Scandinavian Journal of Primary Health Care最新文献

{"title":"Factors associated with development of retinopathy in patients with type 2 diabetes mellitus at onset and within three years after diagnosis","authors":"Kajsa Andersson, Anders Halling, Björn Agvall","doi":"10.1080/02813432.2024.2329215","DOIUrl":"https://doi.org/10.1080/02813432.2024.2329215","url":null,"abstract":"To investigate the prevalence of diabetes retinopathy and evaluate the factors influencing its occurrence both at the onset of type 2 diabetes (T2D) and three years into its duration.Retrospective ...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"40 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140636137","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 transition of general practice into an academic discipline: tracing the origins through the first four professors in general practice/family medicine","authors":"Jørund Straand, Niek de Wit","doi":"10.1080/02813432.2024.2335537","DOIUrl":"https://doi.org/10.1080/02813432.2024.2335537","url":null,"abstract":"Being the ‘mother’ of most clinical specialties, general practice is as old as medicine itself. However, as a recognized academic discipline within medical schools, general practice has a relativel...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"52 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573111","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 influencing antibiotic prescribing for respiratory tract infections in primary care – a comparison of physicians with different antibiotic prescribing rates","authors":"Olof Cronberg, Mia Tyrstrup, Kim Ekblom, Katarina Hedin","doi":"10.1080/02813432.2024.2332757","DOIUrl":"https://doi.org/10.1080/02813432.2024.2332757","url":null,"abstract":"There has been a notable decrease in antibiotic prescribing in the last thirty years in Sweden. Little is known about factors influencing antibiotic prescribing over several years.To compare primar...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"21 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573185","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":"To be or not to be supervisors for medical students in general practice clinical placements: a questionnaire study from Norway","authors":"Julie Solberg Knutsen, Gunnar Tschudi Bondevik, Steinar Hunskaar","doi":"10.1080/02813432.2024.2337063","DOIUrl":"https://doi.org/10.1080/02813432.2024.2337063","url":null,"abstract":"Many countries experience challenges in recruiting and retaining general practitioners (GPs) as supervisors for medical students in clinical placements. We aimed to investigate the opportunities, c...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"146 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573110","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":"Interprofessional follow-up for people at risk of type 2 diabetes in primary healthcare – a randomized controlled trial with embedded qualitative interviews","authors":"Marit Graue, Jannicke Igland, Bjørg Frøysland Oftedal, Anne Haugstvedt, Hilde Kristin Refvik Riise, Vibeke Zoffmann, Anne Karen Jenum, David Richards, Beate-Christin Hope Kolltveit","doi":"10.1080/02813432.2024.2337071","DOIUrl":"https://doi.org/10.1080/02813432.2024.2337071","url":null,"abstract":"To examine the effects of an empowerment-based interprofessional lifestyle intervention program among people at risk of type 2 diabetes on knowledge, skills, and confidence in self-management, heal...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"18 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573181","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":"Burden of selected chronic non-communicable diseases in a primary healthcare setting in Nuuk, Greenland, compared to a Danish suburb","authors":"Marie Balslev Backe, Per Kallestrup, Kurt Rasmussen, Marit Eika Jørgensen, Michael Lynge Pedersen","doi":"10.1080/02813432.2024.2334746","DOIUrl":"https://doi.org/10.1080/02813432.2024.2334746","url":null,"abstract":"Noncommunicable diseases (NCDs) constitute a massive global burden and are the leading cause of death and disability worldwide. In Greenland, the prevalence of NCDs has historically been low. Howev...","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":"52 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573184","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":"Physical activity on prescription in Swedish primary care: a survey on use, views, and implementation determinants amongst general practitioners.","authors":"Elina Brorsson Lundqvist, Marcus Praetorius Björk, Susanne Bernhardsson","doi":"10.1080/02813432.2023.2288126","DOIUrl":"10.1080/02813432.2023.2288126","url":null,"abstract":"<p><strong>Introduction: </strong>Swedish Physical Activity on Prescription (PAP) has been shown to increase physical activity levels, which is known to lead to positive health effects. PAP is being implemented in Swedish healthcare to various extents. However, there is a lack of knowledge about how Swedish general practitioners (GPs) work with PAP and what hinders and facilitates wider implementation.</p><p><strong>Aims: </strong>This study aimed to survey GPs' use and views of PAP, identify barriers and facilitators for implementing PAP, and explore associations to gender, practice location, and experience.</p><p><strong>Methods: </strong>The study was framed by the Normalization Process Theory. A survey was sent to 463 GPs at 69 different healthcare centres in Region Västra Götaland. Data were analysed using multiple logistic and linear regressions.</p><p><strong>Results: </strong>A total of 143 GPs completed the survey (response rate 31%). Views on PAP were generally positive amongst respondents, but only 27% reported using PAP regularly. The most prominent reported barriers were insufficient training and resources. Positive views and willingness to collaborate in using PAP were identified as facilitators. Responding GPs in Gothenburg used PAP more often (OR 6.4; 95% CI 2.7-14.8) and were significantly more positive to the method than GPs in other areas of the region. GPs with more than 10 years of practice used PAP more often (OR 2.5; 95% CI 1.1-6.0) than less experienced GPs. Few of the investigated variables were associated with gender.