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Scandinavian Journal of Primary Health Care

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https://www.readbyqxmd.com/read/30394828/the-nordic-countries-on-top-of-the-world-what-next
#1
Päivi E Korhonen
No abstract text is available yet for this article.
November 5, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30394815/socioeconomic-disparities-in-physical-activity-among-swedish-women-and-trends-over-time-the-population-study-of-women-in-gothenburg
#2
Maria Waller, Lauren Lissner, Dominique Hange, Valter Sund, Ann Blomstrand, Cecilia Björkelund
OBJECTIVE: To explore secular trends in physical activity in relation to socioeconomic position in middle-aged women, with focus on whether the social gaps have become wider, narrower, or remain unchanged. DESIGN: Cohort comparisons between two representative samples of women, recruited in 1980-81 and 2004-05 as a part of the Population Study of Women in Gothenburg. SETTING: Gothenburg, the second largest city of Sweden, with ≈ 450 000 inhabitants...
November 5, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30375906/who-should-provide-care-for-patients-receiving-palliative-chemotherapy-a-qualitative-study-among-dutch-general-practitioners-and-oncologists
#3
Jan Wind, Ineke C Nugteren, Hanneke W M van Laarhoven, Henk C P M van Weert, Inge Henselmans
INTRODUCTION: While close collaboration between general practitioners (GPs) and hospital specialists is considered important, the sharing of care responsibilities between GPs and oncologists during palliative chemotherapy has not been clearly defined. OBJECTIVE: Evaluate the opinions of GPs and oncologists about who should provide different aspects of care for patients receiving palliative chemotherapy. DESIGN: We conducted semi-structured interviews using six hypothetical scenarios with purposively sampled GPs (n = 12) and oncologists (n = 10) in the Netherlands...
October 30, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30354904/point-of-care-crp-matters-normal-crp-levels-reduce-immediate-antibiotic-prescribing-for-acutely-ill-children-in-primary-care-a-cluster-randomized-controlled-trial
#4
Marieke B Lemiengre, Jan Y Verbakel, Roos Colman, Kaatje Van Roy, Tine De Burghgraeve, Frank Buntinx, Bert Aertgeerts, Frans De Baets, An De Sutter
OBJECTIVE: Antibiotics are prescribed too often in acutely ill children in primary care. We examined whether a Point-of-Care (POC) C-reactive Protein (CRP) test influences the family physicians' (FP) prescribing rate and adherence to the Evidence Based Medicine (EBM) practice guidelines. DESIGN: Cluster randomized controlled trial. SETTING: Primary care, Flanders, Belgium. INTERVENTION: Half of the children with non-severe acute infections (random allocation of practices to perform POC CRP or not) and all children at risk for serious infection were tested with POC CRP...
October 25, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30314415/creating-a-safety-net-for-patients-with-depression-in-primary-care-a-qualitative-study-of-care-managers-experiences
#5
Irene Svenningsson, Camilla Udo, Jeanette Westman, Shabnam Nejati, Dominique Hange, Cecilia Björkelund, Eva-Lisa Petersson
OBJECTIVE: The aim of this study was to explore nurses' experiences and perceptions of working as care managers at primary care centers. DESIGN: Qualitative, focus group study. Systematic text condensation was used to analyze the data. SETTING: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden. SUBJECTS: Eight nurses were trained during three days including treatment of depression and how to work as care managers...
October 12, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30296885/quality-assessment-in-general-practice-diagnosis-and-antibiotic-treatment-of-acute-respiratory-tract-infections
#6
Laura Trolle Saust, Lars Bjerrum, Volkert Siersma, Magnus Arpi, Malene Plejdrup Hansen
OBJECTIVE: To investigate areas in need of quality improvement within the diagnostic process and antibiotic treatment of acute respiratory tract infections (RTIs) in Danish general practice by using quality indicators (QIs). DESIGN AND SETTING: During a 4-week period in winter 2017, a prospective registration of patients diagnosed with RTIs was conducted in general practice in two regions of Denmark. SUBJECTS: Throughout the registration period each patient with symptoms of an RTI was registered...
