Scandinavian Journal of Primary Health Care最新文献

{"title":"Struggling in no-man's land between childhood and adulthood - a phenomenological-hermeneutical video-observation study exploring adolescent males' encounters with general practitioners.","authors":"Johanna Haraldsson, Linus Johnsson, Per Kristiansson, Ylva Tindberg, Lena Nordgren","doi":"10.1080/02813432.2025.2475507","DOIUrl":"10.1080/02813432.2025.2475507","url":null,"abstract":"<p><strong>Objective: </strong>Many adolescent males report negative experiences of consultations with general practitioners (GPs), which contrasts with the importance of patient-centredness that GPs themselves emphasise. A better understanding of this discrepancy might facilitate improvements. The aim was to explore and describe adolescent males' encounters with GPs in Swedish primary healthcare centres using a lifeworld perspective.</p><p><strong>Design: </strong>Qualitative lifeworld-based study. Video-recorded observations were analysed using a phenomenological-hermeneutical method.</p><p><strong>Setting: </strong>Two primary healthcare centres in mid-Sweden.</p><p><strong>Subjects: </strong>Nine males aged 15 to 19, video-recorded during their encounters with GPs in March through May 2022.</p><p><strong>Findings: </strong>Adolescent males navigate between being children in need of parental support and men who can take initiative and responsibility. They face cognitive, emotional, and relational demands, the complexity of which renders them particularly vulnerable. When feeling exposed and not knowing what to expect, they struggle to make themselves understood, and to understand what the GP is saying and what is happening. The difficulties that they have disclosed to the GP in trust need to be recognised and carefully acted upon. Thus the GP must respond appropriately to this complex mix of vulnerabilities to prevent feelings of disappointment or of having exposed themselves in vain.</p><p><strong>Conclusion: </strong>The complexity of encounters with adolescent males imposes great demands on GPs to identify and adapt to their individual needs. A proper ethical response involves helping them navigate the challenges of the consultation while also respecting them as persons and meeting their age-dependent needs.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"563-575"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586492","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}

{"title":"Innovation and testing in general practitioners' practice - the challenging path from idea to new practice.","authors":"Tore Norendal Braathen, Toril Thorvaldsen Dale, Randi Brendbekken, Irene Øyeflaten","doi":"10.1080/02813432.2025.2498513","DOIUrl":"10.1080/02813432.2025.2498513","url":null,"abstract":"<p><strong>Aims: </strong>General practitioners (GPs) need tools and working methods to deal with sick listed patients' multifaceted needs as well as to collaborate with stakeholders such as the employer or the social welfare counsellor. This study explored GPs' experiences when testing the mapping and dialogue tool ISIVET in sick leave follow-up.</p><p><strong>Methods: </strong>Individual interviews with seven GPs in salaried positions testing ISIVET in sick leave follow-up in a Norwegian municipality. Data were transcribed verbatim and analysed using systematic text condensation.</p><p><strong>Results: </strong>Five categories of experiences were identified: 1) positive perceptions of ISIVET in terms of visualizing the complexity of health and work conditions, 2) procedures and collection of research data made it difficult to test the tool, 3) unclear ownership and anchoring, 4) difficulties with experimentation in demanding working days and 5) close follow-up during training followed by a lack of sharing experiences.</p><p><strong>Conclusions: </strong>Despite positive GP perceptions of ISIVET in sick leave follow-up, the testing 'failed' due to difficulties during the testing overshadowing the benefits. This was primarily due to poor technological and practical adaptions of the use of the tool in a busy GP's working day. Secondly, a weak local anchoring with lack of follow-up and sharing of experiences, influenced the use of ISIVET negatively. If further testing of ISIVET in primary care is carried out, it would be necessary to simplify and adapt the use of the tool extensively. Given the positive perceptions of ISIVET, one could consider new adaptions and further testing according to these experiences.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"702-710"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011923","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}

