibiotics with the clinical indication UTI at community pharmacies between July 1 2012 and June 31 2013. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569425DOI Listing
January 2019

Quality of out-of-hours telephone triage by general practitioners and nurses: development and testing of the AQTT - an assessment tool measuring communication, patient safety and efficiency.

Scand J Prim Health Care 2019 Jan 28:1-12. Epub 2019 Jan 28.

a Research Unit for General Practice, Aarhus, Denmark & Department of Public Health, Aarhus University , Aarhus C , Denmark.

Objective: To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses.

Design: The Dutch KERNset tool was translated into Danish and supplemented with items from other existing tools. Face validity, content validity and applicability in OOH telephone triage (OOH-TT) were secured through a two-round Delphi process involving relevant stakeholders. Read More

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http://dx.doi.org/10.1080/02813432.2019.1568712DOI Listing
January 2019

Determinants of sickness absence rate among Finnish municipal employees.

Scand J Prim Health Care 2019 Jan 28:1-7. Epub 2019 Jan 28.

a Department of Family Medicine, Institute of Clinical Medicine , University of Turku and Turku University Hospital , Turku , Finland.

Objective: In addition to acute health problems, various aspects of health behavior, work-related and sociodemographic factors have been shown to influence the rate of sickness absence. The aim of this study was to concomitantly examine factors known to have an association with absenteeism. We hypothesized the prevalence of chronic diseases being the most important factor associated with sickness absence. Read More

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http://dx.doi.org/10.1080/02813432.2019.1568710DOI Listing
January 2019

Diagnosing depression in primary care: a Rasch analysis of the major depression inventory.

Scand J Prim Health Care 2019 Jan 28:1-8. Epub 2019 Jan 28.

c Psychiatric Research Unit, Mental Health Centre North Zealand , University of Copenhagen , Copenhagen , Denmark.

Objective: This study aims to assess the measurement properties of the Major Depression Inventory (MDI) in a clinical sample of primary care patients.

Design: General practitioners (GPs) handed out the MDI to patients aged 18-65 years on clinical suspicion of depression.

Setting: Thirty-seven general practices in the Central Denmark Region participated in the study. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2019.1
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http://dx.doi.org/10.1080/02813432.2019.1568703DOI Listing
January 2019
7 Reads

Unsanctioned techniques for having sickness certificates accepted: a qualitative exploration and description of the strategies used by Swedish general practitioners.

Authors:
Mani Shutzberg

Scand J Prim Health Care 2019 Jan 28:1-8. Epub 2019 Jan 28.

a Centre for Studies in Practical Knowledge , Södertörn University , Stockholm , Sweden.

Objectives: To explore informal and unsanctioned techniques general practitioners (GPs) employ as a means to increase the likelihood of sickness certificate approval, following the Swedish Social Insurance Agency's (SSIA's) consolidation of the gatekeeping role in sickness benefit evaluation.

Design: Qualitative semi-structured interviews with 20 GPs working in Swedish primary care. A thematic analysis of the transcribed material was carried out to map different techniques employed by the practitioners. Read More

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http://dx.doi.org/10.1080/02813432.2019.1569426DOI Listing
January 2019

Sampling of urine for diagnosing urinary tract infection in general practice - First-void or mid-stream urine?

Scand J Prim Health Care 2019 Jan 28:1-7. Epub 2019 Jan 28.

a Research Unit for General practice and Department of General Practice , University of Copenhagen , Copenhagen , Denmark.

Objective: To study 1) whether the accuracy of point-of-care (POC) urine tests (dipstick, phase-contrast microscopy and culture) differs when performed on first-void urine (FVU) compared to mid-stream urine (MSU), and 2) if a delay of analysis up to four hours affects the accuracy of POC tests when performed on urine from symptomatic of urinary tract infection (UTI), non-pregnant women in general practice.

