Scandinavian Journal of Primary Health Care最新文献

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Care in the era of digital health: experiences from Norwegian general practitioners. 数字健康时代的护理:挪威全科医生的经验。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 Epub Date: 2024-12-05 DOI: 10.1080/02813432.2024.2437417
Damoun Nassehi, Ellen Ramvi
{"title":"Care in the era of digital health: experiences from Norwegian general practitioners.","authors":"Damoun Nassehi, Ellen Ramvi","doi":"10.1080/02813432.2024.2437417","DOIUrl":"10.1080/02813432.2024.2437417","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the experiences of General Practitioners (GPs) in Norway, examining the role of care in their practice and the impact of digital health technologies on their caregiving approach.</p><p><strong>Design: </strong>A qualitative study employing semi-structured interviews. The data was analysed by systematic text condensation.</p><p><strong>Setting: </strong>Conducted in various general practice settings within an urban region in southwestern Norway.</p><p><strong>Subjects: </strong>Eleven GPs were interviewed, chosen to reflect a diverse mix of ages, genders, and professional experiences.</p><p><strong>Results: </strong>The findings reveal that care occupied a central and multifaceted role in GPs daily practice, and that the care aspect of their practice was experienced as a source of personal fulfilment. Technologies such as Secure Digital Messaging (SDM) and Electronic Health Records could enhance the efficiency of care delivery and facilitate better management of patient interactions, however these technologies also present challenges in maintaining the depth of personal engagement that is central to the care ethics that characterise their caring role. The GPs emphasized the necessity of integrating digital tools in a way that supports the relational and ethical foundations of their caregiving role.</p><p><strong>Conclusion: </strong>This study underscores the enduring importance of care in general practice, even as digital technologies become increasingly prevalent. GPs maintain their caregiving roles by navigating the complexities of digital tools, highlighting the need for a careful balance between leveraging digital advancements and preserving the core values of care. The findings suggest a need for ongoing evaluation of digital tools to align them with the ethical foundations of care in general practice.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"338-346"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786847","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' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities: a cross-sectional survey in Danish general practice. 全科医生对脆弱孕妇跨部门合作的障碍:丹麦全科医生的横断面调查。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 Epub Date: 2024-12-08 DOI: 10.1080/02813432.2024.2432371
Louise Brygger Venø, Line Bjørnskov Pedersen, Jens Søndergaard, Ruth Kirk Ertmann, Dorte Ejg Jarbøl
{"title":"General practitioners' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities: a cross-sectional survey in Danish general practice.","authors":"Louise Brygger Venø, Line Bjørnskov Pedersen, Jens Søndergaard, Ruth Kirk Ertmann, Dorte Ejg Jarbøl","doi":"10.1080/02813432.2024.2432371","DOIUrl":"10.1080/02813432.2024.2432371","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy vulnerability contributes to poor perinatal mental health. Proper cross-sectoral collaboration may mitigate perinatal mental health problems. General practitioners (GPs) often face barriers when assessing pregnancy vulnerability, but little is known about GPs' perceived barriers to the cross-sectoral collaboration on vulnerable pregnant women.</p><p><strong>Objective: </strong>To explore GPs' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities, and how barriers are associated with the organization of antenatal care (ANC) and general practice characteristics.</p><p><strong>Design, setting and subjects: </strong>A cross-sectional questionnaire study among Danish GPs (<i>n</i> = 3465).</p><p><strong>Main outcome measures: </strong>Descriptive statistics according to the Theoretical Domains Framework describes the barriers to collaboration. Analytical statistics with ordered logistic regression models demonstrate associations between selected barriers (the main outcome measures) and organization of ANC, GP and practice, characteristics.</p><p><strong>Results: </strong>A total of 760 GPs (22%) participated. Perceived GP barriers to collaboration were lacking knowledge of ANC levels relevant to vulnerable pregnant women, insufficient information on vulnerability indicators from collaborating parties, heavy workload and insufficient remuneration for collaborative meetings. Being young were associated with insufficient GP knowledge of ANC levels. Old age was associated with less likelihood of experiencing heavy workload as a barrier.</p><p><strong>Conclusions: </strong>Barriers to collaboration on vulnerable pregnant women were associated with some GP-organizational characteristics including low experience in collaborating with partners in ANC, and GP characteristics, such as age. Reducing general practice workload, e.g. by reorganizing priority areas, releasing more time to vulnerable patients, and improving cross-sectoral information sharing on vulnerability might improve collaboration on vulnerable pregnant women.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"292-302"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795093","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
