Scandinavian journal of primary health care
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To investigate the prevalence of back pain in a general population aged between 20 and 59 years. ⋯ The prevalence of back problems in the vocational ages was found to be 23%. Only small parts of a pain population are on sick-leave or have changed working tasks because of back problems. The distribution of pain in most cases is combined with radiation to extremities and not isolated to a single region. The combination of different localisations shows the pain problem to be more than just a "low back" problem.
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Scand J Prim Health Care · Dec 1998
"Feeling your large intestines a bit bound": clinical interaction--talk and gaze.
To explore the relationship between observation and talk in the clinical encounter, using the medical gaze as a key metaphor. ⋯ Clinical medicine is talk and gaze as an integral whole. Doctors not only make a diagnosis, but also structure a clinical reality.
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Scand J Prim Health Care · Dec 1998
Physicians as gatekeepers: will they contribute to restrict disability benefits?
To study how general practitioners (GPs), specialists, and National Insurance Administration (NIA) medical consultants reacted to the narrowed eligibility criteria for disability benefits in Norway from 1991. ⋯ GPs are willing to act as gatekeepers for social insurance benefits for their patients, also when eligibility criteria become restricted.
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Scand J Prim Health Care · Sep 1997
Randomized Controlled Trial Clinical TrialRehabilitation of young immigrants in primary care. A comparison between two treatment models.
To evaluate the effect on well-being and sickness certification of interviews and three dialogue sessions concerning ideas about pain in young immigrants suffering from longstanding, benign pain. ⋯ This study indicates that, for young immigrants suffering from long-standing benign pain, a structured dialogue with focus on concepts of pain may reduce pain anxiety and depressive mood, improve self-rated work ability, and increase the prospects of successful rehabilitation back to work.
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Scand J Prim Health Care · Jun 1997
Randomized Controlled Trial Multicenter Study Clinical TrialImpact of postal invitations and user fee on influenza vaccination rates among the elderly. A randomized controlled trial in general practice.
To examine the impact of postal invitations and user fee on influenza vaccination rates. ⋯ It is suggested that GPs send postal invitations to their elderly patients in the risk groups urgently recommending influenza vaccination. Attention should also be given to offering free influenza vaccination to elderly patients who have recognized indications for vaccination.