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Direct care staff's need for support in their perceived work role in day activities units
AIMS: This study sets out to investigate direct care staff's views of their need for support, supervision, and training in their practice in day care settings when supporting daily occupations among developmentally disabled persons. BACKGROUND: The first line staff are considered as having a prominent role in the successful delivery of service. METHODS: Three municipalities, one urban and two rura
Antimicrobial sensitivity-A natural resource to be protected by a Pigouvian tax?
Since their discovery more than 70 years ago antibiotic drugs have been efficient tools for treating bacterial infections, and their use has reduced the number of fatalities and the suffering from bacterial diseases. However, the use of antibiotics may lead to resistance to the same or other antibiotics. The risk of resistance appears to be larger in veterinary medicine, since antibiotics have bee
Impact of comorbidity on the individual's choice of primary health care provider.
Abstract Objective. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. Design and setting. The study was a register-based closed cohort study in one private and one public PHC practice in Blekinge County in southern Sweden. Subjects. A cohort (12 696 individuals) was
Costs and Utilities of Manual Therapy and Orthopedic Standard Care for Low Prioritized Orthopedic Outpatients of Working Age: A Cost Consequence Analysis.
Treatment for musculoskeletal disorders in primary care in Sweden is generally initiated with advice and medication. Second line therapy is physiotherapy and/or injection and radiography; third line therapy is referral to an orthopedist. Manual therapy is not routine. It is a challenge to identify patients who benefit from treatment by different specialists. The current referral strategy probably
Patients’ participation in decision-making in the medical field – ‘projectification’ of patients in a neoliberal framed healthcare system
This article focuses on patients’ participation in decision-making in meetings with healthcare professionals in a healthcare system, based on neoliberal regulations and ideas.Drawing on two constructed empirical cases, primarily from the perspective of patients, this article analyses and discusses the clinical practice around decision-making meetings within a Foucauldian perspective. Patients’ par
Incremental Costs for Psoriasis and Psoriatic Arthritis in a Population-based Cohort in Southern Sweden: Is It All Psoriasis-attributable Morbidity?
To estimate incremental costs for patients with psoriasis/psoriatic arthritis (PsO/PsA) compared to population-based referents free from PsO/PsA and estimate costs attributable specifically to PsO/PsA.
Small biotopes: Landscape and management effects on pollinators
Popular Abstract in Swedish Vårt behov av att öka matproduktionen för en växande global befolkning, har sedan mitten av nittonhundratalet drivit jordbrukets utveckling. Det traditionella, småskaliga jordbrukslandskapet med sitt lapptäcke av betesmarker, ängar och åkrar, har över tid ersatts av ett mer produktionsinriktat landskap. Åkrar har slagits ihop för att skapa större odlingsenheter, där nyaThe intensification of agriculture during the second half of the twentieth century, has caused sever declines of farmland biodiversity, where loss of semi-natural habitats is one of the major drivers. To halt further loss of habitat and biodiversity, agri-environmental schemes (AES) are used to compensate farmers to use methods less harmful to the environment. In this thesis, I have investigated t
How to make a workplace health promotion questionnaire process applicable, meaningful and sustainable.
How to make a workplace health promotion questionnaire process applicable, meaningful and sustainable Background In workplace health promotion, a questionnaire could be of great use. Unfortunately, fatigue regarding answering questionnaires has recently become greater than before. An action research approach could be a possible way of increasing employee participation. Aim This study reports an at
Physical activity on prescription (PAP): Costs and consequences of a randomized, controlled trial in primary healthcare.
Abstract Objectives. To analyse costs and consequences of changing physical activity behaviour due to the "Physical Activity on Prescription" (PAP) programme. Design. A randomized controlled trial with a four-month intervention, with comparison between intervention and control group. Intervention. The PAP programme, with exercise twice a week, education, and motivational counselling. Subjects. 525
Smoking-cessation therapy using varenicline: the cost-utility of an additional 12-week course of varenicline for the maintenance of smoking abstinence
To evaluate the cost-effectiveness of an additional 12-week treatment with varenicline for abstainers who had successfully completed an initial 12-week treatment. The Benefits of Smoking Cessation on Outcomes simulation model was used to simulate both direct and indirect effects of smoking cessation. All calculations were performed in 2003 Swedish prices. Sweden in 2003. The modelled cohort consis
Gender differences in risk factor control and treatment profile in diabetes: a study in 229 swedish primary health care centres.
Kvinnokroppen som slagfält - En diskursanalys av konfliktrelaterat sexuellt våld i Sudan
Sudan har sedan april 2023 präglats av ett brutalt inbördeskrig mellan Sudanese Armed Forces (SAF) och Rapid Support Forces (RSF), vilket resulterat i en statlig kollaps och omfattande civil fördrivning. I detta sammanhang har konfliktrelaterat sexuellt våld (CRSV) blivit särskilt framträdande. Denna uppsats analyserar hur CRSV konstrueras i tre centrala internationella rapporter från FN:s högkommSince April 2023, Sudan has been engulfed in a brutal civil war between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF). The conflict has triggered the collapse of state institutions and forced the displacement of millions. Amid this humanitarian crisis, conflict-related sexual violence (CRSV) has emerged as a defining and deeply troubling feature. This thesis explores how CRSV
Cold War Legacy in Public and Private Health Spending in Europe
Cold War Era (1946-1991) was marked by the presence of two distinctively different economic systems, namely the free-market (The Western ones) and central-planned (The Eastern ones) economies. The main goal of this study refers to the exploration of development pathways of Public and Private Health Expenditure in all of the countries of the European WHO Region. Based on the availability of fully c
High Out-of-Pocket Health Spending in Countries With a Mediterranean Connection
In this study, we analyzed healthcare provision and health expenditure across six Mediterranean countries that adopt the National Health System (Beveridge model) and that form part of the European Union (EU) with the main aim being that of analyzing and comparing out-of-pocket health spending in countries with a European Mediterranean connection. To this end, we considered various economic indicat
Drugs, distrust and dialogue : - a focus group study with Swedish GPs on discharge summary use in primary care
BACKGROUND: Discharge summary with medication report effectively counteracts drug-related problems due to insufficient information transfer in care transitions. The benefits of the discharge summary may be lost if it is not adequately used, and factors affecting optimal use by the GP are of interest. Since the views of Swedish GPs are unexplored, this study aimed to explore and understand GPs expe
Nationellt vårdprogram för adrenala incidentalom : Programmet har harmoniserats med europeiska riktlinjer – ger förenklad handläggning av patienter
Adrenal incidentalomas are seen in about five percent of abdominal CT examinations, and in most cases represent non-hormone-producing adrenocortical adenomas, but hormone-producing or malignant lesions occur. Revised Swedish guidelines for the evaluation and management of adrenal incidentalomas based on recently published European guidelines are presented. The importance of a thorough radiological
The transfer of knowledge between younger and older employees in the health and medical care : An intervention study
Time for Caring? Elderly care employees’ occupational activities in the cross draft between their work priorities, “must-do’s” and meaningfulness.
An increasing number of older people in the population will bring new challenges for the society and care coordination. One of the most important questions in care coordination is the employees’ work performance. The overall aim of this study was to examine care employees’ experience of factors that rule how they allocate their time and tasks in the care work. The study was qualitative and consist
Managing multiple medications and their packaging for older people in home care nursing : An interview study
Home care nurses assist older people in their daily living and well-being, including medication management. Medication management can be challenging for older people with functional constraints and several chronic conditions. This paper presents how home care nurses manage medications and their packaging for older people at their homes. This study followed an explorative qualitative research desig
