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Scandinavian Journal of Primary Health Care

Gro C Havnen, Maria Bich-Thuy Truong, Mai-Linh H Do, Kristine Heitmann, Lone Holst, Hedvig Nordeng
OBJECTIVE: Hyperemesis gravidarum (HG) affects 0.3-3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women's treatment and management of HG, as well as the consequences of HG on women's daily life. DESIGN AND SETTING: A cross-sectional study based on a structured telephone interview and an online questionnaire. Participants were recruited by social media and by the Norwegian patient's organization for HG...
March 1, 2019: Scandinavian Journal of Primary Health Care
H Ödesjö, S Adamsson Eryd, S Franzén, P Hjerpe, K Manhem, A Rosengren, J Thorn, S Björck
OBJECTIVE: Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING: Cross-sectional register-based study on all patients with hypertension who visited 188 PHCCs in a Swedish region. PATIENTS: A total of 88,945 patients with uncomplicated hypertension age 40-79...
March 1, 2019: Scandinavian Journal of Primary Health Care
Heini Liimatta, Pekka Lampela, Pirjo Laitinen-Parkkonen, Kaisu H Pitkala
OBJECTIVE: We explored the effectiveness of preventive home visits on the health-related quality-of-life (HRQoL) and mortality among independently community-dwelling older adults. DESIGN: A randomised controlled trial. SUBJECTS: Independently home-dwelling older adults 75 years and older, consisting of 211 in the intervention and 211 in the control group. SETTING: Hyvinkää town municipality, Finland. MAIN OUTCOME MEASURES: We used the change in HRQoL measured by the 15D scale as our primary outcome...
February 27, 2019: Scandinavian Journal of Primary Health Care
Hans Thulesius
No abstract text is available yet for this article.
February 20, 2019: Scandinavian Journal of Primary Health Care
Veronica Milos Nymberg, Beata Borgström Bolmsjö, Moa Wolff, Susanna Calling, Sofia Gerward, Magnus Sandberg
OBJECTIVE: The elderly are an increasing group and large consumers of care in Sweden. Development of mobile information technology shows promising results of interventions for prevention and treatment of chronic diseases. Exploring the elderly patients' beliefs, attitudes, experiences and expectations of e-health services helps us understand the factors that influence adherence to such tools in primary care. MATERIAL AND METHODS: We conducted focus group interviews with 15 patients from three primary health care centers (PHCCs) in Southern Sweden...
February 8, 2019: Scandinavian Journal of Primary Health Care
J F Ebert, L Huibers, B Christensen, M B Christensen, F K Lippert
OBJECTIVE: Acute out-of-hours (OOH) healthcare is challenged by potentially long waiting time for callers in acute need of medical aid. OOH callers must usually wait in line, even when contacting for highly urgent or life-threatening conditions. We tested an emergency access button (EAB), which allowed OOH callers to bypass the waiting line if they perceived their health problem as severe. We aimed to investigate EAB use and patient characteristics associated with this use. DESIGN: Comparative intervention study...
February 2, 2019: Scandinavian Journal of Primary Health Care
Sinikka Luutonen, Anne Santalahti, Mia Mäkinen, Tero Vahlberg, Päivi Rautava
AIM: The aim of the study was to find out, if a single cognitive behavior treatment (CBT) session for long-term frequent attenders in primary care affects the attendance frequency and mental well-being of the patients. METHODS: Out of 193 long-term frequent attenders, 56 participated and were randomized to receive either a one-session CBT intervention or usual care. The groups were compared to each other regarding change in general practitioner visits and change in depressive symptoms, sense of coherence, somatoform symptoms and hypochondriacal anxiety at six months' follow-up...
February 2, 2019: Scandinavian Journal of Primary Health Care
Andre Nyberg, Malin Tistad, Karin Wadell
OBJECTIVE: Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN: Parallel-group controlled pragmatic pilot trial. SUBJECTS: There was a total of 83 patients with COPD (mean age 70 ± 8 years with a forced expiratory volume in first second percent predicted of 60 ± 17%)...
January 31, 2019: Scandinavian Journal of Primary Health Care
Per Øystein Opdal, Eivind Meland, Stefan Hjörleifsson
OBJECTIVE: To obtain first-hand in-depth accounts of overtesting amongst GPs in Norway, as well as the GPs' perspectives on drivers of overtesting and strategies that can prevent overtesting. DESIGN AND SETTING: Four focus groups with GPs were conducted. All participants were asked to share examples of unnecessary testing from their everyday general practice, to identify the driving forces involved in these examples and discuss any measures that might prevent excessive testing...
