Dealing with being prescribed cardiovascular preventive medication: a narrative analysis of qualitative interviews with patients with recent acute coronary heart disease in Sweden.

Objective: To explore how patients with experience of acute coronary heart disease make sense of, and deal with, the fact of being prescribed cardiovascular preventive medication.

Design: Qualitative interview study.

Setting: Swedish primary care.

Relationship based care - how general practice developed and why it is undermined within contemporary healthcare systems.

Investigating the state of generalism in medicine from the outlook of general practice. General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the virtues and challenges of relationship based general practice, and register-based research indicate its benefits.

Patient participation in decision-making about cardiovascular preventive drugs - resistance as agency.

Objective: The aim of the study was to describe and explore patient agency through resistance in decision-making about cardiovascular preventive drugs in primary care.

Design: Six general practitioners from the southeast of Sweden audiorecorded 80 consultations. From these, 28 consultations with proposals from GPs for cardiovascular preventive drug treatments were chosen for theme-oriented discourse analysis.

Breastfeeding Associated with Reduced Mortality in Women with Breast Cancer.

Objective: To study whether breastfeeding affects survival from breast cancer.

Background: There are few studies on the relationship between breastfeeding, reproductive health, and breast cancer survival. This study is a follow-up of an earlier study showing no convincing associations between breastfeeding and breast cancer prognostic parameters.

Hormone Use is Associated with Lymphovascular Invasion in Breast Cancer.

Background: Risk of developing breast cancer increases with short breastfeeding and the use of hormones. The prognosis of breast cancer is better if the tumours are hormone receptor positive. Since breast feeding affects estrogen and progesterone receptors, we wanted to investigate how such reproductive factors as breastfeeding and the use of hormones interact with known prognostic markers and specific tumour characteristics in women with breast cancer.

Touch and relate: body experience among staff in habilitation services.

In habilitation centres staff meet children with different impairments, children who need extensive support and training while growing up. A prevailing biomedical view of the body in habilitation services is gradually becoming supplemented by a perspective on the body as constantly involved in experiencing and communicating, the latter involving also the bodies of the therapists. Investigating body experience in habilitation staff in their encounters with the children may provide concepts that make it easier to reflect on what is going on in the interaction.

Clinical Gaze in Risk-Factor Haze: Swedish GPs' Perceptions of Prescribing Cardiovascular Preventive Drugs.

Aims. To explore general practitioners' (GPs') descriptions of their thoughts and action when prescribing cardiovascular preventive drugs. Methods.

Breastfeeding as a specific value in women's lives: the experiences and decisions of breastfeeding women.

Background: Worldwide, breastfeeding is recommended for every woman who gives birth to a child. The propensity to breastfeed varies. There is considerable knowledge about the experiences and circumstances that affect the decision to breastfeed, but knowledge about what actually generates the decision's force still needs to be increased.

How does the thought of cancer arise in a general practice consultation? Interviews with GPs.

Background: Only a few patients on a GP's list develop cancer each year. To find these cases in the jumble of presented problems is a challenge.

Objective: To explore how general practitioners (GPs) come to think of cancer in a clinical encounter.

Usability of computerised physician order entry in primary care: assessing ePrescribing with a new evaluation model.

Background: The incorrect use of medications may result from improper prescribing. The poor interface and design of computerised physician order entry (CPOE) systems may contribute. To improve the quality of electronic drug prescription, ePrescribing, there is a need for an evaluation model that is able to assess the quality of the CPOE, focusing on usability.

GPs' decision-making--perceiving the patient as a person or a disease.

Background: The aim of this study was to analyse the clinical decision making strategies of GPs with regard to the whole range of problems encountered in everyday work.

Methods: A prospective questionnaire study was carried through, where 16 General practitioners in Sweden registered consecutively 378 problems in 366 patients.

Results: 68.

'I deal with the small things': the doctor-patient relationship and professional identity in GPs' stories of cancer care.

An important part of GPs' work consists of attending to the everyday and existential conditions of human being. In these life world aspects, biomedicine is often not the relevant theory to guide the GP; nevertheless they are a part of GPs' professional domain. In cancer care, previous studies have shown that GPs with a biomedical perspective on medicine could feel subordinate to specialists, and that doctors with a curative focus could see disease progression as a personal failure.

"I did not intend to stop. I just could not stand cigarettes any more." A qualitative interview study of smoking cessation among the elderly.

Background: Every year, more than 650,000 Europeans die because they smoke. Smoking is considered to be the single most preventable factor influencing health. General practitioners (GP) are encouraged to advise on smoking cessation at all suitable consultations.

Leadership in rural medicine: the organization on thin ice?

OBJECTIVE. To explore the personal experiences of and conceptions regarding leading rural primary care in Northern Norway. DESIGN.

Physicians' messages in problematic sickness certification: a narrative analysis of case reports.

Background: Many physicians find sickness certification tasks problematic. There is some knowledge about situations that are experienced as problematic, whereas less is understood about how physicians respond to the problems they face. One way to acquire such knowledge is to consider "reflection-in-action", aspects of which are expressed in the physician's interpretation of the patient's story.

A doctor close at hand: How GPs view their role in cancer care.

Objective: To explore GPs' own views on their role in cancer care.

Design: Qualitative study based on semi-structured interviews.

Setting: Norwegian primary care.

Breastfeeding and prognostic markers in breast cancer.

Background: Several studies suggest that total breastfeeding time reduces breast cancer risk. The underlying mechanisms are unclear. Whether breastfeeding also affects the prognosis is not yet investigated.

When physicians get stuck in sick-listing consultations: a qualitative study of categories of sick-listing dilemmas.

Objective: Many physicians find sick-listing tasks problematic. The aim of this study was to identify categories of dilemmas experienced by physicians in their sick-listing practice.

Design And Subjects: Data was collected at courses that were aimed at improving physicians' sick-listing skills, arranged in different parts of Sweden.

'We got the whole story all at once': physiotherapists' use of key questions when meeting patients with long-standing pain.

Long-standing musculoskeletal pain has many dimensions. Physiotherapy lacks a tested method of dialogue with which physiotherapists and patients can together explore pain in all its complexity. The present aim was to find out how physiotherapists experienced the influence of systematically prepared key questioning on their relation to, and understanding of, patients with long-standing pain.

Characteristics of sick-listing cases that physicians consider problematic--analyses of written case reports.

Objective: The aim was to discern common characteristics in the sick-listing cases that physicians in general practice and occupational health services find problematic.

Design: Descriptive categorization within a narrative theoretical framework.

Setting: Sickness-insurance course for physicians in general practice and occupational health services.

Attributes of competence -- on GPs' work performance in daily practice.

Aim: The core competencies of general practitioners (GP) are ordinarily formulated by professional bodies and international organisations, like the World Organization of Family Doctors (Wonca). Official documents are sometimes questioned as being too comprehensive and products of the drawing board. The aim was to explore clinically oriented GPs own description of the proficiency used in everyday practice.