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Schedvin, Göran
Publications (3 of 3) Show all publications
Schedvin, G., Hedberg, C. & Roback, K. (2014). Ta tag i etik i diagnostiken. Läkartidningen, 111(37), 1492-1493
Open this publication in new window or tab >>Ta tag i etik i diagnostiken
2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 37, p. 1492-1493Article in journal (Other academic) Published
Abstract [sv]

Formerna för egeninitierad, egenfinansierad, opportunistisk diagnostik bör utvecklas, utprövas och utvär-deras, anser Göran Schedvin och medförfattare. De efterlyser självsanering inom diagnostikbranschen, annars krävs ny lagsiftning på området.

Place, publisher, year, edition, pages
Läkartidningen, 2014
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-126585 (URN)
Available from: 2016-03-30 Created: 2016-03-30 Last updated: 2017-11-30
Schedvin, G., Hedberg, C. & Roback, K. (2014). TH136: Unequal utilization of screening tests in primary health care centers in Sweden: Shoud laboratory professionals be involved?. In: Abstracts: The 3rd EFLM-UEMS Congress. Paper presented at The 3rd EFLM-UEMS Congress. Laboratory Medicine at the Clinical Interface. Liverpool, UK, 7-10 October 2014 (pp. eA359-eA359). Walter de Gruyter
Open this publication in new window or tab >>TH136: Unequal utilization of screening tests in primary health care centers in Sweden: Shoud laboratory professionals be involved?
2014 (English)In: Abstracts: The 3rd EFLM-UEMS Congress, Walter de Gruyter, 2014, p. eA359-eA359Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Introduction: Large differences exist in utilization of laboratory tests among Primary Health Care Centers (PHCC) in Sweden. The NationalBoard of Health and Welfare provides recommendations for the use of laboratory test for population screening. The aim of this study is tocompare and evaluate the use of three different tests performed by PHCCs in relation to national recommendations and disease prevalencein relevant populations, Ferritin-testing among fertile women, Faecal occult blood testing (FOBT) among elderly persons and PSA-screeningamong men. Estimated prevalence in Sweden of depleted iron stores is about 30%, colorectal cancer 1% and prostate cancer 3%.

Method: This is a registry study of test use in 40 PHCCs in a Swedish county. Study populations are limited to women 18-40 years old in thecase of ferritin testing (recommendations non-existant); 60-74 years old for FOBT (should be offered according to national recommendations);and men 50-70 in PSA-screening (should not be actively offered). The number of tests ordered by each PHCC during 2013 was extracted fromthe Östergötland County Council laboratory Medicine information system.

Results: The proportion tested, in the defined populations, varied considerably among PHCCs. With respect to estimated prevalences andcurrent recommendations, we found a general underuse of Ferritin and FOBT-testing, with variations of 1,6-12% and 1-3,6%, respectively, andan overuse of PSA-testing, with a variation of 5-18%.

Conclusions: National recommendations appear to be inadequate as a means of harmonizing test use. Laboratory feedback is one way ofcombating inappropriate testing. Further research should be initiated to strengthen the role of the laboratory and citizen involvement in testutilization. In the case of ferritin-testing, where no recommendations exist, we suggest a “test and counselling” strategy to empower the citizensand increase the proportion of women tested.

Place, publisher, year, edition, pages
Walter de Gruyter, 2014
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-126607 (URN)
Conference
The 3rd EFLM-UEMS Congress. Laboratory Medicine at the Clinical Interface. Liverpool, UK, 7-10 October 2014
Available from: 2016-03-31 Created: 2016-03-31 Last updated: 2016-04-20Bibliographically approved
Schedvin, G. & Roback, K. (2013). Delayed implementation of ionized calcium tests related to unsuccessful disuse of older thest methods. In: : . Paper presented at The Nordic Conference on Implementation of Evidence-Based Practice. 5-6 February 2013.
Open this publication in new window or tab >>Delayed implementation of ionized calcium tests related to unsuccessful disuse of older thest methods
2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-105633 (URN)
Conference
The Nordic Conference on Implementation of Evidence-Based Practice. 5-6 February 2013
Available from: 2014-03-31 Created: 2014-03-31 Last updated: 2014-03-31
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