Concordance between elderly patients' understanding of and their primary healthcare physician's diagnosis of heart failure.

Abstract:

OBJECTIVE:The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. DESIGN:A cross-sectional community based study. SETTING:Karlskrona community situated on the Swedish south-east coast with 60,600 inhabitants. SUBJECTS:A total of 1402 subjects, aged 60-96 years in 10 age cohorts, selected randomly from the national population registry participating in the Swedish National study on Ageing and Care - Blekinge. MAIN OUTCOME MEASURES:Understanding of diagnosis of HF or DM in primary healthcare. Prevalence of cognitive impairment. RESULTS:In all, 39.8% of patients with a diagnosis of HF treated in primary healthcare and 97.1% of patients with DM had an understanding of their respective diagnosis. Cognitive impairment was significantly more prevalent in the groups of patients treated for HF (OR 1.9, 95% CI 1.2 to 3.0) and DM (OR 1.8, 95% CI 1.1 to 3.1), when compared with those not treated for either HF or DM. The odds ratio for understanding of diagnosis was 0.013 (95% CI 0.003 to 0.052, p < 0.001) in patients treated for HF, compared with patients treated for DM, when adjusted for the subject's age, sex, and cognitive function. CONCLUSION:In this study it was shown that patients' understanding of their diagnosis was highly dependent on diagnosis, independently of age, sex, or cognitive function. The results suggest that there is room for improvement of care in primary healthcare, to increase HF patients' understanding of their diagnosis.

authors

Halling A,Berglund J

doi

10.1080/02813430500428919

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

110-4

issue

2

eissn

0281-3432

issn

1502-7724

pii

P75048Q0X3137167

journal_volume

24

pub_type

杂志文章
  • Adverse drug reactions in a primary care population prescribed non-steroidal anti-inflammatory drugs.

    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

    authors: Koffeman AR,Van Buul AR,Valkhoff VE,Jong GW,Bindels PJ,Sturkenboom MC,Van der Lei J,Luijsterburg PA,Bierma-Zeinstra SM

    更新日期:2015-01-01 00:00:00

  • Patterns of abuse of the elderly in their own homes as reported by district nurses.

    abstract::This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isola...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439308994912

    authors: Saveman BI,Hallberg IR,Norberg A,Eriksson S

    更新日期:1993-06-01 00:00:00

  • Patients' fears, worries, and concerns when visiting an out-patient clinic.

    abstract::In an out-patient clinic for specialised medical care, 30 patients were questioned about their worries prior to the visit. The purpose of the study was to obtain basic knowledge about emotional experiences of patients visiting a doctor. The theoretical viewpoint was that of social interaction and social construction o...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438909088664

    authors: Andersson-Segesten K,Erichsen M,Westerlund A,Ojerskog I

    更新日期:1989-12-01 00:00:00

  • Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.

    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

    authors: Carlsson L,Englund L,Hallqvist J,Wallman T

    更新日期:2013-09-01 00:00:00

  • Quality assurance in primary medical care.

    abstract::Some general ideas of the evaluation of the work of the physician applicable also to primary care physicians are taken up in this article. The presentation is not trying to be a complete review of the topic. It tries, however, to direct attention to the importance of the subject from the point of view of the practisin...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438309038480

    authors: Kekki P

    更新日期:1983-01-01 00:00:00

  • Impact of comorbidity on the individual's choice of primary health care provider.

    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

    authors: Zielinski A,Håkansson A,Beckman A,Halling A

    更新日期:2011-06-01 00:00:00

  • Abdominal obesity and insulin resistance in patients with type 2 diabetes in a Swedish community. Skaraborg hypertension and diabetes project.

    abstract:OBJECTIVE:To explore the association between abdominal obesity and insulin resistance in patients with type 2 diabetes. DESIGN:A cross-sectional observational study. SETTING:Primary care in Skara, Sweden. SUBJECTS:A total of 198 men and 186 women with type 2 diabetes who consecutively completed an annual check-up in...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430601035290

    authors: Bari MR,Ostgren CJ,Råstam L,Lindblad U

    更新日期:2006-12-01 00:00:00

  • Genetic consultations in primary care: GPs' responses to three scenarios.