Design: Prospective diagnostic study using paired samples. Setting/Intervention: Three general practices in Copenhagen. Read More

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http://dx.doi.org/10.1080/02813432.2019.1568708DOI Listing
January 2019

The Nordic countries on top of the world - what next?

Scand J Prim Health Care 2018 Dec 5;36(4):353-354. Epub 2018 Nov 5.

a Department of General Practice , University of Turku and Turku University Hospital , Turku , Finland.

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http://dx.doi.org/10.1080/02813432.2018.1533668DOI Listing
December 2018
1 Read

Socioeconomic disparities in physical activity among Swedish women and trends over time - the population study of women in Gothenburg.

Scand J Prim Health Care 2018 Dec 5;36(4):363-371. Epub 2018 Nov 5.

a Department of Public Health and Community Medicine/Primary Health Care , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.

Objective: To explore secular trends in physical activity in relation to socioeconomic position in middle-aged women, with focus on whether the social gaps have become wider, narrower, or remain unchanged.

Design: Cohort comparisons between two representative samples of women, recruited in 1980-81 and 2004-05 as a part of the Population Study of Women in Gothenburg.

Setting: Gothenburg, the second largest city of Sweden, with ≈ 450 000 inhabitants. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1499599DOI Listing
December 2018
11 Reads

Who should provide care for patients receiving palliative chemotherapy? A qualitative study among Dutch general practitioners and oncologists.

Scand J Prim Health Care 2018 Dec 30;36(4):437-445. Epub 2018 Oct 30.

c Department of Medical Psychology, Academic Medical Centre Amsterdam , University of Amsterdam , Amsterdam , the Netherlands.

Introduction: While close collaboration between general practitioners (GPs) and hospital specialists is considered important, the sharing of care responsibilities between GPs and oncologists during palliative chemotherapy has not been clearly defined.

Objective: Evaluate the opinions of GPs and oncologists about who should provide different aspects of care for patients receiving palliative chemotherapy.

Design: We conducted semi-structured interviews using six hypothetical scenarios with purposively sampled GPs (n = 12) and oncologists (n = 10) in the Netherlands. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1535264DOI Listing
December 2018
12 Reads

Point-of-care CRP matters: normal CRP levels reduce immediate antibiotic prescribing for acutely ill children in primary care: a cluster randomized controlled trial.

Scand J Prim Health Care 2018 Dec 25;36(4):423-436. Epub 2018 Oct 25.

a Department of Public Health and Primary Care , Ghent University , Ghent , Belgium.

Objective: Antibiotics are prescribed too often in acutely ill children in primary care. We examined whether a Point-of-Care (POC) C-reactive Protein (CRP) test influences the family physicians' (FP) prescribing rate and adherence to the Evidence Based Medicine (EBM) practice guidelines.

Design: Cluster randomized controlled trial. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1529900DOI Listing
December 2018
5 Reads

Creating a safety net for patients with depression in primary care; a qualitative study of care managers' experiences.

Scand J Prim Health Care 2018 Dec 12;36(4):355-362. Epub 2018 Oct 12.

a Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden.

Objective: The aim of this study was to explore nurses' experiences and perceptions of working as care managers at primary care centers.

Design: Qualitative, focus group study. Systematic text condensation was used to analyze the data. Read More

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http://dx.doi.org/10.1080/02813432.2018.1529018DOI Listing
December 2018
5 Reads

Quality assessment in general practice: diagnosis and antibiotic treatment of acute respiratory tract infections.

Scand J Prim Health Care 2018 Dec 8;36(4):372-379. Epub 2018 Oct 8.

c Research Unit for General Practice, Department of Clinical Medicine , Aalborg University , Aalborg , Denmark.

Objective: To investigate areas in need of quality improvement within the diagnostic process and antibiotic treatment of acute respiratory tract infections (RTIs) in Danish general practice by using quality indicators (QIs).

Design And Setting: During a 4-week period in winter 2017, a prospective registration of patients diagnosed with RTIs was conducted in general practice in two regions of Denmark.

