| 1. |
- Faresjö, Tomas, et al.
(författare)
-
Educational level is a crucial factor for good perceived health in the local community
- 2010
-
Ingår i: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. - : Sage. - 1403-4948 .- 1651-1905. ; 38:6, s. 605-610
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: Educational level is a strong determinant of perceived health, and also an important component in the socioeconomic concept. The aim of this study was to analyze a number of social conditions and lifestyle factors that might explain differences in self-reported health between the populations in two different social environments, one white-collar city and one blue-collar city. These "twin cities" are served by the same healthcare organisation, but differ in terms of social history and current social structure. Methods: The material consisted of responses to a community-based survey of individuals aged between 20 and 64 years, with an overall response rate of 49%. Differences in self-reported health status were tested with chi-square tests and regression analysis. Results: We found significant differences in perceived health between the two populations. These differences in self-reported health could not be explained by differences in demographic factors, lifestyles, or living conditions. However, when the educational level of the respondents was taken into account, the differences in perceived health diminished. Conclusions: Public health in local communities tends to reflect the social history and social heritage of the population. In this study, we found that educational level appears to be a vital factor for good perceived health of the individual in a community.
|
|
| 2. |
|
|
| 3. |
- Nilsen, Per, et al.
(författare)
-
Alcohol prevention in Swedish antenatal care : effectiveness and perceptions of the Risk Drinking project counseling model
- 2012
-
Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Informa Healthcare / Wiley-Blackwell. - 0001-6349 .- 1600-0412. ; 91:6, s. 736-743
-
Tidskriftsartikel (refereegranskat)abstract
- Objective. To compare an earlier Swedish antenatal care counseling routine concerning alcohol consumption with an expanded model in terms of effectiveness in achieving abstinence in pregnancy. A further objective was to assess the womens perceptions of the alcohol counseling. Design. Cohort study. Setting. Antenatal care center in a provincial Swedish university town. Population. Women who received alcohol counseling; 1533 in cohort 1 (routine counseling) and 1476 in cohort 2 (expanded model). Approximately 93% of all pregnant women in Linkoping are registered at this center. Methods. Data were collected by means of an anonymous questionnaire. Thirteen questions in the questionnaire were analysed for this study. Main outcome measures. Replies from three questions concerning pre-pregnancy drinking and three questions on drinking during pregnancy. Results. The response rate was 60% for cohort 1 and 64% for cohort 2. Perceptions of the advice from the antenatal care center were generally favorable. Similar proportions of women, approximately 6%, in both cohorts drank at least once during the pregnancy (after pregnancy recognition). There were four predictors for drinking during pregnancy: older age; having previously given birth to a child; frequency of pre-pregnancy drinking; and perceiving the message from antenatal care as small amounts of alcohol during pregnancy dont matter.Conclusions. An expanded counseling model implemented in Swedish antenatal care did not reduce the proportion of women who continued drinking during pregnancy in comparison with a previous counseling model, although the advice provided in the new model was perceived more favorably.
|
|
| 4. |
- Nygren, Mikaela, et al.
(författare)
-
Factors influencing patient safety in Sweden : perceptions of patient safety officers in the county councils
- 2013
-
Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 13:52
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundNational, regional and local activities to improve patient safety in Sweden have increased over the last decade. There are high ambitions for improved patient safety in Sweden. This study surveyed health care professionals who held key positions in their county council’s patient safety work to investigate their perceptions of the conditions for this work, factors they believe have been most important in reaching the current level of patient safety and factors they believe would be most important for achieving improved patient safety in the future.MethodsThe study population consisted of 218 health care professionals holding strategic positions in patient safety work in Swedish county councils. Using a questionnaire, the following topics were analysed in this study: profession/occupation; number of years involved in a designated task on patient safety issues; knowledge/overview of the county council’s patient safety work; ability to influence this work; conditions for this work; and the importance of various factors for current and future levels of patient safety.ResultsThe response rate to the questionnaire was 79%. The conditions that had the highest number of responses in complete agreement were “patients’ involvement is important for patient safety” and “patient safety work has good support from the county council’s management”. Factors that were considered most important for achieving the current level of patient safety were root cause and risk analyses, incident reporting and the Swedish Patient Safety Law. An organizational culture that encourages reporting and avoids blame was considered most important for improved patient safety in the future, closely followed by improved communication between health care practitioners and patients.ConclusionHealth care professionals with important positions in the Swedish county councils’ patient safety work believe that conditions for this work are somewhat constrained. They attribute the current levels of patient safety to a broad range of factors and believe that many different solutions can contribute to enhanced patient safety in the future, suggesting that this work must be multifactorial.
