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| 4. |
- Helgesson, G, et al.
(författare)
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Misuse of Coauthorship in Medical Theses in Sweden
- 2018
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Ingår i: Journal of empirical research on human research ethics : JERHRE. - : SAGE Publications. - 1556-2654 .- 1556-2646. ; 13:4, s. 402-411
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore experiences of authorship issues among persons who have recently received their doctoral degree in medicine in Sweden. A survey was mailed to all who received their PhD at a medical faculty at a Swedish university the first half of 2016. Questions concerned experiences of violations of the first three authorship criteria in the Vancouver rules and of misuse of authorship order in the articles of their thesis, and the respondents’ attitudes to these matters. The questionnaire was returned by 285 respondents (68%). According to the majority (53%), the Vancouver rules were not fully respected in the articles of their thesis. A vast majority (97%) found it important that authorship issues are handled correctly, but only 19% responded that their department has a clear and consistently applied policy. We conclude that authorship guidelines are frequently disrespected at medical faculties in Sweden. The universities seem to provide limited support on authorship issues.
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| 15. |
- Lynoe, N, et al.
(författare)
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How to reveal disguised paternalism
- 2010
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Ingår i: Medicine, health care, and philosophy. - : Springer Science and Business Media LLC. - 1572-8633 .- 1386-7423. ; 13:1, s. 59-65
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Tidskriftsartikel (refereegranskat)
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| 16. |
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| 17. |
- Wessel, M, et al.
(författare)
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Correction
- 2013
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 3:4
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Tidskriftsartikel (refereegranskat)
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| 21. |
- Andersson, SO, et al.
(författare)
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Patients frequently consulting general practitioners at a primary health care centre in Sweden--a comparative study
- 1995
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Ingår i: Scandinavian journal of social medicine. - : SAGE Publications. - 0300-8037. ; 23:4, s. 251-257
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to describe the sociodemographic patterns, consultations and the nature of problems of frequent attenders (FAs) at general practitioners at a primary health care centre. The design was a comparative study of FAs (≥5 consultations during 1991) ( n = 179) and a contrast group of patients (CPs) matched by age and sex (1-4 consultations during 1991, n = 179). Data from medical records, appointment system, mortality and marital status were recorded. FAs comprised 1.7% of the inhabitants. Boys, middle-aged females, retired males and females and especially very old females were more frequent among FAs than their sections of the population would imply. FAs accounted for 15% and CPs for 4% of the consultations, 6.3 and 1.7 consultations on average, respectively. The average booked time for consultations during 1991 was 140 minutes for FAs and 35 minutes for CPs. Continuity was higher among older than younger FAs. Contacts other than medical consultations comprised a substantial part of the work with FAs, especially among middle-aged and elderly FAs. Problems arising from the musculoskeletal system, psychological and social problems were most common among FAs, often in combination, while chronic diseases such as cardiovascular diseases and diabetes were not crucial for frequent attending. Few FAs consulted as frequently in the preceding years and the following year, as in 1991, but still they accounted for more consultations than CPs during these years. More female FAs than males and CPs were divorced. The study indicates that FAs require a long-term strategy where continuity and accessibility are often important. They might also have profited by more time. However, FAs were a heterogeneous group of patients and follow-up studies and individual studies of FAs would be of interest.
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| 22. |
- Bergstrom, B, et al.
(författare)
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The influence of examination forms
- 2000
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Ingår i: Medical education. - : Wiley. - 0308-0110 .- 1365-2923. ; 34:4, s. 313-313
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 23. |
- Bergstrom, LS, et al.
(författare)
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Enhancing concentration, mood and memory in healthy individuals: an empirical study of attitudes among general practitioners and the general population
- 2008
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 36:5, s. 532-537
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To study attitudes towards enhancing concentration, mood and memory in healthy individuals among the general public and general practitioners (GPs). Methods: A questionnaire consisting of vignettes including three cases dealing with enhancement of concentration, mood and memory was sent during 2006 to 1000 randomly selected people from Stockholm and 300 GPs. We asked about the use of pharmaceuticals for healthy individuals for the benefit of others and the benefit to oneself; we also asked whether or not society should pay the cost. Finally, we asked about enhancement of healthy people's concentration, mood and memory through the use of natural remedies. Results: Fifty-two per cent of the general public and 39% of the GPs responded. While the use of natural remedies was perceived as fairly acceptable, majorities in both groups were negative with regard to the use of pharmaceuticals to enhance concentration, mood and memory in a healthy individual. The general public tended to be less negative than the GPs. There was a significant difference between the reasons for providing enhancement; altruistic reasons seem to be more acceptable than egoistic ones. For both groups, enhancing mood was more controversial than enhancing memory. Conclusions: Despite the large dropout rate, the study indicates that enhancement by means of natural remedies of different human capacities is acceptable to the general public, while only small minorities of both groups are inclined to allow the use of pharmaceuticals. When compared to the egoistic reason, the altruistic one for enhancing concentration, mood and memory with pharmaceuticals seems to influence the general public's inclination to support prescriptions; this was also the case among the GPs, but only as regards mood enhancement.