</p><p><strong>Conclusions: </strong>The positive views amongst responding GPs are helpful, but more education, training and resources are needed for successful implementation of PAP in Swedish primary health care.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"61-71"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478510","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":"Observational study of selective screening for prediabetes and diabetes in a real-world setting: an interprofessional collaboration method between public dental services and primary health care in Sweden.","authors":"Katri Harcke, Anders Lindunger, Erik Kollinius, Mihretab Gebreslassie, Anna Ugarph Morawski, Charlotta Nylén, Magnus Peterson, Tülay Yucel-Lindberg, Claes-Göran Östenson, Pia Skott, Nouha Saleh Stattin","doi":"10.1080/02813432.2023.2299114","DOIUrl":"10.1080/02813432.2023.2299114","url":null,"abstract":"<p><strong>Objective: </strong>Describe a method in a real-world setting to identify persons with undiagnosed prediabetes and type 2 diabetes through an interprofessional collaboration between Public Dental Services and Primary Health Care in Regions Stockholm.</p><p><strong>Design: </strong>A descriptive observational study.</p><p><strong>Setting: </strong>The study was conducted at seven sites in the region of Stockholm, Sweden. Each collaborating site consisted of a primary health clinic and dental clinic.</p><p><strong>Subjects: </strong>Study participants included adults over 18 years of age who visited the Public Dental Services and did not have a medical history of prediabetes or type 2 diabetes.</p><p><strong>Main outcome measures: </strong>Selective screening is conducted in accordance with a risk assessment protocol at the Public Dental Services. In the investigated method, DentDi (Dental and Diabetes), adults diagnosed with caries and/or periodontitis over a cut-off value are referred to the Primary Health Care clinic for screening of prediabetes and type 2 diabetes.</p><p><strong>Results: </strong>DentDi, introduced at seven sites, between the years 2017 and 2020, all of which continue to use the method today. A total of 863 participants from the Public Dental Services were referred to the Primary Health Care. Of those 396 accepted the invitation to undergo screening at the primary health care centre. Twenty-four individuals did not meet the inclusion criteria, resulting in a total of 372 persons being included in the study. Among the 372 participants, 27% (101) had elevated glucose levels, of which 12 were diagnosed with type 2 diabetes and 89 with prediabetes according to the study classification.</p><p><strong>Conclusions: </strong>DentDi is a feasible method of interprofessional collaboration where each profession contributes with the competence included in everyday clinical practice for early identification of persons with prediabetes and type 2 diabetes with a complete chain of care. The goal is to disseminate this method throughout Stockholm County and even other regions in Sweden.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"170-177"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425406","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":"Health care services for older people in COVID-19 pandemic times - A Nordic comparison.","authors":"Trond Bliksvær, Therese Andrews, Andrej Christian Lindholst, Auvo Rauhala, Maria Wolmesjö, Timo S Sinervo, Lisbeth M Fagerström, Morten Balle Hansen","doi":"10.1080/02813432.2023.2296119","DOIUrl":"10.1080/02813432.2023.2296119","url":null,"abstract":"<p><strong>Objective: </strong>To explore the Nordic municipal health and care services' ability to promote principal goals within care for older people during the COVID-19 pandemic.</p><p><strong>Design and setting: </strong>Two surveys were conducted among managers of municipal health care services for older people in Denmark, Finland, Norway and Sweden; the first around 6 months into the pandemic (survey 1), and the second around 12 months later (survey 2). Data were analysed through descriptive statistics, and multiple regression (OLS).</p><p><strong>Subjects: </strong>1470 (survey 1, 2020) and 745 (survey 2, 2021) managers. 32% in home care, 51% in nursing homes, 17% combined.</p><p><strong>Results: </strong>In all countries the pandemic seems to have had more negative impact on eldercare services' ability to promote an active and social life, than on the ability to promote or enhance older people's mental and physical health. The regression analysis indicates that different factors influence the ability to promote these goals. Managers within nursing homes reported reduced ability to promote mental and physical health and an active social life to a significantly lower degree than managers of home care. The effect of three prevention strategies (lock down, testing, and/or organisational change), were explored. Organisational change (reorganize staff and practice, restrict use of substitutes) tended to impact the units' ability to promote a social life in a positive direction, while lock down (areas, buffets etc) tended to impact both the ability to promote mental/physical health and a social life in a negative direction.</p><p><strong>Conclusion: </strong>Measures that can improve opportunities for an active and social life during a pandemic should have high priority, particularily within home care.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"144-155"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032569","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":"Medicine as a moral activity.","authors":"Christopher Dowrick","doi":"10.1080/02813432.2023.2285470","DOIUrl":"10.1080/02813432.2023.2285470","url":null,"abstract":"","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138434859","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}