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Scandinavian Journal of Primary Health Care

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https://www.readbyqxmd.com/read/29125004/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland-a-nationwide-cohort-study-with-matched-controls
#1
Juha Sinnemäki, Marja Airaksinen, Maria Valaste, Leena K Saastamoinen
OBJECTIVE: In an automated dose dispensing (ADD) service, medicines are dispensed in unit-dose bags according to administration times. When the service is initiated, the patient's medication list is reconciled and a prescription review is conducted. The service is expected to reduce drug use. The aim of this national controlled study was to investigate whether the ADD service with medication review reduces drug use among geriatric primary care patients. DESIGN, SETTING AND PATIENTS: This is a nationwide cohort study with matched controls...
November 10, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29125002/qualitative-research-thrives-in-primary-care-with-the-support-of-research-training-and-mentoring
#2
Helena Liira, Gabrielle Brand, Hans Thulesius
No abstract text is available yet for this article.
November 10, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29124990/yoga-a-laborious-way-to-well-being-patients-experiences-of-yoga-as-a-treatment-for-hypertension-in-primary-care
#3
Moa Wolff, Annika Brorsson, Patrik Midlöv, Kristina Sundquist, Eva Lena Strandberg
OBJECTIVE: The aim of the study was to describe patients' experience of yoga as a treatment for hypertension, as well as their experience of living with hypertension. DESIGN: Qualitative interview study Method and materials: In 2013-2014, in southern Sweden, patients with hypertension from three health care centres were invited to participate in a randomised controlled trial on yoga for hypertension. After completion of the study, eight women and five men (aged 35-79), who had practiced the yoga intervention, were interviewed about their experiences...
November 10, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29116877/norwegian-general-practitioners-collaboration-with-municipal-care-providers-a-qualitative-study-of-structural-conditions
#4
Sissel Steihaug, Bård Paulsen, Line Melby
PURPOSE: The purpose of this study was to explore the structural mechanisms that facilitate or counteract collaboration between general practitioners (GPs) and other providers of municipal healthcare. Good collaboration between these actors is crucial for high-quality care, especially for persons in need of coordinated services. MATERIAL AND METHODS: The study is based on semistructured interviews with 12 healthcare providers in four Norwegian municipalities: four GPs, six nurses and two physiotherapists...
November 8, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29105550/adherence-to-guidelines-in-patients-with-chronic-heart-failure-in-primary-health-care
#5
Maaike Giezeman, Mats Arne, Kersti Theander
OBJECTIVE: To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. DESIGN: A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal questionnaire. SETTING: Three primary health care centres in Sweden. SUBJECTS: Patients with a CHF diagnosis registered in their medical record...
November 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29105541/do-patients-consult-their-gp-for-sexual-concerns-a-cross-sectional-explorative-study
#6
Audun Vik, Mette Brekke
OBJECTIVE: To explore how often general practitioners (GPs) deal with patients' sexual concerns, what kind of concerns are brought up and how the GPs deal with them. DESIGN: Cross sectional observational study. SETTING/SUBJECTS: 22 GPs in Southern Norway. MAIN OUTCOME MEASURES: The percentage of consultations dealing with sexual concerns during three consecutive working days, as registered by the GPs on a questionnaire...
November 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29096579/self-rated-health-as-an-indicator-of-ideal-cardiovascular-health-among-working-aged-women
#7
Veera Veromaa, Hannu Kautiainen, Markus Juonala, Ansa Rantanen, Päivi E Korhonen
OBJECTIVE: The aim of this study was to assess the relationship between self-rated health (SRH) and the American Heart Association's (AHA) concept of ideal cardiovascular health (CVH) among female municipal employees. Studies about the association are scarce, even though AHA recommends to use SRH status surveys in clinical practice and research settings of CVH. DESIGN: Cross-sectional study conducted in 2014. SETTING: SRH was assessed with a one-item question and the data of seven ideal CVH measurements (nonsmoking, body mass index <25...
