Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2023
Insomnia management in Dutch general practice: a routine care database study.
To explore insomnia management in general practice, with a focus on sleep medication prescription. ⋯ Although the guidelines advocate non-pharmacological treatment and warn against unwarranted sleep medication, it is still very common in Dutch general practice to prescribe medication, even at the first sleep consultation. Prescriptions frequently include unrecommended and off-label drugs or repeated BZRA prescriptions.
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Scand J Prim Health Care · Sep 2023
Academic detailing as a method to improve general practitioners' drug prescribing in type 2 diabetes: evaluation of changes in prescribing.
To investigate the effect of an academic detailing intervention on the utilisation of type 2 diabetes medication among general practitioners. ⋯ Academic detailing initiated a small but statistically significant increase in the prescription of metformin. For a complex subject like type 2 diabetes, we recommend reserving more time in the visit than the 20 min our campaign aimed for.
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Scand J Prim Health Care · Sep 2023
Observational StudyTrends in haemoglobin levels from 1968 to 2017 and association with hormonal contraceptives: observations from the population study of women in Gothenburg, Sweden.
To investigate trends in the haemoglobin (Hb) level in middle-aged Swedish women from 1968 to 2017 and to examine the potential association between Hb and the use of hormonal contraceptives (HCs). ⋯ Mean levels of Hb in middle-aged women of the general population seem to be increasing again after lower levels in the 1980s and 1990s. The use of HC was associated with having a higher Hb and a lower risk of anaemia in 38-year-old women.
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Scand J Prim Health Care · Sep 2023
ReviewCritical components of social prescribing programmes with a focus on older adults - a systematic review.
The aim of this study was to identify and evaluate critical components within social prescribing programmes that can impact loneliness, health, or well-being among older adults. ⋯ The three critical components identified may prove useful in further research, evaluation, or implementation of social prescribing programmes. Important aspects for further evaluation are discussed.
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Scand J Prim Health Care · Sep 2023
Are doctors using more preventive medication for cardiovascular disease? A Swedish cross-sectional study.
Despite decreasing mortality from cardiovascular disease (CVD), there are persistent inequities in mortality between socioeconomic groups. Primary preventative medications reduce mortality in CVD; thus, inequitable treatments will contribute to unequal outcomes. Physicians might contribute to inequality by prescribing preventative medication for CVD to themselves in a biased manner. ⋯ We found an inequity in prescribed preventative CVD medications, which favoured physicians over non-physicians.