They paid attention to the whole of me in some way, both physically, mentally, and everything in between: a qualitative study of patients' experiences of interdisciplinary rehabilitation (PREVSAM) in primary care for musculoskeletal disorders. 他们在某种程度上关注了我的全部,包括身体上、精神上以及两者之间的一切:一项关于肌肉骨骼疾病初级保健中患者跨学科康复(PREVSAM)经历的定性研究。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 Epub Date: 2024-12-28 DOI: 10.1080/02813432.2024.2447084
Annika Ekhammar, Sofia Fridén, Maria E H Larsson
{"title":"They paid attention to the whole of me in some way, both physically, mentally, and everything in between: a qualitative study of patients' experiences of interdisciplinary rehabilitation (PREVSAM) in primary care for musculoskeletal disorders.","authors":"Annika Ekhammar, Sofia Fridén, Maria E H Larsson","doi":"10.1080/02813432.2024.2447084","DOIUrl":"10.1080/02813432.2024.2447084","url":null,"abstract":"<p><strong>Purpose: </strong>To explore and describe patients' experiences and perceptions of rehabilitation according to the rehabilitation model 'Prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal pain' (PREVSAM).</p><p><strong>Method: </strong>A qualitative study was conducted, with individual semi-structured interviews analysed using qualitative content analysis. Fifteen patients from three primary care rehabilitation clinics in Sweden who had undergone rehabilitation based on the PREVSAM model participated.</p><p><strong>Results: </strong>Four categories were identified from the participants' experiences: Gratitude for the holistic view, Challenging but clarifying to create a health plan, Different needs for addressing work-related factors, and Difficulties and negative experiences. From these categories, an overarching theme was conceptualised: <i>Grateful for being seen for who I am and given the care I need</i>.</p><p><strong>Conclusion: </strong>Participants were generally positive towards the PREVSAM model. The addition of occupational therapy and psychological treatment to physiotherapy was seen by many, albeit not all, as enriching the rehabilitation. Collaboration with the workplace was mainly considered 'good in theory'. The wide variation in the need for support underscore the importance of person-centredness.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"380-391"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897176","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
A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study. 在养老院管理尿路感染的共享方法改善了感知护理质量,工作量和协作-一项定性研究。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 Epub Date: 2025-02-11 DOI: 10.1080/02813432.2025.2463455
Sif Helene Arnold, Melissa M W Thomsen, Marius Brostrøm Kousgaard, Jette Nygaard Jensen
{"title":"A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.","authors":"Sif Helene Arnold, Melissa M W Thomsen, Marius Brostrøm Kousgaard, Jette Nygaard Jensen","doi":"10.1080/02813432.2025.2463455","DOIUrl":"10.1080/02813432.2025.2463455","url":null,"abstract":"<p><strong>Background: </strong>In 2019, around 4.95 million global deaths were linked to bacterial antimicrobial resistance (AMR). Managing urinary tract infections (UTIs) in nursing homes involves prevention, diagnosis, and treatment. This is often complex and cause excessive antibiotic use, increasing AMR. Infection prevention and antimicrobial stewardship (AMS) are complementary strategies for reducing AMR. Studies show that nursing home staff can safely reduce antibiotic prescriptions for UTIs using these strategies and that cross-sectoral collaboration with general practice is important in UTI management. However, the impact of combining infection prevention with AMS and general practice is unknown.</p><p><strong>Objective: </strong>To explore the perceived impact of a new cross-sectorial intervention combining prevention and AMS on UTI management in nursing homes.</p><p><strong>Methods: </strong>The intervention included a 3-h seminar for general practice and nursing home staff, and a reflection sheet to assess residents. We held 9 seminars in the Capital Region of Denmark in 2022 and conducted 15 semi-structured online and phone interviews with participants.</p><p><strong>Results: </strong>Our findings indicate that the intervention clarified workflows, encouraged nursing staff to adhere to agreements, and increased trust and respect between nursing homes and general practice. A reflection sheet was essential in linking planned changes to actual implementation. The sheet helped restructure UTI management, leading to perceived improved patient assessment and fewer UTI-related inquiries to general practice.</p><p><strong>Conclusion: </strong>Our findings suggest that the intervention had a positive impact on experienced care quality, workload, and cross-sector collaboration. However, physical attendance at the seminar limits the large-scale implementation of the intervention.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"500-509"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400003","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
