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Scandinavian Journal of Primary Health Care

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https://www.readbyqxmd.com/read/28277057/reasons-for-attending-a-general-emergency-outpatient-clinic-versus-a-regular-general-practitioner-a-survey-among-immigrant-and-native-walk-in-patients-in-oslo-norway
#1
Sven Eirik Ruud, Per Hjortdahl, Bård Natvig
OBJECTIVE: To explore reasons for attending a general emergency outpatient clinic versus a regular general practitioner (RGP). DESIGN: Cross-sectional study using a multilingual anonymous questionnaire. SETTING: Native and immigrant walk-in patients attending a general emergency outpatient clinic in Oslo (Monday-Friday, 08:00-23:00) during 2 weeks in September 2009. SUBJECTS: We included 1022 walk-in patients: 565 native Norwegians (55%) and 457 immigrants (45%)...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277055/patients-experiences-of-a-computerised-self-help-program-for-treating-depression-a-qualitative-study-of-internet-mediated-cognitive-behavioural-therapy-in-primary-care
#2
Anna Holst, Shabnam Nejati, Cecilia Björkelund, Maria C M Eriksson, Dominique Hange, Marie Kivi, Carl Wikberg, Eva-Lisa Petersson
OBJECTIVE: The objective of this study was to explore primary care patients' experiences of Internet mediated cognitive behavioural therapy (iCBT) depression treatment. DESIGN: Qualitative study. Data were collected from focus group discussions and individual interviews. SETTING: Primary care. METHOD: Data were analysed by systematic text condensation by Malterud. SUBJECTS: Thirteen patients having received iCBT for depression within the PRIM-NET study...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277054/symptom-load-and-general-function-among-patients-with-erythema-migrans-a-prospective-study-with-a-1-year-follow-up-after-antibiotic-treatment-in-norwegian-general-practice
#3
Knut Eirik Eliassen, Reidar Hjetland, Harald Reiso, Morten Lindbæk, Hedda Tschudi-Madsen
OBJECTIVE: Promptly treated erythema migrans (EM) has good prognosis. However, some patients report persistent symptoms. Do patients with EM have more symptoms than the general population? We describe individual symptoms and general function in EM-patients at time of diagnosis and one year after treatment. DESIGN: Prospective study with 1-year follow up after treatment. Questionnaires included a modified version of the Subjective Health Complaints Inventory, comprising three additional Lyme borreliosis (LB) related symptoms...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277053/balancing-trust-and-power-a-qualitative-study-of-gps-perceptions-and-strategies-for-retaining-patients-in-preventive-health-checks
#4
Marie Broholm-Jørgensen, Ann Dorrit Guassora, Susanne Reventlow, Susanne Oksbjerg Dalton, Tine Tjørnhøj-Thomsen
OBJECTIVE: Little is known about how strategies of retaining patients are acted out by general practitioners (GPs) in the clinical encounter. With this study, we apply Grimens' (2009) analytical connection between trust and power to explore how trust and power appear in preventive health checks from the GPs' perspectives, and in what way trust and power affect and/or challenge strategies towards retaining patients without formal education. DESIGN: Data in this study were obtained through semi-structured interviews with GPs participating in an intervention project, as well as observations of clinical encounters...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277052/general-practitioners-accounts-of-how-to-facilitate-consultations-with-toddlers-an-interview-study
#5
Marie Golsäter, Lars-Olof Johansson, Maria Harder
OBJECTIVE: To describe general practitioners' (GPs') accounts of how to facilitate consultations with children aged 1-2 years. DESIGN: A qualitative study based on focus group interviews. SETTING AND SUBJECTS: Five focus group interviews were conducted with a total of 25 GPs at Swedish primary health care (PHC) centres. The GPs regularly invited toddlers to consultations. RESULT: The GPs' accounts of how to facilitate consultations with toddlers revealed descriptions of making efforts to instil confidence in the situation to enable the consultation...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277051/general-practitioners-views-on-leadership-roles-and-challenges-in-primary-health-care-a-qualitative-study
#6
Ivan Spehar, Hege Sjøvik, Knut Ivar Karevold, Elin Olaug Rosvold, Jan C Frich
OBJECTIVE: To explore general practitioners' (GPs) views on leadership roles and leadership challenges in general practice and primary health care. DESIGN: We conducted focus groups (FGs) with 17 GPs. SETTING: Norwegian primary health care. SUBJECTS: 17 GPs who attended a 5 d course on leadership in primary health care. RESULTS: Our study suggests that the GPs experience a need for more preparation and formal training for the leadership role, and that they experienced tensions between the clinical and leadership role...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277050/primary-care-research-in-norway-going-in-the-right-direction
#7
Guri Rørtveit
No abstract text is available yet for this article.
