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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004267naa a2200409 4500
001oai:DiVA.org:liu-203742
003SwePub
008240527s2024 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-2037422 URI
0247 a https://doi.org/10.1080/02813432.2024.23524442 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Esgard, Veronica Freyu Medpro Clin Noltorp, Sweden; Reg Vastra Gotaland, Sweden4 aut
2451 0a Diagnostic methods and written advice for acute otitis media in primary health care
264 c 2024
264 1b TAYLOR & FRANCIS LTD,c 2024
338 a print2 rdacarrier
500 a Funding Agencies|Swedish State under the Agreement between the Swedish Government and the County Councils, the ALF-agreement; County councils; ALF [ALFGBG-966367]
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a Acute otitis media; AOM; general practice; primary care; diagnostic methods
7001 a Lindman, Idau Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden4 aut
7001 a Braend, Anja Mariau Univ Oslo, Norway; Univ Oslo, Norway4 aut
7001 a Fossum, Guro Haugenu Univ Oslo, Norway; Univ Oslo, Norway4 aut
7001 a Lundberg, Thorbjoernu Umea Univ, Sweden4 aut
7001 a Moberg, Annau Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Kärna,Sweden Hlth Ctr Verkstaden, Sweden4 aut0 (Swepub:liu)annmo03
7001 a Nordeman, Lenau Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden4 aut
7001 a Papachristodoulou, Chrysoulau Hlth Ctr Verkstaden, Sweden4 aut
7001 a Sundvall, Paer-Danielu Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden; Univ Gothenburg, Sweden4 aut
7102 a Medpro Clin Noltorp, Sweden; Reg Vastra Gotaland, Swedenb Reg Vastra Gotaland, Sweden; Univ Gothenburg, Sweden4 org
7730 t Scandinavian Journal of Primary Health Cared : TAYLOR & FRANCIS LTDx 0281-3432x 1502-7724
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-203742
8564 8u https://doi.org/10.1080/02813432.2024.2352444

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