{"title":"Use of complementary and alternative medicine (CAM) in Sweden: a cross-sectional survey.","authors":"Jenny-Ann Brodin Danell, Kathrin Wode, Miek Jong, Agnete Egilsdatter Kristoffersen, Esther van der Werf, Johanna Hök Nordberg","doi":"10.1080/02813432.2025.2466180","DOIUrl":"10.1080/02813432.2025.2466180","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to describe the prevalence, associations, and reasons for the use of complementary and alternative medicine (CAM) in Sweden, as well as to further explore possible self-perceived outcomes including adverse effects as well as the sources of information used.</p><p><strong>Methods: </strong>Data were collected by a cross-sectional survey, administered by computer assisted telephone interviews, in June 2020 (<i>n</i> = 500), during the first three months of the COVID-19 pandemic. The survey was a modified version of the International Questionnaire to measure use of Complementary and Alternative Medicine (I-CAM-Q) instrument.</p><p><strong>Results: </strong>63.6% of respondents reported use of CAM. The most common reasons for use were to improve general well-being and/or to treat long-term illness or its symptoms. Very few used CAM to prevent or treat COVID-19. The most used CAMs were natural remedies and dietary supplements (50%), followed by self-help practices (33.2%) and consultation of CAM providers (13%). Women, those of older age (40+), and living in larger cities were more likely to use CAMs compared to the entire sample. Household income or level of education did not predict CAM use. Few adverse effects were reported. The main sources for information were media and the Internet followed by family and friends.</p><p><strong>Conclusions: </strong>This study contributes with updated knowledge about Swedish citizens' use of CAM. The results are important to inform health care policy about patterns of CAM use among Swedish citizens.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"529-537"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483834","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}

{"title":"Reorganization of the Danish out-of-hours primary care - a descriptive study.","authors":"Morten Breinholt Søvsø, Janus Laust Thomsen, Erika Frischknecht Christensen, Kasper Karmark Iversen, Fredrik Folke, Christian Backer Mogensen, Annmarie Lassen, Jens Søndergaard, Helle Collatz Christensen, Mette Elkjær, Andreas Søndergaard Heltberg, Ulla Væggemose, Søren Mikkelsen, Lars Bredevang Andersen, Martin Faurholdt Gude, Tine Bennedsen Gehrt, Erik Zakariassen, Linda Huibers","doi":"10.1080/02813432.2025.2490915","DOIUrl":"10.1080/02813432.2025.2490915","url":null,"abstract":"<p><strong>Background: </strong>Increasing demand for healthcare due to demographic changes and shortage of healthcare professionals challenges the provision of unplanned care. In Denmark, different organizational changes across all regions have been implemented to meet these challenges. This provides great potential for research on the effect of different organizational choices on the use and quality of healthcare. Thus, we aim to provide a comprehensive overview of the current organizational models for acute unplanned out-of-hours primary care (OOHPC) across the five Danish regions, incorporating key contextual factors to characterize these regional systems.</p><p><strong>Methods: </strong>Nationwide cross-sectional survey study on OOHPC models in all Danish regions (North, Central, Southern, Capital, and Zealand). Survey questions covered a list of predefined topics created in the author group. One survey was completed per region.</p><p><strong>Results: </strong>OOHPC models differ across regions and time of day. In the North, Central, and Southern regions from 4 PM-11 PM, general practitioner (GP) cooperatives deliver OOHPC (telephone triage, tele- and clinic consultations, and home visits). From 11 PM-8 AM, the regional emergency medical services provide OOHPC in the North (GPs/physicians, paramedics) and Central (physicians, nurses, paramedics) regions. In the Southern region, the administrative responsibility of the OOHPC lies with the emergency department, but GPs provide healthcare aided by paramedics. The Capital, Central (nights), and Zealand regions have nurses and physicians performing telephone triage. All regions provide clinic consultations with physicians. In the Capital region, these consultations are hospital-based. Currently, no OOHPC data is transferred to national registries in four regions during nighttime.</p><p><strong>Conclusion: </strong>Danish OOHPC models differ substantially regarding the use of healthcare professionals for delivering acute unplanned care. All regions still provide gatekeeping, where OOHPC performs a primary evaluation before a possible hospital contact. Delivery of relevant data to registries has decreased substantially with the current models, potentially creating a barrier for nationwide research on OOHPC.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"639-648"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979061","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}

