Scandinavian journal of public health
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To examine the trend in job satisfaction from 2000 to 2006 among Norwegian doctors, and the possible impact of two comprehensive healthcare reforms on doctors' job satisfaction. ⋯ Job satisfaction among Norwegian doctors is high and increasing. The lack of impact on this even from comprehensive healthcare reforms points to a robust satisfaction based on internal values more than external changes. The consistent finding of increasing - rather than declining - job satisfaction among Norwegian doctors, contrasts with widely held opinions in the public.
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Scand J Public Health · Feb 2010
Comparative StudyPsychosocial characteristics of drunk drivers assessed by the Addiction Severity Index, prediction of relapse.
To investigate psychosocial characteristics and problems of a representative sample of Swedish drunk drivers with special consideration of the gender of the driver; analyze criminal records of the drivers before and after enrollment in the study; identify psychosocial predictors of relapse to drunk driving. ⋯ As well as the drunk driving offence, drunk drivers often have other psychosocial problems, female drivers in particular. Already the blood alcohol concentration per se gives some indication of the psychosocial problem profile of a drunk driver and the ASI profile has some prognostic value for relapse in drunk driving.
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Scand J Public Health · Sep 2009
Comparative StudyPreventing evictions as a potential public health intervention: characteristics and social medical risk factors of households at risk in Amsterdam.
The public health problems precipitating eviction are understudied and no systemic data have been collected. We aim to identify the magnitude of eviction and the characteristics and social medical risk factors of households at risk in Amsterdam. This will help inform policies designed to prevent eviction. ⋯ In Amsterdam, households at risk of eviction consisted mainly of single (Dutch) men, aged between 25 and 44 years, often with a combination of social and medical problems. Financial difficulties and drug addiction were independent risk factors for eviction. Because of the social medical problems that were prevalent, for prevention practice eviction should be considered both a socioeconomic and a public health problem. Preventing eviction deserves full attention as a potential effective public health intervention.
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Scand J Public Health · Aug 2009
Impact of work, health and health beliefs on new episodes of pain-related and general absence-taking.
To evaluate the impact of physical and psychosocial workloads, and self-reported health aspects and health beliefs, on the risk of new episodes of pain-related and general sickness absence. ⋯ Risk factors for general absence and for pain-related absence in unselected working populations are similar but of different effect sizes. A potential primary prevention area could be the provision of accommodating workplaces for employees with pain problems. The mechanisms behind the influence of care-seeking behaviour warrant further research.
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Scand J Public Health · Aug 2009
Comparative StudyReimbursement for drugs -- a register study comparing economic outcome for five healthcare centres in areas with different socioeconomic conditions.
Previous studies have indicated the negative effects of socioeconomic deprivation on health status and morbidity. Nevertheless, the economic assignment systems for pharmaceutical benefits in Sweden do not take socioeconomic status (SES) into account. The aim of the study was, therefore, to compare reimbursement for subsidized drugs at primary healthcare centres (HCCs) with differing socioeconomic conditions in relation to real costs. The word reimbursement is used to denote economic compensation to the HCCs from the county council for drug benefit costs. ⋯ HCCs responsible for citizens with lower SES appeared to be disadvantaged by the prevalent reimbursement system in Sweden, thereby increasing differences in the state of health of the citizens. This, in turn, hampers health preventing programmes and lifestyle interventions. An HCC-specific standardized summary of socioeconomic burden is presented.