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Use of point-of-care tests in pharyngotonsillitis - a registry-based study in primary health care. 咽扁桃体炎护理点检测的使用--一项基于登记的初级卫生保健研究。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.1080/02813432.2024.2416671
Jon Pallon, Katarina Hedin

Background: Point-of-care (POC) tests, including C-reactive protein (CRP) tests and rapid antigen detection tests (RADT) for group A streptococci (GAS), are widely used in Swedish primary health care (PHC). This study quantifies their use in pharyngotonsillitis and explore their association with antibiotic prescribing.

Material and methods: Retrospective data from 2012-2016 in Region Kronoberg, Sweden, included all PHC visits with a pharyngotonsillitis diagnosis. Patient characteristics, test usage and antibiotic prescriptions were linked by visit date and personal identification number. Descriptive statistics were used for POC test analysis. Logistic regression assessed the association between CRP levels and antibiotic prescribing.

Results: Of 24,237 visits, 68% included RADT and 36% included a CRP test, with 89% of CRP tests performed alongside RADT. CRP testing was more frequent in patients with negative (56%) than positive RADTs (42%) (p < .001). Overall, 66% of RADTs were positive. Median CRP levels were 23 mg/l for positive RADT and 31 mg/l for negative RADT (p < .001). Antibiotics were prescribed for 95% of positive RADTs and 43% of negative RADTs (p < .001). In patients with negative RADTs, CRP testing was associated with higher antibiotic prescribing (57%) compared to no CRP testing (26%) (p < .001). Among these patients, CRP levels were associated with prescribing (aOR 1.032; 95% CI 1.029-1.035; p < .001), with 50% of prescriptions occuring at CRP levels ≤ 20 mg/l.

Conclusion: The use of RADTs and the proportion of positive test were higher than expected, indicating inappropriate use and diagnostic bias. CRP testing, contrary to guidelines, was common and associated with increased antibiotic prescribing.

背景:瑞典初级卫生保健机构(PHC)广泛使用床旁检测(POC),包括 C 反应蛋白(CRP)检测和 A 组链球菌(GAS)快速抗原检测(RADT)。本研究量化了它们在咽扁桃体炎中的使用情况,并探讨了它们与抗生素处方的关联:瑞典克鲁努贝里大区 2012-2016 年的回顾性数据包括所有诊断为咽扁桃体炎的初级卫生保健就诊者。通过就诊日期和个人识别码将患者特征、检验使用情况和抗生素处方联系起来。描述性统计用于 POC 检验分析。逻辑回归评估了 CRP 水平与抗生素处方之间的关联:在 24,237 次就诊中,68% 的患者接受了 RADT 检测,36% 的患者接受了 CRP 检测,其中 89% 的 CRP 检测与 RADT 同时进行。RADT阴性患者(56%)比RADT阳性患者(42%)更经常进行CRP检测(P P P P P 结论:RADT和CRP检测的使用情况与医生的处方有关:RADT 的使用率和检测结果呈阳性的比例均高于预期,这表明存在使用不当和诊断偏差。与指南相反,CRP 检测很常见,并与抗生素处方的增加有关。
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引用次数: 0
Functioning of post-COVID-19 patients: a cross-sectional study at the outpatient clinic for long-term effects. COVID-19后患者的功能:门诊长期影响的横断面研究。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-10-03 DOI: 10.1080/02813432.2024.2410986
Sanna Stålnacke, Helena Liira, Velina Vangelova-Korpinen, Hélène Virrantaus, Mari Kanerva, Kirsi Kvarnström, Markku Sainio, Antti Malmivaara, Aki Vuokko, Mikko Varonen, Mikko Venäläinen, Jari Arokoski

Background: After COVID-19 infection, long-term impacts on functioning may occur. We studied the functioning of patients with post-COVID-19 condition (PCC) and compared them to controls without PCC.