{"title":"Mapping motivational factors for continuous medical education: insights from general practitioners with varying levels of participating in CME.","authors":"Helle Ibsen, Linda Juel Ahrenfeldt, Jens Søndergaard, Igor Švab, Niels Kristian Kjær","doi":"10.1080/02813432.2025.2498508","DOIUrl":"10.1080/02813432.2025.2498508","url":null,"abstract":"<p><strong>Background: </strong>General practitioners' (GPs) participation in continuous medical education (CME) is crucial for patient care, GPs' well-being and healthcare costs. Despite this, 25% of Danish GPs did not participate in CME in 2022. It is vital to understand motivational factors for engaging in CME.</p><p><strong>Aim: </strong>To analyze motivation for CME and differences in motivational factors among GPs with different levels of participating.</p><p><strong>Design and setting: </strong>A cross-sectional questionnaire informed from qualitative interviews was conducted among all 3257 GPs in Denmark in May 2023.</p><p><strong>Method: </strong>The response rate was 40%. Responders were categorized as 'frequent', 'partial' and 'infrequent' CME users. We employed descriptive statistics and logistic regression analysis to quantify predefined motivational factors. Free text comments were analyzed using systematic text condensation. We used self-determination theory as a framework in the interpretation.</p><p><strong>Results: </strong>Most reported motivational factors were 'relevant medical update' (98%) and 'topics of interest' (96%). Financial incentives had a minor impact across all groups. Infrequent users were less easy to motivate and were more likely to state controlled motivational factors, e.g. a duty. Frequent and partial users of CME reported more autonomous motivation, i.e. personal development, collegial togetherness and professional well-being.</p><p><strong>Conclusions: </strong>Relevant medical updates that enhance perceived competence in patient care are crucial for all GPs. Infrequent users seem less motivated by avoiding burnout, collegial togetherness and well-being.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"684-692"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054256","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}

{"title":"Use of dietary supplements by individuals with dementia - the caregivers' perspective.","authors":"Hilde Risvoll, Marit Waaseth, Kjell H Halvorsen, Trude Giverhaug, Frauke Musial","doi":"10.1080/02813432.2025.2496829","DOIUrl":"10.1080/02813432.2025.2496829","url":null,"abstract":"<p><strong>Introduction: </strong>Due to their cognitive challenges, individuals with dementia, often rely on their caregivers for support with activities of daily living. Many of them use dietary supplements (DS) but are at risk of overdosing on DS due to forgetfulness. Moreover, DS may cause adverse events or interactions with prescription drugs (PD). This study aimed to explore the role of caregivers in managing DS use and to identify potential risks associated with its administration.</p><p><strong>Methods: </strong>A cross-sectional survey among caregivers of individuals with dementia recruited from dementia organisations in North-Norway.</p><p><strong>Results: </strong>Out of 163 caregivers invited to participate, 104 (64%) participated. Of those, 59 reported that the individual under their care used DS. Twenty-seven caregivers had assisted in DS administration. Eleven expressed concerns around the DS use, and 17 reported that the individual with dementia had previously made mistakes in its administration. Several caregivers did not know whether the individual with dementia used DS nor had difficulties taking DS correctly. Additionally, only 45 were aware that DS use could potentially be harmful. Regarding securing safe use of DS in this patient group, the respondents ranked general practitioners to be most responsible. Nearly 50% of those who had sought advice from health care professionals regarding DS use, were not satisfied with the response. A small sample size and heterogeneous study group must be taken into account when interpreting the results.</p><p><strong>Conclusion: </strong>Caregivers were often involved in individuals with dementia's DS use and expressed a willingness to assume responsibility for ensuring safer use. However, several respondents were unaware of the general safety concerns related to DS use. Furthermore, communication with health care professionals regarding DS use, often failed to met the needs of these patients and their caregiver. Collectively, these conditions may impose a risk to individuals with dementia.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"672-683"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064558","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}

