Scandinavian journal of primary health care
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Scand J Prim Health Care · Jan 2008
Comparative StudyA benzodiazepine discontinuation programme does not increase the frequency of contacts with the family practice.
The efficacy of programmes to reduce long-term benzodiazepine use could be compromised by subsequent increases in contacts with the family practice. In this study the hypothesis was tested as to whether participation in a benzodiazepine discontinuation programme affects the frequency of contacts with the family practice. ⋯ No clinically important differences in practice contacts were observed when the course of the number of contacts and non-benzodiazepine prescriptions were compared between the experimental and control groups. Family practitioners do not have to anticipate an increased workload associated with participation in such a benzodiazepine discontinuation programme.
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Scand J Prim Health Care · Jan 2008
Comparative StudyNon-participation in preventive child health examinations at the general practitioner in Denmark: a register-based study.
To examine demographic and socioeconomic characteristics of parents and children in families not participating in preventive child health examinations at the general practitioner in a society with free and easy access to healthcare. ⋯ Despite the fact that Denmark has free and easy access to the GP, the utilization of preventive child health examinations is lower among the more deprived part of the population.
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Scand J Prim Health Care · Jan 2008
General practitioners' views on consultations with interpreters: a triad situation with complex issues.
To study a group of general practitioners' (GPs) views on cross-cultural consultations through interpreters in primary healthcare in Sweden. ⋯ Barriers in cross-cultural communications could originate from all persons involved, the interpreter, the GP, and the patient, as well as from tangible factors. Ways to reduce misunderstandings in GP-patient encounters through interpreters are suggested.
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Scand J Prim Health Care · Jan 2008
Problems in sickness certification of patients: a qualitative study on views of 26 physicians in Sweden.
To identify what problems physicians experience in sickness certification of patients. ⋯ The problems identified have negative consequences both for patients and for the well-being of physicians. Many of the problems seem related to inadequate leadership and management of sickness certification issues. Therefore, they cannot be handled merely by training of physicians, which has so far been the main intervention in this area. They also have to be addressed on manager levels within healthcare. Further research is needed on how physicians cope with the problems identified and on managers' strategies and responsibilities in relation to these problems. If the complexity of the problems is not recognized, there is a risk that inadequate actions will be taken to solve them.
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Scand J Prim Health Care · Jan 2008
Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based study of over 700,000 elderly.
To investigate whether the use of multi-dose drug dispensing is associated with potentially inappropriate drug use (IDU). ⋯ Our results indicate that multi-dose users may be more exposed to potential IDU. However, multi-dose users seem to have a lower probability of potentially serious DDIs. Future research on multi-dose drug dispensing is necessary to ensure a high quality of drug therapy within this system.