Methods: This cross-sectional study consisted of 442 patients with PCC referred to rehabilitation at the Helsinki University Hospital (HUS) Outpatient Clinic for the Long-Term Effects of COVID-19, and 198 controls without PCC. Functioning was assessed with a questionnaire including WHODAS 2.0. Patients underwent physical testing including a hand grip strength test (HGST) and a 6-minute walking test (6MWT). Lifestyle was assessed by questionnaire and comorbidities were collected as ICD-10 codes from the HUS Data Lake on the HUS Acamedic platform.

Results: The WHODAS 2.0 average total score was 34 (SD 18) (moderate functional limitation) for patients with PCC and 6 (SD 8) (normal or mild limitation) for the controls. The disability was higher in all aspects of WHODAS 2.0 in patients with PCC. Bivariate binomial and multivariable regression analyses showed that the presence of comorbidities, anxiety, depression, and smoking predicted a WHODAS 2.0 score of 24 (moderate functional limitation) or above in the PCC group. The average 6MWT distance was 435 m (SD 98 m) in patients with PCC and 627 m (SD 70 m) in controls. HGST measurements showed no significant differences from controls.

Conclusions: In conclusion, patients with PCC had significantly reduced functioning based on WHODAS 2.0 scores and the 6MWT results. Comorbidities, anxiety, depression, and smoking were associated with moderate or severe limitations in functioning. Findings support that PCC is multifactorial and requires a holistic approach to rehabilitation.

背景:感染 COVID-19 后,功能可能会受到长期影响。我们研究了 COVID-19 后遗症(PCC)患者的功能,并将其与无 PCC 的对照组进行了比较:这项横断面研究包括442名转诊到赫尔辛基大学医院(HUS)COVID-19长期影响门诊进行康复治疗的PCC患者和198名未患PCC的对照组患者。功能评估采用包括 WHODAS 2.0 在内的调查问卷。患者接受了包括手握力测试(HGST)和 6 分钟步行测试(6MWT)在内的体能测试。生活方式通过问卷调查进行评估,合并症通过HUS Acamedic平台上的HUS数据湖收集ICD-10代码:结果:PCC患者的WHODAS 2.0平均总分为34分(标准差为18分)(中度功能受限),对照组为6分(标准差为8分)(正常或轻度功能受限)。PCC 患者在 WHODAS 2.0 各方面的残疾程度都较高。二元二项式和多变量回归分析表明,合并症、焦虑、抑郁和吸烟可预测PCC组患者的WHODAS 2.0得分达到或超过24分(中度功能受限)。PCC 患者的 6MWT 平均距离为 435 米(标清 98 米),对照组为 627 米(标清 70 米)。HGST测量结果与对照组无明显差异:总之,根据 WHODAS 2.0 评分和 6MWT 结果,PCC 患者的功能明显减退。合并症、焦虑、抑郁和吸烟与中度或重度功能限制有关。研究结果表明,PCC 是一种多因素疾病,需要采用整体康复方法。
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引用次数: 0
The last among the first: Christian Fredrik Borchgrevink (1924-2024) in Memoriam.
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1080/02813432.2024.2442845
Jørund Straand, Per Olav Hjortdahl, Dag Bruusgaard
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引用次数: 0
Between principles and pragmatism - primary healthcare and social services professionals' experiences and perceptions of self-care for older adults with home care: a qualitative study. 在原则与实用主义之间--初级医疗保健和社会服务专业人员对居家护理老年人自我护理的经验和看法:一项定性研究。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-08-09 DOI: 10.1080/02813432.2024.2389116
Ing-Mari Dohrn, Åsa von Berens, Christina B Olsson, Elisabeth Rydwik, Elin Jakobsson, Lina Palmlöf

Objective: To explore the experiences of healthcare and social services professionals and their perceptions of using Certificate for self-care with support (CSS) for preventive self-care for older adults with home care, including the CSS process and collaborations between primary healthcare and social services.

Design: An inductive qualitative study including seven focus group interviews analyzed with reflexive thematic analysis.

Setting and subjects: The study was conducted in the Stockholm Region 2022/23. In total, 23 informants were recruited from four key partners involved in the CSS process: professionals from primary care rehabilitation and primary healthcare, social services officers, and home care staff.

