Scandinavian Journal of Primary Health Care最新文献

{"title":"Organisational and social work-environment experiences after care manager implementation: a repeated cross-sectional study in Swedish primary care.","authors":"Pia Augustsson, Eva-Lisa Petersson, Cecilia Björkelund, Sven Persson Kylén, Carl Wikberg","doi":"10.1080/02813432.2025.2538486","DOIUrl":"https://doi.org/10.1080/02813432.2025.2538486","url":null,"abstract":"<p><strong>Introduction: </strong>Primary care centers (PCCs) are the foundation of healthcare, requiring a supportive work environment for quality care and personnel well-being. To address rising common mental disorders (depression, anxiety, stress-related disorders) care managers were introduced in Region Västra Götaland in 2015 and are now established in 175 PCCs, supported by clinical and economic benefits. This study explores changes in the organisational and social work environment experienced by PCC personnel five years post-implementation of care managers at two points: 2016/17 and 2021/22.</p><p><strong>Materials and methods: </strong>This repeated cross-sectional study was conducted as an open cohort at 36 strategically selected PCCs in 2016/17 and 2021/22. Although the personnel varied, consistent instruments were used. Descriptive statistics and cross-tabulations examined differences in the organizational and social work environment at the two periods.</p><p><strong>Trial registration: </strong>NCT02378272, 2015-02-02. Retrospectively registered.</p><p><strong>Results: </strong>Familiarity with the care manager function increased from 72% in 2016/17 to 79% in 2021/22. Motivation to collaborate increased by 80%, reflecting a 62% higher willingness compared to 2016/17. Personnel's knowledge and motivation were significantly associated with perceived improvements in the work environment. These improvements were consistent across gender, age, PCC size, and geographic location. Personnel at smaller PCCs reporting slightly greater improvements, with some age-related variation.</p><p><strong>Conclusions: </strong>Having a care manager on site may have limited direct impact on individual work or perceptions of the work environment. However, increased knowledge of the function appears to strengthen collaboration collegial support within the PCC, indicating positive changes in the social and organisational work environment.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733040","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}

{"title":"A person-centred care intervention provided via eHealth to reduce fatigue in patients with common mental disorders - secondary outcome analysis from a randomized controlled trial.","authors":"Sara Alsén, Matilda Cederberg, Andreas Fors","doi":"10.1080/02813432.2025.2533997","DOIUrl":"https://doi.org/10.1080/02813432.2025.2533997","url":null,"abstract":"<p><strong>Background: </strong>The number of people with common mental disorders (CMDs) has increased in several countries, including Sweden, during the past decade. Patients seeking care for CMDs report severe symptoms. Although person-centred care has shown several benefits, studies evaluating the effects of person-centred eHealth interventions on patients with CMDs are scarce.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the effects of a person-centred eHealth intervention on self-reported fatigue in patients with CMDs.</p><p><strong>Methods: </strong>This study reports analysis of a secondary outcome measure from a randomised controlled trial. Patients (<i>n</i> = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (<i>n</i> = 107) receiving treatment as usual (TAU) or an intervention group receiving TAU with the addition of a person-centred eHealth intervention (phone support and an interactive digital platform) (<i>n</i> = 102). Self-reported symptoms of fatigue were assessed using the Multidimensional Fatigue Inventory Scale (MFI-20).</p><p><strong>Results: </strong>The intervention group improved significantly more than the control group in global fatigue and three of five dimensions of the MFI-20 (Physical fatigue, Reduced activity, and Mental fatigue) at the 3- and 6-month follow-ups. In the General fatigue dimension, the intervention group showed significant improvement at 6 but not at 3 months, while for Reduced motivation, there was a significant difference in favour of the intervention at 3 but not at 6 months.</p><p><strong>Conclusion: </strong>A person-centred eHealth intervention combining telephone support and an interactive platform holds potential for reducing symptoms of fatigue in patients on sick leave due to CMDs.</p><p><strong>Trial registration: </strong>The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19 January 2018. https://clinicaltrials.gov/ct2/show/NCT03404583.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699375","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}