October 8, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30296878/treatment-transport-and-primary-care-involvement-when-helicopter-emergency-medical-services-are-inaccessible-a-retrospective-study
#7
Dag Ståle Nystøyl, Steinar Hunskaar, Hans Johan Breidablik, Øyvind Østerås, Erik Zakariassen
OBJECTIVE: To examine handling of cancelled helicopter emergency medical services (HEMS) missions with a persisting medical indication. DESIGN: Retrospective observational study. SETTING AND SUBJECTS: Cancelled HEMS missions with persisting medical indication within Sogn og Fjordane county in Norway during the period of 2010-2013. Both primary and secondary missions were included. MAIN OUTCOME MEASURES: Primary care involvement, treatment and cooperation within the prehospital system...
October 8, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30296861/psychosocial-consequences-among-women-with-false-positive-results-after-mammography-screening-in-norway
#8
Marit Solbjør, Siri Forsmo, John-Arne Skolbekken, Volkert Siersma, John Brodersen
BACKGROUND: Mammography screening may cause psychosocial harm for women experiencing a false-positive screening result. Previous studies suggest long-term consequences. The aim of the present study was to assess psychosocial consequences of false-positive findings on screening mammography within a six month follow-up. METHODS: A prospective matched cohort survey study using the questionnaire 'Consequences of Screening for Breast Cancer' (COS-BC), which was translated from Danish to Norwegian...
October 8, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30289320/first-four-years-of-operation-of-a-municipal-acute-bed-unit-in-rural-norway
#9
Anne Kjær Schmidt, Bård Lilleeng, Valborg Baste, Thomas Mildestvedt, Sabine Ruths
OBJECTIVE: To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal service avoided acute hospital admissions. DESIGN: Observational study. SETTING: A two-bed municipal acute bed unit. SUBJECTS: All patients admitted to the unit between 2013 and 2016...
October 5, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30289317/cervical-cancer-screening-among-immigrant-women-in-norway-the-healthcare-providers-perspectives
#10
Kathy Ainul Møen, Laura Terragni, Bernadette Kumar, Esperanza Diaz
OBJECTIVE: To explore health care providers' (HCPs) experiences regarding cervical cancer screening (CCS) among immigrant women, their strategies to facilitate these consultations and their need for further information. DESIGN: Exploratory qualitative design. SETTING: HCPs who perform CCS: general practitioners, midwives and private gynaecologists, working in Oslo, Norway. SUBJECTS: We interviewed 26 general practitioners, 3 midwives and 3 gynaecologists...
October 5, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30259767/workers-experiences-of-healthy-work-environment-indicators-at-well-functioning-primary-care-units-in-sweden-a-qualitative-study
#11
Kristina Areskoug Josefsson, Gunilla Avby, Monica Andersson Bäck, Sofia Kjellström
OBJECTIVE: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units. DESIGN: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators...
September 27, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30175647/predictors-of-symptom-duration-and-bacteriuria-in-uncomplicated-urinary-tract-infection
#12
Marianne Bollestad, Ingvild Vik, Nils Grude, Morten Lindbæk
OBJECTIVE: To identify baseline predictors of symptom duration after empirical treatment for uncomplicated urinary tract infection (UTI) and significant bacteriuria in a cohort of women treated for UTI. DESIGN: Prospective single-centre cohort study. SETTING: Outpatient clinic in Norway. PATIENTS: From September 2010 to November 2011, 441 women aged 16-55 years with symptoms of uncomplicated UTI were included. RESULTS: Dipstick findings of leukocyte esterase 1 + (incidence rate ratio (IRR) 1...