Subjects: Throughout the registration period each patient with symptoms of an RTI was registered. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1523996DOI Listing
December 2018
4 Reads

Treatment, transport, and primary care involvement when helicopter emergency medical services are inaccessible: a retrospective study.

Scand J Prim Health Care 2018 Dec 8;36(4):397-405. Epub 2018 Oct 8.

b Research Group for General Practice, Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.

Objective: To examine handling of cancelled helicopter emergency medical services (HEMS) missions with a persisting medical indication.

Design: Retrospective observational study.

Setting And Subjects: Cancelled HEMS missions with persisting medical indication within Sogn og Fjordane county in Norway during the period of 2010-2013. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1523992DOI Listing
December 2018
3 Reads

Psychosocial consequences among women with false-positive results after mammography screening in Norway.

Scand J Prim Health Care 2018 Dec 8;36(4):380-389. Epub 2018 Oct 8.

b The Research Unit for General Practice and Section of General Practice, Department of Public Health , University of Copenhagen , Copenhagen , Denmark.

Background: Mammography screening may cause psychosocial harm for women experiencing a false-positive screening result. Previous studies suggest long-term consequences. The aim of the present study was to assess psychosocial consequences of false-positive findings on screening mammography within a six month follow-up. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1523985DOI Listing
December 2018
4 Reads

First four years of operation of a municipal acute bed unit in rural Norway.

Scand J Prim Health Care 2018 Dec 5;36(4):390-396. Epub 2018 Oct 5.

a Research Unit for General Practice , Uni Research Health , Bergen , Norway.

Objective: To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal service avoided acute hospital admissions.

Design: Observational study. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1523993DOI Listing
December 2018
15 Reads

Cervical cancer screening among immigrant women in Norway- The healthcare providers' perspectives.

Scand J Prim Health Care 2018 Dec 5;36(4):415-422. Epub 2018 Oct 5.

a Department of Global Public Health and Primary care , University of Bergen , Bergen , Norway.

Objective: To explore health care providers' (HCPs) experiences regarding cervical cancer screening (CCS) among immigrant women, their strategies to facilitate these consultations and their need for further information.

Design: Exploratory qualitative design.

Setting: HCPs who perform CCS: general practitioners, midwives and private gynaecologists, working in Oslo, Norway. Read More

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http://dx.doi.org/10.1080/02813432.2018.1523986DOI Listing
December 2018
2 Reads

Workers' experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study.

Scand J Prim Health Care 2018 Dec 27;36(4):406-414. Epub 2018 Sep 27.

a School of Health and Welfare, Jönköping Academy for Improvement of Health and Welfare , Jönköping University , Jönköping , Sweden.

Objective: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units.

Design: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators. Read More

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http://dx.doi.org/10.1080/02813432.2018.1523987DOI Listing
December 2018
12 Reads

Active listing and more consultations in primary care are associated with shorter mean hospitalisation and interacting with psychiatric disorders when adjusting for multimorbidity, age and sex.

Scand J Prim Health Care 2018 Sep;36(3):308-316

a Department of Clinical Sciences in Malmö , Center for Primary Health Care Research, Lund University , Lund , Sweden.

Objective: Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of patient-provider relationships with primary care, adjusting for morbidity burden, age and sex while analysing the contribution of psychiatric disorders. The Johns Hopkins Adjusted Clinical Groups Case-Mix System was used to classify morbidity burden into Resource Utilization Band (RUB) 0-5. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499514DOI Listing
September 2018
2 Reads

Why do some participants in colorectal cancer screening choose not to undergo colonoscopy following a positive test result? A qualitative study.

Scand J Prim Health Care 2018 Sep;36(3):262-271

b Centre of Research & Education in General Practice, Primary Health Care Research Unit , Zealand Region.

Objective: Our aim was to investigate why participants opted out of colonoscopy following a positive screening result for colorectal cancer.