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| 24. |
- Bexelius, C, et al.
(författare)
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Will forensic use of medical biobanks decrease public trust in healthcare services? Some empirical observations
- 2007
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 35:4, s. 442-444
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The authors tested the prevalent hypothesis that forensic use of medical biobanks has a negative impact on public trust in healthcare services. Method: A questionnaire was sent to 1,184 inhabitant in the age group 20—80 years in Stockholm County, Sweden, in November 2005. Results: With a response rate of 68.4%, the results showed that a majority (88.1%) of the respondents thought that it would be acceptable for the police to gain access to genetic samples stored in relation to healthcare; 5.6% said no and 6.3% were uncertain. In the case of police access to medical biobanks, a minority (6.3%) indicated that this would have a negative impact on their trust, a larger proportion (37.8%) that it would influence their trust in the healthcare services positively, and 56% stated that it would not affect their trust at all. Conclusion: The hypothesis tested appears to be unfounded. This should cause us to reconsider prevalent assumptions and current policies on the interface of medical and forensic genetics.
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| 31. |
- Irestig, R, et al.
(författare)
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How are homeless people treated in the healthcare system and other societal institutions? Study of their experiences and trust
- 2010
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 38:3, s. 225-231
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To elucidate the perceived treatment that the homeless have received from the healthcare and other societal organisations and to present homeless persons’ trust in the healthcare system and suggestions of necessary changes for improving it. Methods: Homeless individuals in special houses and institutions in the County of Stockholm were asked to answer a short version of a public health survey, including added questions about how they experienced the healthcare providers’ attitudes towards them and how much trust they had in the healthcare system. A total of 155 homeless persons (123 male and 32 female) were interviewed. Results: Three-quarters of the participants stated that they had fairly or very high trust in healthcare services and also felt that they had been fairly or very well treated. Fewer females than males reported being treated well and they declared a lower degree of trust in the healthcare system. The homeless suggest that extra resources be set aside to organise their healthcare, including a higher level of knowledge of the medical problems prevailing in the group. Those who felt badly treated also asked for less neglect and disrespect from the healthcare staff. Conclusions: Even though a majority experience that they are being well treated within the healthcare system, the study also indicated disadvantages in the treatment of homeless persons in Sweden. The study also reveals an imbalance between the official ethical framework in Sweden and of the specific moral of some individual healthcare providers. One way to facilitate their entry into the healthcare system might be to create special surgeries for the homeless.
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| 32. |
- Lindblad, A, et al.
(författare)
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Physician-assisted suicide: a survey of attitudes among Swedish physicians
- 2008
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 36:7, s. 720-727
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To investigate the attitudes of Swedish physicians towards physician-assisted suicide. Design: A postal questionnaire on the respondent's opinion of physician-assisted suicide was sent to a randomly selected sample of physicians in Sweden. The respondents were given the opportunity of furnishing arguments of their own and of prioritizing arguments. They were also asked about possible influence on their own and patients' trust in the healthcare system if physician-assisted suicide was to be legally accepted. Participants: 1,200 physicians from six specialties, approximately 200 individuals each in: general practice, geriatrics, internal medicine, oncology, psychiatry and surgery. Setting: The study was commissioned by the Swedish Medical Society and its logo was printed on questionnaires and envelopes. Results: The total response rate was 74%, ranging between 63%—80% among the specialties. On average 34% were pro physician-assisted suicide, 39% against it and 25% were doubtful; 2% per cent did not respond to the question at all. Psychiatrists were significantly more accepting than oncologists, who were the most restrictive specialty. Older physicians (>50 years) provided a significantly more accepting attitude than younger ones (≤51 years). Conclusions: Despite the fact that the World Medical Association condemns physician-assisted suicide as unethical, the present survey indicates that there is no clear majority for or against physician-assisted suicide among Swedish physicians, and that significantly more elderly physicians have an accepting attitude towards physician-assisted suicide. There is a need for further research explaining the differences between the age groups as well as the variation between specialities.
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| 33. |
- Lindblad, A, et al.