|
|
| 5. |
- Rahmqvist, Mikael
(författare)
-
Infektioner i slutenvård : Omfattning och kostnader i Östergötland – en pilotstudie
- 2013
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Vårdrelaterade infektioner (VRI) är ett allt mer uppmärksammat problem inom sjukvården. Ungefär 10 procent av alla inneliggande patienter i Sverige antas bli drabbade av en VRI men variationen är stor mellan de medicinska specialiteterna. Denna studie är explorativ och syftar i första hand till att presentera en modell för att beräkna merkostnader för sjukvården som är relaterade till VRI. Materialet består dels av den Punktprevalensmätning (PPM) som genomfördes i Östergötland 2011 och dels de uppgifter från Landstingets Vårddatalager som var aktuellt för de patienter som var inneliggande de dagar då PPM genomfördes.Det förelåg en stark korrelation mellan de registrerade riskfaktorerna och uppkomsten av en VRI. De två mest förekommande riskfaktorerna var ”Kirurgiskt ingrepp” och ”KAD” (kvarliggande urinkateter). Antalet vårddagar var dubbelt så många för de som drabbats av en VRI på ett antal inkluderade enheter jämfört de som inte drabbats (25 dagar vs 13 dagar). Kostnaderna per patient var i det fallet mer än dubbelt så höga för de drabbade patienterna jämfört med de som inte drabbades (331 000 kronor jämfört med 145 000 kronor). Inga skillnader i ålder kunde noteras mellan grupperna.De patienter som drabbades av en VRI på de i studien inkluderade enheterna på Universitetssjukhuset utgjorde en fjärdedel av antalet patienter (24 %) men de stod för 40 procent av de totala vårdkostnaderna. Motsvarande andelar för hela länet var att 16 procent av antalet patienter hade en specificerad infektion och dessa patienter stod för 30 procent av de totala kostnaderna. Ifall antalet patienter som drabbas av en VRI kunde reduceras med en tredjedel eller upp till hälften så skulle det på sikt vara teoretiskt möjligt att överlag reducera de totala vårdkostnaderna för sluten sjukhusvård med mellan 4 – 12 procent.Pilotstudien gav begränsade möjligheter att analysera materialet i detalj och därför har en studie med flera års data från PPM ihop med registeruppgifter från Vårddatalagret startats.
|
|
| 6. |
|
|
| 7. |
|
|
| 8. |
- Rahmqvist, Mikael, et al.
(författare)
-
Patient characteristics and quality dimensions related to patient satisfaction
- 2010
-
Ingår i: INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE. - : Oxford University Press (OUP). - 1353-4505 .- 1464-3677. ; 22:2, s. 86-92
-
Tidskriftsartikel (refereegranskat)abstract
- To examine the relation of respondents characteristics, and perceived quality dimensions of health care to overall patient satisfaction in out-patient hospital care. A questionnaire concerning the perceived quality of health care sent to patients in out-patient medical care. All medical centres in Ostergotland County, Sweden, during a period in 2007. Seven thousand two hundred and forty-five patients aged 20 or older responded to the survey and provided their own ratings of the care. Global patient satisfaction as the overall rating of the encounter at the medical centre. The relation between respondent characteristics, quality dimensions and global satisfaction was examined using linear regression. Younger patients in emergency care were the least satisfied group (54%) and older patients with excellent health status were the most satisfied group (90%). Patients with perceived better health status and those with less education were more satisfied than those with more education or poorer health status. The two dimensions most strongly positively associated with global satisfaction were receiving the expected medical help and being treated well by the doctor. To wait at the reception without getting information correlated negatively to patient satisfaction, and participation in the medical decision-making correlated positively. By using a complete patient population, including all types of medical specialities, we have identified a set of common respondent characteristics and quality dimensions that are related to global satisfaction in out-patient hospital care.
|
|
| 9. |
- Rahmqvist, Mikael, et al.
(författare)
-
Triage and patient satisfaction among callers in Swedish computer-supported telephone advice nursing
- 2011
-
Ingår i: Journal of Telemedicine and Telecare. - : Royal Society of Medicine Press. - 1357-633X .- 1758-1109. ; 17:7, s. 397-402
-
Tidskriftsartikel (refereegranskat)abstract
- We investigated satisfaction with a Swedish telenursing service and the health-care-seeking behaviour among callers who received a less urgent level of health care than they expected. A postal questionnaire was sent to a random selection of callers (n = 273) to Swedish Healthcare Direct in October 2008. The cases were 18 callers where the telenurse recommended a lower level of health care than the caller expected and who were not in complete agreement with the nurse. The controls were 22 callers who either received a lower recommendation, or were in disagreement with the recommendation. There were no differences between cases, controls and other callers regarding background factors or the telenurse classification of emergency. However, both cases and controls considered their need for health care as more urgent than the other callers. An independent test of the nurses reception, ability to listen and to take notice of the callers health problem, showed that nurses who had served cases, had received a significantly lower rating than other nurses. For nurses who had served controls, there was no such difference in rating. Cases and controls had fewer subsequent care visits than other callers, in the three days following the call, although the proportion of emergency visits was higher among cases and controls compared to other callers. If the caller and the nurse disagree about the nurses recommendations, the consequence can be a dissatisfied caller and more visits to unnecessary high levels of health care. Further training of the nurses may improve the telenurse service.
|
|
| 10. |
- Roback, Kerstin, et al.
(författare)
-
Strategier för säker och ännu säkrare vård : Enkätstudie om landstingens patientsäkerhetsarbete
- 2012
-
Ingår i: Läkartidningen. - : Läkartidningen Förlag. - 0023-7205 .- 1652-7518. ; 109:45, s. 2024-2027
-
Tidskriftsartikel (refereegranskat)abstract
- I en enkät till 216 personer med särskilt ansvar för patientsäkerhet har frågor ställts om vad som har haft betydelse och vad som kommer att ha betydelse för att uppnå en god patientsäkerhet i framtiden.Händelse- och riskanalyser ansågs ha varit mycket viktigt för att uppnå dagens patientsäkerhetsnivå, liksom rapportering av avvikelser och risker.Faktorer som ansågs mycket viktiga för att öka patientsäkerheten var främst organisationskultur, kommunikation och utbildning.Även förbättrad infektionskontroll och standardisering av rutiner samt bättre instruktioner och utbildning avseende medicinsk teknik var viktiga områden.
|
|
