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Scandinavian Journal of Primary Health Care

Maria Waller, Ann Blomstrand, Tine Högberg, Nashmil Ariai, Jörgen Thorn, Dominique Hange, Cecilia Björkelund
OBJECTIVE: To explore whether a primary health care (PHC) health promotion programme reaches and engages socioeconomically vulnerable groups in a community to the same extent as higher socioeconomic groups. DESIGN: Comparison of level of engagement and lifestyle improvements stratified by socioeconomic vulnerability level. SETTING: Hisingen PHC catchment area (130,000 inhabitants) Gothenburg, Sweden. PARTICIPANTS: Men and women aged 18-79, visiting any of the eight public PHC centres during an eight-month period 2007-2008, were presented with a short intervention health questionnaire and offered a health dialogue with a nurse, including a health profile, p-glucose and blood pressure check...
December 2016: Scandinavian Journal of Primary Health Care
Lars Rödjer, Ingibjörg H Jonsdottir, Mats Börjesson
OBJECTIVE: To study the self-reported level of physical activity (PA) and quality of life (QOL) in patients receiving physical activity on prescription (PAP) for up to 24 months. DESIGN: Observational study conducted in a regular healthcare setting. SETTING: A primary care population in Sweden receiving physical activity on prescription as part of regular care was studied alongside a reference group. SUBJECTS: The group comprised 146 patients receiving PAP at two different primary care locations (n = 96 and 50, respectively)...
December 2016: Scandinavian Journal of Primary Health Care
P Lucassen, F Olesen
OBJECTIVE: On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING: Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES: Literature-based theory about impact of communication elements on seriousness of symptoms in clinical practice. RESULTS: The therapeutic outcome seems to be impacted by rituals around a clinical encounter and by the doctor patient communication and relation...
December 2016: Scandinavian Journal of Primary Health Care
Emil L Sigurdsson
No abstract text is available yet for this article.
December 2016: Scandinavian Journal of Primary Health Care
Mie Sara Hestbech, Dorte Gyrd-Hansen, Jakob Kragstrup, Volkert Siersma, John Brodersen
OBJECTIVES: To investigate the effects of different types of information about benefits and harms of cervical screening on intention to participate in screening among women in the first cohorts offered human papilloma virus (HPV) vaccination. DESIGN: Randomised survey study. SETTING: Denmark. SUBJECTS: A random sample of women from the birth cohorts 1993, 1994 and 1995 drawn from the general population. INTERVENTIONS: A web-based questionnaire and information intervention...
December 2016: Scandinavian Journal of Primary Health Care
Frøydis Gullbrå, Tone Smith-Sivertsen, Anette Hauskov Graungaard, Guri Rortveit, Marit Hafting
OBJECTIVES: To explore significant experiences of adolescents as next of kin that the general practitioner (GP) should identify and recognize. DESIGN: Qualitative study with focus-group interviews. SUBJECTS AND SETTING: Three focus-group interviews were conducted with a total of 15 Norwegian adolescents each with an ill or substance-abusing parent. The participants were recruited from existing support groups. RESULTS: The adolescents' days were dominated by unpredictability in their family situation and their own exhausting efforts to keep up an ordinary youth life...
December 2016: Scandinavian Journal of Primary Health Care
Magnus Hjortdahl, Peder Halvorsen, Mette Bech Risør
OBJECTIVE: Health authorities want to increase general practitioner (GP) participation in emergency medicine, but the role of the GP in this context controversial. We explored GPs' attitudes toward emergency medicine and call outs. DESIGN: Thematic analysis of focus group interviews. SETTING: Four rural casualty clinics in Norway. PARTICIPANTS: GPs with experience ranging from one to 32 years. RESULTS: The GPs felt that their role had changed from being the only provider of emergency care to being one of many...
December 2016: Scandinavian Journal of Primary Health Care
Margret O Tomasdottir, Hildur Kristjansdottir, Amalia Bjornsdottir, Linn Getz, Thora Steingrimsdottir, Olof A Olafsdottir, Johann A Sigurdsson
OBJECTIVE: To study the self-reported prevalence of experienced violence among a cohort of women about two years after giving birth, their health during pregnancy, pregnancy outcomes and their experience of their child's health. SETTING AND SUBJECTS: In 2011, a total of 657 women participated in phase III of the Childbirth and Health Cohort Study in Icelandic Primary Health Care, 18 to 24 months after delivery. The women had previously participated in phase I around pregnancy week 16 and phase II 5-6 months after delivery...