Result: The analyses resulted in five interconnected themes: 'Guidelines with scope for interpretation,' 'Support for self-care is needed, but complicated in practice,' 'To trust the other professions' competence,' 'There is a transfer of responsibility,' and 'Communication is key.' The overarching theme 'Principles or pragmatism for safe person-centered care,' anchoring the other themes, revealed a common goal of achieving safe and individualized care within available resources, but from two conflicting perspectives: the importance of following the process according to the guidelines or taking a more pragmatic approach.

Conclusion: This study highlights the need to establish structures facilitating safe self-care among frail groups, such as older persons dependent on home care. Our findings emphasize that the demarcation between, and responsibilities of, organizations need to be discussed and clarified to offer person-centered support. Comprehensible guidelines and functioning communication channels must be established so that all important perspectives can be heard, not least the patient's.

目的探讨医疗保健和社会服务专业人员的经验,以及他们对使用 "有支持的自我保健证书"(CSS)为需要居家护理的老年人提供预防性自我保健的看法,包括CSS过程以及初级医疗保健和社会服务之间的合作:设计:归纳式定性研究,包括 7 个焦点小组访谈,采用反思性主题分析法进行分析:研究在斯德哥尔摩地区(2022/23)进行。共招募了 23 名信息提供者,他们来自参与 CSS 过程的四个主要合作伙伴:初级康复护理和初级医疗保健的专业人员、社会服务人员以及家庭护理人员:分析得出了五个相互关联的主题:"有解释空间的指导方针"、"需要支持自我护理,但在实践中很复杂"、"要相信其他专业的能力"、"责任转移 "和 "沟通是关键"。以人为本的安全护理的原则或实用主义 "这一总主题是其他主题的基础,它揭示了在现有资源范围内实现安全和个性化护理的共同目标,但从两个相互冲突的角度来看:根据指南遵循流程的重要性或采取更实用的方法:本研究强调,有必要为体弱群体(如依赖家庭护理的老年人)建立促进安全自我护理的结构。我们的研究结果强调,需要讨论并明确各组织之间的界限和责任,以提供以人为本的支持。必须建立可理解的指导方针和有效的沟通渠道,以便听取所有重要的观点,尤其是病人的观点。
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引用次数: 0
Minimizing unnecessary proBNP blood tests: an evaluation of a pop-up form implementation in general practice. 尽量减少不必要的 proBNP 血液检测:对全科医生实施弹出式表格的评估。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-10-03 DOI: 10.1080/02813432.2024.2410984
Morvarid Sophia Esmaeilzadeh, Anna Elise Engell, Henrik Løvendahl Jørgensen, Bent Struer Lind

Objective: To evaluate the impact of a compulsory pop-up form on the ordering pattern of proBNP blood tests by general practitioners in the Capital Region of Denmark.

Design: A follow-up study comparing the average number of proBNP tests ordered before and after the implementation of an intervention.

Setting and subjects: From 2016 to 2021, the average number of proBNP tests increased by over 300%. In March 2022, a compulsory pop-up form was introduced in the electronic request system (WebReq), requiring general practitioners to select one of three indications for ordering proBNP, as recommended by the Danish Society of Cardiology. The study included 528 general practitioners in the Capital Region of Denmark, with data available from January 2020 to 2023, encompassing 83,576 proBNP results from 56,645 patients.

Main outcome measure: The average number of proBNP tests ordered per month and the median level of proBNP before and after the intervention.

Results: Following the intervention, the average number of proBNP tests per month decreased by 60% over a 22-month follow-up period. The highest reduction was seen among general practitioners who previously ordered the most tests (≥3 per 1000 biochemical tests). In this group, the median proBNP level increased from 12.1 pmol/L before the intervention to 13.5 pmol/L after the intervention (p < 0.0001).

Conclusions: This study demonstrates a significant decrease in the number of proBNP requests from general practitioners in the Capital Region of Denmark after the introduction of a pop-up form in the requisition system containing the current guidelines.