Design: Semi-structured, qualitative, single interviews. We audio-recorded and transcribed all interviews verbatim and used Strauss and Corbin's concept of open, axial, and selective coding to identify the main categories shared across all interviews. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487520DOI Listing
September 2018
1 Read

Prevalence of persons contacting general practice for psychological stress in Denmark.

Scand J Prim Health Care 2018 Sep 3;36(3):272-280. Epub 2018 Sep 3.

c Research Unit for General Practice, Department of Public Health , Aarhus University , Aarhus , Denmark.

Objective: The prevalence of psychological stress has previously been estimated based on self-reported questionnaires. This study aimed to investigate the prevalence of persons who contact the general practitioner (GP) for psychological stress and to explore associations between psychological stress and characteristics relating to the patient, the GP, and area-specific socioeconomic factors.

Design: Cross-sectional computer assisted journal audit. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499494DOI Listing
September 2018
3 Reads

Predictors of Symptom Duration and Bacteriuria in Uncomplicated Urinary Tract Infection.

Scand J Prim Health Care 2018 Dec 3;36(4):446-454. Epub 2018 Sep 3.

a The Antibiotic Centre of Primary Care, Department of General Practice, Institute of Health and Society , University of Oslo , Oslo , Norway.

Objective: To identify baseline predictors of symptom duration after empirical treatment for uncomplicated urinary tract infection (UTI) and significant bacteriuria in a cohort of women treated for UTI.

Design: Prospective single-centre cohort study.

Setting: Outpatient clinic in Norway. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
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http://dx.doi.org/10.1080/02813432.2018.1499602DOI Listing
December 2018
8 Reads

High hospital readmission rates for patients aged ≥65 years associated with low socioeconomic status in a Swedish region: a cross-sectional study in primary care.

Scand J Prim Health Care 2018 Sep 23;36(3):300-307. Epub 2018 Aug 23.

a The University Healthcare Research Centre, Faculty of Medicine and Health , Örebro University , Örebro , Sweden.

Objective: There is a presumption that hospital readmission rates amongst persons aged ≥65 years are mainly dependent on the quality of care. In this study, our primary aim was to explore the association between 30-day hospital readmission for patients aged ≥65 years and socioeconomic characteristics of the studied population. A secondary aim was to explore the association between self-reported lack of strategies for working with older patients at primary health care centres and early readmission. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499584DOI Listing
September 2018
2 Reads

Awareness of hypertension and depressive symptoms: a cross-sectional study in a primary care population.

Scand J Prim Health Care 2018 Sep 23;36(3):323-328. Epub 2018 Aug 23.

a Department of General Practice, Turku University and Turku University Hospital , Turku , Finland.

Objective: To investigate the association of hypertension awareness and depressive symptoms, and to analyse factors predisposing aware hypertensives to depressive symptoms.

Design: Cross-sectional study in a primary care population.

Setting: Cardiovascular risk factor survey in two semi-rural towns in Finland. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499588DOI Listing
September 2018
2 Reads

Factors associated with self-rated health in primary care.

Scand J Prim Health Care 2018 Sep 23;36(3):317-322. Epub 2018 Aug 23.

a Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.

Background: Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse.

Objective: To examine the associations between patients' self-rated health and their sleep problems, somatic health complaints, and unmet needs in interpersonal relationships. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499590DOI Listing
September 2018
1 Read

Variations in drug-related problems detected by multidisciplinary teams in Norwegian nursing homes and home nursing care.

Scand J Prim Health Care 2018 Sep 23;36(3):291-299. Epub 2018 Aug 23.

a Centre of Care Research Mid-Norway , Steinkjer , Norway.

Objective: Traditionally, nursing homes have been associated with suboptimal drug therapy and drug-related problems (DRPs). In contrast, less is known about drug safety in homecare. The aim of this study was to describe and compare DRPs in older persons across two care settings: nursing homes and home nursing care. Read More

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http://dx.doi.org/10.1080/02813432.2018.1499581DOI Listing
September 2018
24 Reads

Defensive medicine in primary health care.