Digital chat-based care assessments in primary healthcare: nurses' work experiences and training needs. 初级卫生保健中基于数字聊天的护理评估:护士的工作经验和培训需求
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 DOI: 10.1080/02813432.2025.2511067
Elnura Halmambetova, Evalill Nilsson, Cecilia Fagerström, Hans Thulesius, Clara Axelsson, Jan Aidemark, Carina Werkander Harstäde
{"title":"Digital chat-based care assessments in primary healthcare: nurses' work experiences and training needs.","authors":"Elnura Halmambetova, Evalill Nilsson, Cecilia Fagerström, Hans Thulesius, Clara Axelsson, Jan Aidemark, Carina Werkander Harstäde","doi":"10.1080/02813432.2025.2511067","DOIUrl":"https://doi.org/10.1080/02813432.2025.2511067","url":null,"abstract":"<p><strong>Objective: </strong>The digital transformation of society has significant implications for healthcare. Despite a growing body of research on telemedicine implementation, studies specifically examining chat-based care assessments by primary care nurses remain limited. The aim of the present study was to explore nurses' work experiences and training needs regarding chat-based care assessments in primary healthcare.</p><p><strong>Method: </strong>This qualitative exploratory study employed semi-structured in-depth interviews with six nurses trained in telemedicine chat technique. Data were analysed inductively using reflexive thematic analysis.</p><p><strong>Results: </strong>The findings indicated that chat-based care assessments could lead to prolonged assessment processes, and that nurses needed proficiency in chat techniques and effective communication skills to ensure clarity in conversations and accurate medical history acquisition. Training gaps were noted, particularly in fostering effective patient-professional relationships through brief text exchanges in the chat. The prolonged process had both advantages and disadvantages. Although it was more time-consuming, nurses got better opportunities to consider their responses and consult with colleagues, which was thought to improve the accuracy of medical assessments. Further benefits of chat-based assessments included access to chat history, the ability to share informational links, and opportunities for professional development. Nurses pointed to the need for system improvements, such as auto-anamnesis and auto-triage features, to better support their work in the future.</p><p><strong>Conclusion: </strong>The study offers valuable insights for healthcare professionals, technology designers, and policymakers regarding the nuances of nurses' chat-based interactions with patients in primary care settings. The results can inform the development of targeted training programs in chat techniques and communication skills, enhancing the effectiveness of digital consultations and fostering therapeutic relationships with patients. Chat-based assessments offer clear benefits within the care process but also come with challenges.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199884","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
Self-management difficulties in Swedish older adults and associations with sociodemographic factors, number of conditions, depression and health status. 瑞典老年人的自我管理困难及其与社会人口因素、条件数量、抑郁和健康状况的关系。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-06-01 DOI: 10.1080/02813432.2025.2511070
Ingrid Olsson, Sabine Björk, Ulf Isaksson, Tanya Packer, George Kephart, Anna Nordström, Åsa Audulv
{"title":"Self-management difficulties in Swedish older adults and associations with sociodemographic factors, number of conditions, depression and health status.","authors":"Ingrid Olsson, Sabine Björk, Ulf Isaksson, Tanya Packer, George Kephart, Anna Nordström, Åsa Audulv","doi":"10.1080/02813432.2025.2511070","DOIUrl":"https://doi.org/10.1080/02813432.2025.2511070","url":null,"abstract":"<p><strong>Objective: </strong>This study describes patterns of self-management ease and difficulty among older adults with long-term health conditions and the associations with gender, level of education, number of conditions, depression and/or health status.</p><p><strong>Materials and methods: </strong>Cross-sectional data were collected between 2021-2022 in a municipality in northern Sweden. The survey included demographic and health-related questions. To assess self-management ease or difficulty and symptoms of depression, the Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) and the Geriatric Depression Scale were used. 516 older adults between 72-73 years of age with long-term health conditions were included. Descriptive statistics and logistic regression were used to describe patterns of self-management ease and difficulty and to examine which factors were associated with self-management difficulty.