Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Eide, Torunn Bjerve; Straand, Jørúnd; Björkelund, Cecilia; Kosunen, Elise; Thorgeirsson, Ofeigur; Vedsted, Peter; Rosvold, Elin Olaug

doi:10.1080/02813432.2017.1358856

Cited by 18 publications

(20 citation statements)

References 12 publications

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“…This tendency for increased use of imaging techniques among male GPs has been shown previously by Ringberg et al [23]. Data from 2011 to 2013 showed that 16.7% of Norwegian general practices had ultrasound devices available [24]. We observed 16% of Norwegian GPs claiming reimbursement for 2012, which confirms the first observation.…”

Section: Discussionsupporting

confidence: 89%

Point-of-care ultrasound (POCUS) in Norwegian general practice

Myklestul

Skonnord

Brekke

2020

Scandinavian Journal of Primary Health Care

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Section: Discussionsupporting

confidence: 89%

Point-of-care ultrasound (POCUS) in Norwegian general practice

Myklestul

Skonnord

Brekke

2020

Scandinavian Journal of Primary Health Care

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“…Only 88% of the Finnish patients found it important not to be given a feeling of time pressure. This may be related to the fact that Finnish GPs estimate an average of 24 minutes per patient consultation (13), hence the patients may be used to sufficient duration of consultations. On the other hand, Swedish GPs estimate the same mean duration of consultations as the Finnish, whereas 96% of Swedish patients rate the lack of time pressure as very important.…”

Section: Discussionmentioning

confidence: 99%

“…In a Norwegian qualitative study from 2000, the patients indicated that the communication with the GP was more important than easy access and short waiting time (11), but we have otherwise little knowledge from a Nordic setting regarding how patients rank the importance of different aspects of quality in PHC. Even though there are some significant differences in the organisation of PHC between the Nordic countries, they all have tax-financed, equitable, high-quality healthcare services with general practice in a central role (12,13). It is therefore likely that Nordic patients have somewhat similar expectations to their GPs.…”

Section: Introductionmentioning

confidence: 99%

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Eide

Straand

Brænd

2020

Preprint

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Background. Patients’ expectations and preferences are important for improving the quality of care. We have explored Nordic patients´ views of the importance of different aspects of quality in general practice. Methods. In the Nordic countries, patients were recruited in general practitioners’ (GPs´) waiting rooms and asked to fill in a questionnaire ranking the importance of 47 statements reflecting five domains concerning quality of care in general practice: communication, involvement, accessibility, continuity, and comprehensiveness. Questionnaire items rated as important or very important by ≥ 90% of participants in all countries were considered to be universally of high importance. Logistic regression was used to identify associations between assessments and patient characteristics.Results. 707 patients responded, ranging from 82 (Iceland) to 209 (Denmark) per country. 90 % or more of patients in each country rated ten statements as important or very important: six pertained to communication with the GP, three to patient involvement and one to comprehensiveness of care. No items regarding accessibility or continuity of care exceeded the 90% limit in all countries. The item most frequently rated as very important was “I understand what the GP explains”. Female patients were more likely than males (OR=2.9; 95%CI 1.5-5.5) to value that a GP treats them as a person rather than just a medical problem, and also that they receive instructions regarding what to do if things went wrong (1.7; 1.2-2.2). Older patients >65 years put less emphasis than those aged <35 on whether the GP takes them seriously (0.4; 0.3-0.5), and also on the importance of receiving instructions for what to do if something went wrong (0.5; 0.4-0.7). Patients with chronic disease were less concerned (0.6; 0.4-0.8), with receiving instructions, but valued strongly that a GP knows when to refer them (2.2; 1.5-3.3). Conclusion. Patients in all countries assigned high value to the communication with their GP. Availability was also deemed important by patients, but came secondary to good communication quality. The organisational framework for general practice organisation must allow for acceptable quality of communication as well as availability.

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“…Most of the physicians are employed by public or private health centres. The Finnish healthcare system is based on the Nordic welfare model that aims to offer equal access to healthcare services for all residents, and general practitioners are well equipped to offer a wide range of medical services and are often gatekeepers of specialized public services (Eide et al, 2017). Currently, mental health services are administered as specialized healthcare (a secondary level of care) at psychiatric clinics and psychiatric hospitals (Ministry of Social Affairs and Health, 2017) for which general practitioners act as gatekeepers (Kaipio et al, 2017 cCBT have been up-scaled for provision in healthcare around the country in response to a shortage of available therapists and to provide more flexible and accessible solutions to provide mental healthcare especially at the primary care level (see, Johnson, 2017).…”

Section: Methodsmentioning

confidence: 99%

Incorporating digital self-services into integrated mental health care: a physician’s perspective

Taiminen

Saraniemi

Parkinson

2018

EJM

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This paper enhances current understanding of digital self-services (computerized Cognitive Behavioural Therapy (cCBT)) and how they could be better incorporated into integrated mental healthcare from the physician's perspective. Service marketing and information systems literature are combined in the context of mental healthcare delivery. Design/methodology/approach An online survey of 412 Finnish physicians was undertaken to understand physicians' acceptance of cCBT. The study applies thematic analysis and structural equation modelling to answer its research questions. Findings Adopting a service marketing perspective helps understand how digital self-services can be incorporated in healthcare delivery. The findings suggest that value creation within this context should be seen as an intertwined process where value co-creation and self-creation should occur seamlessly at different stages. Furthermore, the usefulness of having a value self-creation supervisor was identified. These value creation logic changes should be understood and enabled in order to incorporate digital self-services into integrated mental healthcare delivery. Research limitations/implications Because healthcare systems vary across countries, strengthening understanding through exploring different contexts is crucial. Practical implications Assistance should be provided to physicians to enable better understanding of the application and suitability of digital self-service as a treatment option (such as cCBT) within their profession. Additionally, supportive facilitating conditions should be created to incorporate them as part of integrated care chain. Social implications Digital self-services have the potential to serve goals beyond routine activities in a healthcare setting. Originality/Value This study demonstrates the relevance of service theories within the healthcare context and improves understanding of value creation in digital self-services. It also offers a consistent depiction of the barriers to acceptance.

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Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Cited by 18 publications

References 12 publications

Point-of-care ultrasound (POCUS) in Norwegian general practice

Point-of-care ultrasound (POCUS) in Norwegian general practice

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Incorporating digital self-services into integrated mental health care: a physician’s perspective

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