Publications by authors named "Bertelsen P"

The concept of social invisibility describes the devaluation of the perceived social and personal worth of an individual. This paper presents the theoretical foundation for this construct, and the development and validation of the "Invisibility Scale" capturing experiences of and needs for social (in)visibility within (i) intimate, (ii) legal, and (iii) communal relations. We developed and validated the Invisibility Scale in two studies.

View Article and Find Full Text PDF

Introduction: The proposed concept of secure/insecure lifeattachment reflects the experience of the world and life as a good (or insecure/threatening) place to be. The present article describes the theoretical foundation, development, and validation of a revised measure that captures the phenomenon of secure/insecure life attachment. The revised scale consists of seven dimensions: (1) Coexistence, (2) Reliability, (3) Safetiness, (4) Integration, (5) Inclusion, (6) Participation, and (7) Deliberation.

View Article and Find Full Text PDF

Context: In healthcare, digitization has been widespread and profound, entailing a deluge of data. This has spurred ambitions for healthcare to become data-driven to improve efficiency and quality, and within medicine itself to improve diagnosing and treating diseases. The generation and processing of data requires human intervention and work, though this is often not acknowledged.

View Article and Find Full Text PDF

As digital healthcare services are expanding in use and purpose in a Danish context so are the functionalities embedded in these, constituting citizens' access to healthcare services and personal health data. In Denmark, the impact of inequalities in digital healthcare remains largely unexplored, making it crucial to pay close attention to this aspect as the digital transformation of the sector progresses. According to the Danish Health Act (2019), the Danish healthcare system is required to ensure easy and equal access to healthcare, high-quality treatment, coherent patient pathways, freedom of choice, easy access to information, transparency, and short waiting times for every citizen.

View Article and Find Full Text PDF

Background: This article reports on a study that investigated data professionals in health care. The topic is interesting and relevant because of the ongoing trend towards digitisation of the healthcare domain and efforts for it to become data driven, which entail a wide variety of work with data.

Objective: Despite an interest in data science and more broadly in data work, we know surprisingly little about the people who work with data in healthcare.

View Article and Find Full Text PDF

Through a qualitative study in six hospital departments in the Northern Region of Denmark, this article aims to shed light on how a non-clinical group, medical secretaries, supports clinical-administrative documentation as they translate between the clinical and administrative domains. This article shows how this demands context-sensitive knowledge and skills acquired through deep engagement with the full scope of clinical-administrative work at the department level. We argue that, given the increasing ambitions for secondary uses of healthcare data, specific clinical-administrative competencies beyond those of clinicians are increasingly necessary in the skillmix in hospitals.

View Article and Find Full Text PDF

Purpose: The aim of this study was to describe the rate of amenorrhea in women treated with transcervical endometrial resection (TCER) or radiofrequency endometrial ablation combined with levonorgestrel intrauterine contraceptive device (LNG-IUD) six months post-operatively.

Methods: The study was performed as a prospective cohort study. All patients were included at four gynecological centers in Region of Southern Denmark.

View Article and Find Full Text PDF

Objective: The aim of this study was to examine the experiences of citizens with newly diagnosed type-2 diabetes when using a newly developed and implemented patient-reported outcome (PRO) questionnaire as part of clinical practice in a municipal setting. Specifically, the citizens' experiences in completing the PRO questionnaire and using the PRO data in consultations were examined.

Methods: The study was based on participant observations and semi-structured interviews and conducted at the Centre for Diabetes in Copenhagen and online.

View Article and Find Full Text PDF

Objectives: Patient-reported outcomes (PROs) are increasingly applied in chronic care due to their many functionalities and synergies with current healthcare policies. The participatory potential of PROs is especially emphasised in the Danish context. This review scrutinises the association between PRO and patient participation in chronic care.

View Article and Find Full Text PDF

This paper investigates the often neglected area of data work by medical secretaries, specifically in the context of hospitals in Denmark. Since the 1930s medical secretaries have played a steadily more central role in meeting the growing need for health data. With electronic health records (EHRs) and promises of data automation, the profession has been put at risk of redundancy.

View Article and Find Full Text PDF

Health care systems struggle to consistently deliver integrated high-quality, safe, and patient-centered care to all in an economically sustainable manner. Inequity of access to health care services and variation in diagnostic and treatment outcomes are common. Further, as health care systems become ever more complex, iatrogenesis and counter productivity have emerged as real dangers.

View Article and Find Full Text PDF

Mobile applications targeting people engaged in physical activity have increased. However, while research has identified social support as a key factor for people's engagement in physical activity, most mobile health (mHealth) applications are designed for individual use. In this paper, we report on a research study exploring opportunities for designing mHealth to facilitate social support around physical activity.

