liu.seSök publikationer i DiVA
Ändra sökning
Avgränsa sökresultatet
1 - 16 av 16
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1. Arrelöv, B
    et al.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin.
    Ljungberg, D
    Svärdsudd, K
    Uppsala .
    The influence of change of legislation concerning sickness absence on physicians' performance as certifiers: A population-based study2003Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 63, nr 3, s. 259-268Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Sweden, a change of the legislation for sickness absence became effective on 1st October, 1995. The purpose of the change was to reduce costs for sickness absence by exclusion of non-medical criteria for sick-listing, more part-time sick-listing and faster rehabilitation. This study was conducted in order to describe and analyse certification practice of various physician categories, before and after the change in legislation. Thirty-one thousand seven hundred and thirty certificates for sickness absence, collected by the local offices of the National Social Insurance Board in eight Swedish counties, fulfilled the inclusion criteria. The number of certificates decreased temporarily. The number of certified net days, i.e. crude days multiplied by degree, tended to increase and there was no shift from full to partial sick-listing during the period. There were small changes regarding case mix, i.e. patient characteristics, and sick-listing physician category. The results were almost unchanged when these small changes were taken into account. General practitioners issued significantly shorter periods of sick-leave than the other categories both years. The goals of the legislative change were thus not met. The result of the study indicates that other factors than the legislation may be more important for physicians' practice. ⌐ 2002 Elsevier Science Ireland Ltd. All rights reserved.

  • 2.
    Broqvist, Mari
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Sandman, Lars
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Garpenby, Peter
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Krevers, Barbro
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    The meaning of severity - do citizenś views correspond to a severity framework based on ethical principles for priority setting?2018Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 122, nr 6, s. 630-637, artikel-id S0168-8510(18)30081-2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The importance for governments of establishing ethical principles and criteria for priority setting in line with social values, has been emphasised. The risk of such criteria not being operationalised and instead replaced by de-contextualised priority-setting tools, has been noted. The aim of this article was to compare whether citizenś views are in line with how a criterion derived from parliamentary-decided ethical principles have been interpreted into a framework for evaluating severity levels, in resource allocation situations in Sweden. Interviews were conducted with 15 citizens and analysed by directed content analysis. The results showed that the multi-factorial aspects that participants considered as relevant for evaluating severity, were similar to those used by professionals in the Severity Framework, but added some refinements on what to consider when taking these aspects into account. Findings of similarities, such as in our study, could have the potential to strengthen the internal legitimacy among professionals, to use such a priority-setting tool, and enable politicians to communicate the justifiability of how severity is decided. The study also disclosed new aspects regarding severity, of which some are ethically disputed, implying that our results also reveal the need for ongoing ethical discussions in publicly-funded healthcare systems.

  • 3.
    Calltorp, J
    Linkoping Univ, Fac Hlth Sci, S-13150 Saltsjo Duvmas, Sweden.
    Priority-setting in health policy in Sweden and a comparison with Norway1999Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 50, nr 1-2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The development of priority setting policies has been an important part of the national agenda for health services in Sweden and Norway during the past 10 years. Both countries have health systems with a pronounced public character and a declared emphasis on equity and solidarity. Both countries have also bad National Priority Commissions that have developed general documents providing advice, but not very detailed guidelines, on how to set priorities, Resource constraints and the rapid restructuring of the health care system were important characteristics forming the background for the National Priority Commission in Sweden (1995). In Norway, the starting point for the first-ever Priority Commission in the world (1987) was how to set limits for health care in a society with rapidly increasing wealth. The second Norwegian Commission (1997) critically reviewed the effects of the general principles for priority setting that have been put forward, and demonstrated the importance to link them to steering tools within health care services. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

