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Scandinavian Journal of Primary Health Care

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https://www.readbyqxmd.com/read/28598752/association-between-continuity-of-care-in-swedish-primary-care-and-emergency-services-utilisation-a-population-based-cross-sectional-study
#1
Hannes Kohnke, Andrzej Zielinski
OBJECTIVE: The primary objective of this study was to determine the association between longitudinal continuity of care (CoC) in Swedish primary care (PC) and emergency services (ES) utilisation. STUDY DESIGN: A cross-sectional analysis of longitudinal population data. SETTING: PC centres, out-of-hours PC facilities and emergency departments (EDs) in Blekinge County in southern Sweden. SUBJECTS: People of all ages who lived in Blekinge County and who had made two or more visits per year to a general practitioner (GP) during office hours from 1 January 2012 to 31 December 2014...
June 9, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28593802/the-effect-on-the-patient-flow-in-a-local-health-care-after-implementing-reverse-triage-in-a-primary-care-emergency-department-a-longitudinal-follow-up-study
#2
Timo Kauppila, Katri Seppänen, Juho Mattila, Johanna Kaartinen
OBJECTIVE: Reverse triage means that patients who are not considered to be in need of medical services are not placed on the doctor's list in an emergency department (ED) but are sent, after face-to-face evaluation by a triage nurse, to a more appropriate health care unit. It is not known how an abrupt application of such reverse triage in a combined primary care ED alters the demand for doctors' services in collaborative parts of the health care system. DESIGN: An observational study...
June 8, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28587558/patient-trajectories-in-a-norwegian-unit-of-municipal-emergency-beds
#3
Heidi Nilsen, Steinar Hunskaar, Sabine Ruths
OBJECTIVE: The Coordination reform was implemented in Norway from 2012, aiming at seamless patient trajectories. All municipalities are required to establish emergency care beds (MEBs) to avoid unnecessary hospital admissions. We aimed to examine occupancy rate, patient characteristics, diagnoses and discharge level of municipal care in a small MEB unit. DESIGN: Cross-sectional, observational study. SETTING: A two-bed emergency care unit. SUBJECTS: All patients admitted to the unit during one year...
June 7, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28587508/threats-or-violence-from-patients-was-associated-with-turnover-intention-among-foreign-born-gps-a-comparison-of-four-workplace-factors-associated-with-attitudes-of-wanting-to-quit-one-s-job-as-a-gp
#4
Mari Eneroth, Marie Gustafsson Sendén, Karin Schenck Gustafsson, Maja Wall, Ann Fridner
OBJECTIVE: General practitioners (GPs) are crucial in medical healthcare, but there is currently a shortage of GPs in Sweden and elsewhere. Recruitment of GPs from abroad is essential, but foreign-born physicians face difficulties at work that may be related to turnover intention, i.e. wanting to quit one's job. The study aims to explore the reasons to why foreign-born GPs may intend to quit their job. DESIGN: Survey data were used to compare four work-related factors that can be associated with turnover intentions; patient-related stress, threats or violence from patients, control of work pace, and empowering leadership, among native-born and foreign-born GPs...
June 7, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585886/clinical-indications-for-antibiotic-use-in-danish-general-practice-results-from-a-nationwide-electronic-prescription-database
#5
Rune Aabenhus, Malene Plejdrup Hansen, Volkert Siersma, Lars Bjerrum
OBJECTIVE: To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. DESIGN: Retrospective cohort register-based study including the Danish National Prescription Register. SETTING: Population-based study of routine electronic antibiotic prescriptions from Danish general practice. SUBJECTS: All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013)...
June 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585884/conveying-hope-in-consultations-with-patients-with-life-threatening-diseases-the-balance-between-supporting-and-challenging-the-patient
#6
Anne Werner, Sissel Steihaug
OBJECTIVE: There is limited knowledge about the communication of hope and denial in consultations with patients with life-threatening diseases on a practical level. In this study, we explored a real-life medical consultation between a doctor and a patient with incurable cancer, focusing on conveying hope. DESIGN AND METHODS: We found one consultation especially suited for illustrating how a physician can convey and reinforce hope without attaching it to curative treatment...
June 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585881/factors-related-to-poor-asthma-control-in-latvian-asthma-patients-between-2013-and-2015
#7
Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noël Christopher Barengo
OBJECTIVES: To investigate whether beliefs about asthma medication, cognitive and emotional factors are related to poor asthma control in a sample of Latvian asthma patients in 2015. DESIGN: Cross-sectional, self-administered survey. SUBJECTS: Three hundred and fifty two asthma patients (mean age 57.5 years) attending outpatient pulmonologist consultations in Riga, Latvia during September 2013 to December 2015. The sample size was calculated to detect a prevalence of poor asthma control of 50% with a margin of error of 5% and a power of 95%...
June 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585868/long-term-effects-of-internet-delivered-cognitive-behavioral-therapy-for-depression-in-primary-care-the-prim-net-controlled-trial
#8
Maria C M Eriksson, Marie Kivi, Dominique Hange, Eva-Lisa Petersson, Nashmil Ariai, Per Häggblad, Hans Ågren, Fredrik Spak, Ulf Lindblad, Boo Johansson, Cecilia Björkelund
OBJECTIVE: Internet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at primary care centers (PCCs). We evaluated long-term effects of ICBT treatment for depression compared to treatment as usual (TAU) in primary care settings. DESIGN: Randomized controlled trial. SETTING: Patients were enrolled at16 PCCs in south-west Sweden...
