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Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Title:The issue of unplanned stoppages caused by failure in medical technology equipment ? A study within the hospital of Kalmar with a focus on manage-ment, security and quality Author:Anna Förster, Ambika Linder, Sandra Nyqvist Tutor:Thomas Karlsson Institution:Linnaeus School of Business and Economics - Linnaeus University Kalmar Date:2011-01-14 Purpose:The purpose of this study was to examine unplanned stoppages caused by medical technology equipment failure in the healthcare operation within the hospital of Kalmar. Our study is based on a number of specifically selected incidents which show the consequences these disruptions cause in management, security and quality within the operation. Our intention was also to examine what role the medical technology department of the hospital plays in the care production operation during these unplanned stoppages. Method:Through a qualitative study we have generated material from a number of interviews with staff working in the hospital of Kalmar.

As a patient you can find a lot of information concerning health and diseaseson the Internet. Purpose: The purpose of my study is to gain a betterunderstanding of how physicians relate to well-informed patientsfrom the point of doctor's changing role in meeting the patient related to theweb-based patient information. Today's patients are turning increasingly tothe Internet before they visit their doctor, this is due to the electronic healthinformation is available 24 hours a day, 7 days a week while the regulardoctor usually have several weeks of waiting. Problems that can arise with theWeb-based information is that the patient does not have a medical educationto know whether the information is appropriate or not. Method: To explorethese questions, I decided to use both qualitative semi-structured postalquestionnaires and telephone interviews in which the physicians preferreddifferently.

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AbstractTitel: Diagnosing accountability, a study of accountability of UNT and DN?s medical journalism  ( Diagnos av ansvarstagande, en studie av accountability inom DN och UNT:s medicinjournalistik)Number of pages: 45 (59 including enclosures)Author: Alexandra JohanssonTutor: Göran SvenssonCourse: Media and Communication studies C Period: Fall 2008 University: Division of Media and Communication, Department of Information Science, Uppsala UniversityPurpose/Aim: To evaluate the quality of medical journalism in DN and UNT according to the theories of accountability and responsibility in the media.Material/Methods: The materials and methods used in this thesis are 14 articles from DN and 14 articles from UNT that have been analyzed according to the criterion set forth by Media Doctors, an Australian media accountability system.Main Results: The results showed that DN scored an average of 57% ?satisfactory? and UNT scored an average of 52% ?satisfactory? of Media Doctors rating scale. Strengths were an educational tone and an insightful review of the newest findings in the scientific community. Weaknesses were poor transparency and a tendency to neglect full disclosure of the scientific findings and sources. Focus was also show to be on research and not on information for potential patients.

ADHD is the fastest growing diagnosis of the last decade and there is an ongoing debate about how ADHD should be understood with a psychosocial perspective opposed to a medical perspective. The purpose of this study was to investigate how a Swedish daily and evening newspaper (Aftonbladet and Dagens Nyheter) portrays ADHD. Further, the study asked whether medical or social explanation is used in the discourse that appears in newspaper articles, how ADHD is described as well as which people are quoted in the articles. In this study we used Norman Fairclough´s critical discourse analysis with the 26 sampled articles which we believe highlight different perspectives on ADHD diagnosis.Our study shows that there are representatives cited in the articles from school, the judiciary and the medical field. However representatives from social work are conspicuous by their absence.

In the pilot study for a biography, some of the methodological and/or theoretical problems facing the anthropologist and biographer are discussed.The empirical section is based on a number of interviews I made with my grandmother over the period 1995-2001. I have come across inconsistencies in the material when rendering a historical event. Furthermore, the material makes me reflect on how the biographer or anthropologist is able to handle or interpret that she and the subject/informant has a different attitude to metaphors and how the metaphors can change over time, space and interpretation.The essay begins with a summary review of some of the central social and behavioural scientific theories that can be related to the individual and the biography.There then follows an in-depth discussion based on Paul Ricoeur's philosophy that says that your identity is created in relation to how you look at your history and future at the present time. Identities are created in an interaction between the field we are currently in, the cultural capital that includes gestures, mannerisms, symbols, our language and the area of interpretation the field allows in the culture. Consequently, the biography is also a representation that is created in time and space and between the subject and the person rendering the subject.The biography or ethnography is transient and is of necessity a historiography.Ricoeur talks about the living metaphor.

Background: Intimate relationship violence is physical, psychological or sexual violence that a person is exposed to in a relationship. There is a strong correlation between intimate relationship violence and mental health problems. A psychiatric ward at a hospital in Sweden, is working with a new routine. According to this routine every new patient should be asked about intmate relationship violence as a part of the admission interview.Objective: The objective of this study was to study how the healthcare personnel is working with the routine, and also to study response rate, interventions and how the work has developed over time.Method: A quantitative study with a retrospective and descriptive studydesign. One hundred and two medical records were reviewed.

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Hemsjukvårdscentralen began its work from Tunåsens Hospital in Uppsala in 1962, with the purpose to give conomic support to people who nursed their chronic sick relatives in home. Hemsjukvårdscentralen ended its work in 1987, and delivered its archive to the County council of Uppsala in 1988. About half of the archive consisted of medical records of the patients who had received economical support, and many of the archival records was considered as ?work papers?, non-archival records that could be discarded. Two obvious problems emerge from the organizing of the records.

Background: Heart ischemia is a disease affected by behaviour, lifestyle and heredity. The disease is more common in the western world and the number of those who suffer increases. The mortality has reduced thanks to that medical resources and knowledge have approved. Purpose: The purpose of this study of the literature was to find out what patients experienced emotionally at an acute heart attack. Methods: A study of literature where scientific articles has been refereed and analyzed, then resulted into five categories presented in the result.

The purpose of this paper is to investigate how social workers, working in a management position in the health care system, perceive the encounter of the medical and social perspective. With seven qualitative interviews, the study tries to conclude whether or not social workers are accepted at managerial positions within the health care sector. The social worker is, as a manager in health care, a leader but at the same time in a professional alienation from the medical caregivers. Organizations in the health care sector are often multi professional and have their own long standing tradition, history and culture. The results show that the conditions for social workers, working in a management position in health care appear to be agreeable.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.