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https://www.readbyqxmd.com/read/28100232/equitable-health-services-for-the-young-a-decomposition-of-income-related-inequalities-in-young-adults-utilization-of-health-care-in-northern-sweden
#1
Paola A Mosquera, Anna-Karin Waenerlund, Isabel Goicolea, Per E Gustafsson
BACKGROUND: Despite the goal of the Swedish health system to offer health care according to the principle of horizontal equity, little is known about the equality in access to health care use among young people. To explore this issue, the present study aimed i) to assess horizontal inequity in health care utilization among young people in Northern Sweden; and ii) to explore the contribution of different factors to explain the observed inequalities. METHODS: Participants (N = 3016 youths aged 16-25 years) came from the "Health on Equal terms" survey conducted in 2014 in the four northernmost counties in Sweden...
January 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28100201/developing-a-practice-guideline-for-the-occupational-health-services-by-using-a-community-of-practice-approach-a-process-evaluation-of-the-development-process
#2
Lydia Kwak, Charlotte Wåhlin, Kjerstin Stigmar, Irene Jensen
BACKGROUND: One way to facilitate the translation of research into the occupational health service practice is through clinical practice guidelines. To increase the implementability of guidelines it is important to include the end-users in the development, for example by a community of practice approach. This paper describes the development of an occupational health practice guideline aimed at the management of non-specific low back pain (LBP) by using a community of practice approach...
January 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28095624/-it-s-good-enough-swedish-general-dental-practitioners-on-reasons-for-accepting-sub-standard-root-filling-quality
#3
L Dahlström, O Lindwall, H Rystedt, C Reit
AIM: The concept of "good enough" is central and necessary in the assessment of root filling quality. The aim was to explore the concept by analysing reasons and arguments for the acceptance or rejection of substandard root filling quality as reported by GDPs in Sweden. METHODOLOGY: The study was designed as a qualitative and exploratory study based on seven videotaped focus group interviews analysed by means of qualitative content analysis. Thirty-three general dental practitioners (GDPs) employed in the Public Dental Health Service in Gothenburg, Sweden, participated (4-6 GDPs/interview)...
January 17, 2017: International Endodontic Journal
https://www.readbyqxmd.com/read/28095115/working-conditions-and-workplace-health-and-safety-promotion-in-home-care-a-mixed-method-study-from-swedish-managers%C3%A2-perspectives
#4
Gunvor Gard, Agneta Larsson
Today, we can see a trend towards increased psychosocial strain at work among home care managers and staff. The aim of this study is to describe home care managers' views on their own psychosocial working conditions and on how to promote workplace health and safety in a municipality in northern Sweden. A mixed methods design was used, including questionnaire and qualitative focus group data. The qualitative data were analysed by manifest content analysis. The results indicate that most managers perceived increased variety in work and opportunities for development at work, but at the same time increased demands...
January 17, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/28087812/long-term-effects-of-youth-unemployment-on-mental-health-does-an-economic-crisis-make-a-difference
#5
Emelie Thern, Jeroen de Munter, Tomas Hemmingsson, Finn Rasmussen
BACKGROUND: Ill health is a risk factor and a consequence of unemployment, which might vary depending on the national rate of unemployment. We investigated the long-term effect of youth unemployment on mental health and explored the possible interaction during periods of high (economic crisis) and low (non-crisis) unemployment rates. METHODS: A register-linked population-based cohort study was conducted including individuals aged 17-24 years. The crisis cohort (n=6410) took part in the Labour Force Survey during the economic crisis (1991-1994) in Sweden and the non-crisis cohort (n=8162) took part in the same survey before the crisis (1983-1986)...