January 31, 2019: Scandinavian Journal of Primary Health Care
Ditte Meulengracht Hjelmager, Line Dausel Vinther, Søren Herold Poulsen, Lone Stub Petersen, Martin Bach Jensen, Allan Riis
OBJECTIVE: To identify general practitioners' (GPs) barriers and facilitators regarding the use of health information technology (HIT) in the treatment of patients with low back pain (LBP). DESIGN: A qualitative study employing a participatory design approach, with an inductive analytical thematic approach utilising semi-structured interviews. Empirical data was analysed using the qualitative data analysis software (QDAS) Nvivo. SETTING: General practices in Denmark...
January 31, 2019: Scandinavian Journal of Primary Health Care
Noora Ellonen, Heidi Rantanen, Sari Lepistö, Mika Helminen, Eija Paavilainen
OBJECTIVE: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. DESIGN: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. SETTING: The study population consisted of parents who were visiting one of the following contexts: a primary maternity health care clinic, a child health care clinic, and the maternity outpatient clinic, various pediatric outpatient clinics, the general pediatric ward, the pediatric surgical ward, or the neonatal intensive care unit in a hospital setting...
January 28, 2019: Scandinavian Journal of Primary Health Care
Anne Holm, Gloria Cordoba, Rune Aabenhus
OBJECTIVE: The aim of this study was to describe and characterize the prescription of antibiotics for urinary tract infection (UTI) in general practice in Denmark and to evaluate compliance with current recommendations. DESIGN: National registry-based study Setting: Danish general practice Patients: 267.539 patients who redeemed a prescription for antibiotics with the clinical indication UTI at community pharmacies between July 1st 2012 and June 31st 2013. MAIN OUTCOME MEASURES: Antibiotics prescribed for 1) acute lower UTI, 2) acute upper UTI and 3) recurrent UTI presented as amount of prescriptions, number of treatments per 1000 inhabitants per day (TID) and defined daily doses per 1000 inhabitants per day (DID)...
January 28, 2019: Scandinavian Journal of Primary Health Care
D S Graversen, A F Pedersen, A H Carlsen, F Bro, L Huibers, M B Christensen
OBJECTIVE: To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN: The Dutch KERNset tool was translated into Danish and supplemented with items from other existing tools. Face validity, content validity and applicability in OOH telephone triage (OOH-TT) were secured through a two-round Delphi process involving relevant stakeholders...
January 28, 2019: Scandinavian Journal of Primary Health Care
Tiina Vuorio, Sakari Suominen, Hannu Kautiainen, Päivi Korhonen
OBJECTIVE: In addition to acute health problems, various aspects of health behavior, work-related and sociodemographic factors have been shown to influence the rate of sickness absence. The aim of this study was to concomitantly examine factors known to have an association with absenteeism. We hypothesized the prevalence of chronic diseases being the most important factor associated with sickness absence. DESIGN: A cross-sectional study. SETTING: Occupational health care in the region of Pori, Finland...
January 28, 2019: Scandinavian Journal of Primary Health Care
Kaj Sparle Christensen, Eva Oernboel, Marie Germund Nielsen, Per Bech
OBJECTIVE: This study aims to assess the measurement properties of the Major Depression Inventory (MDI) in a clinical sample of primary care patients. DESIGN: General practitioners (GPs) handed out the MDI to patients aged 18-65 years on clinical suspicion of depression. SETTING: Thirty-seven general practices in the Central Denmark Region participated in the study. PATIENTS: Data for 363 patients (65% females, mean age: 49...
January 28, 2019: Scandinavian Journal of Primary Health Care
Mani Shutzberg
OBJECTIVES: To explore informal and unsanctioned techniques general practitioners (GPs) employ as a means to increase the likelihood of sickness certificate approval, following the Swedish Social Insurance Agency's (SSIA's) consolidation of the gatekeeping role in sickness benefit evaluation. DESIGN: Qualitative semi-structured interviews with 20 GPs working in Swedish primary care. A thematic analysis of the transcribed material was carried out to map different techniques employed by the practitioners...
January 28, 2019: Scandinavian Journal of Primary Health Care
Hoelmkjaer Pernille, Bjerrum Lars, Mäkelä Marjukka, Siersma Volkert, Holm Anne
OBJECTIVE: To study 1) whether the accuracy of point-of-care (POC) urine tests (dipstick, phase-contrast microscopy and culture) differs when performed on first-void urine (FVU) compared to mid-stream urine (MSU), and 2) if a delay of analysis up to four hours affects the accuracy of POC tests when performed on urine from symptomatic of urinary tract infection (UTI), non-pregnant women in general practice. DESIGN: Prospective diagnostic study using paired samples...
January 28, 2019: Scandinavian Journal of Primary Health Care
(no author information available yet)
No abstract text is available yet for this article.
March 2019: Scandinavian Journal of Primary Health Care
Päivi E Korhonen
No abstract text is available yet for this article.
December 2018: Scandinavian Journal of Primary Health Care
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...
December 2018: Scandinavian Journal of Primary Health Care
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