View Article and Find Full Text PDF

Self-control has been established as an important factor in various domains of life, significant for general well-being; thus, a self-induced lack of self-control may prove detrimental for well-being. Self-induced lack of self-control may stem from implicit beliefs about self-control as a limited resource, but research has shown this belief to be unwarranted. Furthermore, it has been shown that a belief about self-control resources as unlimited has a positive effect on many domains in life and ultimately on well-being.

View Article and Find Full Text PDF

This paper elucidates how the functionality of Patient-Reported Outcome (PRO) has evolved due to its digital transformation. Hence, PROs traditional use within healthcare is described and compared to the application of electronic PROs (ePROs); leading to a discussion regarding PROs functionality. The literature included in this paper stems from a systematic scoping review.

View Article and Find Full Text PDF

Patient involvement can be supported in many ways, some of these through health IT (HIT). Health care practice is changing with digitalization and technologies that patients can use to generate data outside the formal health facilities are growing. Inequality affect citizens ability to participate.

View Article and Find Full Text PDF

The present study investigated the interplay among deficient life skills, moral disengagement, and extremist attitude across two national contexts. Using a sample of young students in high school or college (N = 686), the present study found significant indirect effects between deficient life skills (agency and structure) and various aspects of an extremist mindset through moral disengagement. These findings suggest that these two psychological concepts of life skills and moral disengagement are relevant for understanding and countering violent radicalization processes; that is to say that morality can direct the life skills toward either violent extremism or nonviolent, legal civil participation.

View Article and Find Full Text PDF

Objectives: Subclinical bacteriuria (SBU) is the presence of bacteria in urine with no clinical evidence of lower urinary tract disease. The aims of this study were to investigate if being overweight and/or obesity predispose cats to SBU, to investigate previously reported risk factors and to determine the prevalence of SBU in a prospectively sampled cohort of middle-aged and elderly cats.

Methods: Cats aged ⩾6 years presenting to the University Hospital for Companion Animals in Copenhagen from 2015-2019 for causes unrelated to the lower urinary tract were eligible for enrolment.

View Article and Find Full Text PDF

Violent radicalization has emerged as an important topic of theoretical and empirical investigation motivated by the devastating face of terrorism and by the aim of preventing such expressions of extremism. One central aspect of such research inquiries is the foundation of solid measurement. In this article, we develop and validate two generic scales pertaining to (1) endorsement of extremism and (2) acceptance of violent and/or illegal means.

View Article and Find Full Text PDF

Objective: Activity trackers are designed to support individuals in monitoring and increasing their physical activity. The use of activity trackers among individuals diagnosed with depression and anxiety has not yet been examined. This pilot study investigates how this target group engages with an activity tracker during a 10-week health intervention aimed to increase their physical activity level and improve their physical and mental health.

View Article and Find Full Text PDF

This paper describes the design of MOVE, a mobile app to support people in forming social relations around exercise in residential areas. MOVE was developed in collaboration with residents and health professionals in a neighbourhood identified as a high-risk health area. The app is targeted to those who are motivated but challenged to do exercise and based on a conceptual model to provide users a social horizon of exercise activities in their residential area.

View Article and Find Full Text PDF

The Nordic eHealth Research Network, a subgroup of the Nordic Council of Ministers eHealth group, is working on developing indicators to monitor progress in availability, use and outcome of eHealth applications in the Nordic countries. This paper reports on the consecutive analysis of National eHealth policies in the Nordic countries from 2012 to 2016. Furthermore, it discusses the consequences for the development of indicators that can measure changes in the eHealth environment arising from the policies.

View Article and Find Full Text PDF

The increased focus on and use of citizen/patient generated health data has spurred a wide range of personal health technology projects within digital intervention in health, e.g. telehealth.

View Article and Find Full Text PDF

There is a widespread consensus that it is important to involve patient in their own care, both for the reasons of quality and safety in healthcare and for the sake of the patients' individual rights. The appreciation of patient participation and related notions such as patient empowerment, patient centered care, patient involvement, patient as co-producers of health et cetera, indicate that the role of the patient have changed over the last decades. It has changed from being a passive recipient of treatment to becoming an active and responsible agent.

View Article and Find Full Text PDF

Background: Information and communication sources in the healthcare sector are replaced with new eHealth technologies. This has led to problems arising from the lack of awareness of the importance of end-user involvement in eHealth development and of the difficulties caused by using traditional summative evaluation methods. The Constructive eHealth evaluation method (CeHEM) provides a solution to these problems by offering an evaluation framework for supporting and facilitating end-user involvement during all phases of eHealth development.

View Article and Find Full Text PDF

This paper explores participatory design walks (PD walks) as a first step toward a participatory design of health information technology (HIT) aimed at tackling health inequality in a neighbourhood identified as a high-risk health area. Existing research shows that traditional methods for health promotion, such as campaigns and teaching, have little to no effect in high-risk health areas. Rather, initiatives must be locally anchored - integrated into the local culture, and based on social relationships and group activities.

View Article and Find Full Text PDF