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Scandinavian Journal of Primary Health Care

Esperanza Diaz, Hans Thulesius, Oliver Razum
No abstract text is available yet for this article.
September 2016: Scandinavian Journal of Primary Health Care
Ann-Chatrin Linqvist Leonardsen, Lilliana Del Busso, Vigdis Abrahamsen Grøndahl, Waleed Ghanima, Paul Barach, Lars-Petter Jelsness-Jørgensen
OBJECTIVE: Municipality acute wards (MAWs) have recently been launched in Norway as an alternative to hospitalizations, and are aimed at providing treatment for patients who otherwise would have been hospitalized. The objective of this study was to explore how patients normally admitted to hospitals perceived the quality and safety of treatment in MAWs. DESIGN: The study had a qualitative design. Thematic analysis was used to analyze the data. SETTING: The study was conducted in a county in south-eastern Norway and included five different MAWs...
September 2016: Scandinavian Journal of Primary Health Care
Cédric Rat, Gaelle Quereux, Charlotte Grimault, Jérémy Fernandez, Mickael Poiraud, Aurélie Gaultier, Anicet Chaslerie, Jacques Pivette, Amir Khammari, Brigitte Dreno, Jean-Michel Nguyen
OBJECTIVE: The study objective was to measure the rates of inclusion of populations at risk of advanced melanoma in a pilot targeted screening project involving general practitioners. DESIGN: This cross-sectional database study compared the inclusion rates of patients who signed inclusion in a targeted screening project with those of patients who did not, during a period in which both groups of patients consulted investigators. SETTING: Data were extracted from the national healthcare insurance records in western France from 11 April to 30 October 2011...
September 2016: Scandinavian Journal of Primary Health Care
Laura Trolle Saust, Rikke Nygaard Monrad, Malene Plejdrup Hansen, Magnus Arpi, Lars Bjerrum
OBJECTIVE: To identify existing quality indicators (QIs) for diagnosis and antibiotic treatment of patients with infectious diseases in primary care. DESIGN: A systematic literature search was performed in PubMed and EMBASE. We included studies with a description of the development of QIs for diagnosis and antibiotic use in patients with infectious diseases in primary care. We extracted information about (1) type of infection; (2) target for quality assessment; (3) methodology used for developing the QIs; and (4) whether the QIs were developed for a national or international application...
September 2016: Scandinavian Journal of Primary Health Care
Helen Brandstorp, Peder A Halvorsen, Birgitte Sterud, Bjørgun Haugland, Anna Luise Kirkengen
OBJECTIVE: The purpose of our study was to explore the local learning processes and to improve in situ team training in the primary care emergency teams with a focus on interaction. DESIGN, SETTING AND SUBJECTS: As participating observers, we investigated locally organised trainings of teams constituted ad hoc, involving nurses, paramedics and general practitioners, in rural Norway. Subsequently, we facilitated focus discussions with local participants. We investigated what kinds of issues the participants chose to elaborate in these learning situations, why they did so, and whether and how local conditions improved during the course of three and a half years...
September 2016: Scandinavian Journal of Primary Health Care
Mariko Teramura-Grönblad, Minna Raivio, Niina Savikko, Seija Muurinen, Helena Soini, Merja Suominen, Kaisu Pitkälä
OBJECTIVE: This study aims to assess potentially severe class D drug-drug interactions (DDDIs) in residents 65 years or older in assisted living facilities with the use of a Swedish and Finnish drug-drug interaction database (SFINX). DESIGN: A cross-sectional study of residents in assisted living facilities in Helsinki, Finland. SETTING: A total of 1327 residents were assessed in this study. Drugs were classified according to the Anatomical Therapeutic Chemical (ATC) classification system and DDDIs were coded according to the SFINX...