Scand J Prim Health Care 2018 Sep 8;36(3):225-226. Epub 2018 Aug 8.

a Research Unit of General Practice , Institute of Public Health, University of Southern Denmark , Odense , Denmark.

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http://dx.doi.org/10.1080/02813432.2018.1499483DOI Listing
September 2018
1 Read

Urological symptoms among 23,240 men in the general danish population - concerns about symptoms, their persistence and influence on primary care contacts.

Scand J Prim Health Care 2018 Sep 25;36(3):227-236. Epub 2018 Jul 25.

b Research Unit of General Practice, University of Southern Denmar.

Objective: To analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms.

Design: Web-based nationwide cross-sectional questionnaire study.

Setting: The general population in Denmark. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487377DOI Listing
September 2018
1 Read

General practitioners' and nurses' views on medication reviews and potentially inappropriate medicines in elderly patients - a qualitative study of reports by educating pharmacists.

Scand J Prim Health Care 2018 Sep 29;36(3):329-341. Epub 2018 Jun 29.

f Medical Management Center (MMC), Department of Learning, Informatics , Management and Ethics (LIME), Karolinska Institute , Stockholm , Sweden.

Objective: The aim with this study was to understand more about how general practitioners (GPs) and nurses in primary care experience their work with medication reviews in elderly patients.

Design: This qualitative study was nested within a cluster randomised trial and analysed narrative and unstructured diaries written by two pharmacists who performed academic detailing, i.e. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487458DOI Listing
September 2018
18 Reads

Diabetic Retinopathy -Incidence And Risk Factors In A Community Setting- A Longitudinal Study.

Scand J Prim Health Care 2018 Sep 27;36(3):237-241. Epub 2018 Jun 27.

b Department of Family Medicine, Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.

Aim: To evaluate the natural history of diabetic retinopathy (DR) in diabetic patients and to assess long term risk for other chronic diseases associated with DR.

Methods: Retrospective, community-based study. Diabetics who underwent their first fundoscopic examination during 2000-2002, and had at least one follow- up examination by the end of 2007 were included. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487524DOI Listing
September 2018
9 Reads

Swiss students and young physicians want a flexible goal-oriented GP training curriculum.

Scand J Prim Health Care 2018 Sep 26;36(3):249-261. Epub 2018 Jun 26.

a Institute of Primary Health Care Bern (BIHAM), University of Bern , Bern , Switzerland.

Background: A growing shortage of general practitioners (GPs), in Switzerland and around the world, has forced countries to find new ways to attract young physicians to the specialty. In 2017, Switzerland began to fund hundreds of new study places for medical students. This wave of young physicians will soon finish University and be ready for postgraduate training. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487582DOI Listing
September 2018
4 Reads

Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency.

Scand J Prim Health Care 2018 Sep 22;36(3):242-248. Epub 2018 Jun 22.

a Cairns Clinical School, College of Medicine and Dentistry , James Cook University , Australia.

Objective: This study aims to identify factors which correlate to the propensity of general practitioners (GPs) to prescribe supplementation for borderline vitamin B12 deficiency.

Design: Cross-sectional surveys were distributed in person.

Setting: Conferences held in Cairns, Palm Cove Beach, Mt Isa; educational meetings in Atherton; and meetings with individual general practices within the Cairns and Hinterland region. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487522DOI Listing
September 2018
1 Read

'I've put diabetes completely on the shelf till the mental stuff is in place'. How patients with doctor-assessed impaired self-care perceive disease, self-care, and support from general practitioners. A qualitative study.

Scand J Prim Health Care 2018 Sep 22;36(3):342-351. Epub 2018 Jun 22.

d Zealand University Hospital , Roskilde , Denmark.