{"title":"Not for children's ears? Parents' insights into early childhood overweight and obesity treatment.","authors":"My Sjunnestrand, Nicklas Neuman, Anna Ek, Karin Nordin, Ximena Ramos Salas, Kajsa Järvholm, Karin Eli, Paulina Nowicka","doi":"10.1080/02813432.2025.2531958","DOIUrl":"https://doi.org/10.1080/02813432.2025.2531958","url":null,"abstract":"<p><p>This study offers novel insights into parents' experiences of healthcare interactions during weight-related visits. Data were collected through the More and Less Europe study, a randomized controlled trial evaluating a parent support program for children (aged 2-6 years) with overweight or obesity in Sweden, Romania, and Spain to capture parents' experiences of healthcare interactions. Semi-structured interviews were conducted with 45 Swedish parents (71% mothers, 60% with university degree, 51% of migrant background) of 45 children (mean age 7.1 years, SD 1.3, 76% girls) who received standard treatment for overweight or obesity. The interviews were analyzed thematically, identifying two themes: (1) <i>Support or blame,</i> with subthemes <i>Validating family-centeredness, Overly generic advice,</i> and <i>Stigma and the sense of failing;</i> (2) <i>The place and role of the child,</i> with subthemes <i>Neutral, honest, and direct communication, Not for children's ears</i>, and <i>Framing the message with care.</i> While some parents described supportive interactions, others expressed disappointment with generic advice and inadequate support. Some recalled stigmatization, sometimes in the child's presence, raising concerns about the child's well-being. Approaches to preparing children for visits ranged from neutral to direct explanations. Parents expressed contrasting views on children's presence during weight-related discussions: while some felt such discussions would harm their child, others supported children's presence in open and age-appropriate discussion. This study fills a critical gap in obesity management communication by highlighting parental concerns about children's exposure to weight-related discussions. Addressing these concerns is essential to reducing weight stigma in healthcare and protecting children from harmful experiences.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637917","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}

{"title":"Interdisciplinary collaboration and clinical management for Norwegian preschool children who stutter: 'Who, what, when, and where?'","authors":"Melanie Kirmess, Karianne Berg, Elisabeth Holm Hansen, Karoline Hoff, Hilde Hofslundsengen, Linn Stokke Guttormsen","doi":"10.1080/02813432.2025.2531965","DOIUrl":"https://doi.org/10.1080/02813432.2025.2531965","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood stuttering may have long-lasting effects on a child's linguistic and psychosocial development. Early interventions have shown promising results, however, clarity in professional roles and collaboration with parents is warranted to ensure equal and best practice. This study investigated early childhood professionals' and parents' experience with interdisciplinary collaboration around preschool children who stutter.</p><p><strong>Method: </strong>Three focus groups and eight individual digital interviews were conducted with a total of 18 participants: general practitioners (<i>n</i> = 2), public health nurses (<i>n</i> = 3), speech-language pathologists (<i>n</i> = 4), preschool teachers (<i>n</i> = 4) and parents (<i>n</i> = 5).</p><p><strong>Results: </strong>Qualitative content analysis resulted in three themes: collaboration routines, competencies in early intervention, and organization of services. Our informants described dual collaborations among the professionals, typically between speech-language pathologists and preschool teachers, especially if the children did not have any other difficulty than stuttering. The professionals had different views on the wait-and-see approach. Both parents and professionals indicated that the system around a child who stutter could be person-dependent in referral and management. Some of the parents experienced that they had to actively seek information themselves to get what their child needed.</p><p><strong>Conclusion: </strong>This potential inequality of services for preschool children who stutter implies a need for a systematic structure and increased professional knowledge in the healthcare and educational setting.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637916","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}