September 2016: Scandinavian Journal of Primary Health Care
Jeanette Therming Jørgensen, John Sahl Andersen, Anne Tjønneland, Zorana Jovanovic Andersen
OBJECTIVE: This study aims to describe the determinants related to gender differences in the GP utilization in Danish population aged 50-65 years. DESIGN: Cohort-based cross-sectional study. SETTING: Danish general practice. SUBJECTS: Totally, 54,849 participants of the Danish Diet, Cancer and Health cohort (50-65 years). MAIN OUTCOME MEASURES: The sum of cohort members' face-to-face consultations with general practitioner (GP) at the cohort baseline year (1993-1997)...
September 2016: Scandinavian Journal of Primary Health Care
Jette Nygaard Jensen, Lars Bjerrum, Jonas Boel, Jens Otto Jarløv, Magnus Arpi
OBJECTIVE: To investigate the distribution of antibiotic prescriptions in primary health care among children aged 0-6 years and its association with socioeconomic factors. DESIGN: A cross-sectional study describing antibiotic prescriptions and socioeconomic factors, using different population-based registers from Statistics Denmark. SETTING: Antibiotic prescriptions in 2012 from primary health care in the Capital Region of Denmark. SUBJECTS: The population of children aged 0-6 years (n = 139,398) in the Capital Region of Denmark...
September 2016: Scandinavian Journal of Primary Health Care
Eivind Meland, John Brodersen
In this paper, we offer a perspective on complementarity, acknowledging that it is not possible for human perception and cognition to grasp reality with unambiguous concepts or theories. Therefore, multiple concepts and perspectives are valid when they are not exaggerated beyond reasonable limits and do not claim exclusive validity. We recommend a humble stance enabling respectful dialogue between different perspectives in medical science and practice. KEY POINTS No single perspective in clinical or scientific medicine can exhaustively explain medical phenomena...
September 2016: Scandinavian Journal of Primary Health Care
Camilla Kjellstadli Thoresen, Hogne Sandvik, Steinar Hunskaar
OBJECTIVE: To investigate how cancer patients in Norway use primary care out-of-hours (OOH) services and describe different contact types and procedures. DESIGN: A retrospective cross-sectional registry study using a billing registry data source. SETTING: Norwegian primary care OOH services in 2014. SUBJECTS: All patients' contacts in OOH services in 2014. Cancer patients were identified by ICPC-2 diagnosis. MAIN OUTCOME MEASURES: Frequency of cancer patients' contacts with OOH services, contact types, diagnoses, procedures, and socio-demographic characteristics...
September 2016: Scandinavian Journal of Primary Health Care
Benny Storheil, Elise Klouman, Stian Holmvik, Nina Emaus, Nils Fleten
OBJECTIVE: Shoulder complaints are frequently encountered in general practice, but precise diagnosing is challenging. This study investigated agreement of shoulder complaints diagnoses between clinicians in a primary health care setting. DESIGN: Cross-sectional study. SETTING: Four primary health care clinicians used patients' history and functional examination of the shoulder by selective tissue tension techniques (STTs), to diagnose shoulder complaints...
September 2016: Scandinavian Journal of Primary Health Care
Torgeir Gilje Lid, Geir Egil Eide, Ingvild Dalen, Eivind Meland
OBJECTIVE: To explore whether information regarding potentially alcohol-related health incidents recorded in electronic patient records might aid in earlier identification of alcohol use disorders. DESIGN: We extracted potentially alcohol-related information in electronic patient records and tested if alcohol-related diagnoses, prescriptions of codeine, tramadol, ethylmorphine, and benzodiazepines; elevated levels of gamma-glutamyl-transferase (GGT), and mean cell volume (MCV); and new sick leave certificates predicted specific alcohol use disorder...
September 2016: Scandinavian Journal of Primary Health Care
Timo Kauppila, Merja K Laine, Mikko Honkasalo, Marko Raina, Johan G Eriksson
OBJECTIVE: To characterize dropouts from type-2 diabetes (T2D) care in communal primary health care. DESIGN: An observational study. SETTING: In a Finnish city, patients with T2D who had not contacted the public primary health care system during the past 12 months were identified with a computer based search and contacted by a trained diabetes nurse. SUBJECTS: Dropouts from T2D treatment. MAIN OUTCOME MEASURES: Demographic factors, laboratory parameters, examinations, medications, and comorbidities...
