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  • 1. Allander, E
    et al.
    Bjurulf, P
    Isacsson, SO
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Svanström, L
    Westrin, CG
    Skilj mellan besluts- och forskningsregister!1985In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 82, 4383-84 p.Article in journal (Refereed)
  • 2. Andersen, R
    et al.
    Anderson, OW
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Perception of the response to symptoms of illness in Sweden and the United States1968In: Medical Care, Vol. 6, 18-30 p.Article in journal (Refereed)
  • 3. Andersen, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Changes in response to symptoms of illness in the United States and Sweden1979In: Health Handbook / [ed] George K Chacko, 1979, 942-55 p.Chapter in book (Other academic)
  • 4. Andersen, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Comparative health systems - Part IV - Specific studies in several countries: Changes in response to symptoms of illness in the United States and Sweden1975In: Inquiry, ISSN 0046-9580, E-ISSN 1945-7243, Vol. 12, no 2 SUPPL, 116-27 p.Article in journal (Refereed)
  • 5. Andersen, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Anderson, OW
    Medical care use in Sweden and the United States: A comparative analysis of systems and behavior1970In: Center for Health Administation Studies, University of Chicago, Research Series, Vol. 27Article, review/survey (Refereed)
  • 6. Andersen, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Eklund, G
    Uses of the Automatic Interaction Detector (AID) program for analyzing health survey data1971In: Health Services Research, ISSN 0017-9124, E-ISSN 1475-6773, Vol. 6, no 2, 165-83 p.Article in journal (Refereed)
  • 7. Andersen, Ronald
    et al.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vågerö, Denny
    Cost containment, solidarity and cautious experimentation: Swedish dilemmas2001In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 52, no 8, 1195-1204 p.Article in journal (Refereed)
    Abstract [en]

     This paper uses secondary data analysis and a literature review to explore a "Swedish Dilemma": Can Sweden continue to provide a high level of comprehensive health services for all regardless of ability to pay - a policy emphasizing "solidarity" - or must it decide to impose increasing constraints on health services spending and service delivery - a policy emphasizing "cost containment?" It examines recent: policies and longer term trends including: changes in health personnel and facilities, integration of health and social services for older persons; introduction of competition among providers; cost sharing for patients; dismantling of dental insurance; decentralization of government responsibility; priority settings for treatment; and encouragement of the private sector. It is apparent that the Swedes have had considerable success in attaining cost containment - not primarily through "market mechanisms" but through government budget controls and service reduction. Further, it appears that equal access to care, or solidarity, may be adversely affected by some of the system changes.

     

     

  • 8. Barenthin, I
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    A two-wave interview study of frequency of dental visits and dental complaints1979In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 7, no 3, 128-32 p.Article in journal (Refereed)
    Abstract [en]

    A panel of 268 persons were interviewed twice at an interval of 2 years concerning their visits to dentists and their dental status. The answers they gave on the two occasions agreed well, except for the year of the last visit if it had taken place long ago. This was true both for the people who had gone to the dentist between the interviews and for those who had not. The panel was also asked whether they had any dental complaints. Sixteen percent of them reported complaints at one or both interviews. Complaints were more common among persons who did not often go to the dentist. The persons with complaints did not always get rid of them by going to a dentist. It is concluded that interview data be used for investigating the dental health and behavior of people who do not often go to the dentist, and that dentists are more successful in maintaining good dental health in people who have no dental complaints than in people who report having complaints.

