Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2013
Randomized Controlled TrialEarly multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.
To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. ⋯ In this study an early multidisciplinary assessment was associated with longer periods on sick leave and more individuals on part-time sick leave.
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Scand J Prim Health Care · Sep 2013
Association of lipoprotein levels with mortality in subjects aged 50 + without previous diabetes or cardiovascular disease: a population-based register study.
This study aimed to investigate the association of lipoprotein and triglyceride levels with all-cause mortality in a population free from diabetes and cardiovascular disease (CVD) at baseline. The European Guidelines on cardiovascular disease prevention state that in general total cholesterol (TC) should be < 5 mmol/L (190 mg/dL) and low-density lipoprotein cholesterol (LDL-C) should be < 3 mmol/L (115 mg/dL). ⋯ These associations indicate that high lipoprotein levels do not seem to be definitely harmful in the general population. However, high triglyceride levels in females are associated with decreased survival.
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Scand J Prim Health Care · Sep 2013
Low prevalence of irritable bowel syndrome in primary health care in four Swedish counties.
Few large-scale studies have examined the prevalence of irritable bowel syndrome (IBS) and the number of visits among IBS patients in a primary health care setting. The aim of this study was to assess the prevalence of IBS in primary health care in four Swedish counties. Another aim was to study the number of visits among the IBS patients. ⋯ The prevalence of IBS was low among Swedish primary health care patients. This might suggest that IBS patients are insufficiently diagnosed in Swedish primary health care.
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Scand J Prim Health Care · Sep 2013
Electronic optional guidelines as a tool to improve the process of referring patients to specialized care: an intervention study.
The main objective of this paper is to investigate whether incorporating an electronic optional guideline tool (EOGT) in the standardized referral template used by general practitioners (GPs) when referring patients to specialized care can improve outpatient referral appropriateness. ⋯ This study documents an improvement in the quality of the referrals. Since the GPs save time by using the EOGT, there is no reason to believe that they will discontinue using it. In fact, the tool may be even more beneficial for the GP. The authors believe that it is possible to implement the EOGT as a standard referral tool within various fields of medicine and are currently in the process of developing these tools.