Scandinavian journal of primary health care
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Scand J Prim Health Care · Dec 2023
Use of primary health care services and mortality in older patients with type 2 diabetes with or without comorbidities.
This study aimed to examine primary health care (PHC) service utilization and mortality in older patients with type 2 diabetes (T2D) with or without comorbidities. ⋯ In older patients with T2D, the presence of comorbidities was associated with increased use of PHC services and increased mortality. Increase in the number of appointments was associated with reduced mortality in patients with T2D with or without comorbidities.Key PointsIn older patients with T2D, it has not been studied whether and to what extend multimorbidity affects use of PHC services and mortality.The presence of comorbidities according to the Charlson Comorbidity Index (CCI) was associated with increased use of PHC services.The number of appointments to GPs or nurses was associated with reduced mortality in patients with T2D with or without comorbidities according to the CCI.
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Scand J Prim Health Care · Dec 2023
'They never mentioned this in medical school!' A qualitative analysis of medical students' reflective writings from general practice.
The aim of the study was to identify final-year medical students' experiences with thought-provoking and challenging situations in general practice. ⋯ Disorienting encounters stood out as particularly challenging clinical experiences for medical students in general practice. These scenarios evoked an acute feeling of incapacitation: not knowing what to think and do. Further curriculum development will focus on preparing the students to 'know what to do when they don't know what to do'.
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Scand J Prim Health Care · Dec 2023
Use of general practitioner services among youth and young adults in Norway from 2006 to 2021.
To describe the frequency and content of contacts with general practitioners (GPs) among youth and young adults by sex, age and time, emphasizing mental health, sexual health and respiratory tract infections. ⋯ This study confirmed the continuing trend of increasing use of general practice services among youth, with an increase in conversation therapy and consultations with mental health diagnoses. Procedures related to sexual health became less common. Youth usually meet their regular GP for consultations, in particular those whose diagnosis indicates the highest need of continuity.
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Scand J Prim Health Care · Dec 2023
'In the end, I'm the one who has to do the job': Participant experience of a lifestyle intervention for patients with hypertension.
Cardiovascular disease can be prevented through lifestyle changes, but such changes are often hard to attain. Text message interventions with lifestyle advice have shown small but promising effects. Our objective was to explore participant experience of a text message lifestyle intervention for patients with hypertension, and implications for future lifestyle interventions. ⋯ A key to adoption was advice that was applicable in daily life. Timing in relation to a diagnosis of hypertension or other motivational factors, and tailoring to prior knowledge, habits, and limitations could increase effectiveness.
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Scand J Prim Health Care · Dec 2023
Three ways of organising general practitioner's medical services in sheltered housing. A qualitative study.
Explore care providers' experiences with the organisation of the medical services for residents in round-the-clock staffed sheltered housing. ⋯ Residents in round-the-clock staffed sheltered housing constitute a varied group that generally has substantial medical assistance needs. Given that many residents lack autonomy to manage their own care needs and make decisions, models with fewer GPs like models ii and iii seem to provide a better medical professional offer. Moving towards such an organising of the medical services for sheltered housing residents could have implications for GPs' workload and competence needs. Future studies are needed to test models and assess implications.