Scandinavian Journal of Primary Health Care最新文献

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Experiences of contacts with diabetes care professionals among people with type 2 diabetes in an urban swedish setting. 瑞典城市2型糖尿病患者与糖尿病护理专业人员接触的经验
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-10-14 DOI: 10.1080/02813432.2025.2572514
J Thylefors, M Annersten Gershater, E Mangrio, S Zdravkovic
{"title":"Experiences of contacts with diabetes care professionals among people with type 2 diabetes in an urban swedish setting.","authors":"J Thylefors, M Annersten Gershater, E Mangrio, S Zdravkovic","doi":"10.1080/02813432.2025.2572514","DOIUrl":"https://doi.org/10.1080/02813432.2025.2572514","url":null,"abstract":"<p><strong>Background: </strong>High-quality diabetes care should offer personalized treatment and support self-management to reduce complications and maintain quality of life for affected persons. In Malmö, Sweden's third-largest city, primary care treated twice as many individuals with type 2 diabetes (T2D) in 2018 compared to 2011. As the prevalence of T2D increases, healthcare services face increasing challenges.</p><p><strong>Objective: </strong>To explore experiences of contacts with diabetes care professionals among people living with T2D who are accessing diabetes care in the city of Malmö.</p><p><strong>Method: </strong>A qualitative inductive design was employed, involving interviews with 21 persons with T2D receiving diabetes care at four primary healthcare centers in Malmö. A semi-structured interview guide was used. Data were analyzed using qualitative content analysis.</p><p><strong>Result: </strong>The theme 'Seeking room for one's agency' emerged from two categories that illustrate experiences with diabetes care in relation to meeting healthcare needs: 'Importance of connecting with diabetes care professionals' and 'Concerns in navigating diabetes care.' Eight subcategories describe what contact with diabetes care meant for the participants.</p><p><strong>Conclusion: </strong>The findings highlight opportunities for improving diabetes care to better meet patients' needs. Contacts with diabetes care professionals were perceived as supportive when there was a clear intention to adapt to individual needs and when expectations and communication were transparent. Continuity with general practitioners and educational aspects were identified as unmet healthcare needs. Based on the findings of this study, efforts to a systematic and broad implementation of group-based T2D-education in Malmö are recommended.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare seeking with colorectal cancer symptoms-results from two Danish population-based surveys in 2012 and 2022. 2012年和2022年丹麦两项基于人群的调查结果显示,有结直肠癌症状的患者寻求医疗保健。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-10-06 DOI: 10.1080/02813432.2025.2566312
Camilla Jøhnk, Dorte Ejg Jarbøl, Lisa Maria Sele Sætre, Rasmus Krøijer, Sonja Wehberg, Peter Fentz Haastrup
{"title":"Healthcare seeking with colorectal cancer symptoms-results from two Danish population-based surveys in 2012 and 2022.","authors":"Camilla Jøhnk, Dorte Ejg Jarbøl, Lisa Maria Sele Sætre, Rasmus Krøijer, Sonja Wehberg, Peter Fentz Haastrup","doi":"10.1080/02813432.2025.2566312","DOIUrl":"https://doi.org/10.1080/02813432.2025.2566312","url":null,"abstract":"<p><strong>Background: </strong>Timely healthcare seeking with colorectal cancer (CRC) symptoms is crucial for treatment options. This study aims to 1. compare CRC symptom reporting and contact to the general practitioner (GP) in the Danish population in 2012 and 2022, 2. analyze the associations between sex, age and GP contact in 2012 and 2022, and 3. explore considerations about GP contact in 2022.</p><p><strong>Methods: </strong>Nationwide surveys on symptoms and GP contact in 2012 and 2022 with 100,000 randomly selected adults invited in each. Four CRC symptom categories, GP contact, and six predefined considerations about GP contact were analyzed by descriptive statistics and multivariable logistic regression models.</p><p><strong>Results: </strong>We included 47,423 individuals in 2012, and 28,328 in 2022. Symptom reporting was similar in the two cohorts, whereas GP contact increased significantly. Abdominal pain prompted the highest GP contact in both years (36.1% in 2012; 44.3% in 2022), while changed bowel habits prompted the lowest (20.4% and 24.8%, respectively). Men had lower odds of GP contact than women for most symptom categories, and odds of seeking healthcare increased with age. Among those with no GP contact, half reported either knowing the cause of their symptom or expecting it to resolve on its own. Among those who reported rectal bleeding and no GP contact, 17% described embarrassment.</p><p><strong>Conclusion: </strong>Despite the increased focus on CRC, many individuals with CRC symptoms reported that they knew the cause and expected it to go away on its own, indicating that they might not associate it with serious disease.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The decision-making process in general practice of when to use antibiotics to treat acute rhinosinusitis. 一般实践中何时使用抗生素治疗急性鼻窦炎的决策过程。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-10-03 DOI: 10.1080/02813432.2025.2568043