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277049/full-journal-publication-of-abstracts-presented-at-the-nordic-congress-of-general-practice-in-2009-and-2011
#8
Frans Boch Waldorff, Kristine Petersen, Siri Vinther, Håkon Sandholdt, Volkert Siersma, John Sahl Andersen
OBJECTIVE: To determine the overall publication rates for abstracts presented at two consecutive Nordic Congresses of General Practice and to evaluate determinants for these publication rates. DESIGN: Prospective study. SETTING: MEDLINE (PubMed) and Google Scholar were searched for relevant publications from 1 January 2009 up until 31 August 2014. METHODS: Abstracts accepted for oral or poster presentation were identified from the original congress booklets from the Nordic Congresses of General Practice in 2009 and 2011...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277048/the-use-of-a-swedish-telephone-medical-advice-service-by-the-elderly-a-population-based-study
#9
K Dahlgren, M J Holzmann, A C Carlsson, P Wändell, J Hasselström, T Ruge
OBJECTIVE: The present study aimed to describe contact made by the elderly to Sweden's nationwide medical helpline, Healthcare Guide 1177 by Phone (HGP). Other objectives were to study potential gender differences and the association between different HGP referral levels and acute visits to hospital-based emergency departments and acute visits to primary care centres. DESIGN: De-identified data from recorded calls to HGP was extracted for analysis (n = 7477 for the oldest age group)...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277047/patients-with-chronic-pain-may-need-extra-support-when-prescribed-physical-activity-in-primary-care-a-qualitative-study
#10
Monica Joelsson, Susanne Bernhardsson, Maria E H Larsson
BACKGROUND: Physical activity plays an important role in the prevention and treatment of chronic musculoskeletal pain, but chronic pain may implicate a poor rehabilitation outcome. The concept of physical activity on prescription (PAP) is a therapeutic option for various diseases, but there is a lack of knowledge about how patients with chronic musculoskeletal pain experience receiving the prescription. OBJECTIVES: The objective of this study was to describe the experiences of and thoughts about receiving a prescription for physical activity of people with chronic musculoskeletal pain...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277046/social-disparities-in-diabetes-care-a-general-population-study-in-denmark
#11
Andreas Heltberg, John Sahl Andersen, Jakob Kragstrup, Volkert Siersma, Håkon Sandholdt, Christina Ellervik
OBJECTIVE: We investigated the association between socioeconomic factors and the attainment of treatment goals and pharmacotherapy in patients with type 2 diabetes in Denmark. DESIGN: A cross-sectional population study. SETTING: The municipality of Naestved, Denmark. SUBJECTS: We studied 907 patients with type 2 diabetes identified from a random sample of 21,205 Danish citizens. MAIN OUTCOME MEASURES: The proportion of patients who were not achieving goals for diabetes care based on their HbA1c, LDL-cholesterol, blood pressure, and lifestyle, and the proportion of patients who were treated with antihypertensive and cholesterol- and glucose-lowering medication...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277045/antibiotic-prescribing-in-relation-to-diagnoses-and-consultation-rates-in-belgium-the-netherlands-and-sweden-use-of-european-quality-indicators
#12
Mia Tyrstrup, Alike van der Velden, Sven Engstrom, Geert Goderis, Sigvard Molstad, Theo Verheij, Samuel Coenen, Niels Adriaenssens