Objective: This paper investigated patients' experiences of disease and self-care as well as perceptions of the general practitioner's role in supporting patients with impaired self-care ability.

Design: Qualitative interviews with 13 patients with type 2 diabetes, concurrent chronic diseases, and impaired self-care ability assessed by a general practitioner. We analyzed our data using systematic text condensation. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487436DOI Listing
September 2018
8 Reads

Differences in diagnostic activity in general practice and findings for individuals invited to the danish screening programme for colorectal cancer: a population-based cohort study.

Scand J Prim Health Care 2018 Sep 22;36(3):281-290. Epub 2018 Jun 22.

a Research Unit for General Practice & Section for General Medical Practice, Department of Public Health , Aarhus University , Bartholins Allé 2 , Aarhus C , 8000 , Denmark.

Objective: To investigate the diagnostic activity in general practice and the cumulative incidence of colorectal cancer (CRC) in individuals invited to the Danish national screening programme for CRC.

Design: A historical population-based cohort study.

Setting: The Danish CRC screening programme and general practice. Read More

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http://dx.doi.org/10.1080/02813432.2018.1487378DOI Listing
September 2018
2 Reads

Are general practitioners characteristics associated with the quality of type 2 diabetes care in general practice? Results from the Norwegian ROSA4 study from 2014.

Scand J Prim Health Care 2018 Jun;36(2):170-179

a Department of General Practice, Institute of Health and Society , University of Oslo , Oslo , Norway.

Objective: To explore the associations between general practitioners (GPs) characteristics such as gender, specialist status, country of birth and country of graduation and the quality of care for patients with type 2 diabetes (T2DM).

Design: Cross-sectional survey.

Setting And Subjects: The 277 GPs provided care for 10082 patients with T2DM in Norway in 2014. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066292PMC
June 2018
5 Reads

Ongoing recruitment crisis In Norwegian general practice.

Authors:
Svein R Kjosavik

Scand J Prim Health Care 2018 06 25;36(2):107-108. Epub 2018 Apr 25.

a National Editor of Scandinavian Journal ofPrimary Health Care ; Stavanger University Hospital , Stavanger , Norway.

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http://dx.doi.org/10.1080/02813432.2018.1462294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066296PMC
June 2018
2 Reads

The dilemma of repeat weak opioid prescriptions - experiences from swedish GPs.

Scand J Prim Health Care 2018 Jun 25;36(2):180-188. Epub 2018 Apr 25.

a University Health Care Research Center, Faculty of Medicine and Health , Örebro University , Örebro , Sweden.

Objective: To explore general practitioners' (GP) experiences of dealing with requests for the renewal of weak opioid prescriptions for chronic non-cancer pain conditions.

Design: Qualitative focus group interviews. Systematic text condensation analysis. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
Publisher Site
http://dx.doi.org/10.1080/02813432.2018.1459241DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066274PMC
June 2018
8 Reads

Psychoeducation against depression, anxiety, alexithymia and fibromyalgia: a pilot study in primary care for patients on sick leave.

Scand J Prim Health Care 2018 Jun 25;36(2):123-133. Epub 2018 Apr 25.

b Department of Research and Development , Region Kronoberg , Växjö , Sweden.

Objectives: Feasibility testing of a psychoeducational method -The Affect School and Script Analyses (ASSA) - in a Swedish primary care setting. Exploring associations between psychological, and medically unexplained physical symptoms (MUPS).

Design: Pilot study. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066275PMC
June 2018
3 Reads

General practitioners' prescriptions of benzodiazepines, Z-hypnotics and opioid analgesics for elderly patients during direct and indirect contacts. A cross-sectional, observational study.

Scand J Prim Health Care 2018 Jun 14;36(2):115-122. Epub 2018 Apr 14.

a Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.

Objective: To describe Norwegian general practitioners' (GPs') prescription patterns of benzodiazepines, Z-hypnotics and opioid analgesics (BZO-drugs) to elderly (≥70 years) patients.

