Policy Narratives on Palliative Care in Sweden 1974-2018.

In Sweden, efforts to govern end-of-life care through policies have been ongoing since the 1970s. The aim of this study is to analyse how policy narratives on palliative care in Sweden have been formulated and have changed over time since the 1970s up to 2018. We have analysed 65 different policy-documents.

How health care professionals handle limited resources in primary care - an interview study.

Introduction: Health care systems around the world are struggling with limited resources, in relation to the prevailing health care need. An accessible primary care is an important part of the solution for how to provide affordable care for the population and reduce pressure on the overall health care system such as unnecessary hospital stays and associated costs. As primary care constitutes an important first line of healthcare, the task of prioritising and deciding what to do and for whom lies in practice, primarily with the primary care professionals.

Treatment decision-making process after an anterior cruciate ligament injury: patients', orthopaedic surgeons' and physiotherapists' perspectives.

Objective: To investigate the treatment decision-making process after an anterior cruciate ligament (ACL) injury from patients', orthopaedic surgeons' and physiotherapists' perspectives.

Methods: The study is a part of the NACOX study, which is designed to describe the natural corollaries after ACL injury. For the present study, a subgroup 101 patients were included.

Dying within dyads: Stress, sense of security and support during palliative home care.

Objectives: To examine similarities and dissimilarities in patient and family caregiver dyads in their experience of stress, support, and sense of security.

Methods: 144 patients and their family caregivers participated. Patients were admitted to six Swedish specialist palliative home care units and diagnosed with a non-curable disease with an expected short survival.

Dying as an issue of public concern: cultural scripts on palliative care in Sweden.

In Sweden, palliative care has, over the past decades, been object to policies and guidelines with focus on how to achieve "good palliative care". The aim of this study has been to analyse how experts make sense of the development and the current state of palliative care. Departing from this aim, focus has been on identifying how personal experiences of 'the self' are intertwined with culturally available meta-level concepts and how experts contribute to construct new scripts on palliative care.

Clinical Priority Setting and Decision-Making in Sweden: A Cross-sectional Survey Among Physicians.

Background: Priority setting in healthcare that aims to achieve a fair and efficient allocation of limited resources is a worldwide challenge. Sweden has developed a sophisticated approach. Still, there is a need for a more detailed insight on how measures permeate clinical life.

Cost-effectiveness of caries preventive interventions - a systematic review.

Objective: The primary purpose of this study was to assess the cost-effectiveness of caries preventive interventions.

Material And Methods: A systematic review was conducted, following the PRISMA Statement. Four electronic databases were searched (final search 16 March 2020).

Sense of support within the family: a cross-sectional study of family members in palliative home care.

Background: Despite evidence that family members' support to each other can be of importance to its members, there are limited studies of factors related to family members' sense of such support during palliative care.

Aim: Based on the family systems approach, we evaluated which factors were associated with family members' sense of support within their closest family in a palliative home care context and developed a model that predicts such sense of support.

Design: A cross-sectional design was used.

Experiences of men living with Dupuytren's disease-Consequences of the disease for hand function and daily activities.

Study Design: Qualitative descriptive.

Introduction: Dupuytren's disease (DD) is a chronic hand condition causing impairment in hand function. Research describing persons' experiences of living with DD is limited.

Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period.

Background: The prevalence of multimorbidity is increasing worldwide, and older people with multimorbidity are frequent users of health care services. Since multimorbidity has a significant negative impact on Health-related Quality of Life (HrQoL) and is more common in older age it would be expected that factors related to HrQoL in this group might have been thoroughly researched, but this is not the case. Furthermore, it is important to look at old people living at home, considering the shift from residential to home-based care.

The meaning of severity - do citizenś views correspond to a severity framework based on ethical principles for priority setting?

