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Coordination of care in the Nordic countries

Coordination of health care exists at many different levels and in many different forms. We describe the similarities and differences in coordination mechanisms among the Nordic countries. In some respects, the Nordic countries approach coordination problems in similar ways although differences exist. The overall pattern shows that Finland and Sweden have less country-wide coordination compared wi

Developing environmentally sustainable logistics. Exploring themes and challenges from a logistics service providers' perspective

The purpose of this paper is to explore themes and challenges in developing environmentally sustainable logistical activities. The approach is explorative with a cross sectional design that takes advantage of ten case studies out of selected logistics service providers (LSPs) operating primarily in the Scandinavian countries. The findings illustrate the major themes by analyzing current and future

Self-reported adverse events after groin hernia repair, a study based on a national register

Objectives: In most clinics, follow-up after inguinal hernia surgery is not a routine procedure and complications may pass unnoticed, thus impairing quality assessment. The aim of this study was to investigate the frequency, spectrum, and risk factors of short-term adverse events after groin hernia repair. Methods: All patients aged 15 years or older with a primary unilateral inguinal or femoral h

Antibiotic therapy in acute pancreatitis: From global overuse to evidence based recommendations

Background: Unwarranted administration of antibiotics in acute pancreatitis presents a global challenge. The clinical reasoning behind the misuse is poorly understood. Our aim was to investigate current clinical practices and develop recommendations that guide clinicians in prescribing antibiotic treatment in acute pancreatitis. Methods: Four methods were used. 1) Systematic data collection was pe

Health financing for the poor produces promising short-term effects on utilization and out-of-pocket expenditure: evidence from Vietnam

Background: Vietnam introduced the Health Care Fund for the Poor in 2002 to increase access to health care and reduce the financial burden of health expenditure faced by the poor and ethnic minorities. It is often argued that effects of financing reforms take a long time to materialize. This study evaluates the short-term impact of the program to determine if pro-poor financing programs can achiev

Longitudinal analysis of income-related health inequality

This paper considers the characterisation and measurement of income-related health inequality using longitudinal data. The paper elucidates the nature of the Jones and Lopez Nicolas (2004) index of "health-related income mobility" and explains the negative values of the index that have been reported in all the empirical applications to date. The paper further presents an alternative approach to th

Cost-utility analysis of adjuvant therapies for breast cancer in iran

Objectives: The aim of this study was to evaluate the cost-utility of Docetaxel with doxorubicin and cyclophosphamide (TAC) and 5-fluorouracil, doxorubicin, cyclophosphamide (FAC) in node-positive breast cancer patients in the south of Iran. Methods: A double blind study was done on a cohort of 100 patients suffering from breast cancer with node-positive over 8 months in the radiotherapy center of

Chloride binding capacity and binding isotherms of OPC pastes and mortars

A method for evaluating chloride binding capacity of concrete was proposed based on the adsorption from solution and chloride binding isotherms of OPC pastes and mortars with water-cement ratio 0.4, 0.6 and 0.8. The experimental results show that the chloride binding capacity of concrete strongly depends on the content of CSH gel in the concrete, regardless of the water-cement radio and the additi

Documentation quality in occupational therapy patient records: Focusing on the technical aid prescription process

In order to plan for and implement research on the outcome of the technical aid prescription process, more knowledge about the documentation of the process is imperative. The overarching aim of this study was to survey documentation quality aspects in patient records in community-based OT, with a particular focus on the technical aid prescription process. An additional aim was to compare the quali

Employer investments in employee health - Implications for the family as health producer

The model presented in this paper further extends the demand-for-health model in which the family is the producer of health investments, to consider the case in which an employer has incentives for investing in the health of a family member. The household and the employer are assumed to interact strategically in the production of health. The general insight provided is that the conditions which de

Striving for emotional survival in palliative cancer nursing

In this grounded theory study, the authors analyze interviews and participant observation data related to palliative cancer nursing in hospitals. Striving for Emotional Survival emerged as the pattern of behavior through which nurses deal with their main concern, the risk of being emotionally overloaded by their work. It involved three main strategies: Emotional Shielding through Professional Shie

Practical issues in handling data input and uncertainty in a budget impact analysis

The objective of this paper was to address the importance of dealing systematically and comprehensively with uncertainty in a budget impact analysis (BIA) in more detail. The handling of uncertainty in health economics was used as a point of reference for addressing the uncertainty in a BIA. This overview shows that standard methods of sensitivity analysis, which are used for standard data set in

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Abstract in Danish Kapitlet sætter fokus på kobling mellem teori og praksis. Vi argumenterer for, at teoribevidsthed er nødvendig for studerende og sundhedsprofessionelle, her sygeplejersker, for at kunne reflektere, forstå, håndtere og udvikle handlinger, interaktioner og sygepleje i klinisk praksis. Først redegør vi kort for forståelser af teori og praksis. Dernæst præsenterer vi en case fra kli

On Supply Chain Incentive Alignment: Insights from a cash supply chain and a trucking service supply chain

Popular Abstract in Swedish Måndagen den 16:e april 2001 informerade det amerikanska företaget Cisco, med produkter och tjänster inom nätverk och datakommunikation, att de skulle skriva ned sitt komponentlager med 2,2 miljarder dollar. Detta skedde i samband med en globalt vikande efterfrågan och det som skulle komma att kallas IT-bubblan i folkmun. Investerare och företagsledning ställde sig frågThis dissertation presents a framework for describing, a process for identifying, and a model for evaluating misalignments in the supply chain when varying elements such as structure, processes, and management components. The developed approach makes it possible to address and improve the alignment of supply chain structures, processes, and management components. To further increase knowledge of h

Experience-Based Swedish TTO and VAS Value Sets for EQ-5D-5L Health States

BACKGROUND AND OBJECTIVE: Although value sets for the five-level version of the generic health-related quality-of-life instrument EQ-5D are emerging, there is still no value set available in the literature based on time trade-off valuations made by individuals experiencing the valued health states. The aim of this study was to estimate experience-based value sets for the EQ-5D-5L for Sweden using

Lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care-A qualitative study

AIMS AND OBJECTIVES: To describe lesbian, gay and bisexual parents' experiences of nurses' attitudes in child healthcare.BACKGROUND: Lesbian, gay and bisexual people are often reluctant to disclose their gender identity for fear of discrimination. This fear may lead to avoidance of healthcare for themselves or their children and may negatively affect families' health and well-being.DESIGN: A quali