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Elderly people with...
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Ekerstad, NiklasLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet
(författare)
Elderly people with multi-morbidity and acute coronary syndrome: Doctors' views on decision-making
- Artikel/kapitelEngelska2010
Förlag, utgivningsår, omfång ...
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2009-11-30
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SAGE Publications,2010
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-56309
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56309URI
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https://doi.org/10.1177/1403494809354359DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:120381730URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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The final, definitive version of this paper has been published in: Scandinavian Journal of Public Health, (38), 3, 325-331, 2010. Niklas Ekerstad, Rurik Löfmark and Per Carlsson, Elderly people with multi-morbidity and acute coronary syndrome: Doctors' views on decision-making http://dx.doi.org/10.1177/1403494809354359 by SAGE Publications Ltd, All rights reserved. http://www.uk.sagepub.com/
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Background: In most Western countries the growing gap between available resources and greater potential for medical treatment has brought evidence-based guidelines into focus. However, problems exist in areas where the evidence base is weak, e.g. elderly patients with heart disease and multiple co-morbidities. Objective: Our aim is to evaluate the views of Swedish cardiologists on decision-making for elderly people with multiple co-morbidities and acute coronary syndrome without ST-elevation (NSTE ACS), and to generate some hypotheses for testing. Methods: A confidential questionnaire study was conducted to assess the views of cardiologists/internists (n = 370). The response rate was 69%. Responses were analyzed with frequencies and descriptive statistics. When appropriate, differences in proportions were assessed by a chi-square test. A content analysis was used to process the answers to the open-ended questions. Results: 81% of the respondents reported extensive use of national quidelines for care of heart disease in their clinical decision-making. However, when making decisions for multiple-diseased elderly patients, the individual physician's own clinical experience and the patient's views of treatment choice were used to an evidently greater extent than national guidelines. Approximately 50% estimated that they treated multiple-diseased elderly patients with NSTE ACS every day. Preferred measures for improving decision-making were: (a) carrying out treatment studies including elderly patients with multiple co-morbidities, and (b) preparing specific national guidelines for multiple-diseased elderly patients. Conclusions: In the future, national guidelines for heart disease should be adapted in order to be applicable for elderly patients with multiple co-morbidities.
Ämnesord och genrebeteckningar
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Acute coronary syndrome
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co-morbidity
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decision-making
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elderly
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guidelines
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MEDICINE
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MEDICIN
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Löfmark, RurikKarolinska Institutet
(författare)
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Carlsson, PerLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet(Swepub:liu)perca23
(författare)
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Linköpings universitetUtvärdering och hälsoekonomi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian Journal of Public Health: SAGE Publications38:3, s. 325-3311403-49481651-1905
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