OBJECTIVE: To assess the quality of antibiotic prescribing in primary care in Belgium, the Netherlands and Sweden using European disease-specific antibiotic prescribing quality indicators (APQI) and taking into account the threshold to consult and national guidelines. DESIGN: A retrospective observational database study. SETTING: Routine primary health care registration networks in Belgium, the Netherlands and Sweden. SUBJECTS: All consultations for one of seven acute infections [upper respiratory tract infection (URTI), sinusitis, tonsillitis, otitis media, bronchitis, pneumonia and cystitis] and the antibiotic prescriptions in 2012 corresponding to these diagnoses...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277044/how-the-probability-of-presentation-to-a-primary-care-clinician-correlates-with-cancer-survival-rates-a-european-survey-using-vignettes
#13
Michael Harris, Peter Frey, Magdalena Esteva, Svjetlana Gašparović Babić, Mercè Marzo-Castillejo, Davorina Petek, Marija Petek Ster, Hans Thulesius
OBJECTIVE: European cancer survival rates vary widely. System factors, including whether or not primary care physicians (PCPs) are gatekeepers, may account for some of these differences. This study explores where patients who may have cancer are likely to present for medical care in different European countries, and how probability of presentation to a primary care clinician correlates with cancer survival rates. DESIGN: Seventy-eight PCPs in a range of European countries assessed four vignettes representing patients who might have cancer, and consensus groups agreed how likely those patients were to present to different clinicians in their own countries...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277043/use-of-canalith-repositioning-manoeuvres-and-vestibular-rehabilitation-a-gp-survey
#14
Vincent A van Vugt, Patria M Diaz Nerio, Johannes C van der Wouden, Henriëtte E van der Horst, Otto R Maarsingh
OBJECTIVE: To investigate the use of canalith repositioning manoeuvres and vestibular rehabilitation (VR) by GPs and to assess reasons for not using these techniques in patients with vertigo. DESIGN: Online survey. SETTING: GPs in the western and central part of the Netherlands. SUBJECTS AND METHOD: Of GPs, 1169 were approached to participate in the survey. A sample of 426 GPs filled out the questionnaire (36.4% response rate)...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28277056/patient-participation-in-decision-making-about-cardiovascular-preventive-drugs-resistance-as-agency
#15
Josabeth Hultberg, Carl Edvard Rudebeck
OBJECTIVE: The aim of the study was to describe and explore patient agency through resistance in decision-making about cardiovascular preventive drugs in primary care. DESIGN: Six general practitioners from the southeast of Sweden audiorecorded 80 consultations. From these, 28 consultations with proposals from GPs for cardiovascular preventive drug treatments were chosen for theme-oriented discourse analysis. RESULTS: The study shows how patients participate in decision-making about cardiovascular preventive drug treatments through resistance in response to treatment proposals...
February 28, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27978782/a-primary-care-lifestyle-programme-suitable-for-socioeconomically-vulnerable-groups-an-observational-study
#16
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
https://www.readbyqxmd.com/read/27978781/physical-activity-on-prescription-pap-self-reported-physical-activity-and-quality-of-life-in-a-swedish-primary-care-population-2-year-follow-up
#17
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
https://www.readbyqxmd.com/read/27978780/context-as-a-drug-some-consequences-of-placebo-research-for-primary-care
#18
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
https://www.readbyqxmd.com/read/27978779/are-changes-needed-in-the-content-of-general-practice
#19
Emil L Sigurdsson
No abstract text is available yet for this article.
December 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27845597/effects-of-numerical-information-on-intention-to-participate-in-cervical-screening-among-women-offered-hpv-vaccination-a-randomised-study
#20
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
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