Thomas Victor Christensen, Malene Plejdrup Hansen, Morten Sig Ager Jensen, Camilla Hoffmann Merrild
{"title":"The decision-making process in general practice of when to use antibiotics to treat acute rhinosinusitis.","authors":"Thomas Victor Christensen, Malene Plejdrup Hansen, Morten Sig Ager Jensen, Camilla Hoffmann Merrild","doi":"10.1080/02813432.2025.2568043","DOIUrl":"https://doi.org/10.1080/02813432.2025.2568043","url":null,"abstract":"<p><strong>Background: </strong>The Danish primary care sector is responsible for the majority of antibiotic prescriptions, with upper respiratory tract infections, particularly acute rhinosinusitis (ARS), being a key contributor. This study explored the decision-making process regarding antibiotic use for ARS among general practitioners (GPs) and doctors in training working in general practice.</p><p><strong>Methods: </strong>Nine semi-structured interviews were conducted with 10 doctors. Interviews were audio-recorded, transcribed verbatim and analyzed using systematic text condensation.</p><p><strong>Results: </strong>Four key themes were developed: (1) 'It all starts before the consultation': staff-led triage shaping ARS care, (2) two diagnostic worlds: experienced intuition vs. rule-bound caution, (3) C-reactive protein (CRP) in the crossfire: guide, reassurance or irrelevant in antibiotic decision-making and (4) 'Sometimes it's a negotiation': managing patient expectations without losing stewardship. Although diagnosing ARS was often straightforward, distinguishing bacterial from viral infections proved difficult. C-reactive protein testing was common, but its reliability was questioned. Antibiotic prescribing decisions were influenced by patient history, comorbidities and risk factors. While antibiotics were rarely considered necessary initially, patient expectations and doctor-patient relationships sometimes influenced prescribing.</p><p><strong>Conclusions: </strong>This study illustrates the complexity of diagnosing and managing ARS, shaped by clinical uncertainty, competing priorities and non-clinical pressures. Variation in doctor involvement, diagnostic practices and CRP thresholds reveals the challenges of standardization. Training, guidelines and patient education are valued but may not ensure optimal antibiotic use. Diagnostic decisions are relational, negotiated and context-specific, influenced by public health concerns, patient needs and workflow demands. Without acknowledging this complexity, antibiotic stewardship efforts could potentially fall short.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent anorexia nervosa treated in primary care with a family-based method - long-term outcomes. 青少年神经性厌食症在初级保健治疗与家庭为基础的方法-长期结果。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-30 DOI: 10.1080/02813432.2025.2564795
Jaana Ronkainen, Erika Jääskeläinen, Päivi Tossavainen, Tanja Nordström, Jukka Ronkainen
{"title":"Adolescent anorexia nervosa treated in primary care with a family-based method - long-term outcomes.","authors":"Jaana Ronkainen, Erika Jääskeläinen, Päivi Tossavainen, Tanja Nordström, Jukka Ronkainen","doi":"10.1080/02813432.2025.2564795","DOIUrl":"https://doi.org/10.1080/02813432.2025.2564795","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa is a potentially lethal psychiatric disorder characterised by restrictive eating and weight loss. Adolescent patients were treated as outpatients using a novel method which involved coaching the parents to take full responsibility for their child's nutrition. In this follow-up cohort study, we compared the long-term outcomes of patients treated in primary care using the family-based coaching method (FBcM-PC) with those treated in tertiary care using traditional treatment.</p><p><strong>Methods: </strong>The cohort included all adolescent patients with a restrictive eating disorder treated initially in Oulu University Hospital and/or Oulu Primary Health Care centre between 2013 and 2019. Patients (<i>n</i> = 168) were contacted and asked to fill out a health questionnaire. Altogether 73 (43%) responded (30 from the FBcM-PC and 43 from the traditional treatment group). The outcome variables - depression, anxiety, eating disorder symptoms and need for medical appointments - were compared between the treatment groups.