Scandinavian journal of primary health care
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Scand J Prim Health Care · Mar 2020
Point-of-care ultrasound for general practitioners: a systematic needs assessment.
Objective: The aim of the study was to achieve consensus among a group of ultrasound proficient general practitioners (GPs) from Denmark, Norway, Sweden and Finland on which ultrasound scanning modalities and ultrasound-guided procedures are essential to GPs in their daily work for the purpose of including them in a basic ultrasound curriculum. Design: The Delphi methodology was used to obtain consensus. Subjects: Sixty Scandinavian GPs with more than two years of point-of-care ultrasound (POCUS) experience were invited to join the Delphi expert panel. ⋯ We performed a systematic needs assessment among a group of ultrasound proficient GPs using the Delphi methodology for the purpose of establishing a basic POCUS curriculum. The process resulted in a prioritized list of 30 scanning modalities and ultrasound guided procedures. Our study provides the basis for an evidence-based basic POCUS curriculum for GPs.
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Scand J Prim Health Care · Mar 2020
Patient and provider perspectives on reducing risk of harm in primary health care: a qualitative questionnaire study in Sweden.
Objective: To explore how patients, that had experienced harm in primary care, and how primary providers and practice managers understood reasons for harm and possibilities to reduce risk of harm. Design: Inductive qualitative analysis of structured questionnaires with free text answers. Setting: Primary health care in Sweden. ⋯ Future work towards a safer primary health care could therefore benefit from focusing on these areas. Key pointsCurrent awareness: • Patients and primary care providers are rather untapped sources of knowledge regarding patient safety in primary health care. Main statements: • Patients understood the risk of harm as stemming from that they were not properly examined. • Primary care providers understood the risk of harm to a great extent as stemming from poor continuity of care. • Patients, primary care providers and practice managers believed continuity, communication and competence play an important role in reducing risks.
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Scand J Prim Health Care · Mar 2020
The function of the Norwegian municipal acute units fails to fulfill the intention of health authorities.
Objective: The aim of the study was to explore healthcare providers' perceptions of how Norwegian municipal acute units (MAUs) possibly can reduce hospital admittance and improve service integration. Method and material: Qualitative data were drawn from individual interviews with 40 healthcare providers, including general practitioners and staff in Norwegian MAUs, purchasing offices and home-based nursing services. Interview transcripts were analysed using systematic text condensation. ⋯ KEY POINTSAs of 2016, Municipal Acute Units (MAUs) are statutory healthcare services in Norway. Exploring patients' and healthcare providers' views on MAUs can improve the services. Healthcare providers disagreed on which patients were suitable for the unitsThe units were perceived as a new (healthcare) level, entailing a new collaboration arena, with more bureaucracy and time expenditureThe patients were satisfied with their treatment and care in the MAUs and the units' proximity to their home.