Abstract:
OBJECTIVE:To explore the medically unexplained disorders by examining endpoints of irresolute diagnostic strategies. DESIGN:Qualitative observational study based on audio-taped general practice consultations, editing analysis style inspired by Giorgi's phenomenological approach. SETTING:Primary health care. SUBJECTS:Purposeful sampling of 17 consultations containing diagnostic conclusions, but no clear-cut diagnosis drawn from a total of 86 consultations with women patients in general practice. MAIN OUTCOME MEASURES:Descriptions of diagnostic conclusions in consultations when clear-cut diagnoses are not obtained. RESULTS:We identified three types of diagnostic conclusions. The first conveys assurances that nothing dangerous is suspected. The doctors find that the symptoms somehow look like a diagnosis, and further investigation can be initiated. In the second group, the symptoms lead the doctors to test management, and take the outcome as material for further assessment. The third type of conclusion implies a decision to track cues of potential danger, quick settlements, although the seriousness of the situation is not necessarily communicated to the patient. CONCLUSION:Exploration of diagnostic work in general practice can provide access to understand what goes on when patients are given the label of "unexplained" disorders.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Undeland M,Malterud Kdoi
10.1080/028134302760234582subject
Has Abstractpub_date
2002-09-01 00:00:00pages
145-50issue
3eissn
0281-3432issn
1502-7724journal_volume
20pub_type
杂志文章abstract:OBJECTIVE:To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. DESIGN:A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2017.1397253
更新日期:2017-12-01 00:00:00
abstract::A Regional Health University is planned at the University of Linköping, Sweden. To evaluate new educational principles, a trial project was carried out in which medical and nursing students trained together in a two-week full-time course aimed at patient-oriented clinical social medicine and epidemiological field work...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013940
更新日期:1985-09-01 00:00:00
abstract::This study explores the diagnostic process of general practitioners confronted with ill-defined and ambiguous complaints, which eventually appeared to be caused by a malignancy. Three aspects were rated: (a) the adequacy of the initial problem definition; (b) the carefulness of further diagnostic methods; and (c) how ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909103670
更新日期:1989-03-01 00:00:00
abstract::The school health records of 302 persons from the village of Röros, Norway, were scrutinized concerning the notes made by the author when performing a routine school health examination of all the subjects, then aged 16, in the years 1970-73. The notes concerning assessment of posture, findings on muscle palpation, sub...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013957
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439608997089
更新日期:1996-12-01 00:00:00
abstract::In this paper the thesis is advanced that the general practitioners can either be a powerful ally or a major roadblock in the development of primary health care in the spirit of the Alma-Ata Declaration. The role they will play depends on their interpretation of, and attitudes towards, the concept. In the first part o...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017705
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVE:To study awareness of having lesbian women in the consultation among general practitioners (GPs) and their knowledge of lesbian health-related issues. DESIGN:A mailed questionnaire study using closed and open-ended questions, with an analysis using both quantitative and qualitative methods. SETTING:The city...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302321004845
更新日期:2002-12-01 00:00:00
abstract::Freshly prepared quality control materials of different kinds were distributed by cars to all the public health centers, sanatoria and mother and child stations in Oslo. The recipients, who were unaware of the correct values, analysed each sample once without delay and reported the results back to our laboratory. A la...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014825
更新日期:1986-09-01 00:00:00
abstract:OBJECTIVES:To examine the access, workload, duties, commitments and quality standards of primary care physicians (GPs) resulting from out-of-hours service. SETTING:All GPs (n = 96) in rural Iceland. MAIN OUTCOME MEASURES:Answers to a postal survey. RESULTS:The participation rate was 80%. The GPs estimated that in 97...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134300750018945
更新日期:2000-06-01 00:00:00
abstract::Objective: To assess the use of point-of-care ultrasound (POCUS) in Norwegian general practice.Design: Retrospective register study based on general practitioners' (GPs') reimbursement claims.Setting: Norwegian general practice excluding out-of-hours clinics in 2009, 2012 and 2016.Subjects: GPs who scanned patients fo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1753385
更新日期:2020-06-01 00:00:00
abstract::The clinical set-up in primary health care, with a specially trained nurse, a dietician, and a chiropodist under the supervision of general practitioners and giving patient education high priority, is evaluated after ten years in practice. Of the 391 patients cared for, 352 had non-insulin-dependent diabetes mellitus,...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994925
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439709035024
更新日期:1997-12-01 00:00:00
abstract::Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen dist...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1619829