January 13, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28080981/phenotypic-interactions-between-tree-hosts-and-invasive-forest-pathogens-in-the-light-of-globalization-and-climate-change
#6
REVIEW
Jan Stenlid, Jonàs Oliva
Invasive pathogens can cause considerable damage to forest ecosystems. Lack of coevolution is generally thought to enable invasive pathogens to bypass the defence and/or recognition systems in the host. Although mostly true, this argument fails to predict intermittent outcomes in space and time, underlining the need to include the roles of the environment and the phenotype in host-pathogen interactions when predicting disease impacts. We emphasize the need to consider host-tree imbalances from a phenotypic perspective, considering the lack of coevolutionary and evolutionary history with the pathogen and the environment, respectively...
December 5, 2016: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28076401/exploring-nurses-preschool-teachers-and-parents-perspectives-on-information-sharing-using-sdq-in-a-swedish-setting-a-qualitative-study-using-grounded-theory
#7
Elisabet Fält, Anna Sarkadi, Helena Fabian
Evidence-based methods to identify behavioural problems among children are not regularly used within the Swedish Child healthcare. A new procedure was therefore introduced to assess children through parent- and preschool teacher reports using the Strengths and Difficulties Questionnaire (SDQ). This study aims to explore nurses', preschool teachers' and parents' perspectives of this new information sharing model. Using the grounded theory methodology, semi-structured interviews with nurses (n = 10) at child health clinics, preschool teachers (n = 13) and parents (n = 11) of 3-, 4- and 5-year-old children were collected and analysed between March 2014 and June 2014...
2017: PloS One
https://www.readbyqxmd.com/read/28075314/sickness-absence-halved-in-trial-of-six-hour-day
#8
Erin Dean
Assistant nurses taking part in a trial of six-hour working days in Sweden reported higher rates of good health, calmness and alertness.
January 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28073801/predictors-of-work-disability-after-start-of-anti-tnf-therapy-in-a-national-cohort-of-swedish-patients-with-rheumatoid-arthritis-does-early-anti-tnf-therapy-bring-patients-back-to-work
#9
T Olofsson, I F Petersson, J K Eriksson, M Englund, J A Nilsson, P Geborek, L T H Jacobsson, J Askling, M Neovius
OBJECTIVES: To examine predictors of work ability gain and loss after anti-tumour necrosis factor (TNF) start, respectively, in working-age patients with rheumatoid arthritis (RA) with a special focus on disease duration. METHODS: Patients with RA, aged 19-62 years, starting their first TNF inhibitor 2006-2009 with full work ability (0 sick leave/disability pension days during 3 months before bio-start; n=1048) or no work ability (90 days; n=753) were identified in the Swedish biologics register (Anti-Rheumatic Treatment In Sweden, ARTIS) and sick leave/disability pension days retrieved from the Social Insurance Agency...
January 10, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28072434/remiss-med-bild-%C3%A2-j%C3%A3-mlik-och-kostnadseffektiv-v%C3%A3-rd-kortare-tid-till-diagnos-och-f%C3%A3-rre-l%C3%A3-nga-patientresor
#10
Nirina Andersson, Anna Preisler-Häggqvist, Virginia Zazo Hernanz
This study evaluates the use of teledermatology at Norrland University Hospital in Northern Sweden between 2009 and 2014. In total, there were 27 198 incoming referrals. Of these, 1504 had photo attachments, and could be answered directly without a face-to-face appointment. Most of these referrals (73%) came from health care providers more than 100 kilometres away and 71% were answered within a week. Patients received care sooner and saved both time and money by less travelling. Teledermatology lead to less delay to a face-to-face appointment for patients where teledermatology was not an option...
January 9, 2017: Läkartidningen
https://www.readbyqxmd.com/read/28070733/glp-1-ra-treatment-patterns-among-type-2-diabetes-patients-in-five-european-countries
#11
Victoria Divino, Mitch DeKoven, Farhad Ali Khan, Kristina S Boye, Hélène Sapin, Kirsi Norrbacka
INTRODUCTION: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are a relatively new class of injectable drugs used in the treatment of type 2 diabetes (T2D). This retrospective database study evaluated real-world treatment patterns of T2D patients initiating GLP-1 RAs in Belgium (BE), France (FR), Germany (DE), The Netherlands (NL) and Sweden (SE). METHODS: Adult T2D patients initiating exenatide twice daily (exBID), exenatide once weekly (exQW), liraglutide (LIRA) or lixisenatide (LIXI) during 2013 were identified using the QuintilesIMS (QuintilesIMS, Durham, NC, and Danbury, CT, USA) longitudinal retail pharmacy databases (LRx; BE/FR/DE/NL) and national health register data (SE)...