</p><p><strong>Results: </strong>Most older adults did not experience self-management difficulty. There were, however, differences between the seven PRISM-CC domains. The Internal domain (managing negative emotions and stress) had the highest percentage (25.39%) of older adults with self-management difficulty. In all domains, there was also a subgroup of individuals (<i>n</i> = 26) that had noticeably lower PRISM-CC scores (more difficulty). A strong association between having depressive symptoms or having poor health status and self-management difficulty was found.</p><p><strong>Conclusion: </strong>This study highlights the need for regular mental health screenings and individualized self-management support for older adults. Future research should explore intervention strategies that integrate mental health support into self-management programs for individuals with long-term health conditions.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199885","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
Adapting the one minute preceptor model to a Swedish context - clinical tutors' experiences of its usage in primary health care. 使一分钟训导模型适应瑞典的情况——临床导师在初级卫生保健中的使用经验。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-05-26 DOI: 10.1080/02813432.2025.2508370
Erica Rothlind, Helena Salminen, Katarina Rolfhamre, Klas Karlgren, Eva Toth-Pal
{"title":"Adapting the one minute preceptor model to a Swedish context - clinical tutors' experiences of its usage in primary health care.","authors":"Erica Rothlind, Helena Salminen, Katarina Rolfhamre, Klas Karlgren, Eva Toth-Pal","doi":"10.1080/02813432.2025.2508370","DOIUrl":"https://doi.org/10.1080/02813432.2025.2508370","url":null,"abstract":"<p><strong>Background: </strong>The One Minute Preceptor model is one of few models proven to be effective in clinical training and validated for teaching clinical reasoning and medical knowledge. It has been introduced to tutors from various health care professions and is considered easy to learn. It is, however, not well-known in Scandinavian primary health care, and studies introducing the model in this context are lacking. Moreover, qualitative studies exploring the views of tutors using the model are also lacking. The aim was therefore to adapt the One Minute Preceptor model to a Swedish context and to explore tutors' experiences of applying it in a primary care setting. A qualitative method with quantitative elements was used.</p><p><strong>Methods: </strong>A workshop was designed and held in interprofessional groups at various primary health care centres in Region Stockholm. Follow-up interviews were conducted. Data were analysed using qualitative content analysis. Furthermore, pre- and post-surveys were administered.</p><p><strong>Results: </strong>The results showed that the tutors believed the model to be flexible, and easy to use and adapt, and their self-rated competence increased. Moreover, they believed it could help them give feedback and explore the students' reasoning. This is in line with previous research, but our study contributes by adding the tutor's <i>how</i> perspective on how the model affects these key elements of clinical tutoring.</p><p><strong>Conclusions: </strong>In conclusion, interprofessional workshops teaching the One Minute Preceptor model are readily held and may be feasible to scale up. Positive outcomes on clinical tutoring are likely; especially on feedback and clinical reasoning, where improvements are needed.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143485","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
Experiences of a new work model among primary care staff when treating patients with hypertension - a qualitative study. 基层医护人员治疗高血压患者新工作模式的经验——一项质性研究。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-05-23 DOI: 10.1080/02813432.2025.2507282
Rebecka Quester, Per Hjerpe, Malin Östman, Susanne Andersson
{"title":"Experiences of a new work model among primary care staff when treating patients with hypertension - a qualitative study.","authors":"Rebecka Quester, Per Hjerpe, Malin Östman, Susanne Andersson","doi":"10.1080/02813432.2025.2507282","DOIUrl":"https://doi.org/10.1080/02813432.2025.2507282","url":null,"abstract":"<p><strong>Objective: </strong>Hypertension care requires considerable resources from primary healthcare, and efficient work models are desirable both to improve treatment outcome and to ease staff workload. This study's objective was to describe how healthcare staff experienced the implementation of a new nurse-led work model for hypertension care.</p><p><strong>Methods: </strong>Qualitative content analysis was used for data analysis. Digitally conducted interviews with 14 physicians, nurses and managers from six of the eleven primary healthcare centres participating in an intervention to improve hypertension care in the Västra Götaland region. The intervention included training of healthcare professionals in a new nurse-led team work model using standardized protocols for treatment and follow-up.