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Diagnostic methods and written advice for acute otitis media in primary health care

Frey Esgård, Veronica (författare)
Medpro Clinic Noltorp, Alingsås, Sweden; Research, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden,Medpro Clin Noltorp, Sweden; Reg Vastra Gotaland, Sweden
Lindman, Ida (författare)
Research, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden; School of Public Health and Community Medicine, General Practice/Family Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden
Braend, Anja Maria (författare)
Department of General Practice, The Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway; Department of General Practice, General Practice Research Unit (AFE), Institute of Health and Society, University of Oslo, Oslo, Norway
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Fossum, Guro Haugen (författare)
Department of General Practice, The Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway; Department of General Practice, General Practice Research Unit (AFE), Institute of Health and Society, University of Oslo, Oslo, Norway
Lundberg, Thorbjörn (författare)
Umeå universitet,Allmänmedicin,Umea Univ, Sweden
Moberg, Anna (författare)
Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Kärna,Sweden Hlth Ctr Verkstaden, Sweden,Kärna Primary Healthcare Center, Region Östergötland, Linköping, Sweden; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Sweden Health Centre Verkstaden, Arvika, Sweden
Nordeman, Lena (författare)
Research, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden; Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden
Papachristodoulou, Chrysoula (författare)
Health Centre Verkstaden, Arvika, Sweden,Hlth Ctr Verkstaden, Sweden
Sundvall, Pär-Daniel (författare)
Research, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden; School of Public Health and Community Medicine, General Practice/Family Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Antibiotic Resistance Research (CARe) at University of Gothenburg, Gothenburg, Sweden,Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden; Univ Gothenburg, Sweden
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 (creator_code:org_t)
2024
2024
Engelska.
Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724.
Relaterad länk:
https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Otomicroscopy and pneumatic methods are superior to otoscopy alone in diagnosing acute otitis media (AOM). There is a lack of knowledge regarding the use of different diagnostic methods for AOM in primary health care in Sweden and Norway.Methods: This cross-sectional study included a questionnaire completed by general practitioners (GPs) and specialist trainees (STs/residents/registrars) working in primary care in Sweden and Norway. Multivariable binary logistic regressions were performed to evaluate the use of diagnostic methods and written advice adjusted for educational level, sex and country.Results: Otoscopy was the most frequently used method. Sweden had greater access to the more accurate diagnostic methods. In Norway, the following methods were used to a lesser extent: pneumatic otoscopy, adjusted OR 0.15 (95% CI 0.10–0.23; p < .001), otomicroscopy, adjusted OR 0.013 (95% CI 0.070–0.027; p < .001), pneumatic otomicroscopy, adjusted OR 0.028 (95% CI 0.010–0.078; p < .001) and tympanometry, adjusted OR 0.31 (95% CI 0.21–0.45; p < .001). Written advice was used to a greater extent in Norway, adjusted OR 4.5 (95% CI 3.1–6.7; p < .001). The STs used pneumatic otoscopy and pneumatic otomicroscopy to a lesser extent, adjusted OR 0.65 (95% CI 0.45–0.93; p = .019) and 0.63 (95% CI 0.43–0.92; p = .016).Conclusions: Swedish physicians both used and had greater access to the significantly better diagnostic methods compared with Norwegian physicians while the opposite applied to the use of written information. The GPs used pneumatic otoscopy and pneumatic otomicroscopy to a greater extent than STs. Compared with 2012, the Swedish physicians now more frequently used pneumatic otoscopy.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- General Practice (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Acute otitis media
AOM
diagnostic methods
general practice
primary care

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