One must consider cost effectiveness when deciding how resources within the health sector should be distributed. Quality adjusted life years (QALYs) are used to measure the value of different medical treatments. QALY is based on utility maximization theory, which suggests that a QALY is always a QALY regardless of who receives it. Therefore, a produced QALY is worth the same regardless of the age or the initial health of the patient. Previous research has shown that these assumptions do not seem to fit the real preferences of individuals.

De senaste decennierna har globaliseringen påverkat företagen i allt större utsträckning eftersom konkurrensen ökat. Detta har tvingat företag att bli mer effektiva för att kunna överleva. Ett sätt att effektivisera är att slimma produktionen och ha en flexibel arbetskraft, så kallad numerisk flexibilitet. I Sverige har privat arbetsförmedling varit tillåten sedan 1993 och sedan dess har bemanningsbranschen haft en expansiv utveckling. Syftet med denna uppsats är att beskriva numerisk flexibilitet, med avseende på inhyrning av personal, utifrån John Atkinsons indelning av personalgrupper.

När ett barn drabbas av asfyxi (syrebrist) vid födseln finns det idag en behandlingsmetod vars syfte är att minska risken för hjärnskador hos barnet. Barnet kyls ner med hjälp av en kylmadrass till 33,5 C? och hålls nedkylt i tre dygn för att sedan sakta värmas upp igen. Flera randomiserande internationella studier har gjorts och resultatet visar på positiva effekter av behandlingen. Dock har inga studier gjorts på hur sjuksköterskor upplever att vårda dessa barn.

Immigration is today happening in Sweden to a great extent and this requires a higher level of demands within the transcultural nursing. With this fact as a base to our literature review the aim of the study was developed. This was to investigate how immigrants with diabetes mellitus type 2 experience health and to find out the importance of knowledge related to the patients compliance of given advise and prescriptions. On the basis of the aim the following questions of issue was formulated: How do immigrants with diabetes mellitus type 2 experience their health and what knowledge do they possess concerning their illness? and Within which areas of the immigrants life is it important for the nurse to gain knowledge in order to affect and oblige him or her? A critical review of nine scientific articles emerged in three themes that answer the questions of issue.

AbstractThe organization of the health care system in Sweden has been subjected to investigations and discussions in order to make it more effective. The aim is to create a better public health care and to economize on the financial resources. In the year of 2003 an amendment of the Swedish law made it easier for municipalities and county councils to make own solutions and agree about how health service should be organized in the best way. This resulted in a number of test projects. In this paper I will focus on one of these test projects which took place in Borlänge and was based on collaboration between the municipality and the county council in Dalecarlia.

The progress of the health among the elderly has a major meaning for the needs of care, nursing and social services. The health of the elderly has improved but fall and fall accidents are a major problem. Acute diseases, activities and environment risks are often related to fall accidents. The aim of the study was to describe health care staffs? opinions about fall risk and fall prevention.

This study aimed to describe children?s experience of living with overweight or obesity, by using a literature-review. The study includes eleven articles, data is from children between ages 5-15 year. The result occurring were in the areas; Quality of life and self-esteem, Social company, Body concept and weight reduction and Psychological unhealth. BMI above what is recommended gives a negative influence on quality of live and self-esteem.

The aim of this study was to examine nursing personnel?s knowledge about oral health care and attitudes towards the free assessment of the oral status done by the dental service for elderly and handicapped persons in a municipality in the south part of Skåne, and also how personnel experience the free assessment of the oral status done by the dental service and how it functioned at the facilities. The study was carried out by sending out 150 questionnaires to nursing personnel at six special housing facilities. 73% (110 personnel?s) answered the questionnaires.

Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role.

Abstract In this report I describe the Health Care Advice Bureau?s (sjukvårdsrådgivningen) historical background, proposals for its development according to a committee from the Blekinge County Council (Landstinget Blekinge), the Health Care Advice Bureau?s cooperation with different external operators e.g. the SOS and the Care Centers [Vårdcentraler]. I account for how I, in the same county council, aided by ethnographical methods observed or investigated the following: The nurses? interaction with the patients, the nurses? interaction among themselves, the nurses? participation in the development of the system and also the computer based system?s technical qualifications.

Aim: The aim of this study was to investigate the quality of the social network in regard to young adults, with psychological disorders, and their possibilities to be open about their disease. In addition the study aimed at identifying possible causes to perceived difficulties by young adults to talk about their disease. Method: The survey was a quantitative study with descriptive design. The data was collected using a study-specific questionnaire on a clinic for young adults with psychological disorders, between 18 and 25 years of age. Out of 123 potential participants 79 (64 %) answered the questionnaire, of which two were excluded because they did not see themselves as suffering from mental illness. Results: The results showed that the participants of the study stated that they had a social network and the majority (90%, n=69) considered they had someone to talk to about their disease, but most of them wanted to be more open about their illness.However, the majority had some form of difficulty to talk about their disease with their social network. The most common specified causes were to feel ashamed of their disease and that the mentally ill persons did not think they would be properly understood.Almost the half of the participant experienced that they had some form of difficulty to be open about their mental disorder in front of health professionals and the most common specified causes was that the participant did not thought that they would be properly  understood  or that they did not felt confidence before the health professionals. Conclusion: Young adults with psychological disease have difficulty to be open about their disease, partly because of stigma.

Bakgrund: Fetma är ett folkhälsoproblem som har ökat dramatiskt de senaste två decennierna. För att behandla extrem fetma har magsäcksoperationer blivit en allt mer vanlig metod. De hälsoekonomiska aspekterna av operation har ännu inte studerats i Sverige. Syfte: Studiens syfte var att belysa hälsoekonomiska aspekter av magsäcksoperationer som intervention mot fetma. Metod: Metoden var en litteraturstudie.

An important task for Region Skåne is to allocate resources to the health care districts. From 1999 to 2002 Region Skåne used needs-based resource allocation as a model for allocating resources. In a needs-based resource allocation individuals with the same socioeconomic and demographic characteristics are assumed to have the same level of need and are therefore allocated the same amount of resources. During the period of needs-based resource allocation a matrix model was used as a method. In the matrix model individuals were divided into cells after each combination of the socioeconomic and demographic variables.

Bakgrund: Sjukdomen schizofreni innefattas av symtom såsom vanföreställningar, vrede och apati samt har en hög självmordsprevalens. Närstående får ofta en minskad livskvalitet pga. de stora påfrestningar de utsätts för. De behöver stöd från vården för att orka vara delaktiga i den sjukes liv. Syfte: Att beskriva upplevelser av att vara närstående till en person som har schizofreni och på så vis öka sjuksköterskans förståelse för denna individgrupp.

Our understanding is that responsibility is shifting from the community towards the individual within the field of social work. This resulted in our essay, which aims to study how the representatives within social service assistance and churches in Helsingborg work with personal power. Our aim is also to illustrate how these representatives view the boundaries of responsibility between the individual and the community. Our questions are: How do the representatives work with personal power from a micro and macro perspective? How do the representatives look upon their position as representatives? What do the representatives consider as responsibility of the individual respective the community? And; Are there preventing factors from individual responsibility? We obtained our empirical material from a qualitative method consisting of interviews.