目的评估强制性弹出式表格对丹麦首都地区全科医生订购proBNP血液化验单模式的影响:一项跟踪研究,比较干预措施实施前后proBNP检测的平均订购数量:从 2016 年到 2021 年,proBNP 检测的平均次数增加了 300% 以上。2022 年 3 月,在电子申请系统(WebReq)中引入了强制性弹出式表格,要求全科医生根据丹麦心脏病学会的建议,从订购 proBNP 的三个适应症中选择一个。研究对象包括丹麦首都地区的 528 名全科医生,数据提供期为 2020 年 1 月至 2023 年,涵盖了来自 56,645 名患者的 83,576 项 proBNP 检测结果:结果:干预后,在 22 个月的随访期内,平均每月的 proBNP 检测次数减少了 60%。减少最多的是以前要求进行最多检测的全科医生(每 1000 次生化检测中≥3 次)。在这一群体中,proBNP 水平的中位数从干预前的 12.1 pmol/L 增加到干预后的 13.5 pmol/L(p 结论:干预后,proBNP 水平的中位数从干预前的 12.1 pmol/L 增加到干预后的 13.5 pmol/L:本研究表明,在申购系统中引入包含现行指南的弹出式表格后,丹麦首都地区全科医生提出的 proBNP 申请数量明显减少。
{"title":"Minimizing unnecessary proBNP blood tests: an evaluation of a pop-up form implementation in general practice.","authors":"Morvarid Sophia Esmaeilzadeh, Anna Elise Engell, Henrik Løvendahl Jørgensen, Bent Struer Lind","doi":"10.1080/02813432.2024.2410984","DOIUrl":"10.1080/02813432.2024.2410984","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of a compulsory pop-up form on the ordering pattern of proBNP blood tests by general practitioners in the Capital Region of Denmark.</p><p><strong>Design: </strong>A follow-up study comparing the average number of proBNP tests ordered before and after the implementation of an intervention.</p><p><strong>Setting and subjects: </strong>From 2016 to 2021, the average number of proBNP tests increased by over 300%. In March 2022, a compulsory pop-up form was introduced in the electronic request system (WebReq), requiring general practitioners to select one of three indications for ordering proBNP, as recommended by the Danish Society of Cardiology. The study included 528 general practitioners in the Capital Region of Denmark, with data available from January 2020 to 2023, encompassing 83,576 proBNP results from 56,645 patients.</p><p><strong>Main outcome measure: </strong>The average number of proBNP tests ordered per month and the median level of proBNP before and after the intervention.</p><p><strong>Results: </strong>Following the intervention, the average number of proBNP tests per month decreased by 60% over a 22-month follow-up period. The highest reduction was seen among general practitioners who previously ordered the most tests (≥3 per 1000 biochemical tests). In this group, the median proBNP level increased from 12.1 pmol/L before the intervention to 13.5 pmol/L after the intervention (<i>p</i> < 0.0001).</p><p><strong>Conclusions: </strong>This study demonstrates a significant decrease in the number of proBNP requests from general practitioners in the Capital Region of Denmark after the introduction of a pop-up form in the requisition system containing the current guidelines.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"148-154"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring general practice staff perspectives on a teaching concept based on instruction videos for diabetic retinopathy screening - an interview study. 探索全科医生对基于糖尿病视网膜病变筛查教学视频的教学理念的看法--访谈研究。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-09-03 DOI: 10.1080/02813432.2024.2396873
Malene Krogh, Martin Bach Jensen, Morten Sig Ager Jensen, Malene Hentze Hansen, Marie Germund Nielsen, Henrik Vorum, Jette Kolding Kristensen

Objective: The aim of this study is to explore general practice staff perspectives regarding a teaching concept based on instructional videos for conducting DR screenings. Furthermore, this study aims to investigate the competencies acquired by the staff through this teaching concept.

Design and setting: Qualitative cross-sectional study conducted in general practice clinics in the North Denmark Region.

