Scandinavian journal of primary health care
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Scand J Prim Health Care · Dec 2024
General practitioners' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities: a cross-sectional survey in Danish general practice.
Pregnancy vulnerability contributes to poor perinatal mental health. Proper cross-sectoral collaboration may mitigate perinatal mental health problems. General practitioners (GPs) often face barriers when assessing pregnancy vulnerability, but little is known about GPs' perceived barriers to the cross-sectoral collaboration on vulnerable pregnant women. ⋯ Barriers to collaboration on vulnerable pregnant women were associated with some GP-organizational characteristics including low experience in collaborating with partners in ANC, and GP characteristics, such as age. Reducing general practice workload, e.g. by reorganizing priority areas, releasing more time to vulnerable patients, and improving cross-sectoral information sharing on vulnerability might improve collaboration on vulnerable pregnant women.
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Scand J Prim Health Care · Dec 2024
Care in the era of digital health: experiences from Norwegian general practitioners.
This study explores the experiences of General Practitioners (GPs) in Norway, examining the role of care in their practice and the impact of digital health technologies on their caregiving approach. ⋯ This study underscores the enduring importance of care in general practice, even as digital technologies become increasingly prevalent. GPs maintain their caregiving roles by navigating the complexities of digital tools, highlighting the need for a careful balance between leveraging digital advancements and preserving the core values of care. The findings suggest a need for ongoing evaluation of digital tools to align them with the ethical foundations of care in general practice.
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Scand J Prim Health Care · Dec 2024
A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study.
Consensus on priorities to optimize the sick leave and rehabilitation process (SRP) is lacking. ⋯ This qualitative study indicated that gaps between a desired process scope and actual practice might be bridged by enabling coherent cross-organizational process governance, prioritizing person-centered ways of working, and balancing available resources and workload. The above changes were believed to improve process quality and overall efficiency.
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Scand J Prim Health Care · Dec 2024
Case ReportsClinical practice enhanced by interdisciplinary theoretical perspectives.
Experience-based knowing in general practice includes advanced interpretation of subjective, complex and particular phenomena in a social context. Enabling different metapositions for reflexivity may provide the accountability needed for such knowing to be recognized as evidence-based practice. ⋯ General practice knowledge embraces a diversity of sources with different evidence power. The transparency mediated to clinical practice when supported by relevant substantive theories may contribute to recognition of experience-based knowing as evidence-based practice.