November 2, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29096573/drug-related-problems-and-changes-in-drug-utilization-after-medication-reviews-in-nursing-homes-in-oslo-norway
#8
Amura Francesca Fog, Gunnar Kvalvaag, Knut Engedal, Jørund Straand
OBJECTIVE: We describe the drug-related problems (DRPs) identified during medication reviews (MRs) and the changes in drug utilization after MRs at nursing homes in Oslo, Norway. We explored predictors for the observed changes. DESIGN: Observational before-after study. SETTING: Forty-one nursing homes. INTERVENTION: MRs performed by multidisciplinary teams during November 2011 to February 2014. SUBJECTS: In all, 2465 long-term care patients...
November 2, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29094644/qualitative-methods-in-phd-theses-from-general-practice-in-scandinavia
#9
Kirsti Malterud, Katarina Hamberg, Susanne Reventlow
Qualitative methodology is gaining increasing attention and esteem in medical research, with general practice research taking a lead. With these methods, human and social interaction and meaning can be explored and shared by systematic interpretation of text from talk, observation or video. Qualitative studies are often included in Ph.D. theses from general practice in Scandinavia. Still, the Ph.D. programs across nations and institutions offer only limited training in qualitative methods. In this opinion article, we draw upon our observations and experiences, unpacking and reflecting upon values and challenges at stake when qualitative studies are included in Ph...
November 2, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29087232/learning-to-navigate-the-healthcare-system-in-a-new-country-a-qualitative-study
#10
Melanie L Straiton, Sonja Myhre
OBJECTIVE: Learning to navigate a healthcare system in a new country is a barrier to health care. Understanding more about the specific navigation challenges immigrants experience may be the first step towards improving health information and thus access to care. This study considers the challenges that Thai and Filipino immigrant women encounter when learning to navigate the Norwegian primary healthcare system and the strategies they use. DESIGN: A qualitative interview study using thematic analysis...
October 31, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28933242/the-hpv-vaccine-knowledge-and-attitudes-among-public-health-nurses-and-general-practitioners-in-northern-norway-after-introduction-of-the-vaccine-in-the-school-based-vaccination-programme
#11
Karin Nilsen, Olaf Gjerløw Aasland, Elise Klouman
OBJECTIVE: To investigate knowledge of and attitudes to human papillomavirus (HPV) infection, HPV vaccination, cervical cancer, related sources of information and factors associated with willingness to vaccinate one's own daughter among primary health care (PHC) personnel. DESIGN: Cross-sectional study. SETTING: PHC. SUBJECTS: All public health nurses (PHNs) and general practitioners (GPs) in Northern Norway were invited to answer a structured electronic questionnaire; 31% participated (N = 220)...
September 21, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28847229/building-a-primary-care-research-network-lessons-to-learn
#12
Tuomas H Koskela
No abstract text is available yet for this article.
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28830291/pay-for-performance-associated-with-increased-volume-of-medication-reviews-but-not-with-less-inappropriate-use-of-medications-among-the-elderly-an-observational-study
#13
H Ödesjö, A Anell, A Boman, J Fastbom, S Franzén, J Thorn, S Björck
OBJECTIVE: A pay for performance programme was introduced in 2009 by a Swedish county with 1.6 million inhabitants. A process measure with payment linked to coding for medication reviews among the elderly was adopted. We assessed the association with inappropriate medication for five years after baseline. DESIGN AND SETTING: Observational study that compared medication for elderly patients enrolled at primary care units that coded for a high or low volume of medication reviews...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28812403/text-messaging-sms-as-a-tool-to-facilitate-weight-loss-and-prevent-metabolic-deterioration-in-clinically-healthy-overweight-and-obese-subjects-a-randomised-controlled-trial
#14
Vija Silina, Mesfin K Tessma, Silva Senkane, Gita Krievina, Guntis Bahs
OBJECTIVE: To examine whether SMS text messaging facilitates a reduction of weight and waist circumference (WC) and favourable changes in lipid profile and insulin levels in clinically healthy overweight and obese subjects. DESIGN: A randomised controlled trial. SETTING AND INTERVENTION: Primary care health centre in Riga, Latvia. Text messaging once in two weeks. SUBJECTS: A total of 123 overweight and obese men and women aged 30-45 years with no cardiovascular diseases (CVDs) or diabetes...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28812400/new-benzodiazepine-and-z-hypnotic-users-and-disability-pension-an-eight-year-nationwide-observational-follow-up-study