Method: A teaching concept was developed based on instruction videos to teach general practice staff to conduct diabetic retinopathy screenings with automated grading through artificial intelligence. Semi-structured interviews were performed with 16 staff members to investigate their perspectives on the concept and acquired competencies.

Results: This study found no substantial resistance to the teaching concept from staff; however, participants' satisfaction with the methods employed in the instruction session, the progression of learning curves, screening competencies, and their acceptance of a known knowledge gap during screenings varied slightly among the participants.

Conclusion: This study showed that the teaching concept can be used to teach general practice staff to conduct diabetic retinopathy screenings. Staffs' perspectives on the teaching concept and acquired competencies varied, and this study suggest few adjustments to the concept to accommodate staff's preferences and establish more consistent competencies.

研究目的本研究旨在探讨全科医生对基于教学视频的DR筛查教学理念的看法。此外,本研究还旨在调查员工通过这一教学理念获得的能力:定性横断面研究:在北丹麦地区的全科诊所进行:方法:在北丹麦地区的全科诊所开展定性横断面研究。研究开发了一种基于教学视频的教学理念,通过人工智能自动分级,教授全科诊所员工进行糖尿病视网膜病变筛查。对 16 名工作人员进行了半结构式访谈,以调查他们对这一概念的看法和获得的能力:本研究发现,员工对教学概念没有实质性的抵触情绪;但是,参与者对教学环节中采用的方法、学习曲线的进展、筛查能力以及对筛查过程中已知知识差距的接受程度的满意度略有不同:本研究表明,教学理念可用于指导全科医生进行糖尿病视网膜病变筛查。员工对教学概念和获得的能力的看法各不相同,本研究建议对教学概念进行一些调整,以适应员工的偏好并建立更一致的能力。
{"title":"Exploring general practice staff perspectives on a teaching concept based on instruction videos for diabetic retinopathy screening - an interview study.","authors":"Malene Krogh, Martin Bach Jensen, Morten Sig Ager Jensen, Malene Hentze Hansen, Marie Germund Nielsen, Henrik Vorum, Jette Kolding Kristensen","doi":"10.1080/02813432.2024.2396873","DOIUrl":"10.1080/02813432.2024.2396873","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to explore general practice staff perspectives regarding a teaching concept based on instructional videos for conducting DR screenings. Furthermore, this study aims to investigate the competencies acquired by the staff through this teaching concept.</p><p><strong>Design and setting: </strong>Qualitative cross-sectional study conducted in general practice clinics in the North Denmark Region.</p><p><strong>Method: </strong>A teaching concept was developed based on instruction videos to teach general practice staff to conduct diabetic retinopathy screenings with automated grading through artificial intelligence. Semi-structured interviews were performed with 16 staff members to investigate their perspectives on the concept and acquired competencies.</p><p><strong>Results: </strong>This study found no substantial resistance to the teaching concept from staff; however, participants' satisfaction with the methods employed in the instruction session, the progression of learning curves, screening competencies, and their acceptance of a known knowledge gap during screenings varied slightly among the participants.</p><p><strong>Conclusion: </strong>This study showed that the teaching concept can be used to teach general practice staff to conduct diabetic retinopathy screenings. Staffs' perspectives on the teaching concept and acquired competencies varied, and this study suggest few adjustments to the concept to accommodate staff's preferences and establish more consistent competencies.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"75-84"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using online health information for unknown symptoms common among young adults: a qualitative analysis of health-related web pages illustrating the need for numeracy skills, the ability to deal with uncertainty, and the risk of ruling out self-care. 针对年轻人常见的未知症状使用在线健康信息:对健康相关网页的定性分析,说明计算技能的必要性、应对不确定性的能力以及排除自我保健的风险。
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1080/02813432.2024.2408610
Lisa Viktorsson, Eva Törnvall, Magnus Falk, Pia Yngman-Uhlin