  • 4.
    Garpenby, Peter
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi.
    Implementing quality programmes in three Swedish county councils: the views of politicians, managers and doctors.1997Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 39, s. 195-206Artikel i tidskrift (Refereegranskat)
  • 5.
    Garpenby, Peter
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi.
    Carlsson, Per
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi.
    The role of national quality registers in the Swedish health service.1994Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 29, s. 183-195Artikel i tidskrift (Refereegranskat)
  • 6.
    Harder, Thomas
    et al.
    Robert Koch Institute, Germany.
    Abu Sin, Muna
    Robert Koch Institute, Germany.
    Bosch-Capblanch, Xavier
    Swiss Trop and Public Health Institute, Switzerland.
    Coignard, Bruno
    Institute Veille Sanitaire, France.
    de Carvalho Gomes, Helena
    European Centre Disease Prevent and Control ECDC, Sweden.
    Duclos, Phillippe
    WHO, Switzerland.
    Eckmanns, Tim
    Robert Koch Institute, Germany.
    Elder, Randy
    Centre Disease Control and Prevent, GA USA.
    Ellis, Simon
    National Institute Health and Care Excellence NICE, England.
    Forland, Frode
    Norwegian Institute Public Heatlh, Norway.
    Garner, Paul
    University of Liverpool, England.
    James, Roberta
    SIGN, Scotland.
    Jansen, Andreas
    European Centre Disease Prevent and Control ECDC, Sweden.
    Krause, Gerard
    Helmholtz Centre Infect Research, Germany.
    Levy-Bruhl, Daniel
    Institute Veille Sanitaire, France.
    Morgan, Antony
    National Institute Health and Care Excellence NICE, England.
    Meerpohl, Joerg J.
    German Cochrane Centre, Germany.
    Norris, Susan
    WHO, Switzerland.
    Rehfuess, Eva
    University of Munich, Germany.
    Sanchez-Vivar, Alex
    HPS, Scotland; Scottish Health Protect Network HPN, Scotland.
    Schuenemann, Holger
    McMaster University, Canada.
    Takla, Anja
    Robert Koch Institute, Germany.
    Wichmann, Ole
    Robert Koch Institute, Germany.
    Zingg, Walter
    Hop Cantonal University of Geneva, Switzerland.
    Zuiderent-Jerak, Teun
    Linköpings universitet, Institutionen för tema, Tema teknik och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Towards a framework for evaluating and grading evidence in public health2015Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 119, nr 6, s. 732-736Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The Project on a Framework for Rating Evidence in Public Health (PRECEPT) is an international collaboration of public health institutes and universities which has been funded by the European Centre for Disease Prevention and Control (ECDC) since 2012. Main objective is to define a framework for evaluating and grading evidence in the field of public health, with particular focus on infectious disease prevention and control. As part of the peer review process, an international expert meeting was held on 13-1 4 June 2013 in Berlin. Participants were members of the PRECEPT team and selected experts from national public health institutes, World Health Organization (WHO), and academic institutions. The aim of the meeting was to discuss the draft framework and its application to two examples from infectious disease prevention and control. This article introduces the draft PRECEPT framework and reports on the meeting, its structure, most relevant discussions and major conclusions.

  • 7.
    Harrison, M.I.
    et al.
    Dept. of Sociology and Anthropology, Bar-Ilan University, 52900, Ramat-Gan, Israel.
    Calltorp, J.
    The reorientation of market-oriented reforms in Swedish health-care2000Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 50, nr 3, s. 219-240Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Sweden was an important pioneer of market-oriented reform in publicly funded health-care systems. Yet by the mid-1990s the county councils, which fund and manage most health-care, had substantially scaled back reforms based on provider competition while continuing to constrain health budgets. As policy makers faced new issues, they turned increasingly to longer-term and more cooperative contracts to define relations between hospitals and the county councils. Growing regionalization of government and hospital mergers further reconfigured acute care and limited opportunities for competition between hospitals. We seek to explain this reorientation of market-oriented reforms between 1989 and 1996 in terms of shifts in the positions taken by powerful policy actors, and in particular by county council politicians. During this period, elections moved liberal and conservative politicians, who were the most enthusiastic supporters of market-oriented reform, in and out of control of most county governments. Meanwhile many Social Democratic politicians gradually turned from initial support of competitive reform toward opposition. Politicians and county administrators from all parties were particularly concerned about controlling health expenditures during a period of recession. In addition, the public, politicians in the counties and municipalities, and health professionals resisted steps that threatened health sector employment and would have allowed market mechanisms, rather than governments, to determine the prices and distribution of health services. During the years under study Sweden's market-oriented reforms followed a course of development similar to that taken by other management and policy fashions (Abrahamson E. Management fashion, Academy of Management Review 1996,21: 254-85). At first the reforms enjoyed uncritical support by a broad spectrum of stakeholders. Gradually participants in the reform process recognized inherent tensions among the goals of the reform, conflicts between reform programs and fundamental social and political values, unrealistic assumptions about the effects of competition, technical and organizational obstacles to implementation, and threats to interest groups. Since 1998, there have been indications that Sweden may be entering yet another stage of experimentation with market-oriented reform. Copyright (C) 2000 Elsevier Science Ireland Ltd.