#15
Ingunn F Tvete, Trine Bjørner, Tor Skomedal
OBJECTIVE: To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN: Prescription register study. SETTING: Norwegian nationwide prescriptions socio-economic and disability status data. METHODS: Cox regression analyses. SUBJECTS: New benzodiazepine or Z-hypnotic users. MAIN OUTCOME MEASURE: Time to receive disability pension given benzodiazepine or Z-hypnotic use or both...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28793815/elderly-users-of-fall-risk-increasing-drug-perceptions-of-fall-risk-and-the-relation-to-their-drug-use-a-qualitative-study
#16
Hege Therese Bell, Aslak Steinsbekk, Anne Gerd Granas
OBJECTIVE: The aim of the study was to explore how home-dwelling elderly who use fall-risk-increasing drugs (FRIDs) perceive their fall risk and how they relate this to their drug use. DESIGN, SETTING AND SUBJECTS: A qualitative study with 14 home-dwelling elderly FRID users between 65 and 97 years in Central Norway participating in semi-structured individual interviews. The data were analyzed thematically by using systematic text condensation. RESULTS: The main finding was that the informants did not necessarily perceive the use of FRIDs to be a prominent risk factor for falls...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28784027/reliability-of-pulse-palpation-in-the-detection-of-atrial-fibrillation-in-an-elderly-population
#17
Jussi Jaakkola, Tuija Vasankari, Raine Virtanen, K E Juhani Airaksinen
PURPOSE: Atrial fibrillation (AF) may first present as an ischemic stroke. Pulse palpation is a potential screening method for asymptomatic AF. We aimed to assess the reliability of pulse palpation by the elderly in detecting AF. MATERIALS AND METHODS: After brief information and training session conducted by a nurse, 173 subjects aged ≥75 years were instructed to palpate their pulse regularly for a month. After this, their ability to distinguish sinus rhythm (SR), SR with premature ventricular contractions (PVC) and AF by pulse palpation was assessed using an anatomic human arm model programmable with various rhythms...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28784018/changes-in-disability-self-rated-health-comorbidities-and-psychological-wellbeing-in-community-dwelling-75-95-year-old-cohorts-over-two-decades-in-helsinki
#18
Helena Karppinen, Kaisu H Pitkälä, Hannu Kautiainen, Reijo S Tilvis, Jaakko Valvanne, Käthe Yoder, Timo E Strandberg
OBJECTIVE: To explore changes in self-reported disabilities, health, comorbidities and psychological wellbeing (PWB) in aged cohorts over two decades. DESIGN, SETTING AND SUBJECTS: Cross-sectional cohort studies with postal surveys were conducted among community-dwelling people aged 75, 80, 85, 90 and 95 years in 1989 (n = 660), 1999 (n = 2598) and 2009 (n = 1637) in Helsinki, Finland. MAIN OUTCOME MEASURES: Self-reported items on disability, self-rated health (SRH), diagnoses and PWB were compared between cohorts of the same age...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28776457/-validation-of-ultrasound-examinations-performed-by-general-practitioners
#19
Karsten Lindgaard, Lars Riisgaard
OBJECTIVE: The aim of this study was to evaluate the diagnostic agreement when a general practitioner and subsequently a specialist (radiologist/gynecologist) performed point-of-care ultrasound examinations for certain abdominal and gynecological conditions of low to moderate complexity. DESIGN: A prospective study of inter-rater reliability and agreement. SETTING: Patients were recruited and initially scanned in general practice. The validation examinations were conducted in a hospital setting...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28776437/warfarin-monitoring-in-nursing-homes-assessed-by-case-histories-do-recommendations-and-electronic-alerts-affect-judgements
#20
Reyes Serrano Teruel, Geir Thue, Svein Ivar Fylkesnes, Sverre Sandberg, Ann Helen Kristoffersen
PURPOSE: Older adults treated with warfarin are prone to complications, and high-quality monitoring is essential. The aim of this case history based study was to assess the quality of warfarin monitoring in a routine situation, and in a situation with an antibiotic-warfarin interaction, before and after receiving an electronic alert. MATERIALS AND METHODS: In April 2014, a national web-based survey with two case histories was distributed among Norwegian nursing home physicians and general practitioners working part-time in nursing homes...
September 2017: Scandinavian Journal of Primary Health Care
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