{"title":"Challenges and needs in dementia care: people with dementia and family caregivers' experiences from diagnosis to follow-up in Swedish primary care: a qualitative study.","authors":"Monica Bergqvist, Pia Bastholm-Rahmner, Karin Modig, Katharina Schmidt-Mende","doi":"10.1080/02813432.2025.2529414","DOIUrl":"https://doi.org/10.1080/02813432.2025.2529414","url":null,"abstract":"<p><strong>Objective: </strong>Primary care plays a central role in diagnosing dementia and coordinating and providing care. This study explores how older people with dementia and their family caregivers experience the process from diagnosis to follow-up in primary care, what support is needed, what works well and what could be improved.</p><p><strong>Design: </strong>Semi-structured interviews were conducted with four people with dementia and 11 family caregivers in Stockholm, Sweden. Data were analyzed with inductive thematic analysis.</p><p><strong>Results: </strong>Four themes were identified: <i>Seamless assessment - from primary care to memory clinic</i>, describes the transition from primary care to memory clinics, where empathy and professionalism are crucial to prevent feelings of failure. <i>After diagnosis - a no man's land</i>, highlights a communication gap between memory clinics and primary care that leaves informants feeling abandoned and causes emotional distress and isolation. <i>Follow-up in a deficient primary care</i>, underscores the importance of having 'a single point of entry' for coordinated support and a primary care provider with expertise in dementia. <i>Embracing life with the diagnosis</i>, emphasizes the need for guidance from a dedicated dementia team to manage progression.</p><p><strong>Conclusion: </strong>People with dementia and their caregivers felt that primary care often failed to meet their needs due to limited accessibility, poor coordination, and a lack of dementia-specific expertise. Strengthening the role of general practitioners, introducing liaison nurses, and enhancing collaboration with municipal services could improve continuity, navigation, and support. These findings underscore the need for Swedish health care policy to promote sustainable, person-centered dementia care models within primary care.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619962","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}

{"title":"The association between multimorbidity and needs-based quality of life in primary care: a cross-sectional questionnaire study.","authors":"Clara Valgaard Jørgensen, Henrik Hedegaard Pliess Larsen, Volkert Siersma, Anne Holm","doi":"10.1080/02813432.2025.2527853","DOIUrl":"https://doi.org/10.1080/02813432.2025.2527853","url":null,"abstract":"<p><strong>Introduction: </strong>A negative association between the number of chronic conditions and quality of life (QoL) is well known, butthe complexity of this association is not fully understood. This study aimed to 1) examine the association between the number of diagnosis groups, as a measure of multimorbidity, and needs-based QoL, and 2) explore how this association varies across sociodemographic subgroups.</p><p><strong>Methods: </strong>This cross-sectional study included adults with chronic conditions managed at a general practitioner (GP) who participated in a cluster-randomized trial. The exposure was the number of self-reported diagnosis groups, using an organ-specific definition, and the outcome was needs-based QoL measured using the Multi Morbidity Questionnaire 1 (MMQ1). Multivariable linear regression models were used, and a Minimal Important Difference (MID) for each domain were calculated to assess the clinical relevance.</p><p><strong>Results: </strong>The study included 31,753 patients. Significant, linear, associations were found between the number of diagnosis groups and needs-based QoL. Age, education, occupation, and living alone were identified as effect modifiers. The strongest associations were observed among participants aged 40-59 years, those with lower educational levels, the unemployed, and those living alone.</p><p><strong>Conclusion: </strong>A cumulative burden of multimorbidity was identified as increasing number of diagnoses was associated with lower needs-based QoL. Socioeconomically and socially vulnerable groups may experience greater impacts on their QoL and may benefit from additional support or more personalized care approaches. These findings highlight the importance of a bio-psycho-social approach when caring for patients with chronic disease and multimorbidity in general practice.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601389","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}