{"title":"Hypertension management in the oldest-old: a survey of physicians in Swedish primary health care.","authors":"Marjo Berkhout, Kristina Bengtsson Boström, Per Hjerpe, Anna-Lena Östberg","doi":"10.1080/02813432.2025.2549088","DOIUrl":"10.1080/02813432.2025.2549088","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of hypertension (HT) increases with age. Uncertainty remains about how to treat the oldest patients, who often suffer from multimorbidity.</p><p><strong>Aim: </strong>We explored which factors influence general practitioners' (GPs') and GP trainees' treatment of hypertension among the oldest-old.</p><p><strong>Methods: </strong>GPs and GP trainees in Sweden were invited to fill out an online survey through announcements in newsletters and closed social media groups.</p><p><strong>Results: </strong>Of the 577 questionnaires that were initiated, 397 were completed (69%). The respondents stated that acceptable blood pressure ranges were 115-152/61-93 mmHg. Regarding factors influencing choices of HT treatment, all respondents considered patient's living conditions more important than medical factors, more so by female (80%) than by male physicians (71%, <i>p</i> = 0.049), and more by respondents less experienced in primary health care (PHC) (83%) compared to more experienced (74%, <i>p</i> = 0.043). Lifestyle recommendations, except dietary advice, were frequently offered (80.4%-91.4%). All respondents identified co-morbidity and cardiovascular risk factors as important for treatment decisions. Respondents with more PHC experience considered HT treatment guidelines more useful than those with less experience (<i>p</i> = 0.012). Improved cooperation with other caregivers and a common medication list were prioritised more by female than male respondents.</p><p><strong>Conclusions: </strong>Both medical factors and living conditions were important for GPs and GP trainees in making HT treatment decisions for the oldest-old. Female and less experienced respondents prioritised living conditions. Organisational changes in HT care for the oldest-old were more important to female respondents.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967143","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":"Clinical indications for antibiotic prescribing in Danish general practice.","authors":"Zarghuna Ahengar, Christina Hovmark Pedersen, Alina Zalounina Falborg, Malene Plejdrup Hansen","doi":"10.1080/02813432.2025.2546415","DOIUrl":"https://doi.org/10.1080/02813432.2025.2546415","url":null,"abstract":"<p><strong>Background: </strong>An updated overview of the antibiotic prescribing pattern in Danish general practice is needed to help inform continued efforts for rational antibiotic prescribing.</p><p><strong>Objective: </strong>To investigate clinical indications for antibiotic prescriptions issued in general practice in Denmark.</p><p><strong>Materials and methods: </strong>This register-based study included all redeemed antibiotic prescriptions issued in Danish general practice between 1 January 2023 and 31 December 2023. Data were extracted from 'Antibiotikastatistik', a publicly available register maintained by the Danish Health Data Authority. Descriptive statistics were used to analyze the distribution of the clinical indications. Furthermore, the distribution of the antibiotics prescriptions was analyzed by age across different clinical indication groups, stratified by gender.</p><p><strong>Results: </strong>A total of 1,916,910 antibiotic prescriptions were issued from Danish general practice in 2023. More than half of these prescriptions were used for treatment of either a respiratory tract infection (28.4%) or a urinary tract infection (26.7%). Throat infection and pneumonia comprised about 70% of indications for treatment of a respiratory tract infection. Prophylactic treatment was mainly used for elderly patients - and most often for urinary tract infections. Some 23.3% of the prescriptions either contained an 'unspecific indication' or had no indication stated.</p><p><strong>Conclusions: </strong>This study provides a solid overview of indications used for antibiotic prescriptions in Danish general practice. This information might be used for development of future antibiotic stewardship interventions.