  • 9. Bengmark, S
    et al.
    Schersten, T
    Sterky, G
    Liljedahl, S O
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Wedel, H
    [Length of stay after gallstone operations]1979In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 76, no 45, 3989-94 p.Article in journal (Refereed)
  • 10. Berfenstam, R
    et al.
    Berg, B
    Boström, H
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Waern, U
    [Levels of outpatient care: A study within the framework of the Tierp project]1976In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 73, no 3, 127-30 p.Article in journal (Refereed)
  • 11. Berfenstam, R
    et al.
    Berg, B
    Boström, H
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Waern, U
    Vårdnivåer i öppen vård: Kort-rapport nr 3 från Tierpsprojektet1978Report (Other academic)
  • 12. Berfenstam, R
    et al.
    Berg, B
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sjukvårdskonsumtion i Tierpsområdet april-maj 1973: En personbaserad studie av olika slag av sjukvårdskontakter i en definierad befolkning1976Report (Other academic)
  • 13. Berfenstam, R
    et al.
    Hammarström, A
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Åberg, H
    [Sources of error in medical care statistics: Cerebrovascular lesions and hypertension]1980In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 77, no 46, 4255-57 p.Article in journal (Refereed)
  • 14. Berfenstam, R
    et al.
    Jonsson, E
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sterky, G
    Thurburn, T
    Wennström, G
    Hälsoekonomi: Ett samlat synsätt på fördelning av resurser för hälsa1979Report (Other academic)
  • 15. Berfenstam, R
    et al.
    Lagerberg, D
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Victim characteristics in fatal home accidents: Alcohol, mental disorder, and suicidal intent in officially registered accidents in the home1969In: Acta socio-medica Scandinavica, ISSN 0044-6041, Vol. 1, no 3, 145-64 p.Article in journal (Refereed)
  • 16. Berfenstam, R
    et al.
    Petersson, O
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Evaluation research and measurement of benefits of health services (eds)1978In: Scandinavian journal of social medicine. Supplementum, ISSN 0301-7311, Vol. Suppl 13Article in journal (Refereed)
  • 17. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    [Health care research examines use and quality]1977In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 74, no 40, 3432-34 p.Article in journal (Refereed)
  • 18. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Initiativrapport: Omvårdnadsforskning1979In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 76, 103-05 p.Article in journal (Refereed)
  • 19. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    [International comparison gives useful perspectives in hospital care]1969In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 66, no 20, 2111-19 p.Article in journal (Refereed)
  • 20. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Kort-rapport nr 2 från Tierpsprojektet1977Report (Other academic)
  • 21. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Samverkan mellan medicinsk och social vård: Några erfarenheter från försöksverksamheten i Tierp1976In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 53, 365-72 p.Article in journal (Refereed)
  • 22. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sjukdomsstatistik på försäkringsmaterial: PM återgiven i "Diagnostik - nyhet som kommer från RFV"1966In: Tidskrift för Allmän Försäkring, Vol. 5, 286-94 p.Article in journal (Refereed)
  • 23. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sjukvårdskonsumtionen i Tierpsområdet 1971: En personbaserad studie av olika slag av sjukvårdskontakter i en definierad befolkning1974Report (Other academic)
  • 24. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Tierpsprojektet1978In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 55, 417-20 p.Article in journal (Refereed)
  • 25. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Utveckling av insamlingsrutiner för uppgifter om läkarbesök i öppen vård: Tierpsprojektet (stencil)1975Report (Other academic)
  • 26. Berfenstam, R
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Vad är hälso- och sjukvårdsforskning?1975In: Landstingens tidskrift, Vol. 62, no 12, 31-33 p.Article in journal (Other academic)
  • 27. Berfenstam, Ragnar
    et al.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Om sjuklighet och sjukvårdskonsumtion1963In: Medlemsblad för SSF:s Rikssektion för distriktssköterskor, Vol. 1, 23-26 p.Article in journal (Other (popular science, discussion, etc.))
  • 28. Berfenstam, Ragnar
    et al.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sjuklighet och vårdkonsumtion: Redogörelse för en pågående undersökning1963In: Tidskrift för Allmän Försäkring, Vol. 2, 73-76 p.Article in journal (Refereed)
  • 29. Berg, B
    et al.
    Bredberg, G
    Korpela, M
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    [The effect of an otologist at the health care centre]1980In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 77, no 18, 1752-54 p.Article in journal (Refereed)
  • 30. Berg, B
    et al.
    Bredberg, G
    Korpela, M
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Vad betyder en öronspecialist vid vårdcentral?: En vårdnivåstudie inom ramen för Tierpsprojektet1980Report (Other academic)
  • 31. Bergman, U
    et al.
    Boethius, G
    Swartling, P G
    Isacson, D
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Teratogenic effects of benzodiazepine use during pregnancy1990In: Journal of Pediatrics, ISSN 0022-3476, E-ISSN 1097-6833, Vol. 116, no 3, 490-92 p.Article in journal (Refereed)
  • 32.
    Bingefors, Kerstin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    Isacson, Dag
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    von Knorring, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Ekselius, Lisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Kupper, Lawrence L.
    Antidepressant-treated patients in ambulatory care long-term use of non-psychotropic and psychotropic drugs1996In: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 168, no 3, 292-98 p.Article in journal (Refereed)
    Abstract [en]

    Abstract

    Background. Despite the problems involved in treating depression and concomitant medical disease, there are virtually no longitudinal studies on drug utilisation among depressed patients.

