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21 papers found.
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Prevalence and predictive importance of anemia in Swedish nursing home residents – a longitudinal study

Patrik Midlöv 1 0 Department of Geriatrics, County Hospital Ryhov, Region Jönköping County , Jönköping , Sweden 1 Department of Clinical Sciences in Malmö, Center for Primary Health Care Research ... awarded to Patrik Midlöv. Availability of data and materials All original data is available at Futurum - academy of health and care, Region Jönköping county, Jönköping, Sweden. Informed consent from

Safer drug use in primary care - a pilot intervention study to identify improvement needs and make agreements for change in five Swedish primary care units

Background There is an urgent need to improve patient safety in the area of medication treatment among the elderly. The aim of this study was to explore which improvement needs and strengths, relating to medication safety, arise from a multi-professional intervention in primary care and further to describe and follow up on the agreements for change that were established within the ...

Indication for pharmacological treatment is often lacking: a cross-sectional study on the quality of drug therapy among the elderly

Background Although the elderly have a substantially higher drug use than younger patients, even after adjustment for multimorbidity, there is limited knowledge about the elderly’s indication for treatment. It is essential for elderly patients to have a well-planned drug therapy. The first step towards a correct and safe drug therapy is to ensure that the patient’s drugs have an ...

Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants’ perceptions of self-assessment, peer review, feedback and agreement for change

Background The elderly population is increasing and with advanced age comes a higher risk for contracting diseases and excessive medicine use. Polypharmacy can lead to drug-related problems and an increased need of health care. More needs to be done to help overcome these problems. In order for new models to be successful and possible to implement in health care they have to be ...

“It is meaningful; I feel that I can make a difference” -A qualitative study about GPs’ experiences of work at nursing homes in Sweden

Region Skåne awarded to Patrik Midlöv. We are indebted to Patrick Reilly for his expertise and invaluable advice in editing the manuscript. We would also like to thank Lena Lennartsson for transcribing the

Yoga’s effect on inflammatory biomarkers and metabolic risk factors in a high risk population – a controlled trial in primary care

Background Yoga can reduce blood pressure and has also been suggested to reduce inflammatory biomarkers and metabolic risk factors for cardiovascular diseases (CVDs). We aimed to assess the benefit of two yoga interventions on inflammatory biomarkers and metabolic risk factors in a high risk population in primary care. Methods Adult patients from a health care center in Sweden, ...

Women’s health in the Lund area (WHILA) - Alcohol consumption and all-cause mortality among women – a 17 year follow-up study

ALF funding from Region Skåne awarded to Patrik Midlöv, Jan Sundquist and Kristina Sundquist as well as The Swedish Research Council for Health, Working Life and Welfare (In Swedish: Forte; Reg.nr: 2013

Cost-utility analysis of case management for frail older people: effects of a randomised controlled trial

Background To evaluate the effects of a case management intervention for frail older people (aged 65+ years) by cost and utility. Materials and methods One hundred and fifty-three frail older people living at home were randomly assigned to either an intervention (n = 80) or a control group (n = 73). The 1-year intervention was carried out by nurses and physiotherapists working as ...

Swedish general practitioners’ attitudes towards treatment guidelines – a qualitative study

Background Drug therapy in primary care is a challenge for general practitioners (GPs) and the prescribing decision is influenced by several factors. GPs obtain drug information in different ways, from evidence-based sources, their own or others’ experiences, or interactions with opinion makers, patients or colleagues. The need for objective drug information sources instead of drug ...

Is use of fall risk-increasing drugs in an elderly population associated with an increased risk of hip fracture, after adjustment for multimorbidity level: a cohort study

Background Risk factors for hip fracture are well studied because of the negative impact on patients and the community, with mortality in the first year being almost 30% in the elderly. Age, gender and fall risk-increasing drugs, identified by the National Board of Health and Welfare in Sweden, are well known risk factors for hip fracture, but how multimorbidity level affects the ...

The longitudinal exercise trend among older Swedes aged 53–84 years – a 16-year follow-up study

Background Many older adults are physically inactive and inactivity increases with age. This knowledge comes from cross-sectional studies. Cross-sectional studies may miss important trajectories within the older adults as a result of retirements, and poor health impact of promotional efforts. The aim of this study was to analyse, longitudinally, the annual effects of age group and ...

Can gender difference in prescription drug use be explained by gender-related morbidity?: a study on a Swedish population during 2006

Background It has been reported that there is a difference in drug prescription between males and females. Even after adjustment for multi-morbidity, females tend to use more prescription drugs compared to males. In this study, we wanted to analyse whether the gender difference in drug treatment could be explained by gender-related morbidity. Methods Data was collected on all ...

Case management for frail older people – a qualitative study of receivers’ and providers’ experiences of a complex intervention

Background Case management interventions have been widely used in the care of frail older people. Such interventions often contain components that may act both independently of each other and interdependently, which makes them complex and challenging to evaluate. Qualitative research is needed for complex interventions to explore barriers and facilitators, and to understand the ...

Impact of yoga on blood pressure and quality of life in patients with hypertension – a controlled trial in primary care, matched for systolic blood pressure

Background Medical treatment of hypertension is not always sufficient to achieve blood pressure control. Despite this, previous studies on supplementary therapies, such as yoga, are relatively few. We investigated the effects of two yoga interventions on blood pressure and quality of life in patients in primary health care diagnosed with hypertension. Methods Adult patients (age ...

Fighting for control in an unpredictable life – a qualitative study of older persons’ experiences of living with chronic dizziness

Background Dizziness in older people is associated with disability and reduced quality of life. Few studies have investigated how daily life is affected from the older person’s perspective. Identifying barriers and resources in daily life could guide health care in how to direct efficient interventions. The aim of this study was to explore older persons’ experiences of living with ...

Prevalence and treatment of heart failure in Swedish nursing homes

Background Since the burden of care for elderly patients with heart failure (HF) can be decreased by therapeutic measures, it is important that such patients are identified correctly. This study explores the prevalence of HF in nursing homes in Sweden, with special consideration of the risk of failure to diagnose HF in the study population. A second aim is to explore medication and ...

Fall risk-increasing drugs and falls: a cross-sectional study among elderly patients in primary care

Westerlund Patrik Midlöv 0 0 Center for Primary Health Care Research, Institution of Clinical Sciences, Lund University , Lund , Sweden 1 Department of General Medicine, Center for Primary Health Care Research

Longitudinal age-and cohort trends in body mass index in Sweden – a 24-year follow-up study

Background The aim of this longitudinal study was to analyze whether mean Body Mass Index (BMI), assessed at four occasions, changed within different age groups and birth cohorts over time, i.e., between 1980/81 and 2004/05, after adjustment for possible confounders. Methods A sample of 2728 men and 2770 women aged 16–71 years at study start were randomly drawn from the Swedish ...

Frail elderly patients’ experiences of information on medication. A qualitative study

Background Older patients generally have only poor knowledge about their medicines. Knowledge is important for good adherence and for participating in decisions about treatment. Patients are entitled to be informed on an individual and adequate level. The aim of the study was to explore frail elderly patients’ experiences of receiving information about their medications and their ...

Lack of adherence to hypertension treatment guidelines among GPs in southern Sweden-A case report-based survey

BackgroundGeneral practitioners (GPs) often fail to correctly adhere to guidelines for the treatment of hypertension. The reasons for this are unclear, but could be related to lack of knowledge in assessing individual patients' cardiovascular disease risk. Our aim was to investigate how GPs in southern Sweden adhere to clinical guidelines for the treatment of hypertension when ...