</p><p><strong>Results: </strong>Upon follow-up after a mean of 6.6 years, 77% of the FBcM-PC and 54% of the traditional treatment groups did not need medical appointments (<i>p</i> = 0.052). No differences were found in self-reported health, depression or anxiety between the study groups. Concerns about weight and shape were reported by 40% of both groups. 87% of the FBcM-PC and 9% of the traditional treatment group received outpatient treatment only (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Adolescent anorexia nervosa patients treated mainly in primary care had at least as favourable long-term outcomes as those treated in tertiary care. The results of this study encourage further development of outpatient treatment methods in primary care.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating digital triage symptom checker with historical triage-related adverse events. 评估数字分诊症状检查与历史分诊相关的不良事件。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-22 DOI: 10.1080/02813432.2025.2563517
Jonathan Ilicki, Sandra Edman, Joacim Stalfors, Carl Johan Molin
{"title":"Evaluating digital triage symptom checker with historical triage-related adverse events.","authors":"Jonathan Ilicki, Sandra Edman, Joacim Stalfors, Carl Johan Molin","doi":"10.1080/02813432.2025.2563517","DOIUrl":"https://doi.org/10.1080/02813432.2025.2563517","url":null,"abstract":"<p><strong>Background: </strong>Online symptom checkers are increasingly used for diagnostic support and triage. However, evidence on their performance and evaluations with real-world data remains limited.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the performance of a digital symptom checker using clinical vignettes derived from real-world cases that had previously been incorrectly triaged.</p><p><strong>Methods: </strong>A patient-facing, rule-based digital symptom checker used in Swedish primary care was assessed in this study. Vignettes were constructed from cases reported to the Swedish Health and Social Care Inspectorate due to erroneous telephone triage. We hypothesized that the digital symptom checker could provide appropriate triage for these cases. Seven physicians independently simulated patients by entering symptoms in the symptom checker based on each vignette. Triage outcomes were assessed against the Swedish National Triage Guidelines (RGS), evaluating the accuracy and the safety of the triage recommendation.</p><p><strong>Results: </strong>A total of 69 unique vignettes yielded 483 individual trials. After excluding 93 trials due to significant deviations from the original vignette description (adding or omitting symptoms), 390 trials were included in the primary analysis. The symptom checker achieved 91% accuracy (95% CI 88-94%) and 94% safety (95% CI 91-96%).</p><p><strong>Conclusions: </strong>The symptom checker demonstrated high accuracy and safety when triaging a subset of vignettes based on real-world cases that had been previously erroneously triaged. This study also highlights the difficulties of using vignettes when evaluating symptom checkers. To our knowledge, this is the first study to evaluate such systems using vignettes based on actual patient cases with known triage errors.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of remote units in two large out-of-hours emergency primary care districts in Norway. 在挪威的两个大型非工作时间紧急初级保健区设立偏远单位。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-01 Epub Date: 2025-02-28 DOI: 10.1080/02813432.2025.2470470
Erik Zakariassen, Steinar Hunskaar
{"title":"Implementation of remote units in two large out-of-hours emergency primary care districts in Norway.","authors":"Erik Zakariassen, Steinar Hunskaar","doi":"10.1080/02813432.2025.2470470","DOIUrl":"10.1080/02813432.2025.2470470","url":null,"abstract":"<p><strong>Objective: </strong>An inter-municipal out-of-hours (OOH) district covers several municipalities with one centralized casualty clinic. These OOH districts are large geographical areas with long driving times to the casualty clinic. Remote OOH units were established in two OOH districts in Norway, to secure better access to the OOH service. Patients were offered video consultations with nurse-led appointments at the remote OOH units. The aim was to investigate contact rates and distribution of consultation types before and after the remote units were established. Design. An observational study with pre- and post-data collected from municipalities with and without (controls) remote OOH units.</p><p><strong>Setting: </strong>Two OOH districts, Førde and Molde, with five and four remote OOH units, respectively.