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967065","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":"Perinatal depressive symptoms and received support from health professionals: results from the national FinChildren survey.","authors":"Heidi Kesanto-Jokipolvi, Olli Kiviruusu, Maaret Vuorenmaa, Eetu Ervasti, Reija Klemetti","doi":"10.1080/02813432.2025.2546428","DOIUrl":"10.1080/02813432.2025.2546428","url":null,"abstract":"<p><strong>Background: </strong>Perinatal depressive symptoms affect one in 10 parents. However, there is a lack of knowledge on issues related to early and appropriate support for depressive parents. The study investigated what kind of support depressive parents need and receive prenatally from health professionals and whether the received support moderates the association between prenatal depressive symptoms and postpartum mental health.</p><p><strong>Methods: </strong>The FinChildren survey for parents of babies aged 3-6 months (8977 mothers, 5825 fathers) was conducted in 2020. Parents evaluated their current mental health at the time and prenatal depressive symptoms and support needed (e.g. parenthood, mood, fear of childbirth) retrospectively.</p><p><strong>Results: </strong>Prenatal depressive symptoms (mothers 29.0%, fathers 12.7%) were associated with the need for all types of support, and inadequate support was associated with poorer postpartum mental health for all parents. For prenatal depressive parents, prenatal support for mood, and for prenatally depressive fathers, support in the case of fear of childbirth were important elements in reducing postpartum depressive symptoms or mental strain.</p><p><strong>Limitations: </strong>The study design was retrospective and cross-sectional. A screening tool was used to identify prenatal depressive symptoms without a clinically relevant cut-off point.</p><p><strong>Conclusions: </strong>Prenatally depressive parents' support needs do not only concern mental health. Unmet support needs during pregnancy were highly predictive for postpartum depressive symptoms or mental strain. Adequate support for prenatal mood and in the case of paternal fear of childbirth is important, but further research is needed on the most relevant combinations of support issues and practices to support depressive parents.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875014","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":"Healthcare consumption among patients with stress-related exhaustion: a register-based study in Swedish primary care.","authors":"Trandur Ulfarsson, Gunnar Ahlborg, Ingibjörg H Jonsdottir","doi":"10.1080/02813432.2025.2543290","DOIUrl":"10.1080/02813432.2025.2543290","url":null,"abstract":"<p><strong>Objective: </strong>There is limited understanding of healthcare consumption among patients seeking care for stress-related exhaustion. This study examines the number of care contacts and treatments received by patients diagnosed with Exhaustion Disorder (ED) in primary care, as well as its association with psychiatric comorbidity, sex, age, location, and the governance of primary care centers (PCCs).</p><p><strong>Methods: </strong>Data from the Region Västra Götaland healthcare database Vega was analysed including patients diagnosed with ED for the first time during 2018 and 2019, in total of 11,058 patients. Number of care contacts and treatments registered the 12 months before and after the individual date of first time ED diagnosis were compared.</p><p><strong>Results: </strong>Number of care contacts and treatments and proportion of patients receiving care increased post-ED diagnosis. The variation is large, and patients diagnosed with another psychiatric condition, most often depression or anxiety, in addition to ED received more care. Female patients tended to receive more care. Minor variations were observed with respect to age and PCC population size, while larger differences were identified between municipalities. Public and private PCCs showed a similar pattern for both care contacts and treatments.</p><p><strong>Conclusion: </strong>Healthcare consumption varies greatly among ED patients seeking primary care. This variation is mostly related to the burden of psychiatric comorbidity and, to a lesser extent, to gender and age. The wide variety of treatments used, along with the gender and age differences observed, warrant further analysis, as these patterns may not align with current evidence for treating patients with ED.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800142","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}