| 1. |
- Ovhed, I, et al.
(författare)
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A comparison of two different team models for treatment of diabetes mellitus in primary care
- 2000
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Ingår i: Scandinavian Journal of Caring Sciences. - 1471-6712. ; 14:4, s. 253-258
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Tidskriftsartikel (refereegranskat)abstract
- The importance of the nurse's role in the management of patients with type 2 diabetes has long since been emphasized. The aim of this study was to test the hypothesis that a structured organization of type 2 diabetes care, with a diabetes nurse working more independently of the general practitioner, has a significant impact on the patient's self-management and quality of care. The test consisted of 394 registered patients, all with an onset of diabetes mellitus occurring after the age of 34, at two primary health care (PHC) districts in Blekinge county in South Sweden. During one year all consultations for both doctors and nurses were analysed, and a structured telephone survey was carried out involving 364 patients who were 84 years or younger. A comparison between the two PHC centres was made regarding quality of care, frequency of consultation, patients' knowledge of their disease, and patients' self-management. The results showed that organizing care of type 2 diabetes in a structured way encourages better metabolic control in spite of less use of oral medication, and among the patients a greater knowledge of their disease and a more active self-management thus favouring implementation of local guidelines. Also, a difference was found in the patients' choice of contact with doctor or nurse regarding their diabetes and even other causes, which shifted the balance from doctor to nurse. This study provides support for organizing type 2 diabetes care in a structured way to increase the quality of care.
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| 2. |
- Ovhed, I, et al.
(författare)
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What is the future of primary care research? Probably fairly bright, if we may believe the historical development
- 2005
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 23:4, s. 248-253
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Tidskriftsartikel (refereegranskat)abstract
- Objective. To study one aspect of the development of primary care research from 1975 to 2003. Design. Quantitative bibliometric study. Setting. Pub Med database. Subjects. Four Nordic countries (Denmark, Finland, Norway, and Sweden), seven countries from the rest of Europe (Belgium, France, Germany, Italy, the Netherlands, Spain, and the UK), and seven countries from the rest of the world (Australia, Canada, India, Japan, New Zealand, South Africa, and the USA). Main outcome measures. Number of primary healthcare publications per million inhabitants. Percentage of publications in primary healthcare of all publications in human medicine. Results. In 2003, New Zealand, the UK, and Australia were in the lead, with barely 20 primary care publications per million inhabitants, followed by Norway, Sweden, the Netherlands, and Denmark, where the corresponding figure was around 10. A vigorous increase in publications from 1975 to 2003 was clearly seen in most of the countries. However, during the same period the proportion of publications from primary care in relation to all publications in human medicine was only moderately increased, or virtually unchanged. Conclusion. It is believed that primary care research has a future, and it is hoped it may even be bright. However, searching Pub Med gave but one aspect of the historical development, and in particular the comparisons between countries may be questionable.
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| 3. |
- Strandberg, Eva-Lena, et al.
(författare)
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Influence of self-registration on audit participants and their non-participating colleagues - A retrospective study of medical records concerning prescription patterns
- 2005
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 23:1, s. 42-46
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Tidskriftsartikel (refereegranskat)abstract
- Objective. To compare participants and non-participants early in the process of an audit on treatment of respiratory tract infections (RTIs) and to analyse any effect of the actual self-registration on the prescription of antibiotics in both groups. Design. All 80 general practitioners (GPs) at 14 health centres were invited to audit their use of antibiotics and 45 agreed to participate. There were both participants and non-participants at all centres. Data were collected retrospectively from the electronic patient records of all visits for RTI during five periods including the self-registration period. Comparisons were made over time within and between the groups. Setting. Primary health care in Blekinge county, Southern Sweden. Subjects. 80 GPs: 45 participants and 35 non-participants. Main outcome measure. Proportion of patients with RTI who received antibiotics. Results. At the start, the difference in prescription frequency between participants and non-participants was six percentage points (RR = 0.92; 95% CI = 0.87 - 0.97), and at the end seven percentage points (0.88; 0.81 - 0.95). The proportion of RTIs treated with antibiotics fell for both groups, ( 0.86; 0.80 - 0.92 and 0.90; 0.83 - 0.97, respectively). Conclusions. GPs who chose to take part in the audit had a different prescription pattern from the non-participants right from the start. Both groups reduced their prescription of antibiotics during the study period. Either the registration had no effect on the participants or it had an effect on both the participants and the non-participants.
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