The importance for governments of establishing ethical principles and criteria for priority setting in line with social values, has been emphasised. The risk of such criteria not being operationalised and instead replaced by de-contextualised priority-setting tools, has been noted. The aim of this article was to compare whether citizenś views are in line with how a criterion derived from parliamentary-decided ethical principles have been interpreted into a framework for evaluating severity levels, in resource allocation situations in Sweden.

For better or worse: Factors predicting outcomes of family care of older people over a one-year period. A six-country European study.

Objectives: Demographic change has led to an increase of older people in need of long-term care in nearly all European countries. Informal carers primarily provide the care and support needed by dependent people. The supply and willingness of individuals to act as carers are critical to sustain informal care resources as part of the home health care provision.

Patients' needs during a surgical intervention process for Dupuytren's disease.

Purpose: To explore and describe clients' needs during a surgical intervention process for Dupuytren's disease.

Materials And Methods: Design: Interview study with 21 men undergoing surgical intervention for Dupuytren's disease. Qualitative content analysis was performed with the model of Patient Evaluation Process as a theoretical framework.

Important aspects in relation to patients' attendance at exercise-based cardiac rehabilitation - facilitators, barriers and physiotherapist's role: a qualitative study.

Background: In order to improve attendance at exercise-based cardiac rehabilitation (CR), a greater insight into patients' perspectives is necessary. The aim of the study was to explore aspects that influence patients' attendance at exercise-based CR after acute coronary artery disease (CAD) and the role of the physiotherapist in patients' attendance at exercise-based CR.

Methods: A total of 16 informants, (5 women; median age 64.

Patients' perspective on surgical intervention for Dupuytren's disease - experiences, expectations and appraisal of results.

Purpose: To explore patients' perspectives on surgical intervention for Dupuytren's disease (DD), focusing on patients' appraisal of results, involving previous experiences, expectations and patient characters.

Method: The participants were 21 men, mean age 66 years, scheduled for DD surgery. Qualitative interviews were conducted 2-4 weeks before surgery and 6-8 months after surgery.

Long-Term Evaluation of the Ambulatory Geriatric Assessment: A Frailty Intervention Trial (AGe-FIT): Clinical Outcomes and Total Costs After 36 Months.

Objective: To compare the effects of care based on comprehensive geriatric assessment (CGA) as a complement to usual care in an outpatient setting with those of usual care alone. The assessment was performed 36 months after study inclusion.

Design: Randomized, controlled, assessor-blinded, single-center trial.

Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study.

Background: Primary care is increasingly being encouraged to integrate healthy lifestyle promotion in routine care. However, implementation has been suboptimal. Coordinated care could facilitate lifestyle promotion practice but more empirical knowledge is needed about the implementation process of coordinated care initiatives.

Caring Situation, Health, Self-efficacy, and Stress in Young Informal Carers of Family and Friends with Mental Illness in Sweden.

This study compared the caring situation, health, self-efficacy, and stress of young (16-25) informal carers (YICs) supporting a family member with mental illness with that of YICs supporting a friend. A sample of 225 carers, assigned to a family group (n = 97) or a friend group (n = 128) completed the questionnaire. It was found that the family group experiences a lower level of support and friends experienced a lower positive value of caring.

Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease.

Study Design: Prospective cohort study.

Introduction: The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent.

Purpose Of The Study: To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease.

Costs and Effects of an Ambulatory Geriatric Unit (the AGe-FIT Study): A Randomized Controlled Trial.

Objectives: To examine costs and effects of care based on comprehensive geriatric assessment (CGA) provided by an ambulatory geriatric care unit (AGU) in addition to usual care.

Design: Assessor-blinded, single-center randomized controlled trial.

Setting: AGU in an acute hospital in southeastern Sweden.

Implementing healthy lifestyle promotion in primary care: a quasi-experimental cross-sectional study evaluating a team initiative.

Background: Non-communicable diseases are a leading cause of death and can largely be prevented by healthy lifestyles. Health care organizations are encouraged to integrate healthy lifestyle promotion in routine care. This study evaluates the impact of a team initiative on healthy lifestyle promotion in primary care.