{"title":"Continuity of care in the context of a primary health care reform: a follow-up after the Swedish <i>Patient Choice Reform</i>.","authors":"Hannes Kohnke, Andrzej Zielinski, Anders Beckman, Henrik Ohlsson","doi":"10.1080/02813432.2025.2527856","DOIUrl":"https://doi.org/10.1080/02813432.2025.2527856","url":null,"abstract":"<p><strong>Background: </strong>Continuity of care (CoC) is essential for effective primary health care (PHC), yet Swedish PHC has historically exhibited low levels of continuity. The Swedish <i>Patient Choice Reform</i> introduced privatization and market-oriented principles into PHC, leading to increased utilization and growing inequities in service use driven by socioeconomic disparities and misalignment with health care needs. However, little is known about its impact on continuity. The aim of this study is to explore long-term effects of longitudinal CoC in PHC within the context of the <i>Patient Choice Reform</i>.</p><p><strong>Methods: </strong>Using register data from Region Skåne (2007-2017), we created three closed cohorts, each capturing three years of PHC utilization. Continuity with GPs was measured using the Continuity of Care Index (CoCI). Quantile regression assessed associations between continuity and individual characteristics, including age, sex, income, education and residence.</p><p><strong>Results: </strong>Among 322,641 individuals with 7,878,642 general practitioner (GP) visits, median CoCI declined from 0.17 (2007 cohort) to 0.13 (2015 cohort). Higher age, male sex and increased PHC utilization were linked to greater continuity in 2007, but these associations weakened by 2015.</p><p><strong>Conclusions: </strong>Continuity of care in Swedish PHC declined over time, particularly among older individuals and frequent PHC users. These findings highlight the need to address continuity deterioration in the context of the <i>Patient Choice Reform</i>.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584719","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}

{"title":"High proportion of depression and anxiety in younger patients with COPD: a cross-sectional study in primary care in Sweden.","authors":"Therese Öfverholm, Mikael Hasselgren, Karin Lisspers, Anna Nager, Gabriella Eliason, Maaike Giezeman, Christer Janson, Marta A Kisiel, Scott Montgomery, Björn Ställberg, Josefin Sundh, Hanna Sandelowsky","doi":"10.1080/02813432.2025.2526667","DOIUrl":"https://doi.org/10.1080/02813432.2025.2526667","url":null,"abstract":"<p><strong>Background and aim: </strong>Patients with COPD and concurrent depression and/or anxiety are known to have an increased risk of exacerbations, morbidity, mortality, and deteriorated quality of life. Early detection of depression/anxiety may enable early interventions. The aims of this study were to describe the occurrence of depression and anxiety in primary care patients with COPD in Sweden, and to investigate age and gender differences together with other clinical factors associated with this comorbidity.</p><p><strong>Methods: </strong>A cross-sectional study was performed on a cohort of patients with doctor's diagnoses of COPD. Patients were randomly selected based on the patients' contact with 98 primary healthcare centers and 13 hospitals in Sweden in 2014. Information about self-reported depression/anxiety, patient characteristics, symptoms, and comorbidity, were collected using patient self-completion questionnaires. Lung function data were extracted from medical records.</p><p><strong>Results: </strong>Of the 2245 patients recruited, 23% (<i>n</i> = 524) reported depression/anxiety, 29% in women and 16% in men (<i>p</i> <0.001). Factors associated with depression/anxiety were being a woman (OR = 2.06 [95% CI 1.56-2.72]), current smoking (1.83 [1.37-2.43]), comorbid asthma (1.77 [1.32-2.37]), dyspnea (the modified Medical Research Council dyspnea scale ≥2 points) (1.58 [1.17-2.13]) and age <65 years (1.57 [1.17-2.10]). The youngest age groups had the highest proportions of patients with depression/anxiety.</p><p><strong>Conclusions: </strong>Healthcare professionals need to be particularly aware of depression/anxiety in patients with COPD who are younger, women, current smokers, have comorbid asthma, or dyspnea.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576195","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}