  • 8.
    Holmberg, Håkan
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Linköpings universitet, Hälsouniversitetet.
    Carlsson, Per
    Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Linköpings universitet, Hälsouniversitetet.
    Löfman, Owe
    Linköpings universitet, Institutionen för hälsa och samhälle. Linköpings universitet, Hälsouniversitetet.
    Varenhorst, Eberhard
    Department of Surgery and Urology, County Hospital, Norrköping, Sweden.
    Economic evaluation of screening for prostate cancer: a randomized populaionbased programme during a 10 year period in Sweden1998Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 45, nr 2, s. 133-147Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Prostate cancer is a growing health problem representing considerable costs. Screening and early curative treatment may reduce morbidity and possibly prevent future escalating costs. However, population screening programmes are generally not well accepted at present due to uncerainty about whether screening for prostate cancer can result in reduced mortality. Evidence from large, randomized, controlled trials is still lacking. The objective of this study was to calculate clinical and economic consequences of general prostate cancer screening based on a limited screening trial in a Swedish community and a decision-tree model. A random selection of 1492 men (50–69 years) were invited to repeated screening in 1987. They have been examined every third year (four rounds). The other 7679 men in the population act as controls. The results show that the total incremental health care costs for prostate cacer will increase by 179 million SEK per year with screening compared to no-screening. The number of detected cases of localized cancer will increase by about 1000, which represents an additional cost of about 158 000 SEK per case. In conclusion, general screening for prostate cancer can be performed with a reasonable cost per detected localized cancer. Information on the long-term effect on life quality and cancer mortality is unknown.

  • 9.
    Jacobsson, Fredric
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Carstensen, John
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för hälsa och samhälle, Tema hälsa och samhälle.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Caring externalities in health economic evaluation: How are they related to severity of illness?2005Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 73, nr 2, s. 172-182Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In health economic evaluations, altruistic preferences in the form of caring externalities, i.e. that people care about others' health, is usually not taken into account. In this study we examined how people value their own and others' health. This pilot study was carried out by letting people answer willingness to pay (WTP) questionnaires where internal WTP (own health) and altruistic WTP (others' health) were isolated and examined. A common method used in health economic evaluations is cost-utility analysis, which is based on the maximisation of QALYs. QALY maximisation may be appropriate if altruistic preferences are non-existent or if they are linear in relation to internal preferences (QALYs gained). We found evidence for the existence of altruistic preferences and that these preferences were relatively higher for severe health states (and lower for mild states of health) compared to internal preferences, i.e. when severity of illness increased, the relative increase in caring was higher concerning others than oneself. The difference was statistically significant (P < 0.001). Our results indicate that more attention and resources should be directed to severe health states, as compared to mild health states, than advocated by internal preferences in order to obtain more efficient resource allocation in the health care sector. © 2004 Elsevier Ireland Ltd. All rights reserved.

