Patients, diagnoses and processes in general practice in the Nordic countries.<i>An attempt to make data from computerised medical records available for comparable statistics</i>

Grimsmo, Anders; Hagman, Erik; Falkø, Erik; Matthiessen, Lars; Njálsson, Thorsteinn

doi:10.1080/028134301750235277

Cited by 46 publications

(14 citation statements)

References 5 publications

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“…Norwegian GPs’ available equipment was described in an extensive report from 1981 [7], but both the organisation of the primary health care system and the available diagnostic and therapeutic equipment has changed significantly since then. A study from 2001 explored differences in consultation rates and diagnoses given by Nordic GPs [8]. Some more recent studies from other European countries describe the spectrum of medical equipment in the respective countries [9,10].…”

Section: Introductionmentioning

confidence: 99%

Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Eide

Straand

Björkelund

et al. 2017

Scandinavian Journal of Primary Health Care

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ObjectiveWe aim to describe medical services provided by Nordic general practitioners (GPs), and to explore possible differences between the countries.Design and settingWe did a comparative analysis of selected data from the Nordic part of the study Quality and Costs of Primary Care in Europe (QUALICOPC).SubjectsA total of 875 Nordic GPs (198 Norwegian, 80 Icelandic, 97 Swedish, 212 Danish and 288 Finnish) answered identical questionnaires regarding their practices.Main outcome measuresThe GPs indicated which equipment they used in practice, which procedures that were carried out, and to what extent they were involved in treatment/follow-up of a selection of diagnoses.ResultsThe Danish GPs performed minor surgical procedures significantly less frequent than GPs in all other countries, although they inserted IUDs significantly more often than GPs in Iceland, Sweden and Finland. Finnish GPs performed a majority of the medical procedures more frequently than GPs in the other countries. The GPs in Iceland reported involvement in a more narrow selection of conditions than the GPs in the other countries. The Finnish GPs had more advanced technical equipment than GPs in all other Nordic countries.ConclusionsGPs in all Nordic countries are well equipped and offer a wide range of medical services, yet with a substantial variation between countries. There was no clear pattern of GPs in one country doing consistently more procedures, having consistently more equipment and treating a larger diversity of medical conditions than GPs in the other countries. However, structural factors seemed to affect the services offered.

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Section: Introductionmentioning

confidence: 99%

Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Eide

Straand

Björkelund

et al. 2017

Scandinavian Journal of Primary Health Care

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“…Although major depression is under-detected in primary care (Harman et al, 2006), in the past decade there has been a push to increase detection in Sweden general practice (Hansson et al, 2008) and the discordance between primary care and clinical interviews is generally one of specific diagnosis (e.g., major depression vs. dysthymia) rather than whether or not psychopathology is present at all (Tiemens et al, 1999). Also, the quality and validity of electronic medical records from primary care in Sweden is high (Nilsson et al, 2003; Grimsmo et al, 2001), and the relative availability of primary and psychiatric care in Sweden should increase the detection of major depression relative to places such as the United States. Also, we did not have information on potential behavioral mediators of the depression-diabetes relationship, including smoking, diet, body mass index, and physical activity; however, other reports have indicated that the relationship between depression and risk of type 2 diabetes persists after accounting for these factors (Mezuk et al, 2008a, 2008b; Knol et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…All linkages were performed by the use of an individual national identification number that is assigned to each person in Sweden for their lifetime, which was replaced by a serial number for analysis in order to provide anonymity. The quality and validity of electronic medical records from primary care in Sweden is high (Nilsson et al, 2003; Grimsmo et al, 2001). …”

Section: Methodsmentioning

confidence: 99%

Depression, neighborhood deprivation and risk of type 2 diabetes

Mezuk

Chaikiat

et al. 2013

Health & Place

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Neighborhood characteristics have been associated with both depression and diabetes, but to date little attention has been paid to whether the association between depression and diabetes varies across different types of neighborhoods. This prospective study examined the relationship between depression, neighborhood deprivation, and risk of type 2 diabetes among 336,340 adults from a national-representative sample of primary care centers in Sweden (2001–2007). Multi-level logistic regression models were used to assess associations between depression and risk of type 2 diabetes across affluent and deprived neighborhoods. After accounting for demographic, individual-level socioeconomic, and health characteristics, depression was significantly associated with risk of diabetes (odds ratio (OR): 1.10, 95% confidence interval (CI): 1.06–1.14), as was neighborhood deprivation (OR for high vs. low deprivation: 1.66, 95% CI: 1.22–1.34). The interaction term between depression and neighborhood deprivation was non-significant, indicating that the relationship between depression and diabetes risk is similar across levels of neighborhood socioeconomic deprivation.

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“…Respiratory tract infections (RTIs) represent the majority (50–60%) of all infections in Swedish primary care and therefore are at focus for efforts to optimise antibiotic prescribing [18, 19] Media campaigns to the public and structured implementation of new guidelines regarding RTIs have been performed on a national basis. Many years of structured work by the Swedish strategic programme against antibiotic resistance (Strama) has significantly reduced the antibiotic use over the last decade [18, 20].…”

Section: Introductionmentioning

confidence: 99%

Reduction in antibiotic prescribing for respiratory tract infections in Swedish primary care- a retrospective study of electronic patient records

et al. 2016

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BackgroundSwedish studies on antibiotic use in primary care have been based on one-week registrations of infections. In order to study adherence to guidelines, analyses based on large databases that provide information on diagnosis linked prescriptions, are needed. This study describes trends in management of infections in Swedish primary care particularly with regards to antibiotic prescribing and adherence to national guidelines.MethodsA descriptive study of Sweden’s largest database regarding diagnosis linked antibiotic prescription data, the Primary care Record of Infections in Sweden (PRIS), for the years 2008, 2010 and 2013.ResultsAlthough the consultation rate for all infections remained around 30% each year, antibiotic prescribing rates decreased significantly over the years from 53.7% in 2008, to 45.5% in 2010, to 38.6% in 2013 (p = .032). The antibiotic prescribing rate for respiratory tract infections (RTIs) decreased from 40.5% in 2008 to 24.9% in 2013 while those for urinary tract infections and skin and soft tissue infections were unchanged. For most RTI diagnoses there was a decrease in prescription rate from 2008 to 2013, particularly for the age group 0–6 years. Phenoxymethylpenicillin (PcV) was the antibiotic most often prescribed, followed by tetracycline. Tonsillitis and acute otitis media were the two RTI diagnoses with the highest number of prescriptions per 1000 patient years (PY). For these diagnoses an increase in adherence to national guidelines was seen, with regards to treatment frequency, choice of antibiotics and use of rapid antigen detection test. The frequency in antibiotic prescribing varied greatly between different Primary Healthcare Centres (PHCCs).ConclusionFalling numbers of consultations and decreased antibiotic prescription rates for RTIs have reduced the antibiotic use in Swedish primary care substantially. Overprescribing of antibiotics could still be suspected due to large variability in prescribing frequency, especially for acute bronchitis and sinusitis. Continuous evaluation of diagnosis linked prescribing data and feedback to doctors is essential in order to achieve a more prudent antibiotic use.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2018-9) contains supplementary material, which is available to authorized users.

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Patients, diagnoses and processes in general practice in the Nordic countries.An attempt to make data from computerised medical records available for comparable statistics

Cited by 46 publications

References 5 publications

Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Depression, neighborhood deprivation and risk of type 2 diabetes

Reduction in antibiotic prescribing for respiratory tract infections in Swedish primary care- a retrospective study of electronic patient records

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