{"title":"Facilitators and barriers for return to work among patients with post-COVID-19 condition: a qualitative interview study.","authors":"Aleksandra Sulg, Aki Vuokko, Kirsi Kvarnström, Mikko Varonen, Antti Malmivaara, Jari Arokoski, Helena Liira","doi":"10.1080/02813432.2025.2525434","DOIUrl":"https://doi.org/10.1080/02813432.2025.2525434","url":null,"abstract":"<p><strong>Background: </strong>Post COVID-19 condition (PCC) can have long-lasting adverse effects, including impacts on work ability. This study explores the facilitators and barriers in the return-to-work (RTW) process.</p><p><strong>Design and methods: </strong>Conducted in spring 2023 at the Outpatient Clinic for Long-Term Effects of COVID-19, this qualitative study involved phone interviews with 32 patients with PCC, of whom 28 were included in the analysis, while four interviews served as pilots. A research doctor conducted semi-structured interviews covering work ability, RTW actions and rehabilitation experiences. The interviews were recorded, transcribed verbatim and analyzed using an inductive approach.</p><p><strong>Results: </strong>Several factors influenced work ability and the RTW process. For individual-related factors, self-guided rehabilitation, stress management, a positive attitude and high motivation supported RTW. Severe symptoms like fatigue and cognitive impairment, along with negative thoughts about them and experience of stress, hindered progress. Work-related factors included supportive employers and flexible work arrangements, while negative attitudes, skepticism about PCC and inflexible workloads were barriers. Health care-related and social factors showed that adequate emotional support and comprehensive healthcare services facilitated rehabilitation, whereas poor support, limited services and insufficient PCC understanding were obstacles. Regarding social insurance, partial sick leave supported RTW, but unmet criteria for benefits posed a barrier.</p><p><strong>Conclusion: </strong>PCC's multifactorial nature, complicated by work ability challenges, requires a holistic approach considering individual, social and work-related factors. Effective support involves understanding patients' experiences and fostering collaboration among healthcare providers, employers and the social security system to facilitate RTW, especially in prolonged cases.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144542106","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}

{"title":"Factors associated with blood pressure control in Swedish primary care patients with hypertension: a cross-sectional study.","authors":"Niklas Brodin, Moa Wolff, Beata Borgström Bolmsjö, Veronica Milos Nymberg, Peter Nymberg, Susanna Calling","doi":"10.1080/02813432.2025.2524366","DOIUrl":"https://doi.org/10.1080/02813432.2025.2524366","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the factors associated with blood pressure control in a primary healthcare population with hypertension.</p><p><strong>Materials and methods: </strong>We used baseline data from a recent Swedish randomized controlled trial where 400 patients diagnosed with hypertension from 10 primary health care centers were included. The participants underwent blood pressure measurements, blood sampling and completed questionnaires on quality of life, physical activities, tobacco- and alcohol use, medication, and comorbidities. Logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for factors associated with blood pressure control (<140/90 mmHg).</p><p><strong>Results: </strong>The mean age of the participants was 69 years. The results showed blood pressure control in 41% of the cases. The factors that had the highest ORs for achieving blood pressure control were previous myocardial infarction (OR 2.44; CI 1.08-5.53), diabetes diagnosis (OR 2.26; CI 1.31-3.88), and use of ≥2 blood pressure medications (OR 1.62; CI 1.07-2.46). Family history of hypertension was negatively associated with blood pressure control (OR 0.29; CI 0.38-0.88) (univariate analyses).</p><p><strong>Conclusions: </strong>Our study found an association between the use of ≥2 antihypertensive medications and blood pressure control. Despite current treatment guidelines for hypertension, the use of single-drug therapy remains common. By shifting from single drug to combination therapy, focusing on patients with a family history of hypertension and those without comorbidities, the proportion achieving blood pressure control could increase significantly.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov (NCT04407962).</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529473","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}