  • 10.
    Lindberg, Malou
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Wilhelmsson, Susan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Hälsouniversitetet.
    National public health target awareness of staff at two organisational levels in health care2007Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 84, s. 243-248Artikel i tidskrift (Refereegranskat)
  • 11.
    Lindstrom Egholm, Cecilie
    et al.
    Holbaek Univ Hosp, Denmark; Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark.
    Knold Rossau, Henriette
    Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark.
    Nilsen, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Bunkenborg, Gitte
    Holbaek Univ Hosp, Denmark.
    Rod, Morten Hulvej
    Univ Southern Denmark, Denmark.
    Doherty, Patrick
    Univ York, England.
    Bartels, Paul
    Danish Clin Registries, Denmark.
    Helmark, Lotte
    Zealand Univ Hosp, Denmark.
    Zwisler, Ann-Dorthe
    Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark.
    Implementation of a politically initiated national clinical guideline for cardiac rehabilitation in hospitals and municipalities in Denmark2018Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 122, nr 9, s. 1043-1051Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A politically initiated national clinical guideline was launched in Denmark in 2013 to improve quality and equality of cardiac rehabilitation (CR) services. The guideline is to be implemented in both hospital and community (municipality) settings due to shared responsibility for provision of CR services. Little is known about implementation outcomes of a guideline in these two settings. We aimed to study this by determining the extent to which Danish CR services in hospitals and municipalities adhered to national recommendations following the launch of the guideline. The study employed an observational, longitudinal design. Data were gathered by a questionnaire survey to compare CR services at baseline, measured in 2013 immediately before the guideline was launched, with CR services at a two-year follow up in 2015. All Danish hospital departments offering CR services (N = 36) and all municipalities (N = 98) were included. Data were analysed using inferential statistics. Hospitals reported improvement of both content and quality of CR services. Municipalities reported no change in content of services, and lower level of fulfilment of one quality aspect. The results suggest that the guideline had different impact in hospitals and municipalities and that the differences in content and quality of services between the two settings increased in the study period, thus contradicting the guidelines aim of uniform, evidence-based content of CR services across settings. (C) 2018 Elsevier B.V. All rights reserved.

  • 12. Lundberg, Lena
    et al.
    Johannesson, Magnus
    Isacsson, Dag
    Borgquist, Lars
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för tema.
    Effects of user charges on the use of prescription medicines in different socio-economic groups1998Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 44, nr 2, s. 123-134Artikel i tidskrift (Refereegranskat)
  • 13.
    Pettersson, Billie
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Hoffmann, Mikael
    NEPI Fdn.
    Wandell, Per
    Karolinska Institute.
    Levin, Lars-Åke
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Utilization and costs of lipid modifying therapies following health technology assessment for the new reimbursement scheme in Sweden2012Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 104, nr 1, s. 84-91Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: A new reimbursement scheme (RS) for lipid modifying therapies (LMT) was implemented in Sweden in June 2009. Products on the market were continued, restricted or excluded in the new RS. The aim of this study was to compare utilization, costs and switching behavior in patients treated with LMT before and after the new RS. less thanbrgreater than less thanbrgreater thanMaterials and methods: This is a quasi-experimental study using data on dispensed LMT and costs from a database on dispensed individual prescriptions in Sweden. Segmented regression analyses were used to assess utilization and costs of LMT. less thanbrgreater than less thanbrgreater thanResults: Number of patients treated with products with restricted reimbursement increased in level (P=0.0336) following the changes in the scheme, while decreased in level (Pandlt;0.0001) for products excluded from the RS. Patients initially treated with products excluded from the RS discontinued to a greater extent, and switched to higher doses of the same substance or to generic simvastatin. The total annual costs decreased moderately. less thanbrgreater than less thanbrgreater thanConclusions: The decreasing trend in utilization of low-dose atorvastatin and rosuvastatin was accelerated and so was the increasing trend in utilization of generic simvastatin following the new RS. Switching to higher doses and discontinuation increased and expected savings were overestimated.

  • 14.
    Pettersson, Billie
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Hoffmann, Mikael
    The NEPI Foundation – The Swedish Network for Pharmaco-epidemiology, 581 91 Linköping, Sweden.
    Wändell, Per
    Center for Family and Community Medicine, Karolinska Institute, 141 83 Huddinge, Sweden.
    Levin, Lars‐Åke
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Utilization and Costs of Glucose‐ lowering Therapies following Health Technology Assessment for the new reimbursement scheme in Sweden2012Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 108, nr 2-3, s. 207-215Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Objectives: A new reimbursement scheme (RS) for glucose lowering therapies (GLT) was implemented in Sweden on March 1, 2010. Products on the market were retained, restricted, excluded or excluded for new courses in the new RS. The aim of this study was to compare utilization and costs of GLT for type 2 diabetes Mellitus (T2DM) before and after the implementation of the changed RS.

    Methods: This was a quasi-experimental study using data on dispensed GLT and costs from adatabase on dispensed individual based prescriptions in Sweden.  Segmentedregression analyses were used to assess utilization and costs.

