Abstract：
OBJECTIVE:A health economic evaluation of two alternative treatment settings, inpatient care and outpatient care, for acute deep venous thrombosis. DESIGN:A randomised multicentre trial in a defined population in regular clinical practice. SETTING:Hospitals and related health care centres in the Jönköping county council in Sweden. INTERVENTIONS:Patients were randomised to either an inpatient strategy (n = 66) or an outpatient strategy (n = 65) using low-molecular-weight heparin, dalteparin, administered subcutaneously once daily and adjusted for body weight. SUBJECTS:Of 224 eligible patients, 131 entered the trial and 124 completed the economic part of the study. MAIN OUTCOME MEASURES:Direct medical and direct non-medical costs during a 3-month period. RESULTS:Total direct costs were higher for those in the inpatient strategy group, i.e. Swedish Crowns (SEK) 16400 per patient (Euro 1899) compared to SEK 12100 per patient (Euro 1405) in the outpatient strategy group (p < 0.001). More patients in the outpatient group received assistance when they returned home. Few patients in either group reported sick leave. There was no difference in total number of days between the two groups. CONCLUSIONS:Total direct costs were significantly lower for the outpatient treatment strategy for deep venous thrombosis compared to the inpatient treatment strategy. No significant difference in health impact could be detected. Deep venous thrombosis can to a greater extent than previously be treated in primary care, safely, at a lower cost, and in accordance with patient preferences.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Bäckman K,Carlsson P,Kentson M,Hansen S,Engquist L,Hallert Cdoi
10.1080/02813430310003543subject
Has Abstractpub_date
2004-03-01 00:00:00pages
44-9issue
1eissn
0281-3432issn
1502-7724journal_volume
22pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract：OBJECTIVE:To explore depression from a gender perspective, by capturing depressed women's and men's formulations of their experiences and understanding of their situation. DESIGN:Qualitative interview study. SETTING:A healthcare centre in northern Sweden. SUBJECTS:Eighteen patients who had been diagnosed with depres...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510031315
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVE:To examine whether a Current Health scale produces reliable and valid measures of self perceived health status. DESIGN:Examination of reliability, based on internal consistency (Cronbach's alpha coefficient). Examination of validity focusing on convergent and discriminant validity. SUBJECTS:2263 male and fe...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996730
更新日期：1995-03-01 00:00:00
abstract：:During one year, 1979-80, all the contacts between the 836 inhabitants of Upernavik town and the local medical officers were recorded. In the 737 native Greenlanders 1006 contacts (41%) were caused by infectious diseases, representing 705 episodes of disease. The number of contacts per episode of disease was similar i...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438509013939
更新日期：1985-09-01 00:00:00
abstract：:Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" pea...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438809009294
更新日期：1988-05-01 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 study factors of importance for participation in parental education within routine child health care. DESIGN:All parents of children born during 1 year were invited by the district nurse to participate in parental education; their participation during the infant year was registered. SETTING:Catchment are...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430310000555
更新日期：2003-03-01 00:00:00
abstract：OBJECTIVE:To analyse how psychosocial and social factors are associated with heavy smoking in the third trimester of pregnancy. DESIGN:Data were collected from a prospective study primarily initiated to study fetal growth retardation. (NICHD Study of successive small for gestational age births). SETTING:Uppsala in Sw...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996759
更新日期：1995-09-01 00:00:00
abstract：:OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2011.562363
更新日期：2011-06-01 00:00:00
abstract：:Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse regarding the health consequences when medically indicated HEMS missions are cancelled and the pa...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608056
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To investigate the association between serum total cholesterol and all-cause mortality in elderly individuals aged > or = 75 years. Design. A prospective cohort study with a six-year follow-up. SETTING AND SUBJECTS:A random sample (n = 700) of all persons aged > or = 75 years living in Kuopio, Finland. After...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2010.487371
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:To assess the incidence of whiplash associated disorders (WAD) after minor whiplash injuries in car accidents. DESIGN:A cohort defined by means of a health-care-based registration of traffic injuries and followed up by postal questionnaire after 12 months. SETTING:Primary and hospital care in a Swedish midd...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134300453359
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVE:To test the reliability and validity of morbidity data recorded by general practitioners (family physicians) on structured recording forms in active data collection systems. DESIGN:The consulting general practitioner recorded the problems managed at 347 video-taped doctor-patient contacts. Two observers inde...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134398750003412
更新日期：1998-03-01 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：:In Iceland a problem oriented medical record system for primary health care has been developed. A contact-form is used to record data on all contacts between the inhabitants in a district and the health center. A minicomputer is used for retrieval and analysis. One rural health center using this system has been succes...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438409017714
更新日期：1984-11-01 00:00:00
abstract：OBJECTIVE:To compare prospectively the effect of manual treatment such as manipulation, specific mobilization, muscle stretching, auto-traction, and cortisone injections with standardized conventional but optimized activating treatment by primary health care teams. DESIGN:Prospective controlled multicentre trial with ...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.3109/02813439308994908
更新日期：1993-06-01 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 compare information in sickness certificates and rehabilitation activities for patients with symptom diagnoses vs patients with disease specific diagnoses. Design: Retrospective case control study 2013-2014. Setting: Primary health care, Sweden. Subjects. Patients with new onset sickness certificates wit...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1639905
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of an intensive pharmaceutical care campaign targeting inappropriate use of triptans. DESIGN:Randomized controlled trial. SETTING:22 community pharmacies in the County of Funen, Denmark. SUBJECTS:A total of 1123 triptan users at intervention pharmacies and 1340 at control pharmacies....
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813430500444916
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:To study the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices. INTERVENTION:Nurse-led structured diabetes care with a protocol, record ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.797178
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:Low plasma (p)-albumin and p-calcium concentrations are associated with increased mortality in hospitalised patients. There are few studies addressing this in primary care. Low p-calcium has been associated with mortality, but it is not known whether this applies to p-albumin. Could p-albumin and p-calcium be...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2020.1843809
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430902759663
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2015.1117283
更新日期：2015-01-01 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 evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1523993
更新日期：2018-12-01 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：:Demonstration of significant bacteriuria by quantitative culture of a urine specimen by use of dip-slides is a well proved diagnostic procedure in general practice. Susceptibility testing from urine specimens by use of dip-slides or agar-plates seems likewise easy to perform in general practice, but commercial methods...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609014832
更新日期：1986-11-01 00:00:00
abstract：OBJECTIVE:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.811943
更新日期：2013-09-01 00:00:00
abstract：:The mortality from ischaemic heart disease is higher in predominantly rural northern and western Sweden than in the more urban eastern and southern districts. This study was performed in a small semirural area in mid-Sweden with lower mortality from ischaemic heart disease in middle-aged men and higher mortality in mi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439109018515
更新日期：1991-09-01 00:00:00
abstract：OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2016.1160634
更新日期：2016-06-01 00:00:00
