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 of 17, of whom three had written the majority of the certificates): the strict application of the official criteria to the certificates would have caused 93% of them to be turned down as very deficient, i.e. not qualifying for insurance fund coverage of medication costs, compared with the 33% when using the generally accepted and tested valid criteria. The proportion of the false negatives when using the minimum number of the official criteria would have been 89%. However, all the 169 certificates had been accepted by the sickness insurance board on the advice of the physician member of the board; It was also found that the control of the BP after a treatment period of four months or longer before qualifying for "free" medication was far from adequate according to these data. Indeed, the longer the treatment period the worse the level of control. Although this does not tell anything about the level of control after granting the right for "free" medicines, it raises very serious questions and obviously needs a thorough clarification. If this finding were to be generalised which as yet it is not, it would mean that the whole system of free medication for chronic hypertension became questionable and that urgent measures would be needed to correct this weakness. The problem is of considerable importance from the economic point of view.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Kekki Pdoi
10.3109/02813438409017717subject
Has Abstractpub_date
1984-11-01 00:00:00pages
175-80issue
4eissn
0281-3432issn
1502-7724journal_volume
2pub_type
杂志文章abstract：:A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750002945
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVES:To determine the number, the nature and the circumstances of home accidents managed in general practices, and to compare the results with the European Home and Leisure Accidents Surveillance System (EHLASS) data. DESIGN:A prospective population survey of all domestic accidents managed in 138 sentinel genera...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：
更新日期：2002-06-01 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:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430701760789
更新日期：2008-01-01 00:00:00
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
更新日期：2007-09-01 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: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 coun...
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：10.1080/02813430310003543
更新日期：2004-03-01 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 analyse the relation of ethnicity, social deprivation (Underprivileged area, UPA-score), social class V, unemployment and overcrowding on age- and sex-standardized mortality ratio (SMR). DESIGN:This ecological study used the SMR for people under the age of 65 years as dependent variable. Mortality data fo...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997075
更新日期：1996-06-01 00:00:00
abstract：OBJECTIVE:Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN:Parallel-group controlled pragmatic pilot trial. SUBJECTS:There was a total of 83 patie...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813432.2019.1569415
更新日期：2019-03-01 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：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：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...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430500428919
更新日期：2006-06-01 00:00:00
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
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:To investigate the public knowledge of cardiovascular risk factors including hyperlipidaemia, and attitudes to changes in lifestyle and to the role of the primary health care in preventive work. DESIGN:Postal questionnaire. SETTING:A physically defined area in south-western Stockholm. SUBJECTS:1000 randoml...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996739
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：OBJECTIVE:To develop a group-based treatment programme in primary health care for women with chronic muscle pain, and adjust programme development according to experiences obtained by the participating women and health personnel. The aim of the programme was to help the women develop a tool for handling their chronic s...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430152706783
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVE:To explore the health economic consequences of menstrual disorders in Denmark. DESIGN:Analysis of the total costs of menstrual disorders in women, and a cost effectiveness analysis of menstrual disorders in women. SETTING:The analysis is based on retrospective 1991 data from the Danish National Patient Regi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996752
更新日期：1995-06-01 00:00:00
abstract：OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 g...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510031324
更新日期：2005-12-01 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：:Self-assessed well-being has been shown to be related to earlier medical events and to be a predictor of mortality. 50-year-old men and women (n = 314) in Kungsör were invited to an examination for traditional risk factors for cardiovascular diseases and different aspects of self-assessed well-being. The differences b...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439008994950
更新日期：1990-09-01 00:00:00
abstract：:Physical work load was assessed by doctors and patients to have contributed to the health problems leading to sickness certification in 48.4% of 1413 patients certified sick by 118 general practitioners in Buskerud county, Norway (1986). Correspondingly, psychological factors were considered contributory in 32.1%. The...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439008994927
更新日期：1990-03-01 00:00:00
abstract：STUDY OBJECTIVE:The aim of the study was to investigate the relationship between morbidity in early childhood and gender, birth order, and social class. DESIGN:The study used data collected in the Nijmegen Continuous Morbidity Registration. All presented morbidity and a number of personal data were available. SETTING...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014047
更新日期：1992-06-01 00:00:00
abstract：:The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609013971
更新日期：1986-02-01 00:00:00
abstract：OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1499514
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to describe patients' experience of yoga as a treatment for hypertension, as well as their experience of living with hypertension. DESIGN:Qualitative interview study Method and materials: In 2013-2014, in southern Sweden, patients with hypertension from three health care centres were...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2017.1397318
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:To analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms. DESIGN:Web-based nationwide cross-sectional questionnaire study. SET...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1487377
更新日期：2018-09-01 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 assess the effect on referral rate when GPs are given a better opportunity to send their patients to specialists for consultation. DESIGN:Intervention study with a control group. SETTING AND SUBJECTS:A 34-month experiment in the City of Turku. The experimental group consisted of 10 GPs working in municip...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134301750235295
更新日期：2001-06-01 00:00:00
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
更新日期：1993-06-01 00:00:00
