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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
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
Anne Cathrine Sundseth, Svein Gjelstad, Jorund Straand, Elin O Rosvold
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. GP-patient contacts were categorized as direct contacts (DC: face-to-face consultations) or indirect contacts (IC: via third party, phone or mail)...
June 2018: Scandinavian Journal of Primary Health Care
Anders Grimsmo, Audhild Løhre, Tove Røsstad, Ingunn Gjerde, Ina Heiberg, Aslak Steinsbekk
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. Secondly, using quantitative data covering a population of 214,700 to validate and test hypothesis derived from the qualitative findings...
June 2018: Scandinavian Journal of Primary Health Care
Aase Aamland, Silje Maeland
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. MATERIAL AND METHODS: Nine individual semi-structured telephone interviews were conducted...
June 2018: Scandinavian Journal of Primary Health Care
Claudia S de Waard, Antonius J Poot, Wendy P J den Elzen, Annet W Wind, Monique A A Caljouw, Jacobijn Gussekloo
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. SUBJECTS AND SETTING: Older persons (n = 653, median age 87 years; 69...
June 2018: Scandinavian Journal of Primary Health Care
B Eriksson, P Wändell, U Dahlström, P Näsman, L H Lund, M Edner
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...
June 2018: Scandinavian Journal of Primary Health Care
Marie Lass, Camilla Rahr Tatari, Camilla Hoffmann Merrild, Linda Huibers, Helle Terkildsen Maindal
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. We used semi-structured interviews, followed by an inductive content analysis...
June 2018: Scandinavian Journal of Primary Health Care
Magnus Hjortdahl, Erik Zakariassen, Peder A Halvorsen
OBJECTIVE: To examine general practitioners' (GPs') perception of their role in emergency medicine and participation in emergency services including ambulance call outs, and the characteristics of the GPs and casualty clinics associated with the GPs' involvement in emergency medicine. DESIGN: Cross-sectional online survey. SETTING: General practice. SUBJECTS: General practitioners in Norway (n = 1002). MAIN OUTCOME MEASURES: Proportion of GPs perceiving that they have a large role in emergency medicine, regularly being on call, and the proportion of ambulance callouts with GP participation...
June 2018: Scandinavian Journal of Primary Health Care
Sofia Dalemo, Robert Eggertsen, Per Hjerpe, Erik G Almqvist, Kristina Bengtsson Boström
OBJECTIVE: Elevated calcium concentration is a commonly used measure in screening analyses for primary hyperparathyroidism (pHPT) and cancer. Low bone mineral density (BMD) and osteoporosis are common features of pHPT and strengthen the indication for parathyroidectomy. It is not known whether an elevated calcium concentration could be a marker of low BMD in suspected pHPT patients with a normal parathyroid hormone concentration. PURPOSE: To study if low BMD and osteoporosis are more common after ten years in patients with elevated compared with normal calcium concentrations at baseline...
June 2018: Scandinavian Journal of Primary Health Care
Elisabeth Assing Hvidt, Jette Ammentorp, Jens Søndergaard, Connie Timmermann, Dorte Gilså Hansen, Niels Christian Hvidt
OBJECTIVE: Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs). DESIGN: The UK Medical Research Council's (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation...
June 2018: Scandinavian Journal of Primary Health Care
Michel Wensing, Petra Kaufmann Kolle, Joachim Szecsenyi, Christian Stock, Gunter Laux
OBJECTIVE: To determine the effect of a large-scale program to strengthen general practice on hospitalisation rates. METHODS: This observational study compared enrolled patients in the program and a sample of non-participating patients from non-participating GPs in the same geographic area in Germany. Key components of the program are: prompt access to care, comprehensiveness, continuity, empanelment, data-driven quality improvement, computerized decision support, and additional reimbursement of general practices...
June 2018: Scandinavian Journal of Primary Health Care
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