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN:Comparison of self-reported and assessed medical and odontological variables. SETTING:The School of Dentistry, Karolinska Institute. SUBJECTS:Sixty-seven patients, referred ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003043
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:To explore whether the patient-list system, recently introduced in general practice, has influenced general practitioners' (GPs') self-perception as gatekeepers. DESIGN:Structured focus group interviews with GPs and a short self-administered questionnaire. SETTING:Primary care within the public health care ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430310004155
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN:A semi-structured telephone survey on four risk factors; blood pressure, ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003124
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.3109/02813439409029247
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVE:To explore how well physicians and patients predict sick-listing duration and the correspondence between their respective predictions. To study possible gender differences concerning prediction accuracy. DESIGN:Prospective observational study. SETTING:Two medium-sized primary care centres (PCC) in western S...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.915132
更新日期:2014-06-01 00:00:00
abstract::This study which focused on the 169 approved certificates for patients applying for the right for "free" medication in a sickness insurance district during one year in Finland shows two interesting findings. These, cannot of course be generalized because of the low number of observations and of doctors involved (total...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017717
更新日期:1984-11-01 00:00:00
abstract:AIM:The aim of this study was to describe strategies parents use to give oral medicine to children. METHODS:We conducted an Internet-based qualitative study of posts from online forums where parents discussed how to give children oral medicine. The posts were analyzed using systematic text condensation. The investigat...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2017.1333308
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:To study associations between dairy fat intake and development of central obesity. DESIGN:A prospective population-based cohort study with two surveys 12 years apart. SETTING:Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS:1782 men (farmers ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2012.757070
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To analyse the patterns of antibiotic prescription in the treatment of acute pharyngitis among a group of general practitioners (GPs). DESIGN:From the records of their patients, 11 specialists in general practice have collected post hoc data on their patients and on acute pharyngitis in the period from Octob...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/02813430050202523
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN:Prescription register study. SETTING:Norwegian nationwide prescriptions socio-economic and disability status data. METHODS...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2017.1358436
更新日期:2017-09-01 00:00:00
abstract::A written inquiry was undertaken to explore the expectations towards primary care physicians (general practitioners), as expressed by patients, local health board members and health centre staff members. Treatment without delay was given top priority both by patients and board members, while continuity of care was con...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013949
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:To determine how often patients with musculoskeletal (MSK) complaints prescribed a non-steroidal anti-inflammatory drug (NSAID) subsequently consult their general practitioner (GP) with a non-serious adverse drug reaction (ADR). DESIGN:Cohort study. SETTING:A healthcare database containing the electronic GP...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1067513
更新日期:2015-01-01 00:00:00
abstract::In a multipractice prevalence study of uncomplicated urinary tract infection (UTI) in primary health care (PHC), with 355 episodes in 302 individuals during one month, 93% of the episodes occurred in females and Escherichia coli was the dominating causative organism (77%). Most episodes of UTI (84%) were acute and ass...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709014000
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE:To evaluate barriers to adherence to hypertension guidelines among publicly employed general practitioners (GPs). DESIGN:Questionnaire-based survey distributed to GPs in 24 randomly selected primary care centres in the Region of Skåne in southern Sweden. SUBJECTS:A total of 109 GPs received a self-administe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430802202111
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To analyse which interventions are effective in influencing morbidity, quality of life, and healthcare utilization of frequently attending patients (FAs) in primary care. METHODS:A systematic literature search was performed for articles describing interventions on FAs in primary care (Medline, Embase, and Ps...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813430802112997
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden. DESIGN:Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma m...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134399750002458
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:To study factors of importance for infants' use of health and medical care. DESIGN:We studied the medical records of the mother during pregnancy (at the health centre, at the antenatal clinics, and at the department of obstetrics and gynaecology) and of her infant during the first 18 months of life (at the h...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439609024173
更新日期:1996-09-01 00:00:00