Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2024
Multicenter StudyImplementation of lung ultrasonography by general practitioners for lower respiratory tract infections: a feasibility study.
To evaluate the feasibility of lung ultrasonography (LUS) performed by novice users' general practitioners (GPs) in diagnosing lower respiratory tract infections (LRTIs) in primary health care settings. ⋯ LUS by GPs using handheld devices is a feasible diagnostic tool in primary health care for LRTI symptoms, demonstrating both effectiveness and positive patient reception.
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Scand J Prim Health Care · Sep 2024
Controlled Clinical TrialCancer patients have a reduced likelihood of dying in hospital with advance care planning in primary health care and a summarizing palliative plan: a prospective controlled non-randomized intervention trial.
Advance care planning (ACP) allows patients to define their goals and preferences. Spending more time at home and less time in the hospital, along with avoiding death in the hospital, are often considered desirable outcomes of palliative care (PC). In 2015, 36% of cancer patients died in the hospital and 13% died at home in Norway. ⋯ With organized ACP conversations in primary health care and a summarizing palliative plan, cancer patients died less often in the hospital in our observational study. A structured ACP approach integrating palliative care for cancer patients into primary health care can support patients´ preferences at the end of life.
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Scand J Prim Health Care · Sep 2024
Comparative StudyFactors influencing antibiotic prescribing for respiratory tract infections in primary care - a comparison of physicians with different antibiotic prescribing rates.
There has been a notable decrease in antibiotic prescribing in the last thirty years in Sweden. Little is known about factors influencing antibiotic prescribing over several years. ⋯ Point-of-care testing and its interpretation differed between the prescriber groups. Focus on interpreting point-of-care test results could be a way forward in antibiotic stewardship.
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Scand J Prim Health Care · Sep 2024
Pre-hospital management and patient-related factors affecting access to the surgical care of appendicitis - a survey study.
Long pre-hospital delay substantially increases the likelihood of perforated appendicitis. This study aimed to find patient-related factors affecting this delay. ⋯ Advanced age, fever and failure to suspect acute appendicitis in primary care are associated with prolonged pre-hospital delay and complicated appendicitis.
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Scand J Prim Health Care · Sep 2024
To be or not to be supervisors for medical students in general practice clinical placements: a questionnaire study from Norway.
Many countries experience challenges in recruiting and retaining general practitioners (GPs) as supervisors for medical students in clinical placements. We aimed to investigate the opportunities, capacities and limitations of Norwegian GPs to become supervisors. ⋯ There seems to be capacity among both active and potential supervisors if increased salaries and financial support for office facilities are made available.