    Method

    Use of prescription drugs among all first-time users of antidepressants in a defined population five years before and six years after the index (first) treatment was compared to a referent group without antidepressant treatment. The generalised estimating equations (GEE) method was used for analysis.

    Results

    The antidepressant-treated group used considerably more non-psychotropic drugs during the whole study period than the referent group. They also used more psychotropic drugs, a use which increased in connection with the initiation of antidepressant treatment, and stayed high for a further five years.

    Conclusions

    The high use of prescription drugs indicated widespread somatic and psychiatric health problems during the whole study period. Antidepressant-treated patients are at risk for drug interactions and adverse effects, and would benefit from a closer collaboration between psychiatry and medicine.

  • 33.
    Bingefors, Kerstin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    Isacson, Dag
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    von Knorring, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Wicknertz, K
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    Antidepressant-treated patients in ambulatory care: Mortality during a nine-year period after first treatment1996In: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 169, no 5, 647-54 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND

    Non-institutionalised patients treated with antidepressants have been shown to have indicators of a generalised vulnerability, such as high rates of health service use and excessive prescription drug use. Therefore, mortality in this patient group is of interest.

    METHOD

    All first-incidence antidepressant users in a defined population during a five-year period were identified. Their total mortality during a nine-year follow-up was analysed. Cox proportional hazards regression was used to analyse total mortality, and mortality in cardiovascular disease, controlling for baseline chronic medical disease.

    RESULTS

    Antidepressant treatment at the index date was a statistically significant predictor for increased long-term mortality in the over-65s, even when controlling for pre-existing chronic medical disease. Baseline ischaemic heart disease and concurrent antidepressant treatment significantly predicted mortality from cardiovascular causes.

    CONCLUSION

    Prescribed antidepressant treatment identifies patients who are at risk of increased mortality. For the physician in ambulatory care, knowledge of a patient's antidepressant treatment history may be a valuable tool in managing patient care.

  • 34.
    Bingefors, Kerstin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Isacson, D.G.L.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    von Knorring, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Prescription drug and healthcare use among Swedish patients treated with antidepressants1995In: The Annals of Pharmacotherapy, ISSN 1060-0280, E-ISSN 1542-6270, Vol. 29, no 6, 566-72 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    To analyze healthcare and prescription drug use among patients taking and those not taking antidepressant drugs in a Swedish community.

    DESIGN:

    Cross-sectional study.

    SETTING:

    General population of the rural Swedish municipality Tierp of approximately 20,000 inhabitants.

    PARTICIPANTS:

    All residents of Tierp aged 25 years or older during 1988.

    MAIN OUTCOME MEASURES:

    Mean number of ambulatory care visits, hospital bed days, and prescriptions per person; proportion of those taking prescription drugs in different pharmacologic classes.

    RESULTS:

    Patients treated with antidepressant drugs had a significantly (p < 0.05) greater use of ambulatory care, hospital care, and prescription drugs than those who did not take antidepressants in the study population. They also had an increased frequency of use of prescription drugs from virtually all pharmacologic classes. Furthermore, the risk for polypharmacy was high in patients treated with antidepressant medications.

    CONCLUSIONS:

    Those who took antidepressant drugs consumed more health services and prescription drugs than did those not taking an antidepressant. Patients receiving antidepressant treatment may be at serious risk for iatrogenic disease and should be evaluated carefully with respect to concomitant drug use.

  • 35. Birke, G
    et al.
    Holmberg, B
    Jonsson, E
    Scherstén, B
    Scherstén, T
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Åberg, T
    Hälsoekonomi: Bot för sjukvården?1985Report (Other academic)
  • 36. Bjurulf, P
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Initiativgruppsrapport: Forskning inom allmänmedicin1981In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 78, 2850-51 p.Article in journal (Refereed)
  • 37.
    Borgquist, L.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Winblad, UlrikaUppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.Haglund, B.Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.Smedby, BjörnUppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Primärvård - vision och verklighet1995Conference proceedings (editor) (Other academic)
  • 38. Brorson, B
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Tillförlitligheten i intervjuuppgifter om läkarbesök1982In: Statistisk tidskrift, Vol. 1, 31-40 p.Article in journal (Refereed)
  • 39. Brorsson, B
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Tillförlitligheten i intervjuuppgifter om läkarbesök1981Conference paper (Other academic)
  • 40. Calltorp, J
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Technology assessment activities in Sweden1989In: International Journal of Technology Assessment in Health Care, ISSN 0266-4623, E-ISSN 1471-6348, Vol. 5, no 2, 263-68 p.Article in journal (Refereed)
  • 41. Cullhed, I
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Waern, U
    Letter: Coronary care1975In: Annals of Internal Medicine, ISSN 0003-4819, E-ISSN 1539-3704, Vol. 83, no 4, 575- p.Article in journal (Refereed)
  • 42. Ehnfors, M
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Enkätundersökningar till patienter efter vård på sjukhus: En metodstudie med användning av SPRI:s frågeformulär "Din syn på vården"1991Report (Other academic)
  • 43. Ehnfors, M
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Nursing care as documented in patient records1993In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 7, no 4, 209-20 p.Article in journal (Refereed)
    Abstract [en]