    abstract:OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430510015259

    authors: McCann S,MacAuley D,Barnett Y

    更新日期:2005-06-01 00:00:00

  • Research and development work in primary health care in Sweden.

    abstract::In this report a review is given on research and development work in primary health care (PHC) in Sweden. PHC has by tradition been very weak in Sweden. As a result of the new Health Care Act of 1983, however, PHC has entered an era of rapid development. A brief historical description of primary health care research a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013926

    authors: Haglund BJ

    更新日期:1985-05-01 00:00:00

  • Consumer acoustic reflectometry by parents in detecting middle-ear fluid among children undergoing tympanostomy.

    abstract:OBJECTIVE:This study aimed at evaluating the diagnostic accuracy of a consumer model acoustic reflectometer in the hands of parents in the detection of middle-ear fluid among children. DESIGN:Prospective diagnostic study according to STARD guidelines. Acoustic reflectometry recorded by the parents was compared with ot...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430903072165

    authors: Teppo H,Revonta M

    更新日期:2009-01-01 00:00:00

  • Swedish trial in old patients with hypertension. A prospective multicentre study in Swedish primary health care.

    abstract::The Swedish trial in old patients with hypertension was initiated by the Swedish League against Hypertension. It will be conducted as a prospective multicentre study in Swedish primary health care, and will comprise approximately 2 000 patients on active treatment and 2 000 on placebo to be studied for three years. Th...

    journal_title:Scandinavian journal of primary health care

    pub_type: 临床试验,杂志文章

    doi:10.3109/02813438609014824

    authors: Dahlöf B,Hansson L,Lindholm L,Råstam L,Scherstén B,Wester PO

    更新日期:1986-09-01 00:00:00

  • Lipid-lowering drugs as primary prevention in general practice: do patients reach guideline goals and continue treatment? ADDITION Denmark.

    abstract:OBJECTIVE:To describe lipid-lowering treatment in a primary care setting and how well target levels are reached. Furthermore, the aim is to describe long-term adherence to treatment. DESIGN:Population-based cross-sectional study with follow-up. SETTING:A total of 139 general practices from three of five Danish region...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2011.629148

    authors: Graversen L,Christensen B,Borch-Johnsen K,Lauritzen T,Sandbaek A

    更新日期:2011-12-01 00:00:00

  • The reliability and validity of doctor-recorded morbidity data in active data collection systems.

    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

    authors: Britt H,Angelis M,Harris E

    更新日期:1998-03-01 00:00:00

  • Should pulse oximetry be included in GPs' assessment of patients with obstructive lung disease?

    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

    authors: Dalbak LG,Straand J,Melbye H

    更新日期:2015-01-01 00:00:00

  • Awareness and treatment of cardiovascular disease risk factors among middle-aged Swedish men and women.

    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

    authors: Ovhed I,Odeberg H,Troein M,Råstam L

    更新日期:1998-09-01 00:00:00

  • Long-lasting improvement in general practitioners' prescribing of antibiotics by means of medical audit.

    abstract:OBJECTIVE:To evaluate the usefulness of medical audit of GPs' antibiotic prescription habits. DESIGN:Medical audit according to the APO method. Registration of antibiotic prescriptions for respiratory tract infections during a 3 year period. Intervention with courses, visits to the laboratory, and distribution of reco...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134399750002629

    authors: Munck AP,Gahrn-Hansen B,Søgaard P,Søgaard J

    更新日期:1999-09-01 00:00:00

  • Integrated education of health care professionals applied to social medicine in primary health care.

    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

    authors: Bergman-Larsson K,Foldevi M,Gregersen NP,Hartvig B

    更新日期:1985-09-01 00:00:00

  • Vaginal application of lactobacilli in the prophylaxis of recurrent lower urinary tract infection in women.

    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

    authors: Baerheim A,Larsen E,Digranes A

    更新日期:1994-12-01 00:00:00

  • Susceptibility testing performed in general practice by urinary tract infections.

    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

    authors: Kjaerulff E

    更新日期:1986-11-01 00:00:00

  • Myocardial infarction risk factors in a semirural area in mid-Sweden. The population study "50-year-old people in Kungsör".