Design, Subjects And Setting: Cross sectional, observational study. Contact- and prescription data from 148 Norwegian GPs, issued for elderly patients during eight months in 2008. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066290PMC
June 2018
2 Reads

Disease-specific clinical pathways - are they feasible in primary care? A mixed-methods study.

Scand J Prim Health Care 2018 Jun 12;36(2):152-160. Epub 2018 Apr 12.

a Department of Public Health and Nursing , Norwegian University of Science and Technology , Trondheim , Norway.

Objective: To explore the feasibility of disease-specific clinical pathways when used in primary care.

Design: A mixed-method sequential exploratory design was used. First, merging and exploring quality interview data across two cases of collaboration between the specialist care and primary care on the introduction of clinical pathways for four selected chronic diseases. Read More

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https://www.tandfonline.com/doi/full/10.1080/02813432.2018.1
Publisher Site
http://dx.doi.org/10.1080/02813432.2018.1459167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066276PMC
June 2018
6 Reads

Sick-listed workers' expectations about and experiences with independent medical evaluation: a qualitative interview study from Norway.

Scand J Prim Health Care 2018 Jun 12;36(2):134-141. Epub 2018 Apr 12.

b Uni Research Health , Uni Research , Bergen , Norway.

Purpose: To reduce the country's sick leave rate, Norwegian politicians have suggested independent medical evaluations (IMEs) for sick-listed workers. IME was tested in a large, randomized controlled trial in one Norwegian county (Evaluation of IME in Norway, or 'the NIME trial'). The current study´s aim was to explore sick-listed workers' expectations about and experiences with participating in an IME. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066295PMC
June 2018
6 Reads

Perceived doctor-patient relationship and satisfaction with general practitioner care in older persons in residential homes.

Scand J Prim Health Care 2018 Jun 12;36(2):189-197. Epub 2018 Apr 12.

a Department of Public Health and Primary Care , Leiden University Medical Center , Leiden , The Netherlands.

Objective: Understanding patient satisfaction from the perspective of older adults is important to improve quality of their care. Since patient and care variables which can be influenced are of specific interest, this study examines the relation between patient satisfaction and the perceived doctor-patient relationship in older persons and their general practitioners (GPs).

Design: Cross-sectional survey. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066293PMC
June 2018
6 Reads

Comorbidities, risk factors and outcomes in patients with heart failure and an ejection fraction of more than or equal to 40% in primary care- and hospital care-based outpatient clinics.

Scand J Prim Health Care 2018 Jun 10;36(2):207-215. Epub 2018 Apr 10.

f Cardiology Unit, N3: 06, Department of Medicine , Karolinska Institute and University Hospital , Stockholm , Sweden.

Objective: The aim of this study is to describe patients with heart failure and an ejection fraction (EF) of more than or equal to 40%, managed in both Primary- and Hospital based outpatient clinics separately with their prognosis, comorbidities and risk factors. Further to compare the heart failure medication in the two groups.

Design: We used the prospective Swedish Heart Failure Registry to include 9654 out-patients who had HF and EF ≥40%, 1802 patients were registered in primary care and 7852 in hospital care. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066291PMC
June 2018
3 Reads

Contact to the out-of-hours service among Danish parents of small children - a qualitative interview study.

Scand J Prim Health Care 2018 Jun 10;36(2):216-223. Epub 2018 Apr 10.

c Department of Public Health, Section for Health Promotion and Health Services , Aarhus University , Aarhus , Denmark.

Objective: In Denmark, parents with small children have the highest contact frequency to out-of-hours (OOH) service, but reasons for OOH care use are sparsely investigated. The aim was to explore parental contact pattern to OOH services and to explore parents' experiences with managing their children's acute health problems.

Design: A qualitative study was undertaken drawing on a phenomenological approach. Read More

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http://dx.doi.org/10.1080/02813432.2018.1459431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066288PMC
June 2018
3 Reads