    Results: Following the changed reimbursement status, there was an accelerated increasing trend in number of patients treated with restricted (P=0.0007) or retained (P=0.0021) insulins, as well as in costs for insulin based GLT (P=0.0014). No impact was detected in the total number of patients treated with oral GLT, but a slightly negative trend in total costs for oral GLT was detected following the intervention (P=0.0177).

    Conclusions: The new reimbursement scheme had a minor impact on utilization and costs of oral GLT. Despite restricted reimbursement for patients with T2DM, the utilization of insulin based GLT and related costs increased faster following the intervention.

  • 15.
    Schmidt, Ingrid
    et al.
    Natl Board Hlth and Welf, Sweden.
    Thor, Johan
    Jonkoping Univ, Sweden.
    Davidson, Thomas
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Nilsson, Fredrik
    Lund Univ, Sweden.
    Carlsson, Christina
    Natl Board Hlth and Welf, Sweden; Lund Univ, Sweden.
    The national program on standardized cancer care pathways in Sweden: Observations and findings half way through2018Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 122, nr 9, s. 945-948Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In 2015, the Swedish government initiated a national cancer reform program to standardize cancer care pathways. Primary aims included shortened waiting times among patients with suspected cancer, increased patient satisfaction and reduced regional variation. The implementation phase of the program is now more than half way through and both achievements and challenges have been identified. The ongoing evaluation demonstrates that professional engagement and adjustments on the meso- and micro-level of the system are essential to achieving sustainable improvements. Waiting times have shortened for the pathways launched first, and patients are satisfied with a more transparent process. Physicians in primary care are satisfied to inform patients about the pathways but point out problems with comorbidity and complicated diagnostic procedures related to unspecific symptoms. Mechanisms and ethical considerations behind possible crowding-out effects need to be thoroughly highlighted and discussed with staff and management. The results so far appear promising but meso- and micro-levels of the system need to be more involved in the design processes. (C) 2018 The Authors. Published by Elsevier B.V.

  • 16.
    Tsiantou, Vasiliki
    et al.
    National School Public Heatlh, Greece; University of Crete, Greece.
    Moschandreas, Joanna
    University of Crete, Greece.
    Bertsias, Antonis
    University of Crete, Greece.
    Papadakaki, Maria
    University of Crete, Greece.
    Saridaki, Aristoula
    University of Crete, Greece.
    Agius, Dominic
    Mediterranean Institute Primary Care, Malta.
    Alper, Zuleyha
    Uludag University, Turkey; Turkish Assoc Family Phys, Turkey.
    Faresjö, Tomas
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Klimkova, Martina
    Charles University of Prague, Czech Republic.
    Martinez, Luc
    University of Paris 06, France; Soc Francaise Medical Gen, France.
    Samoutis, George
    University of Nicosia, Cyprus.
    Vlcek, Jiri
    Charles University of Prague, Czech Republic.
    Lionis, Christos
    University of Crete, Greece.
    General Practitioners intention to prescribe and prescribing patterns in selected European settings: The OTCSOCIOMED project2015Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 119, nr 9, s. 1265-1274Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this paper is to explore general practitioners (GPs) prescribing intentions and patterns across different European regions using the Theory of Planned Behavior (TPB). A cross-sectional study was undertaken in selected geographically defined Primary Health Care areas in Cyprus, Czech Republic (CZ), France, Greece, Malta, Sweden and Turkey. Face-to-face interviews were conducted using a TPB-based questionnaire. The number of GP participants ranged from 39 to 145 per country. Possible associations between TPB direct measures (attitudes, subjective norms (SN) and perceived behavioral control (PBC)) and intention to prescribe were assessed by country. On average, GPs thought positively of, and claimed to be in control of, prescribing. Correlations between TPB explanatory measures and prescribing intention were weak, with TPB direct measures explaining about 25% of the variance in intention to prescribe in Malta and CZ but only between 3% and 5% in Greece, Sweden and Turkey. SN appeared influential in GPs from Malta; attitude and PBC were statistically significant in GPs from CZ. GPs prescribing intentions and patterns differed across participating countries, indicating that country-specific interventions are likely to be appropriate. Irrational prescribing behaviors were more apparent in the countries where an integrated primary care system has still not been fully developed and policies promoting the rational use of medicines are lacking. Demand-side measures aimed at modifying GPs prescribing behavior are deemed necessary. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

1 - 16 av 16
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf