Scandinavian journal of primary health care
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Scand J Prim Health Care · Mar 2024
Observational StudyThe impact on primary care of a large waterborne campylobacter outbreak in Norway: a controlled observational study.
Document the impact of an outbreak of gastroenteritis on local primary health care services, compared to a control period. ⋯ The OOH service handled most of the patients during the outbreak, with support from daytime general practice. The outbreak caused a shift towards telephone advice as a means of providing care. Young children significantly increased their use of primary care during the outbreak.
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Scand J Prim Health Care · Mar 2024
ReviewIdentifying performance indicators to measure overall performance of telephone triage - a scoping review.
This article aims to summarize performance indicators used in telephone triage services research, and make recommendations for the selection of valid indicators to measure the performance of telephone triage. We describe what kind of frameworks, performance indicators, or variables have been used for evaluating telephone triage performance by systematically mapping the telephone triage performance measurement. The objective was to find measures for each Triple Aim dimension. ⋯ Measuring the performance of telephone triage requires an extensive and comprehensive approach. We presented performance indicators that may be included in the framework for measuring the performance of telephone triage to support overall performance measurements of telephone triage.
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Scand J Prim Health Care · Mar 2024
Observational StudyIncidence of short-term community hospital stays and clinical profiles of patients: the Finnish Community Hospital Cohort Study.
A community hospital system covers the entire population of Finland. Yet there is little research on the system beyond routine statistics. More knowledge is needed on the incidence of hospital stays and patient profiles. We investigated the incidence of short-term community hospital stays and the features of care and patients. ⋯ Community hospitals have a substantial role in hospital care of older adults.
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Scand J Prim Health Care · Mar 2024
Suitability of issuing sickness certifications in remote consultations during the COVID-19 pandemic. A mixed method study of GPs' experiences.
To explore Norwegian GPs' experiences with and perceived suitability of issuing sickness certifications in remote consultations during the COVID-19 pandemic. ⋯ Our study shows that issuing sickness certifications in remote consultations were viewed to be suitable for COVID-19 related problems, for patients the GP has met before, for the follow-up of known medical problems, and the extension of sickness certifications. Not meeting the patient face-to-face may affect the GP-patient relationship as well as make the GPs' dual role more challenging.
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Scand J Prim Health Care · Mar 2024
General practitioners' role in safeguarding patients with dementia in their use of dietary supplements. A qualitative study.
The use of dietary supplements (DS) may cause harm through direct and indirect effects. Patients with dementia may be particularly vulnerable. This study aims to explore general practitioners' (GPs') experiences with DS use by these patients, the GPs perceived responsibilities, obstacles in taking on this responsibility, their attitudes toward DS, and suggestions for improvements to safeguard the use of DS in this patient group. ⋯ The GPs had initially little awareness of this safety risk, but there were differences in practice style and attitudes towards DS. The GPs did not perceive themselves as main responsible for safe use of DS in patient with dementia. The most important reason to disclaim responsibility was lack of information about the products. One suggestion for improvement was better integration of DS in patients' medical record.