Young adults experiencing unfamiliar symptoms commonly seek health information online. This study's aim was to explore how health information websites express and communicate health information about symptoms common among young adults and guide readers in regard to health, illness, and care. Symptoms commonly searched for by young adults were used as search terms. The resulting data comprised material from 24 web pages and was analyzed using content analysis. The foremost purpose of online health information is to try to narrow down the user's symptoms and then advise the user on what actions to take. This is done by first forming a foundation of knowledge through descriptions and explanations, then specifying the symptom's time, duration, and location, and finally giving advice on whether to self-manage symptoms or seek additional information about them. However, the uncertainty of the diagnosis may rule out self-care. For readers inexperienced with health care, forming a decisive conclusion about diffuse symptoms on the sole basis of online health information could be challenging. The necessity of numeracy skills and the ability to deal with uncertainty are highlighted. There is a discrepancy between health advice given online and readers' accessibility to health care that needs to be addressed in future policy and research.

出现陌生症状的年轻人通常会在网上寻求健康信息。本研究旨在探讨健康信息网站如何表达和传播有关青壮年常见症状的健康信息,并引导读者关注健康、疾病和护理。研究使用了年轻人经常搜索的症状作为搜索条件。结果数据包括来自 24 个网页的材料,并采用内容分析法进行了分析。在线健康信息的首要目的是尽量缩小用户的症状范围,然后建议用户采取哪些行动。具体做法是,首先通过描述和解释形成知识基础,然后明确症状出现的时间、持续时间和地点,最后建议用户是自行处理症状还是寻求更多相关信息。然而,诊断的不确定性可能会排除自我护理的可能性。对于缺乏医疗保健经验的读者来说,仅凭在线健康信息就对弥漫性症状做出果断的结论可能具有挑战性。这凸显了计算技能和处理不确定性能力的必要性。网上提供的健康建议与读者获得医疗保健服务的能力之间存在差异,需要在未来的政策和研究中加以解决。
{"title":"Using online health information for unknown symptoms common among young adults: a qualitative analysis of health-related web pages illustrating the need for numeracy skills, the ability to deal with uncertainty, and the risk of ruling out self-care.","authors":"Lisa Viktorsson, Eva Törnvall, Magnus Falk, Pia Yngman-Uhlin","doi":"10.1080/02813432.2024.2408610","DOIUrl":"10.1080/02813432.2024.2408610","url":null,"abstract":"<p><p>Young adults experiencing unfamiliar symptoms commonly seek health information online. This study's aim was to explore how health information websites express and communicate health information about symptoms common among young adults and guide readers in regard to health, illness, and care. Symptoms commonly searched for by young adults were used as search terms. The resulting data comprised material from 24 web pages and was analyzed using content analysis. The foremost purpose of online health information is to try to narrow down the user's symptoms and then advise the user on what actions to take. This is done by first forming a foundation of knowledge through descriptions and explanations, then specifying the symptom's time, duration, and location, and finally giving advice on whether to self-manage symptoms or seek additional information about them. However, the uncertainty of the diagnosis may rule out self-care. For readers inexperienced with health care, forming a decisive conclusion about diffuse symptoms on the sole basis of online health information could be challenging. The necessity of numeracy skills and the ability to deal with uncertainty are highlighted. There is a discrepancy between health advice given online and readers' accessibility to health care that needs to be addressed in future policy and research.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"131-139"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of remote units in two large out-of-hours emergency primary care districts in Norway.
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-02-28 DOI: 10.1080/02813432.2025.2470470
Erik Zakariassen, Steinar Hunskaar

Objective: An inter-municipal out-of-hours (OOH) district covers several municipalities with one centralized casualty clinic. These OOH districts are large geographical areas with long driving times to the casualty clinic. Remote OOH units were established in two OOH districts in Norway, to secure better access to the OOH service. Patients were offered video consultations with nurse-led appointments at the remote OOH units. The aim was to investigate contact rates and distribution of consultation types before and after the remote units were established. Design. An observational study with pre- and post-data collected from municipalities with and without (controls) remote OOH units.

Setting: Two OOH districts, Førde and Molde, with five and four remote OOH units, respectively.

