scholarly journals The incidence of melanoma during the COVID-19 pandemic in a Swedish health care region without lockdown.

2021 ◽  
Author(s):  
Maria Pissa ◽  
Sandra Jerkovic Gulin
Keyword(s):  
Health Care ◽  
Swedish Health Care ◽  
Health Care Region

scholarly journals P036 IMPACT OF THE COVID-19 PANDEMIC ON HERNIA SURGERY IN A SWEDISH HEALTH-CARE REGION WITHOUT LOCKDOWN: A RETROSPECTIVE COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Christos Kollatos ◽  
Ali Alhussain ◽  
Sarmad Hanna
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Reference Group ◽  
Reference Period ◽  
Medical Database ◽  
Hernia Surgery ◽  
Emergency Operations ◽  
Swedish Health Care ◽  
Time Frames ◽  
Health Care Region

Abstract Aim During the COVID-19 pandemic, Swedish health care centers were restructured. This was accompanied by changes in the surgical programme. The aim of this study was to determine the effects of COVID-19 on emergency and elective hernia surgeries in a Swedish health-care region. Material and Methods This was a retrospective, observational cohort study. Data from inguinal and ventral hernia surgeries were retrieved from a medical database using procedure codes from all three hospitals in Region Jönköping County from March 1, 2019 to January 31, 2021. The participants were divided into two groups: COVID-19 group (March 1, 2020 - January 31, 2021) and reference group (March 1, 2019 - January 31, 2020). The incidence rate (IR) and relative risk (RR) of operations over different time frames were analyzed. Results A total 1351 participants met the inclusion criteria. 590 were operated during the COVID-19 period and 761 during the reference period. The IR of elective operations was decreased during the COVID-19 pandemic; 146 operations/100.000 population vs 192 operations/100.000 population during the reference period. RR was 0,76 (95% CI 0.6813-0.8545, p < 0.0001). Moreover, IR of emergency operations decreased insignificantly during the COVID-19 pandemic; 17,5 operations/100.000 population vs 19,4 operations/100.000 population during the reference period. RR was 0,9 (95% CI 0.6404- 1.2649, p 0.5441). No significant variations in the emergency operations have identified when different time frames were compared. Conclusions There is no evidence to support that COVID-19 pandemic has increased emergency hernia operations during the studied period despite the significant reduction of elective operations.

Health counseling in Swedish health care

2016 ◽  
Vol 6 (2) ◽  
pp. 49-54
Author(s):  
Helena Reimertz ◽  
Fredrik Spak ◽  
Hanne Tønnesen
Keyword(s):  
Health Care ◽  
Health Counseling ◽  
Swedish Health Care

Abstract WP315: A 3 Month Follow-up Of A Client-centred Activity Of Daily Living Intervention After Stroke: A Multicenter Randomized Controlled Trial

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Maria Ranner ◽  
Ann-Sofie Bertilsson ◽  
Susanne Guidetti ◽  
Ulla Johansson ◽  
Gunilla Eriksson ◽  
...  
Keyword(s):  
Health Care ◽  
Life Satisfaction ◽  
Daily Living ◽  
Controlled Trial ◽  
Significance Level ◽  
Intention To Treat ◽  
Swedish Health Care ◽  
Multicenter Randomized Controlled Trial ◽  
Need To Evaluate ◽  
Rehabilitation Needs

A goal for rehabilitation after stroke is to regain the ability to manage activities of daily living (ADL). The Swedish health care legislation recognizes that individuals bring unique sets of needs and preferences to encounters with the health care system, which should impact the services delivered. Consequently rehabilitation needs to be designed to meet each individual’s concern i.e., be client-centered. This implies interventions tailored to the client’s ability and perceived needs, services that take the client’s unique life-world experiences as the point of departure for goals and collaboration during the rehabilitation. However, studies on such services are scarce. Thus the aim was to compare a client-centered ADL intervention (CADL) to usual ADL training (UADL) regarding perceived participation, independence in ADL and life satisfaction at 3 months after inclusion. Methods: Sixteen rehabilitation units in Stockholm, Uppsala and Gävleborg, Sweden were randomly assigned to deliver either CADL or UADL to people in need of ADL rehabilitation after stroke. The occupational therapists (OT) who delivered the CADL were specifically trained. At 3 months perceived participation was assessed with the Stroke impact scale (SIS) and the Occupational Gaps questionnaire (OGQ), self-reported dependence in ADL with the Barthel Index (BI) and the Katz Extended ADL Index (KE), and life satisfaction with the LiSat-11. Number of contacts with an OT was collected in the clients’ medical records. Intention-to-treat analysis was applied. The significance level was set to 0.05. ClinicalTrials.gov identifier: NCT01417585 . Results: Two hundred and eighty persons with stroke were included (CADL n=126, UADL n=154). The mean number of OT sessions in the CADL was 19 and 14 in the UADL group. There were no differences regarding SIS (p=0.64), OGQ (p=0.15), BI (p=0.06), KE (p=0.78) or in LiSat-11 (p=0.77). Conclusion: Albeit people with stroke who receive CADL tend to be more independent in ADL at 3 months it is likely that differences in perceived participation and life satisfaction will not be present until later. Thus there is a need to evaluate such services in the long term, their impact on significant others and qualitative studies of the clients’ experiences.

Perceptions of Improvement Work in Swedish Health Care

2003 ◽  
Vol 12 (4) ◽  
pp. 217-224 ◽  
Author(s):  
Stefan Book ◽  
Andreas Hellström ◽  
Jesper Olsson ◽  
Lic Eng
Keyword(s):  
Health Care ◽  
Swedish Health Care
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