September 3, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30238860/active-listing-and-more-consultations-in-primary-care-are-associated-with-shorter-mean-hospitalisation-and-interacting-with-psychiatric-disorders-when-adjusting-for-multimorbidity-age-and-sex
#13
Karin Ranstad, Patrik Midlöv, Anders Halling
OBJECTIVE: Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of patient-provider relationships with primary care, adjusting for morbidity burden, age and sex while analysing the contribution of psychiatric disorders. The Johns Hopkins Adjusted Clinical Groups Case-Mix System was used to classify morbidity burden into Resource Utilization Band (RUB) 0-5...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30238859/why-do-some-participants-in-colorectal-cancer-screening-choose-not-to-undergo-colonoscopy-following-a-positive-test-result-a-qualitative-study
#14
Anne Katrine Lykke Bie, John Brodersen
OBJECTIVE: Our aim was to investigate why participants opted out of colonoscopy following a positive screening result for colorectal cancer. DESIGN: Semi-structured, qualitative, single interviews. We audio-recorded and transcribed all interviews verbatim and used Strauss and Corbin's concept of open, axial, and selective coding to identify the main categories shared across all interviews. These formed the basis of our findings. SETTING: A Danish national colorectal cancer screening programme...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30175651/prevalence-of-persons-contacting-general-practice-for-psychological-stress-in-denmark
#15
Jesper Lykkegaard, Marianne Rosendal, Karen Brask, Lars Brandt, Anders Prior
OBJECTIVE: The prevalence of psychological stress has previously been estimated based on self-reported questionnaires. This study aimed to investigate the prevalence of persons who contact the general practitioner (GP) for psychological stress and to explore associations between psychological stress and characteristics relating to the patient, the GP, and area-specific socioeconomic factors. DESIGN: Cross-sectional computer assisted journal audit. SETTING: General practice in the Region of Southern Denmark...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30139284/high-hospital-readmission-rates-for-patients-aged-%C3%A2-65-years-associated-with-low-socioeconomic-status-in-a-swedish-region-a-cross-sectional-study-in-primary-care
#16
Jacques Shebehe, Anders Hansson
OBJECTIVE: There is a presumption that hospital readmission rates amongst persons aged ≥65 years are mainly dependent on the quality of care. In this study, our primary aim was to explore the association between 30-day hospital readmission for patients aged ≥65 years and socioeconomic characteristics of the studied population. A secondary aim was to explore the association between self-reported lack of strategies for working with older patients at primary health care centres and early readmission...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30139283/awareness-of-hypertension-and-depressive-symptoms-a-cross-sectional-study-in-a-primary-care-population
#17
Ansa Talvikki Rantanen, Jyrki Jaakko Antero Korkeila, Eliisa Susanna Löyttyniemi, Ulla Kirsti Maria Saxén, Päivi Elina Korhonen
OBJECTIVE: To investigate the association of hypertension awareness and depressive symptoms, and to analyse factors predisposing aware hypertensives to depressive symptoms. DESIGN: Cross-sectional study in a primary care population. SETTING: Cardiovascular risk factor survey in two semi-rural towns in Finland. SUBJECTS: Two thousand six hundred seventy-six middle-aged risk persons without an established cardiovascular or renal disease or type 2 diabetes...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30139280/factors-associated-with-self-rated-health-in-primary-care
#18
Thomas Mildestvedt, Vibeke V Herikstad, Ida Undheim, Bjørn Bjorvatn, Eivind Meland
BACKGROUND: Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE: To examine the associations between patients' self-rated health and their sleep problems, somatic health complaints, and unmet needs in interpersonal relationships...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30139278/variations-in-drug-related-problems-detected-by-multidisciplinary-teams-in-norwegian-nursing-homes-and-home-nursing-care
#19
Siri A Devik, Rose Mari Olsen, Inger Lise Fiskvik, Terje Halbostad, Tone Lassen, Natalia Kuzina, Ingela Enmarker
OBJECTIVE: Traditionally, nursing homes have been associated with suboptimal drug therapy and drug-related problems (DRPs). In contrast, less is known about drug safety in homecare. The aim of this study was to describe and compare DRPs in older persons across two care settings: nursing homes and home nursing care. DESIGN: Cross-sectional study using descriptive and inferential statistics. SETTING: Nursing homes (n = 5) and home nursing care units (n = 8) across nine municipalities in the middle of Norway...
September 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/30088431/defensive-medicine-in-primary-health-care
#20
Jesper Lykkegaard, Merethe Kirstine Kousgaard Andersen, Jørgen Nexøe, Elisabeth Assing Hvidt
No abstract text is available yet for this article.
September 2018: Scandinavian Journal of Primary Health Care
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