Subjects: Inhabitants contacting the Local Emergency Communications Centers (LEMCs) in the two areas.

Results: In municipalities that established remote OOH units the contact rates to the LEMCs decreased by 15% in Førde and 16% in the Molde OOH districts in 2021, compared with 2019. Control municipalities had an increased rate of 7% and 2%, respectively. Consultation rates decreased by 16% and 12% in municipalities with remote OOH units in Førde and Molde, respectively. In 2021, 7% of contacts from municipalities with remote OOH units in Førde OOH district and 3% in Molde OOH district ended in a consultation at a remote OOH unit. In the Molde OOH district, where the traditional casualty clinic was replaced with remote OOH units, home visits and callouts decreased by 76% and 86% from 2019 to 2021.

Conclusion: Establishing remote OOH units could have decreased contact and consultation rates in both districts. Most contacts were handled with actions other than a remote OOH unit encounter with video consultation. There was a large reduction of home visits and callouts in the Molde OOH district in 2021, compared with 2019.

{"title":"Implementation of remote units in two large out-of-hours emergency primary care districts in Norway.","authors":"Erik Zakariassen, Steinar Hunskaar","doi":"10.1080/02813432.2025.2470470","DOIUrl":"https://doi.org/10.1080/02813432.2025.2470470","url":null,"abstract":"<p><strong>Objective: </strong>An inter-municipal out-of-hours (OOH) district covers several municipalities with one centralized casualty clinic. These OOH districts are large geographical areas with long driving times to the casualty clinic. Remote OOH units were established in two OOH districts in Norway, to secure better access to the OOH service. Patients were offered video consultations with nurse-led appointments at the remote OOH units. The aim was to investigate contact rates and distribution of consultation types before and after the remote units were established. Design. An observational study with pre- and post-data collected from municipalities with and without (controls) remote OOH units.</p><p><strong>Setting: </strong>Two OOH districts, Førde and Molde, with five and four remote OOH units, respectively.</p><p><strong>Subjects: </strong>Inhabitants contacting the Local Emergency Communications Centers (LEMCs) in the two areas.</p><p><strong>Results: </strong>In municipalities that established remote OOH units the contact rates to the LEMCs decreased by 15% in Førde and 16% in the Molde OOH districts in 2021, compared with 2019. Control municipalities had an increased rate of 7% and 2%, respectively. Consultation rates decreased by 16% and 12% in municipalities with remote OOH units in Førde and Molde, respectively. In 2021, 7% of contacts from municipalities with remote OOH units in Førde OOH district and 3% in Molde OOH district ended in a consultation at a remote OOH unit. In the Molde OOH district, where the traditional casualty clinic was replaced with remote OOH units, home visits and callouts decreased by 76% and 86% from 2019 to 2021.</p><p><strong>Conclusion: </strong>Establishing remote OOH units could have decreased contact and consultation rates in both districts. Most contacts were handled with actions other than a remote OOH unit encounter with video consultation. There was a large reduction of home visits and callouts in the Molde OOH district in 2021, compared with 2019.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
General practitioners' attitudes and motivation to supervise medical students in clinical placements: a questionnaire study from Norway.
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-02-27 DOI: 10.1080/02813432.2025.2471053
Julie Solberg Knutsen, Gunnar Tschudi Bondevik, Steinar Hunskaar

Background: General practitioners (GPs) who supervise medical students during clinical placements are valuable resources for medical universities. However, several countries struggle with recruiting supervisors. More knowledge about GPs' attitudes and factors that motivate them to be supervisors, is essential for developing targeted recruitment strategies and effective follow-up by universities.

Objective: We aimed to investigate GPs' attitudes to and motivation for supervising medical students in clinical placements.

Methods: A web-based questionnaire was sent to all GPs in Norway in February 2022. Both active supervisors' and non-supervisors' responses were collected. Attitudes were reported as scores on a five-point Likert scale in response to 21 statements, while motivation was reported by highlighting the most important motivational factors among 15 items. Descriptive statistics were used to rank the statements and motivation factors. Independent sample t-test and ANOVA were used to analyse differences in mean scores across subgroups.