January 9, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28070671/place-of-death-of-children-with-complex-chronic-conditions-cross-national-study-of-11-countries
#12
Cecilia Håkanson, Joakim Öhlén, Ulrika Kreicbergs, Marylou Cardenas-Turanzas, Donna M Wilson, Martin Loucka, Sandra Frache, Lucia Giovannetti, Wayne Naylor, YongJoo Rhee, Miguel Ruiz Ramos, Joan Teno, Kim Beernaert, Luc Deliens, Dirk Houttekier, Joachim Cohen
: Cross-national understanding of place of death is crucial for health service systems for their provision of efficient and equal access to paediatric palliative care. The objectives of this population-level study were to examine where children with complex chronic conditions (CCC) die and to investigate associations between places of death and sex, cause of death and country. The study used death certificate data of all deceased 1- to 17-year-old children (n = 40,624) who died in 2008, in 11 European and non-European countries...
January 9, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28068533/the-weight-of-inequalities-duration-of-residence-and-offspring-s-birthweight-among-migrant-mothers-in-sweden
#13
Sol P Juárez, Anders Hjern
In this study we assessed the effect duration of residence on the association between maternal origin and birthweight in Sweden. Considering sibling information, we also investigated how far the presence or lack of such an effect could be biased by the use of cross-sectional data, since there may be a selection among those mothers who decide to have a child soon after moving to the country (e.g. those with a more stable family situation). Using the Swedish Medical Birth Register for the period 1992-2012, we performed linear and multinomial regressions, multilevel linear regressions, and random effect meta-analysis...
December 30, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28065734/laparoscopic-roux-en-y-gastric-bypass-in-adolescents-with-severe-obesity-amos-a-prospective-5-year-swedish-nationwide-study
#14
Torsten Olbers, Andrew J Beamish, Eva Gronowitz, Carl-Erik Flodmark, Jovanna Dahlgren, Gustaf Bruze, Kerstin Ekbom, Peter Friberg, Gunnar Göthberg, Kajsa Järvholm, Jan Karlsson, Staffan Mårild, Martin Neovius, Markku Peltonen, Claude Marcus
BACKGROUND: Severe obesity in adolescence is associated with reduced life expectancy and impaired quality of life. Long-term benefits of conservative treatments in adolescents are known to be modest, whereas short-term outcomes of adolescent bariatric surgery are promising. We aimed to compare 5-year outcomes of adolescent surgical patients after Roux-en-Y gastric bypass with those of conservatively treated adolescents and of adults undergoing Roux-en-Y gastric bypass, in the Adolescent Morbid Obesity Surgery (AMOS) study...
January 5, 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/28064379/investigating-social-inequalities-in-older-adults-dentition-and-the-role-of-dental-service-use-in-14-european-countries
#15
Jing Shen, Stefan Listl
BACKGROUND: Oral disease, despite being largely preventable, remains the most common chronic disease worldwide and has a significant negative impact on quality of life, particularly among older adults. OBJECTIVE: This study is the first to comprehensively and at a large scale (14 European countries) measure the social inequalities in the number of natural teeth (an informative oral health marker) in the over 50-year-old population and to investigate the extent to which such inequalities are attributable to dental service use...