</p><p><strong>Subjects: </strong>Inhabitants contacting the Local Emergency Communications Centers (LEMCs) in the two areas.</p><p><strong>Results: </strong>In municipalities that established remote OOH units the contact rates to the LEMCs decreased by 15% in Førde and 16% in the Molde OOH districts in 2021, compared with 2019. Control municipalities had an increased rate of 7% and 2%, respectively. Consultation rates decreased by 16% and 12% in municipalities with remote OOH units in Førde and Molde, respectively. In 2021, 7% of contacts from municipalities with remote OOH units in Førde OOH district and 3% in Molde OOH district ended in a consultation at a remote OOH unit. In the Molde OOH district, where the traditional casualty clinic was replaced with remote OOH units, home visits and callouts decreased by 76% and 86% from 2019 to 2021.</p><p><strong>Conclusion: </strong>Establishing remote OOH units could have decreased contact and consultation rates in both districts. Most contacts were handled with actions other than a remote OOH unit encounter with video consultation. There was a large reduction of home visits and callouts in the Molde OOH district in 2021, compared with 2019.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"538-545"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
General practitioners' attitudes and motivation to supervise medical students in clinical placements: a questionnaire study from Norway. 全科医生在临床实习中监督医学生的态度和动机:来自挪威的问卷调查研究。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-01 Epub Date: 2025-02-27 DOI: 10.1080/02813432.2025.2471053
Julie Solberg Knutsen, Gunnar Tschudi Bondevik, Steinar Hunskaar
{"title":"General practitioners' attitudes and motivation to supervise medical students in clinical placements: a questionnaire study from Norway.","authors":"Julie Solberg Knutsen, Gunnar Tschudi Bondevik, Steinar Hunskaar","doi":"10.1080/02813432.2025.2471053","DOIUrl":"10.1080/02813432.2025.2471053","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) who supervise medical students during clinical placements are valuable resources for medical universities. However, several countries struggle with recruiting supervisors. More knowledge about GPs' attitudes and factors that motivate them to be supervisors, is essential for developing targeted recruitment strategies and effective follow-up by universities.</p><p><strong>Objective: </strong>We aimed to investigate GPs' attitudes to and motivation for supervising medical students in clinical placements.</p><p><strong>Methods: </strong>A web-based questionnaire was sent to all GPs in Norway in February 2022. Both active supervisors' and non-supervisors' responses were collected. Attitudes were reported as scores on a five-point Likert scale in response to 21 statements, while motivation was reported by highlighting the most important motivational factors among 15 items. Descriptive statistics were used to rank the statements and motivation factors. Independent sample <i>t</i>-test and ANOVA were used to analyse differences in mean scores across subgroups.</p><p><strong>Results: </strong>We received 1466 responses (29%), of whom 498 (34%) were active supervisors. Results revealed positive attitudes towards supervising medical students in clinical placements, even among non-supervisors. Statements about the supervisor role and its importance regarding recruitment, professional stimulation and clinical teaching competence, were scored high. Many agreed that supervising students increased their workload. 'Recruitment contribution' was the most selected motivation item.</p><p><strong>Conclusion: </strong>Recruitment contribution, professional development, workday variation and the feeling of fulfilment contribute to GPs' motivation to supervise. The results indicate a promising future for recruiting clinical supervisors.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"546-554"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The untapped potential for healthcare to support recovery for patients with stress-related exhaustion disorder - creating an experience of generalised safety. 未开发的潜力,医疗保健,以支持恢复患者与压力相关的疲惫障碍-创造一个普遍的安全体验。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-01 Epub Date: 2025-04-01 DOI: 10.1080/02813432.2025.2480869
Susanne Ellbin, Agneta Lindegård, Fredrik Bååthe