(författare)
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Would physician-assisted suicide jeopardize trust in the medical services? An empirical study of attitudes among the general public in Sweden
- 2009
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 37:3, s. 260-264
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To investigate the attitudes among the Swedish population towards physician-assisted suicide, with special regard to the possible effects on trust in the medical services of physician-assisted suicide being allowed. Design: A postal questionnaire about physician-assisted suicide under certain conditions and its possible influence on trust in the medical services was distributed to 1206 randomly selected individuals living in the county of Stockholm. Two reminders were distributed, followed by a short version of the questionnaire containing only the question about the attitude towards physician-assisted suicide. Results: The total response rate was 51%, a short-version reminder adding another 7%. Of all participants, 73% were in favour of physician-assisted suicide, 12% were against, and 15% were undecided. They believed that their trust in the medical services would increase (38%) or not be influenced at all (45%) if physician-assisted suicide were to be allowed. However, 75% of those who were against physician-assisted suicide believed that their trust would decrease. As compared to those reporting high trust in medical services (n = 492), those with low trust (n = 97) stated that their trust would increase, 36% (confidence interval (CI) = 35—37%) vs. 49% (95% CI = 39—59%). Thirty-three per cent (95% CI = 28—38%) of the younger respondents (<50 years), and 43% (95% CI = 37—49%) of the older respondents believed that their trust would increase. Conclusions: We found no evidence for the assumption that trust in the medical services would be unambiguously jeopardized if physician-assisted suicide were to be legalized. Only among the minority who opposed physician-assisted suicide did a majority of respondents report that their trust would decrease.
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| 35. |
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| 36. |
- Lynoe, N, et al.
(författare)
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Doctors' attitudes towards empirical data--a comparative study
- 1997
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Ingår i: Scandinavian journal of social medicine. - : SAGE Publications. - 0300-8037. ; 25:3, s. 210-216
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Tidskriftsartikel (refereegranskat)abstract
- In the assessment of the effects of medical technologies, the focus is most often on the quality of the empirical data. In order to shed light on the question whether medical researchers are really so empirically oriented we conducted the following study. 600 questionnaires were sent by mail to three groups, selected at random: 1) preclinical researchers; 2) clinical researchers who received research grants from The Swedish Medical Research Council; and 3) general practitioners. The questionnaire was built around three cases concerning the assessment of the effects of: a) H-2-receptor antagonists, b) coronary by-pass surgery and c) the homeopathic treatment of hay fever. The results indicate that there are rather small differences in how the three groups assessed the three technologies and larger differences within one and the same group concerning different cases. The tendency is that the more one considers that empirical data should be assessed independent of theoretical considerations, the higher are the demands which are placed on the quality and quantity of the empirical documentation, and vice-versa.
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| 42. |
- Lynoe, N
(författare)
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Medical ethics--an endeavour for social medicine?
- 1997
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Ingår i: Scandinavian journal of social medicine. - : SAGE Publications. - 0300-8037. ; 25:4, s. 225-228
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Tidskriftsartikel (refereegranskat)abstract
- In this paper twelve themes are pointed out as background for the increased interest for medical ethics: New medical knowledge, the democratisation of doctor-patient relationship, changes in the disease panorama, autonomy and its limits, research ethics, collegiate concern, prioritisation, ethics of clinical training, immigration and cultural conflicts, changes in the view of the rationality of ethical reasoning, changes in the view of nature in relation to culture and medical students' requests for teaching in medical ethics. It is discussed whether teaching in medical ethics is a matter for social medicine or whether one should pass it on to hospital priests or philosophers?
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| 43. |
- Lynoe, N, et al.
(författare)
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Obtaining informed consent in Bangladesh
- 2001
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Ingår i: The New England journal of medicine. - 0028-4793. ; 344:6, s. 460-461
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 44. |
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| 45. |
- LYNOE, N, et al.
(författare)
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Primary drop-out. An estimation of size
- 1995
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Ingår i: Scandinavian journal of social medicine. - : SAGE Publications. - 0300-8037. ; 23:2, s. 141-142
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 46. |
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| 47. |
- Lynoe, N, et al.
(författare)
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Questions about isolated traumatic shaking and confessions
- 2017
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Ingår i: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. - : Springer Science and Business Media LLC. - 1433-0350. ; 33:5, s. 731-732
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 48. |
- Lynoe, N, et al.
(författare)
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Research ethics committees: a comparative study of assessment of ethical dilemmas
- 1999
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 27:2, s. 152-159
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Tidskriftsartikel (refereegranskat)abstract
- Research ethics committees (REC) constitute an important instrument for the regulation of biomedical research involving human beings. The purposes of this work were to study the ethical reasoning in RECs and to ascertain whether the composition of RECs has any bearing on the decisions subsequently made by them. We used a postal questionnaire, containing authentic cases of research ethical dilemmas, sent to the ten RECs in Sweden (n=124) and to comparison groups consisting of 200 randomly selected medical researchers, 200 randomly selected healthcare politicians and 200 randomly selected district nurses. The average response rate was 68%. A difference was found in how REC members assess a project in comparison with researchers, healthcare politicians and district nurses. Differences depended on the type of project assessed. The study indicates that membership in RECs may exert a normative influence on its members. It is proposed that this investigation should be followed up by a study with a qualitative design.
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| 49. |
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| 50. |
- Lynoe, N, et al.
(författare)
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Response to Brierley
- 2013
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Ingår i: Journal of medical ethics. - : BMJ. - 1473-4257 .- 0306-6800. ; 39:12, s. 779-779
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Tidskriftsartikel (refereegranskat)
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