January 7, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28063229/determinants-of-long-term-weight-change-among-middle-aged-swedish-women
#16
Darline El Reda, Peter Ström, Sven Sandin, Jin-Kyoung Oh, Hans-Olov Adami, Marie Löf, Elisabete Weiderpass
OBJECTIVE: To describe the determinants of 12-year weight change among middle-aged women in Sweden. METHODS: In 1991/1992, 49,259 women across Sweden were recruited into a cohort. In 2003, 34,402 (73%) completed follow-up. Lifestyle and health characteristics including weight were collected, and 12-year weight change and substantial weight gain (≥+5.0 kg) were calculated; association between baseline characteristics and odds ratios (OR) with 95% confidence intervals (CI) of substantial weight gain were estimated...
January 7, 2017: Obesity
https://www.readbyqxmd.com/read/28063135/cost-effectiveness-of-insulin-degludec-plus-liraglutide-ideglira-in-a-fixed-combination-for-uncontrolled-type-2-diabetes-mellitus-in-sweden
#17
Åsa Ericsson, Adam Lundqvist
BACKGROUND: Patients with uncontrolled type 2 diabetes mellitus (T2DM) are a priority group for intensified therapy without weight gain and with low risk of hypoglycaemia. OBJECTIVE: This study evaluates the cost effectiveness of insulin degludec plus liraglutide (IDegLira, Xultophy(®)) compared with six potential intensification treatment options for patients with T2DM that is uncontrolled with basal insulin. METHODS: The Swedish Institute for Health Economics (IHE) Cohort Model of Type 2 Diabetes was used with Swedish input data, a 40-year time frame and a societal perspective...
January 6, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28062091/effects-of-person-centred-care-on-health-outcomes-a-randomized-controlled-trial-in-patients-with-acute-coronary-syndrome
#18
Laura Pirhonen, Elisabeth Hansson Olofsson, Andreas Fors, Inger Ekman, Kristian Bolin
OBJECTIVES: To study the effects of person-centred care provided to patients with acute coronary syndrome, using four different health-related outcome measures. Also, to examine the performance of these outcomes when measuring person-centred care. DATA AND METHOD: The data used in this study consists of primary data from a multicentre randomized parallel group, controlled intervention study for patients with acute coronary syndrome at Sahlgrenska University Hospital in Gothenburg, Sweden...
December 13, 2016: Health Policy
https://www.readbyqxmd.com/read/28061790/closing-the-gender-leadership-gap-a-multi-centre-cross-country-comparison-of-women-in-management-and-leadership-in-academic-health-centres-in-the-european-union
#19
Ellen Kuhlmann, Pavel V Ovseiko, Christine Kurmeyer, Karin Gutiérrez-Lobos, Sandra Steinböck, Mia von Knorring, Alastair M Buchan, Mats Brommels
BACKGROUND: Women's participation in medicine and the need for gender equality in healthcare are increasingly recognised, yet little attention is paid to leadership and management positions in large publicly funded academic health centres. This study illustrates such a need, taking the case of four large European centres: Charité - Universitätsmedizin Berlin (Germany), Karolinska Institutet (Sweden), Medizinische Universität Wien (Austria), and Oxford Academic Health Science Centre (United Kingdom)...
January 6, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28060692/-pharmacy-medicines-not-subject-to-medical-prescription-in-portugal-an-underused-access-opportunity
#20
Ana Paula Martins, Elizabete Gonçalves, Ana Marcelo, Sergio Vilão, José Aranda Silva
INTRODUCTION: In 2013 medicinal products for human use not subject to medical prescription dispensed exclusively in pharmacy, a subcategory of products not subject to medical prescription was introduced in Portugal. This category of medicinal products promotes the accessibility to treatment, ensuring safety and efficacy, with benefits to public health. This article analyzed the medicines classified as medicinal products for human use not subject to medical prescription dispensed exclusively in pharmacy or equivalent in seven European countries, United Kingdom, Denmark, Sweden, Norway, Italy, Czech Republic and Portugal, and proposes a preliminary list of common international names/ medicines that possess the characteristics that justify their inclusion in Portugal, in this category...
September 2016: Acta Médica Portuguesa
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