Dying at "home" - a qualitative study of end-of-life care in rural Northern Norway from the perspective of health care professionals.

Background: 'Most patients want to die at home' is a familiar statement in palliative care. The rate of home deaths is therefore often used as a success criterion. However, providing palliative care and enabling patients to die at home in rural and remote areas may be challenging due to limited health care resources and geographical factors.

"I base my life on sadness": Apparently paradoxical sources of resilience among young Haitians.

Haitian expressions of resilience also hold deep knowledge of human vulnerability. This longitudinal, qualitative study with young Haitians from urban shantytowns combines ethnographic and participatory methods to explore the complexities behind such idioms. Artistic and creative products made by or with the youth facilitated interviews, focus group discussions, and workshops.

Personal continuity of GP care and outpatient specialist visits in people with type 2 diabetes: A cross-sectional survey.

Background: Continuity of care is particularly important for patients with chronic conditions, such as type 2 diabetes (T2D). Continuity is shown to reduce overall health service utilization among people with diabetes, however, evidence about how it relates to the utilization of outpatient specialist services in Norway is lacking. The aim of this study was to investigate continuity of GP care for people with T2D, and its association with the use of outpatient specialist health care services.

Variation in suspected cancer referral pathways in primary care: comparative analysis across the International Benchmarking Cancer Partnership.

Background: International variations in cancer outcomes persist and may be influenced by differences in the accessibility and organisation of cancer patient pathways. More evidence is needed to understand to what extent variations in the structure of primary care referral pathways for cancer investigation contribute to differences in the timeliness of diagnoses and cancer outcomes in different countries.

Aim: To explore the variation in primary care referral pathways for the management of suspected cancer across different countries.

Talking together in rural palliative care: a qualitative study of interprofessional collaboration in Norway.

Background: Caring for people with palliative care needs in their homes requires close collaboration within and between primary and hospital care. However, such close collaboration is often lacking. Transitions of care are potentially unsafe and distressing points in a patient trajectory.

Identity construction in medical student stories about experiences of disgust in early nursing home placements: a dialogical narrative analysis.

Objectives: To explore medical students' reflective essays about encounters with residents during preclinical nursing home placements.

Design: Dialogical narrative analysis aiming at how students characterise residents and construct identities in relation to them.

Setting: Medical students' professional identity construction through storytelling has been demonstrated in contexts including hospitals and nursing homes.

Agenda navigation in consultations covering multiple topics. A qualitative case study from general practice.

Objective: To explore how agenda navigation may be accomplished underway in consultations covering multiple topics, we identified and analyzed one GP's communicative strategies.

Design, Setting, And Subjects: A qualitative observational case study with linguistic microanalysis of an exemplary consultation between a female patient with diabetes and her male GP. We used speech act theory to identify communicative actions that indicated agenda navigation by the GP in transitions between episodes concerning ten topics.

Adapting and Going the Extra Mile: A Qualitative Study of Palliative Care in Rural Northern Norway From the Perspective of Healthcare Providers.

Background: Despite significant developments in palliative care in recent decades, we still find important differences in access to and delivery of care in rural Norway.

Objective: The aim of this study was to explore what healthcare professionals consider necessary to provide equality in care for palliative patients in rural areas.

Methods: A qualitative approach with focus group discussions and individual interviews with 52 health professionals was used, starting with 5 uniprofessional focus groups of general practitioners and nurses/cancer nurses, followed by 5 interprofessional groups and 6 individual interviews.

Experience-based learning: junior medical students' reflections on end-of-life care.

Context: Experience-based learning may contribute to confidence, competence and professional identity; early experiences may be particularly formative. This study explored how pre-clinical students make sense of their participation in the provision of end-of-life care within community settings.

Methods: We performed dialogic narrative analysis on essays written by junior medical students in New Zealand.

General practitioners' participation in cancer treatment in Norway.

Introduction: General practitioners (GPs) participate in a patient's cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from hospitals.

Teamwork in primary palliative care: general practitioners' and specialised oncology nurses' complementary competencies.

Background: Generalists such as general practitioners and district nurses have been the main actors in community palliative care in Norway. Specialised oncology nurses with postgraduate palliative training are increasingly becoming involved. There is little research on their contribution.

What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies.

Objective: To gain a deeper understanding of challenges faced by GPs when managing patients with MUS.

Methods: We used meta-ethnography to synthesize qualitative studies on GPs' perception and management of MUS.

Results: The problem with MUS for GPs is the epistemological incongruence between dominant disease models and the reality of meeting patients suffering from persistent illness.

Motivation to persist with internet-based cognitive behavioural treatment using blended care: a qualitative study.

Background: The prevalence of depression is high and results in huge costs for society. Internet-based cognitive behavioural treatment (ICBT) has been suggested for use in primary care and has been shown to be more effective when combined with human support. However, non-completion rates remain a challenge.

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.

'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.

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.