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  • 1.
    André, Malin
    et al.
    Linköping University, Department of Medicine and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
    Andén, Annika
    Linköping University, Department of Medicine and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
    Borgquist, Lars
    Linköping University, Department of Medicine and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
    Rudebeck, Carl-Edvard
    Linköping University, Department of Medicine and Health Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    Clinical Strategies in General Practice: GPs' Perceptions2009Article in journal (Other academic)
    Abstract [en]

    Background: General practice operates at the point of intersection between health care as a medical-technological and a humanistic enterprise, as manifested through the coherent attention given to both the patient as a person and to the disease.

    Objective: To analyse the problem-solving strategies of GPs with regard to problems encountered and presumed patient outcomes throughout the range of problems and patients encountered in the everyday work of the GP.

    Methods: Sixteen GPs from different areas of Sweden filled out questionnaires concerning 15-30 of their recent consecutive consultations.

    Results: In 94% of the consultations a somatic problem was registered, in 28% of these together with a psychosocial problem. Only a small fraction (5.8%) was registered as psychosocial problems only. In most of the consultations characterised as somatic, the main emphasis was on the symptoms only, whereas emphasis was given only to the person in consultations where the problem was registered as psychosocial. Immediate problem solving was used in about half of the consultations, where the patients were more often considered to be reassured, cope better and to be satisfied. With increasing psychosocial content of the consultations, the GPs registered more dissatisfaction, both for themselves and their patients.

    Limitations: The GPs were not randomly selected and the results are based solely on the GPs perceptions.

    Conclusions: The GPs seemed to adjust their problem solving (immediate or gradual) to the registered problem and furthermore adjust the immediate problem solving, focusing either on the problem or on the patient as a person. This might be regarded as the quintessence of the expert skill of the experienced GP.

  • 2.
    Andén, Annika
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice.
    andersson, s o
    Umeå.
    Rudebeck, Carl-Edvard
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice.
    Concepts underlying outcome measures in studies of consultations in general practice2006In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724Article in journal (Refereed)
  • 3.
    Andén, Annika
    et al.
    Linköping University, Department of Medicine and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
    André, Malin
    Centre for Clinical Research, Falun.
    Rudebeck, Carl-Edvard
    Kalmar County Council, Esplananden Health Care Centre, Västervik.
    What happened? GPs' perceptions of consultation outcomes and a comparison with the experiences of their patients2010In: European Journal of General Practice, ISSN 1381-4788, E-ISSN 1751-1402, Vol. 16, no 2, p. 80-84Article in journal (Other academic)
    Abstract [en]

    Objective: To investigate GPs’ perceptions of consultation outcomes and to investigate the associations between these and outcomes perceived by the patients. Design: 25 GPs and 10 patients for each GP filled in a questionnaire about the outcome of the same consultation. The questions in the questionnaires were formulated from concepts found in preceding qualitative studies. Their answers were analysed and compared. Setting: GPs and patients from 16 group practices in Norrbotten, Sweden. Results: The GPs had the apprehension that their consultations would lead to cure/symptom relief in half of their consultations. They believed that their patients were satisfied up to 90% and that up to 75% had been reassured, understood more or could cope better. The GPs were satisfied themselves with up to 95% of the consultations, they enhanced their relationship to their patient up to 70%. Their affirmative concordance with their patients was high regarding satisfaction, intermediate regarding patient reassurance and patient understanding and lowest regarding cure/symptom relief.

    Conclusion: The GPs’ were lacking in their ability to assess the patients’ increased understanding and the concordance between their own and the patients’ expectation of cure/symptom relief was low.

  • 4.
    Hultberg, Josabeth
    et al.
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Lundgren, Charlotte
    Linköping University, Department of Culture and Communication, Language and Culture. Linköping University, Faculty of Arts and Sciences.
    Rudebeck, Carl-Edvard
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Doctors Talking to Patients: the Many Meanings of We2013Conference paper (Other academic)
  • 5.
    Hultberg, Josabeth
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Primary Care Center, Primary Health Care Center Åby.
    Rudebeck, Carl-Edvard
    Kalmar County Council, Sweden; University of Tromso, Norway.
    Patient participation in decision-making about cardiovascular preventive drugs - resistance as agency2017In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 35, no 3, p. 231-239Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of the study was to describe and explore patient agency through resistance in decision-making about cardiovascular preventive drugs in primary care. Design: Six general practitioners from the southeast of Sweden audiorecorded 80 consultations. From these, 28 consultations with proposals from GPs for cardiovascular preventive drug treatments were chosen for theme-oriented discourse analysis. Results: The study shows how patients participate in decision-making about cardiovascular preventive drug treatments through resistance in response to treatment proposals. Passive modes of resistance were withheld responses and minimal unmarked acknowledgements. Active modes were to ask questions, contest the address of an inclusive we, present an identity as a non-drugtaker, disclose non-adherence to drug treatments, and to present counterproposals. The active forms were also found in anticipation to treatment proposals from the GPs. Patients and GPs sometimes displayed mutual renouncement of responsibility for decision-making. The decision-making process appeared to expand both beyond a particular phase in the consultations and beyond the single consultation. Conclusions: The recognition of active and passive resistance from patients as one way of exerting agency may prove valuable when working for patient participation in clinical practice, education and research about patient-doctor communication about cardiovascular preventive medication. We propose particular attentiveness to patient agency through anticipatory resistance, patients disclosures of non-adherence and presentations of themselves as non-drugtakers. The expansion of the decision-making process beyond single encounters points to the importance of continuity of care.

