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Scandinavian Journal of Primary Health Care

Marianne Bollestad, Ingvild Vik, Nils Grude, Morten Lindbæk
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. PATIENTS: From September 2010 to November 2011, 441 women aged 16-55 years with symptoms of uncomplicated UTI were included. RESULTS: Dipstick findings of leukocyte esterase 1 + (incidence rate ratio (IRR) 1...
September 3, 2018: Scandinavian Journal of Primary Health Care
Majken Solvang, Sandra Elnegaard, Dorte Ejg Jarbøl
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. SUBJECTS: 48,910 randomly selected men aged 20+ years. MAIN OUTCOME MEASURES: Urological symptom prevalence and odds ratios for GP contact with urological symptoms in regard to concern for the symptom, influence on daily activities and the persistence of the symptom...
July 25, 2018: Scandinavian Journal of Primary Health Care
K Schmidt-Mende, J Hasselström, B Wettermark, M Andersen, P Bastholm-Rahmner
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. educational outreach visits in primary care. The educational sessions dealt with potentially inappropriate medicines, and stimulated interprofessional dialogue in relation to medication reviews...
June 29, 2018: Scandinavian Journal of Primary Health Care
Michal Shani, Tali Eviatar, Doron Komaneshter, Shlomo Vinker
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. The primary outcome was the development of DR (proliferative diabetic retinopathy (PDR), non PDR (NPDR) or macular edema...
June 27, 2018: Scandinavian Journal of Primary Health Care
Karin Ranstad, Patrik Midlöv, Anders Halling
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...
September 2018: Scandinavian Journal of Primary Health Care
Anne Katrine Lykke Bie, John Brodersen
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. These formed the basis of our findings. SETTING: A Danish national colorectal cancer screening programme...
September 2018: Scandinavian Journal of Primary Health Care
Jesper Lykkegaard, Marianne Rosendal, Karen Brask, Lars Brandt, Anders Prior
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. SETTING: General practice in the Region of Southern Denmark...
September 2018: Scandinavian Journal of Primary Health Care
Jacques Shebehe, Anders Hansson
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...
September 2018: Scandinavian Journal of Primary Health Care
Ansa Talvikki Rantanen, Jyrki Jaakko Antero Korkeila, Eliisa Susanna Löyttyniemi, Ulla Kirsti Maria Saxén, Päivi Elina Korhonen
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. SUBJECTS: Two thousand six hundred seventy-six middle-aged risk persons without an established cardiovascular or renal disease or type 2 diabetes...
September 2018: Scandinavian Journal of Primary Health Care
Thomas Mildestvedt, Vibeke V Herikstad, Ida Undheim, Bjørn Bjorvatn, Eivind Meland
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...
September 2018: Scandinavian Journal of Primary Health Care
Siri A Devik, Rose Mari Olsen, Inger Lise Fiskvik, Terje Halbostad, Tone Lassen, Natalia Kuzina, Ingela Enmarker
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. DESIGN: Cross-sectional study using descriptive and inferential statistics. SETTING: Nursing homes (n = 5) and home nursing care units (n = 8) across nine municipalities in the middle of Norway...
September 2018: Scandinavian Journal of Primary Health Care
Jesper Lykkegaard, Merethe Kirstine Kousgaard Andersen, Jørgen Nexøe, Elisabeth Assing Hvidt
No abstract text is available yet for this article.
September 2018: Scandinavian Journal of Primary Health Care
Zsofia Rozsnyai, Kali Tal, Marius Bachofner, Hubert Maisonneuve, Cora Moser-Bucher, Yolanda Mueller, Nathalie Scherz, Sebastien Martin, Sven Streit
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. We hypothesized that an attractive postgraduate training program would encourage interested young physicians to pursue a GP career...
June 26, 2018: Scandinavian Journal of Primary Health Care
Grace Cham, Nichola Davis, Edward Strivens, Aileen Traves, Grant Manypeney, Ronny Gunnarsson
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. All located in Queensland, Australia...
June 22, 2018: Scandinavian Journal of Primary Health Care
Mads Aage Toft Kristensen, Ann Dorrit Guassora, Anne Beiter Arreskov, Frans Boch Waldorff, Bibi Hølge-Hazelton
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. The shifting perspectives model of chronic illness formed the theoretical background for the study...
June 22, 2018: Scandinavian Journal of Primary Health Care
Jakob Søgaard Juul, Berit Andersen, Søren Laurberg, Anders Helles Carlsen, Frede Olesen, Peter Vedsted
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. SUBJECTS: The 376,198 individuals invited to the Danish CRC screening programme from 1 March to 31 December 2014...
June 22, 2018: Scandinavian Journal of Primary Health Care
Anh Thi Tran, Åsne Bakke, Tore J Berg, Bjørn Gjelsvik, Ibrahimu Mdala, Kjersti Nøkleby, Anam Shakil Rai, John G Cooper, Tor Claudi, Karianne Løvaas, Geir Thue, Sverre Sandberg, Anne K Jenum
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. The GPs characteristics were self-reported: 55% were male, 68% were specialists in General Practice, 82% born in Norway and 87% had graduated in Western Europe...
June 2018: Scandinavian Journal of Primary Health Care
Svein R Kjosavik
No abstract text is available yet for this article.
June 2018: Scandinavian Journal of Primary Health Care
Elsa Ekelin, Anders Hansson
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. SETTING AND SUBJECTS: 15 GPs, 4 GP residents and 2 interns at two rural and two urban health centres in central Sweden. MAIN OUTCOME MEASURES: Strategies for handling the dilemma of prescribing weak opioids without seeing the patient...
June 2018: Scandinavian Journal of Primary Health Care
Eva O Melin, Ralph Svensson, Hans O Thulesius
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. SETTING: Three Swedish primary care centers serving 20,000 people. INTERVENTION: 8 weekly 2-hour sessions with a 5-7 participant group led by two instructors - followed by 10 individual hour-long sessions...
June 2018: Scandinavian Journal of Primary Health Care
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