    A review of 106 nursing records from 12 wards was conducted to categorize and quantify the content of the documentation and to consider the comprehensiveness of the recording for individual nursing problems. Audit instruments, based on a model for nursing documentation were developed and applied. The results show that admission assessment was missing in slightly less than half of all records, two-thirds had no nursing care plan and about one-third had no documentation on nursing outcome. About 90% of the records had no nursing diagnosis, no objective or no nursing discharge note. Notes on nursing status and nursing interventions were most common. Only one-third of the nursing problems identified had recording that gave information about the progress of the patient's problem. The analyses performed give information on the quality of nursing records which may be used to evaluate the quality of nursing care.

  • 44. Ehnfors, M
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Patient satisfaction surveys subsequent to hospital care: Problems of sampling, non-response and other losses1993In: International Society for Quality Assurance in Health Care / ISQA, ISSN 1040-6166, Vol. 5, no 1, 19-32 p.Article in journal (Refereed)
    Abstract [en]

    Patient questionnaires are commonly used to assess patient satisfaction. This study reports on methodological experiences based on practical use of a Swedish questionnaire. The material consists of questionnaires from five different studies at some 60 wards in three hospitals. Four of the studies were performed by "routine procedure", while one was performed specially to study sampling, non-response and other losses. The results showed that a large number of patients were not given a questionnaire despite the fact that they should have been included according to the sampling criteria. In the special study barely half of those discharged answered a questionnaire corresponding to only about one in four in some studies performed routinely. Many of the patients excluded were probably in a difficult situation and their needs ought to be particularly noticed. This was true of patients who were old or confused, had language difficulties, were seriously ill, or who died during the care episode.

  • 45.
    Ehrenberg, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ehnfors, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Smedby, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Auditing nursing content in patient records2001In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 15, no 2, 133-41 p.Article in journal (Refereed)
    Abstract [en]

    The objective of this paper is twofold: (a) to explore different approaches in reviewing records based on a literature review of studies of audits of patient records and (b) to apply these approaches on a sample of records to illuminate consequences of their application.

    The method used was a literature review of papers on recording of nursing care (n=56). Based on our findings, an audit of a stratified sample of records (n=298) from Swedish community health care and nursing homes was performed, applying the different approaches for auditing previously described in the literature.

    The review showed that audits of patient records were performed using four different approaches with varying aims. The focus of the four approaches can be described as formal structure, process comprehensiveness, knowledge-based and concordance with actual care. The results of this study suggest that audits of patient records should not be solely limited to encompass the formal structure of recording. To avoid a superficial picture or a false sense of high quality and to obtain a more complete and reliable portrait of the quality of recording, we suggest the process comprehensiveness approach in combination with a critical review of the knowledge base for the assessment, diagnosis and interventions of patient records.

  • 46. Elabdien, BSZ
    et al.
    Olerud, S
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Hip fractures in the county of Uppsala in 1965-19801984Book (Other academic)
  • 47. Ericson, A
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    [Medical birth registration in 1973 and 1974]1978In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 75, no 5, 307-08 p.Article in journal (Refereed)
  • 48. Ericson, A
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    [Perinatal mortality among children born to immigrant women]1979In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 76, no 35, 2889-92 p.Article in journal (Refereed)
  • 49. Ericson, A
    et al.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sluten kroppssjukvård i Upppsala sjukvårdsregion 1968: Diagnosfrekvenser (detaljnivå)1969Report (Other academic)
  • 50.
    Ericson, A
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Smedby, B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sluten kroppssjukvård i Uppsala sjukvårdsregion 1964-1968: Femårsgenomsnitt av diagnosfrekvenser (detaljnivå)1972Report (Other academic)
123456 1 - 50 of 280
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