December 2016: Scandinavian Journal of Primary Health Care
Anna Winthereik, Mette Neergaard, Peter Vedsted, Anders Jensen
OBJECTIVE: General practitioners (GPs) are pivotal in end-of-life (EOL) care. This study aimed to assess GP-reported provision of EOL care and to assess associations with GP characteristics. DESIGN: Population-based questionnaire study. SETTING: Central Denmark Region with approximately 1.3 million inhabitants. SUBJECTS: All 843 active GPs in the Central Denmark Region were sent a questionnaire by mail. MAIN OUTCOME MEASURES: Responses to 18 items concerning four aspects: provision of EOL care to patients with different diagnosis, confidence with being a key worker, organisation of EOL care and EOL skills (medical and psychosocial)...
December 2016: Scandinavian Journal of Primary Health Care
Reijo Siren, Johan G Eriksson, Hannu Vanhanen
OBJECTIVE: To examine the long-term impact of health counselling among middle-aged men at high risk of CVD. DESIGN: An observational study with a 5-year follow-up. SETTING AND INTERVENTION: All men aged 40 years in Helsinki have been invited to a visit to evaluate CVD risk from 2006 onwards. A modified version of the North Karelia project risk tool (CVD risk score) served to assess the risk. High-risk men received lifestyle counselling based on their individual risk profile in 2006 and were invited to a follow-up visit in 2011...
December 2016: Scandinavian Journal of Primary Health Care
Sonja Kallio, Anne Kumpusalo-Vauhkonen, Timo Järvensivu, Antti Mäntylä, Marika Pohjanoksa-Mäntylä, Marja Airaksinen
OBJECTIVE: The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level)...
December 2016: Scandinavian Journal of Primary Health Care
Elisabeth Assing Hvidt, Jens Søndergaard, Jette Ammentorp, Lars Bjerrum, Dorte Gilså Hansen, Frede Olesen, Susanne S Pedersen, Helle Timm, Connie Timmermann, Niels Christian Hvidt
OBJECTIVE: The objective of this study is to identify points of agreement and disagreements among general practitioners (GPs) in Denmark concerning how the existential dimension is understood, and when and how it is integrated in the GP-patient encounter. DESIGN: A qualitative methodology with semi-structured focus group interviews was employed. SETTING: General practice setting in Denmark. SUBJECTS: Thirty-one GPs from two Danish regions between 38 and 68 years of age participated in seven focus group interviews...
December 2016: Scandinavian Journal of Primary Health Care
Jette V Le, Line B Pedersen, Helle Riisgaard, Jesper Lykkegaard, Jørgen Nexøe, Jeanette Lemmergaard, Jens Søndergaard
OBJECTIVE: To assess general practitioners' (GPs') information-seeking behaviour and perceived importance of sources of scientific medical information and to investigate associations with GP characteristics. DESIGN: A national cross-sectional survey was distributed electronically in December 2013. SETTING: Danish general practice. SUBJECTS: A population of 3440 GPs (corresponding to approximately 96% of all Danish GPs)...
December 2016: Scandinavian Journal of Primary Health Care
Morten Bondo Christensen, Karen Busk Nørøxe, Grete Moth, Peter Vedsted, Linda Huibers
OBJECTIVE: General practitioners are the first point of contact in Danish out-of-hours (OOH) primary care. The large number of contacts implies that prescribing behaviour may have considerable impact on health-care expenditures and quality of care. The aim of this study was to examine the prevailing practices for medication prescription in Danish OOH with a particular focus on patient characteristics and contact type. DESIGN AND SETTING: A one-year population-based retrospective observational study was performed of all contacts to OOH primary care in the Central Denmark Region using registry data...
December 2016: Scandinavian Journal of Primary Health Care
Carl Wikberg, Agneta Pettersson, Jeanette Westman, Cecilia Björkelund, Eva-Lisa Petersson
OBJECTIVE: The aim of the current study was to better understand how patients with depression perceive the use of MADRS-S in primary care consultations with GPs. DESIGN: Qualitative study. Focus group discussion and analysis through Systematic Text Condensation. SETTING: Primary Health Care, Region Västra Götaland, Sweden. SUBJECTS: Nine patients with mild/moderate depression who participated in a RCT evaluating the effects of regular use of the Montgomery-Åsberg Depression Self-assessment scale (MADRS-S) during the GP consultations...
December 2016: Scandinavian Journal of Primary Health Care
Raija Kerätär, Anja Taanila, Jari Jokelainen, Jouko Soukainen, Leena Ala-Mursula
OBJECTIVE: Comprehensive understanding of the prevalence and quality of work disabilities and unmet needs for health care and rehabilitation to support return to work (RTW) among jobseekers. DESIGN: Community-level, cross-sectional analysis with multidimensional clinical work ability assessments. SETTING: Paltamo, Finland. PARTICIPANTS: Unemployed citizens either participating in the Full-Employment Project or long-term unemployed (n = 230, 81%)...
December 2016: 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
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