Results: We received 1466 responses (29%), of whom 498 (34%) were active supervisors. Results revealed positive attitudes towards supervising medical students in clinical placements, even among non-supervisors. Statements about the supervisor role and its importance regarding recruitment, professional stimulation and clinical teaching competence, were scored high. Many agreed that supervising students increased their workload. 'Recruitment contribution' was the most selected motivation item.

Conclusion: Recruitment contribution, professional development, workday variation and the feeling of fulfilment contribute to GPs' motivation to supervise. The results indicate a promising future for recruiting clinical supervisors.

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引用次数: 0
Use of complementary and alternative medicine (CAM) in Sweden: a cross-sectional survey.
IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-02-23 DOI: 10.1080/02813432.2025.2466180
Jenny-Ann Brodin Danell, Kathrin Wode, Miek Jong, Agnete Egilsdatter Kristoffersen, Esther van der Werf, Johanna Hök Nordberg

Aims: The aim of this study was to describe the prevalence, associations, and reasons for the use of complementary and alternative medicine (CAM) in Sweden, as well as to further explore possible self-perceived outcomes including adverse effects as well as the sources of information used.

Methods: Data were collected by a cross-sectional survey, administered by computer assisted telephone interviews, in June 2020 (n = 500), during the first three months of the COVID-19 pandemic. The survey was a modified version of the International Questionnaire to measure use of Complementary and Alternative Medicine (I-CAM-Q) instrument.

Results: 63.6% of respondents reported use of CAM. The most common reasons for use were to improve general well-being and/or to treat long-term illness or its symptoms. Very few used CAM to prevent or treat COVID-19. The most used CAMs were natural remedies and dietary supplements (50%), followed by self-help practices (33.2%) and consultation of CAM providers (13%). Women, those of older age (40+), and living in larger cities were more likely to use CAMs compared to the entire sample. Household income or level of education did not predict CAM use. Few adverse effects were reported. The main sources for information were media and the Internet followed by family and friends.

Conclusions: This study contributes with updated knowledge about Swedish citizens' use of CAM. The results are important to inform health care policy about patterns of CAM use among Swedish citizens.

{"title":"Use of complementary and alternative medicine (CAM) in Sweden: a cross-sectional survey.","authors":"Jenny-Ann Brodin Danell, Kathrin Wode, Miek Jong, Agnete Egilsdatter Kristoffersen, Esther van der Werf, Johanna Hök Nordberg","doi":"10.1080/02813432.2025.2466180","DOIUrl":"https://doi.org/10.1080/02813432.2025.2466180","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to describe the prevalence, associations, and reasons for the use of complementary and alternative medicine (CAM) in Sweden, as well as to further explore possible self-perceived outcomes including adverse effects as well as the sources of information used.</p><p><strong>Methods: </strong>Data were collected by a cross-sectional survey, administered by computer assisted telephone interviews, in June 2020 (<i>n</i> = 500), during the first three months of the COVID-19 pandemic. The survey was a modified version of the International Questionnaire to measure use of Complementary and Alternative Medicine (I-CAM-Q) instrument.</p><p><strong>Results: </strong>63.6% of respondents reported use of CAM. The most common reasons for use were to improve general well-being and/or to treat long-term illness or its symptoms. Very few used CAM to prevent or treat COVID-19. The most used CAMs were natural remedies and dietary supplements (50%), followed by self-help practices (33.2%) and consultation of CAM providers (13%). Women, those of older age (40+), and living in larger cities were more likely to use CAMs compared to the entire sample. Household income or level of education did not predict CAM use. Few adverse effects were reported. The main sources for information were media and the Internet followed by family and friends.</p><p><strong>Conclusions: </strong>This study contributes with updated knowledge about Swedish citizens' use of CAM. The results are important to inform health care policy about patterns of CAM use among Swedish citizens.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Scandinavian Journal of Primary Health Care
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