  • 6.
    Lööf-Johansson, Margareta
    et al.
    Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
    Foldevi, Mats
    Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Primary Health Care in Central County.
    Rudebeck, Carl-Edvard
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.
    Breastfeeding as a Specific Value in Womens Lives: The Experiences and Decisions of Breastfeeding Women2013In: Breastfeeding Medicine, ISSN 1556-8253, E-ISSN 1556-8342, Vol. 8, no 1, p. 38-44Article in journal (Refereed)
    Abstract [en]

    Background: Worldwide, breastfeeding is recommended for every woman who gives birth to a child. The propensity to breastfeed varies. There is considerable knowledge about the experiences and circumstances that affect the decision to breastfeed, but knowledge about what actually generates the decision's force still needs to be increased. The aim of this study was to gain knowledge of how the decision to breastfeed is initiated and upheld.

    Subjects and Methods: Eighteen women from three generations were interviewed, and the data were analyzed by qualitative content analysis.

    Results: Six categories were revealed: “Task,” “Instinct,” “Silent Impact,” “Conflicts,” “Job,” and “Joy.” The women took on the Task of breastfeeding during pregnancy. The will to breastfeed was also recognized as an Instinct. The older women remained more in the background, exerting a Silent Impact. Parents' agreement that mothers remain at home and breastfeed for the first 6 months could be considered disturbing from a gender equality perspective. Competition arose between spouses, which could lead to Conflicts at weaning. The mothers in the study chose to stay home to do the Job and experience the Joy of breastfeeding.

    Conclusions: A summarizing theme was the specific life value of breastfeeding, encompassing feelings of coherence, pleasure, and pride, regardless of generation affiliation. As the favorable interplay of biological, sensual, relational, and social elements this value upheld the decision to breastfeed. It compensated for the effort and negative experiences, and as a finding, it appears to be transferable among breastfeeding mothers in other developed countries.

  • 7.
    Ryding, C.
    et al.
    Kvartersakuten, Surbrunnsgatan 66, SE-113 27 Stockholm, Sweden.
    Rudebeck, Carl-Edvard
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences.
    Mattson, B.
    Department of Primary Health Care, University of Gothenburg, Göteborg, Sweden.
    Body awareness in movement and language: Concordance and disparity2004In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 6, no 4, p. 158-165Article in journal (Refereed)
    Abstract [en]

    Background and purpose: Body Awareness Scale-Health (BAS-H) is a physiotherapy scoring instrument that assesses the quality and harmony in posture and simple movements. In the present work, we have studied the concordance between body awareness scores and described body experience to further refine the concept of body awareness. Method: Sixteen general practitioners were assessed according to BAS-H and interviewed using a semi-structured method concerning their own body experience in relation to three themes. The interviews for the five participants who were found to have the most well-developed body awareness were compared, with the five that had the least developed body awareness. Results: The participants in the group with well-developed body awareness described a more positive attitude towards the body, and they gave clearer descriptions about their experiences of emotions and conditions such as hunger and tiredness. However, there were important exceptions. Body awareness has two dimensions-an outward/expressive dimension that is expressed in posture and movement, and an inward/introspective dimension. Summary hypotheses: The study was summarized in several hypotheses concerning the relationship between expressive and introspective body awareness. © 2004 Taylor & Francis.

  • 8.
    von Bothmer, M
    et al.
    Halmstad .
    Rudebeck, Carl-Edvard
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice.
    Understanding the meaning of smoking behaviour through the philosophy of Merleau-Ponty2003In: Theoria : medlemsblad / Riksföreningen för omverdnadsteorier inom praktik, utbildning och forskning, ISSN 1400-8033, Vol. 12Article in journal (Other academic)
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