    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

    authors: Thorell B,Svärdsudd K

    更新日期:1991-09-01 00:00:00

  • Validation of the Zung self-rating depression scale (SDS) in older adults.

    abstract::Objective: The main objective of this study was to investigate the psychometric properties of the Zung Self-Rating Depression Scale (SDS) and evaluate screening parameters capability of the SDS with the Beck Depression Inventory (BDI-21) among the elderly population. Design: A population-based study Setting: Community...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639923

    authors: Jokelainen J,Timonen M,Keinänen-Kiukaanniemi S,Härkönen P,Jurvelin H,Suija K

    更新日期:2019-09-01 00:00:00

  • Focus groups as a path to clinical knowledge about the acutely and severely ill child.

    abstract:OBJECTIVE:To identify elements of clinical information beyond the area of knowledge presented in medical textbooks, but used by the general practitioner when confronted with the acutely and severely ill child. DESIGN:Focus group approach. SETTING:A course for teachers in General Practice at the Division for General P...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439709043425

    authors: Malterud K,Baerheim A,Hunskaar S,Meland E

    更新日期:1997-03-01 00:00:00

  • The association between patient shortage and patient satisfaction with general practitioners.

    abstract:OBJECTIVE:The aim of the study was to explore whether or not the influx of patients to a GP's practice is associated with satisfaction with the GP. DESIGN:Persons in the Norwegian Living Condition Survey answered a questionnaire on satisfaction with their GP. The data on satisfaction were merged with registered inform...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430701286579

    authors: Lurås H

    更新日期:2007-09-01 00:00:00

  • Diagnostic work in general practice: more than naming a disease.

    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...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134302760234582

    authors: Undeland M,Malterud K

    更新日期:2002-09-01 00:00:00

  • Relationship based care - how general practice developed and why it is undermined within contemporary healthcare systems.

    abstract::Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639909

    authors: Rudebeck CE

    更新日期:2019-09-01 00:00:00

  • Fear of cancer among patients in general practice.

    abstract::The general practitioners dealing with cancer has other parameters than statistics of incidence and prevalence. In 400 consecutive interviews with patients in general practice when asked if the consultation was brought about because of fear or thoughts of cancer, eight % answered "yes" and 11% "partly". When asked if ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438409017697

    authors: Nylenna M

    更新日期:1984-02-01 00:00:00

  • Key questions--a strategy for modifying clinical communication. Transforming tacit skills into a clinical method.

    abstract:BACKGROUND:A clinical communicative method designed to promote the doctor's understanding of women's "undefined" disorders is presented and discussed. The method is composed of key questions, which are problem-oriented speech acts, inviting the patient to share with the doctor her conception of illness. The questions a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,评审

    doi:10.3109/02813439409003686

    authors: Malterud K

    更新日期:1994-06-01 00:00:00

  • Exercise testing and myocardial perfusion scintigraphy in primary care patients with chest pain of new onset.

    abstract:OBJECTIVE:To analyse the outcome of exercise testing and myocardial perfusion scintigraphy (MPS) in primary care patients with chest pain of new onset. DESIGN:Prospective, observational. Patients aged 20-79 years, consulting due to chest pain of new onset, were enrolled consecutively. SETTING:Three primary care healt...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430601116249

    authors: Scheike M,Nilsson S,Nylander E

    更新日期:2007-06-01 00:00:00

  • New benzodiazepine and Z-hypnotic users and disability pension: an eight-year nationwide observational follow-up study.

    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

    authors: Tvete IF,Bjørner T,Skomedal T

    更新日期:2017-09-01 00:00:00

  • How do patients evaluate cancer related symptoms and signs? A study from general practice.

    abstract::Descriptions of twenty different clinical situations, most of which included cancer related symptoms and signs, were assessed by 329 patients. The patients showed a satisfactory level of alertness in response to the clinical situations. Lumps and bumps and visible bleeding gave the quickest response. An inverse relati...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438709013987

    authors: Nylenna M,Hjortdahl P

    更新日期:1987-05-01 00:00:00