{"title":"The untapped potential for healthcare to support recovery for patients with stress-related exhaustion disorder - creating an experience of generalised safety.","authors":"Susanne Ellbin, Agneta Lindegård, Fredrik Bååthe","doi":"10.1080/02813432.2025.2480869","DOIUrl":"10.1080/02813432.2025.2480869","url":null,"abstract":"<p><strong>Background: </strong>Exhaustion disorder (ED) is one of the most rapidly increasing causes of sick leave in Sweden. The prolonged recovery time from ED creates a dilemma on both the societal and individual level. How patients experience the encounter with health care is critical for the recovery from ED. The aim of this study was to explore how patients with ED experience the encounter with health care.</p><p><strong>Method: </strong>Data from 23 semi‑structured interviews with ED patients were analysed using content analysis.</p><p><strong>Results: </strong>One of the main findings was that patients want to be listened to and taken seriously in the encounter with health care. However, patients experience that healthcare struggles to meet these expectations. Several informants reported not being listened to, worrying symptoms were overlooked, an individualised care plan was lacking, and patients experienced that they were prematurely dismissed. This created an experience of unsafety, and that could inadvertently maintain the stress response and negatively influence recovery for patients with stress‑related disorders.</p><p><strong>Conclusion: </strong>It is paramount to convey an experience of predictability, despite the fact that patients undergo an unpredictable process related to their ED illness. By combining the traditional load‑recovery theory with the generalised unsafety theory of stress, we can tap into the potential to enhance recovery for patients with ED. We suggest that if the encounter with healthcare provides an experience of generalised safety, the conditions for patients with stress‑related disorders to recover would be distinctly enhanced.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"594-601"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patients' perspectives regarding antibiotic treatment for acute sinusitis in Norwegian general practice. A qualitative interview study. 挪威全科医生对急性鼻窦炎抗生素治疗的看法。定性访谈研究。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-01 Epub Date: 2025-05-07 DOI: 10.1080/02813432.2025.2498510
Jorunn Thaulow, Torunn Bjerve Eide, Sigurd Høye, Holgeir Skjeie
{"title":"Patients' perspectives regarding antibiotic treatment for acute sinusitis in Norwegian general practice. A qualitative interview study.","authors":"Jorunn Thaulow, Torunn Bjerve Eide, Sigurd Høye, Holgeir Skjeie","doi":"10.1080/02813432.2025.2498510","DOIUrl":"10.1080/02813432.2025.2498510","url":null,"abstract":"<p><strong>Background: </strong>The prescription rate for antibiotics for acute sinusitis in primary care remains high, despite evidence showing their limited effectiveness. GPs frequently encounter patient demands for antibiotics, which can influence their decision-making process.</p><p><strong>Aim: </strong>This study aimed to explore the help-seeking and expectations of patients experiencing symptoms of acute sinusitis, with a particular focus on their desire for antibiotics. We sought to understand why patients seek their GP for sinusitis, what kind of treatment they hope to receive, and how they perceive their influence on the GP's treatment decision.</p><p><strong>Methods: </strong>We conducted 12 semi-structured interviews with patients who had consulted their GP for acute sinusitis from various regions across Norway. The qualitative analysis was performed using systematic text condensation.</p><p><strong>Results: </strong>We developed 3 main themes:1. 'Pain and exhaustion'- Patients primarily consulted their GP for acute sinusitis seeking medication to alleviate pain and accelerate recovery.2. 'I trust the GP, but mainly myself'- While patients expressed trust in their GPs, they also had clear expectations of receiving the specific treatment they sought. 3. 'Antibiotics works'- Most patients associated medication with antibiotics and believed they were effective against sinusitis.</p><p><strong>Conclusion: </strong>Patients with sinusitis primarily visited their GP to seek relief from pain and to obtain medication that they believe could speed up recovery, which often meant antibiotics. These findings suggest a continuing need for measures targeting both doctors and patients to align treatment expectations, improve adherence to clinical guidelines, and adjust patient expectations. Better pain management of sinusitis should be emphasized.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"693-701"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden. 通过国家数据收集和验证加强初级保健质量改进:瑞典初级保健质量倡议。
IF 1.8 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-09-01 Epub Date: 2025-04-20 DOI: 10.1080/02813432.2025.2490921
Jörgen Månsson, Malin André, Emil Johansson, Charlotta Malmer Hagstam, Maria C M Eriksson, Susanne Steen, Ulrika Elmroth, Eva Arvidsson
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