June 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28581890/strategies-parents-use-to-give-children-oral-medicine-a-qualitative-study-of-online-discussion-forums
#9
Elin Høien Bergene, Torstein Baade Rø, Aslak Steinsbekk
AIM: The aim of this study was to describe strategies parents use to give oral medicine to children. METHODS: We conducted an Internet-based qualitative study of posts from online forums where parents discussed how to give children oral medicine. The posts were analyzed using systematic text condensation. The investigators coded and developed groups iteratively, ending up with a consensus on final themes. RESULTS: We included 4581 posts. Parents utilized three main strategies to give oral medicine to children: (1) Open administration give medicine to the child knowingly by changing the palatability, actively involve the child in play or use persuasion; (2) Hidden administration give medicine to the child unknowingly by camouflaging it in food, while sleeping or distracted by another activity; (3) Forced administration force children to take medicine with the use of restraint...
June 5, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28581878/what-happens-when-the-doctor-denies-a-patient-s-request-a-qualitative-interview-study-among-general-practitioners-in-norway
#10
Stein Nilsen, Kirsti Malterud
OBJECTIVE: To explore general practitioners (GPs') experiences from consultations when a patient's request is denied, and outcomes of such incidents. DESIGN AND PARTICIPANTS: We conducted a qualitative study with semi-structured individual interviews with six GPs in Norway. We asked them to tell about experiences from specific encounters where they had refused a patient's request. The texts were analysed with Systematic Text Condensation, a method for thematic cross-case analysis...
June 5, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28574299/quality-indicators-for-the-diagnosis-and-antibiotic-treatment-of-acute-respiratory-tract-infections-in-general-practice-a-rand-appropriateness-method
#11
Laura Trolle Saust, Lars Bjerrum, Magnus Arpi, Malene Plejdrup Hansen
OBJECTIVE: To develop quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections, tailored to the Danish general practice setting. DESIGN: A RAND/UCLA Appropriateness Method was used. SETTING: General practice. SUBJECTS: A panel of nine experts, mainly general practitioners, was asked to rate the relevance of 64 quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections based on guidelines...
June 2, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28569649/antibiotic-prescribing-for-acute-respiratory-tract-infections-in-norwegian-primary-care-out-of-hours-service
#12
Bent H Lindberg, Svein Gjelstad, Mats Foshaug, Sigurd Høye
PURPOSE: To examine factors correlating with antibiotic prescribing for acute respiratory tract infections (ARTIs) in Norwegian primary care out-of-hours service. MATERIALS AND METHODS: Retrospective data analysis for the year 2014 in two out-of-hours primary care units located in the towns of Hamar and Tønsberg in Norway, analysing type and frequency of different antibiotics prescribed by 117 medical doctors for ARTIs, and factors correlating with these. RESULTS: The 117 doctors in two out-of-hours units diagnosed 6757 cases of ARTIs...
June 1, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28569603/clinical-accuracy-of-point-of-care-urine-culture-in-general-practice
#13
Anne Holm, Gloria Cordoba, Tina Møller Sørensen, Lisbeth Rem Jessen, Niels Frimodt-Møller, Volkert Siersma, Lars Bjerrum
OBJECTIVE: To assess the clinical accuracy (sensitivity (SEN), specificity (SPE), positive predictive value and negative predictive value) of two point-of-care (POC) urine culture tests for the identification of urinary tract infection (UTI) in general practice. DESIGN: Prospective diagnostic accuracy study comparing two index tests (Flexicult™ SSI-Urinary Kit or ID Flexicult™) with a reference standard (urine culture performed in the microbiological department)...
June 1, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28613128/successful-task-delegation-in-general-practice-a-way-to-maintain-primary-health-care-in-the-future
#14
Helle Riisgaard, Jørgen Nexøe
No abstract text is available yet for this article.
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28613127/differences-in-medical-services-in-nordic-general-practice-a-comparative-survey-from-the-qualicopc-study
#15
Torunn Bjerve Eide, Jørund Straand, Cecilia Björkelund, Elise Kosunen, Ofeigur Thorgeirsson, Peter Vedsted, Elin Olaug Rosvold
OBJECTIVE: We aim to describe medical services provided by Nordic general practitioners (GPs), and to explore possible differences between the countries. DESIGN AND SETTING: We did a comparative analysis of selected data from the Nordic part of the study Quality and Costs of Primary Care in Europe (QUALICOPC). SUBJECTS: A total of 875 Nordic GPs (198 Norwegian, 80 Icelandic, 97 Swedish, 212 Danish and 288 Finnish) answered identical questionnaires regarding their practices...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28593825/point-of-care-ultrasonography-in-norwegian-out-of-hours-primary-health-care
#16
Kjetil Myhr, Hogne Sandvik, Tone Morken, Steinar Hunskaar
OBJECTIVE: The objective of this study is to determine the extent of ultrasound availability in Norwegian casualty clinics and estimate the prevalence of its use. DESIGN: A retrospective study based on a national casualty clinic registry and data from reimbursement claims. SETTING: Out-of-hours primary health care in Norway. SUBJECTS: All Norwegian casualty clinics in 2016 and reimbursement claims from 2008 to 2015. MAIN OUTCOME MEASURES: Percent of casualty clinics with ultrasound, types of ultrasound devices and probes, reasons for/against ultrasound access, characteristics of clinics with/without ultrasound, frequency of five ultrasound indications and characteristics of the physicians using/not using ultrasound...
June 2017: Scandinavian Journal of Primary Health Care
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
#17
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
#18
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
#19
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
#20
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
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