September 2016: Scandinavian Journal of Primary Health Care
Anne N Kristensen, Brintha Jeyam, Sam Riahi, Martin B Jensen
OBJECTIVE: To evaluate how well an inexpensive portable three-lead ECG monitor PEM identified patients with atrial fibrillation (AF) compared to a normal 12-lead ECG. DESIGN: Cross-sectional method comparison study. SETTING: From April 2014 to February 2015, we included patients coming to the general practice clinic "Lægerne Sløjfen", Aalborg, Denmark for a routine ECG. Patients with severe dementia, mental illness or poor ECG readings were excluded...
July 13, 2016: Scandinavian Journal of Primary Health Care
Odd Martin Vallersnes, Dag Jacobsen, Øivind Ekeberg, Mette Brekke
OBJECTIVE: To chart follow-up of patients after acute poisoning by substances of abuse, register whether patients referred to specialist health services attended, and whether patients contacted a general practitioner (GP) after the poisoning episode. DESIGN: Observational cohort study. SETTING: A primary care emergency outpatient clinic in Oslo, Norway. SUBJECTS: Patients ≥12 years treated for acute poisoning by substances of abuse were included consecutively from October 2011 to September 2012...
July 12, 2016: Scandinavian Journal of Primary Health Care
Helena Liira
No abstract text is available yet for this article.
June 2016: Scandinavian Journal of Primary Health Care
Marcela Ewing, Peter Naredi, Szilard Nemes, Chenyang Zhang, Jörgen Månsson
OBJECTIVE: To identify early diagnostic profiles such as diagnostic codes and consultation patterns of cancer patients in primary care one year prior to cancer diagnosis. DESIGN: Total population-based case-control study. SETTING AND SUBJECTS: 4562 cancer patients and 17,979 controls matched by age, sex, and primary care unit. Data were collected from the Swedish Cancer Register and the Regional Healthcare Database. METHOD: We identified cancer patients in the Västra Götaland Region of Sweden diagnosed in 2011 with prostate, breast, colorectal, lung, gynaecological, and skin cancers including malignant melanoma...
June 2016: Scandinavian Journal of Primary Health Care
Andreas Thörneby, Lena Margareta Nordeman, Else Hellebö Johanson
OBJECTIVE: Assessment of vitamin D levels and deficiency status in individuals with chronic low back pain (CLBP) in a Swedish general population, compared with controls matched for sex and age. DESIGN: Cross-sectional case-control study. SETTING: Primary care, southern Sweden. SUBJECTS: Participants (n = 44) with self-reported low back pain for at least 3 months and individually sex- and age-matched controls without a chronic pain condition (n = 44), recruited from the general population by random letter of invitation...
June 2016: Scandinavian Journal of Primary Health Care
Bart Schweitzer, Nettie Blankenstein, Willemjan Slort, Dirk L Knol, Luc Deliens, Henriette Van Der Horst
OBJECTIVE: The aim was to evaluate the effect of the implementation of an information handover form regarding patients receiving palliative care. Outcome was the information available for the out-of-hours GP co-operative. DESIGN: We conducted a controlled trial. SETTING: All GPs in Amsterdam, The Netherlands. INTERVENTION: The experimental group (N = 240) received an information handover form and an invitation for a one-hour training, the control group (N =  186) did not receive a handover form or training...
June 2016: Scandinavian Journal of Primary Health Care
Sarah Frandsen Gran, Anja Maria Brænd, Morten Lindbæk, Jan C Frich
OBJECTIVE: Feedback may be scarce and unsystematic during students' clerkship periods. We wanted to explore general practitioners' (GPs) and medical students' experiences with giving and receiving supervision and feedback during a clerkship in general practice, with a focus on their experiences with using a structured tool (StudentPEP) to facilitate feedback and supervision. DESIGN: Qualitative study. SETTING: Teachers and students from a six-week clerkship in general practice for fifth year medical students were interviewed in two student and two teacher focus groups...
June 2016: Scandinavian Journal of Primary Health Care
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