</p><p><p><b>Results:</b> The intervention was appreciated, even requested, by both nurses, physicians and managers. The clearly defined division of tasks in the team provided structure, safety, and eased the workload. Treatment was streamlined and the work was perceived as more professional and stimulating. However, implementation of the new work model, including task shift, required close cooperation between nurses and physicians, trust and dedication. Implementation failed if the staff turnover was high, or if management support lacked. Personal qualities, judgement, experience and learning by cooperating with each other, were highlighted as important additional factors for competence and professionally performed hypertension care.</p><p><p><b>Conclusion:</b> Healthcare can benefit from this intervention, but manager support and involvement of both nurses and physicians are crucial factors for successful implementation. Structured protocols cannot replace experience and personal qualities but provide appreciated support and increased safety.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128535","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 use of rapid tests beyond established clinical recommendations should be avoided entirely. 应完全避免使用超出既定临床建议的快速检测方法。
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-05-23 DOI: 10.1080/02813432.2025.2508931
Carl Llor
{"title":"The use of rapid tests beyond established clinical recommendations should be avoided entirely.","authors":"Carl Llor","doi":"10.1080/02813432.2025.2508931","DOIUrl":"https://doi.org/10.1080/02813432.2025.2508931","url":null,"abstract":"","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128536","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
Effect on work ability and health-related quality of life following an interactive patient education aiming to increase sense of coherence and health literacy - the LEARN-to-COPE cluster randomized trial. 旨在提高连贯性和健康素养的互动式患者教育对工作能力和健康相关生活质量的影响——LEARN-to-COPE随机分组试验
IF 1.9 3区 医学
Scandinavian Journal of Primary Health Care Pub Date : 2025-05-22 DOI: 10.1080/02813432.2025.2507859
Märit Löfgren, Lena Nordeman, Nashmil Ariai, Cecilia Björkelund, Gun Rembeck, Irene Svenningsson, Karin Törnbom, Dominique Hange
{"title":"Effect on work ability and health-related quality of life following an interactive patient education aiming to increase sense of coherence and health literacy - the LEARN-to-COPE cluster randomized trial.","authors":"Märit Löfgren, Lena Nordeman, Nashmil Ariai, Cecilia Björkelund, Gun Rembeck, Irene Svenningsson, Karin Törnbom, Dominique Hange","doi":"10.1080/02813432.2025.2507859","DOIUrl":"https://doi.org/10.1080/02813432.2025.2507859","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of the LEARN-to-COPE intervention on sick leave, symptoms, and coping.</p><p><strong>Design and setting: </strong>Cluster-randomized controlled trial including 40 primary care centers (PCCs) in Region Västra Götaland, Sweden. Randomization at the PCC level. Effect of the intervention was compared to Care-as-Usual (CAU). Follow-up was conducted using registry sick leave data, validated questionnaires, and patient-reported data.</p><p><strong>Subjects: </strong>Primary healthcare patients with recurrent or long-term sick leave or health-related unemployment from included PCCs (<i>n</i> = 243).</p><p><strong>Intervention: </strong>Patient education was conducted via interactive study groups, which convened for half a day every week over eight consecutive weeks. Implementation was centralized in close collaboration with educational associations. The purpose of the intervention was to strengthen participants' sense of coherence and health literacy, with the aim of enhancing their work ability and health.</p><p><strong>Main outcome measures: </strong>The primary outcome measure was change in scheduled activity, derived from data on sick leave (obtained from the Swedish Social Insurance Agency) and participation in work-oriented rehabilitation (self-reported occupational status). Secondary outcomes (symptoms and coping) were measured with validated questionnaires at baseline and follow-ups after 3, 6, and 12 months.</p><p><strong>Results: </strong>Included participants suffered from anxiety, depression, exhaustion, and pain and had poor health-related quality of life. After 12 months, there was no significant change in scheduled activity, sense of coherence, symptoms, or health-related quality of life, but a statistically significant positive change in health literacy and self-efficacy was found in the intervention group.</p><p><strong>Conclusion: </strong>Considering participants' pronounced burden of symptoms, the focus should be on improving the sick leave process as a whole, rather than seeking quick remedies for patients' complex health issues. Centralized implementation of the intervention was a promising concept that deserves further evaluation.</p><p><strong>Trial registration number: </strong>Clinicaltrials.gov NCT04254367.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128534","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
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