Background: Health economic evaluations are becoming an increasingly important means of analysing which care alternative resource utilisation is the most cost effective. It is a new topic in the medical device industry that causes much uncertainty and unstructured use of the actors involved.Study questions: Why is it difficult to develop, implement and disseminate this standardized health economic evaluation models in medical technology? Is there a possibility to standardize health economic evaluations within the medical device industry?Purpose: The purpose of this study is to investigate the standardization issues for health economic evaluations within the medical device industry.Method: A qualitative approach was used in the form of interviews with five actors that are active or have a connection to the medical device industry. The data collection consists of journals, reports, Internet searches and literature among other things.Conclusion: It is possible to standardize, but with certain restrictions such as the county council's budget, influence of industry-specific factors, lack of knowledge and the important interaction between actors..

Bakgrund: Övervikt och fetma (obesitas) är ett allvarligt globalt och nationellt folkhälsoproblem. Tidigare studier har visat att fetma är förknippat med nedsatt livskvalitet och mental ohälsa hos vuxna, tonåringar och barn. Dock har få studerat sambandet mellan fetma och livskvalitet bland unga vuxna. Syftet med denna studie var att beskriva hälsorelaterad livskvalitet, mental hälsa och antropometriska mått hos en grupp obesa unga vuxna i åldern 16-25 år (n=203) samt att göra en jämförelse mellan deras hälsorelaterade livskvalitet och resultat från populationsstudier.Metod: En beskrivning av den aktuella gruppen genomfördes med hjälp av de data som samlats in vid inskrivningstillfället vid överviktscentrum på Norrtulls sjukhus. Den hälsorelaterade livskvaliteten mättes med hjälp av Euroqol five dimensions (EQ5D) och resultatet jämfördes med befolkningsstudier utförda i Stockholm, Uppsala och Jämtland där samma instrument använts.

Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

Bakgrund: Allt fler personer kommer till Sverige från länder där kulturen skiljer sig från den svenska. Många av dessa personer har genomgått svåra trauman och det är en utmaning för den svenska vården att möta och hjälpa dessa personer. Flyktingar och sjuksköterskor har oftast olika förväntningar på möten i vården. Syftet med studien var att belysa upplevelser av möten mellan flyktingar och sjuksköterskor i den svenska vården. Metod: Innehållsanalys baserad på åtta artiklar med kvalitativ ansats.

Denna kvalitativa intervjustudie söker svar på frågan hur rehabiliteringsarbetet med kommunalanställda som är långtidssjukskrivna på grund av mental ohälsa i Burlövs Kommun fungerar. Detta arbete sker i samverkan mellan flera aktörer och studeras därför som ett projekt där de olika aktörerna utgör projektets deltagare. Det empiriska materialet analyseras med hjälp av de teoretiska analysverktygen Rationalitet, Verklighet och Makt.Studien visar på brister i rehabiliteringsarbetet som framförallt beror på en ojämnlik maktfördelning inom projektet. Arbetsgivarens syn på sjukskrivning, mental ohälsa och rehabilitering styr i hög grad projektets början, riktning och slut och flera av de övriga projektdeltagarna upplever därför att deras kunskap och möjligheter att bedriva en god rehabilitering ignoreras. Inte minst gäller detta de sjukskrivna själva som känner sig misstrodda, övergivna och pressade i rehabiliteringsarbetet, vilket förvärrar och försvårar deras aktiva väg tillbaka till arbete och långsiktig hälsa..

The flexibility of the labour market is considered as an instrument for increasing economic growth.Therefore has the use of flexible employment, also called atypical employment, increased. The atypical employment is characterized by insecurity in comparison with a traditional permanent full- time employment. One of the most common atypical employments is the manning employment, which is insecure whether it is permanent or not. The insecurity in the industry is based on insecure income, unpredictable working hours and poor psychosocial work environment.In order to encourage a continued increase of flexibility in the labour market while the need for security for staffing employees would be satisfied was Directive 2008:104 adopted. A certain amount of security has been achieved.

ABSTRACT Behavioural problems are a compound conception for emotional difficulties at different levels. Individuals with behavioural problems could have difficulties with social relations, low self-esteem, anxiety and worry. The purpose with the examination was to describe how clients apprehend their behavioural problems and what they consider could be the causes of it. The examination was based on the qualitative interviews with 5 clients and a professional helper. We came in contact with our clients through our practice.

The aim of this study is to understand first line managers experiences of the impact leadership have on the health of employees. The study focuses on leadership behaviours and actions, experienced by first line managers working in elderly care, with either positive or negative outcomes on the employees health. To answer the purpose of the study a qualitative method was used and the data was collected through seven individual interviews. The analyse was conducted using theories of transformational, transactional and laissez-faire leadership. To enable a broader dimension to the study the concept of health-promotion leadership was also used in the analysis.

AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result:  A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.

In this essay, the phenomenon and the concept "meditation" are treated. Meditation is a mental training technique where one develops the ability to choose where to put attention and ability to focus. Techniques for meditation is used individually of people who wants to develop themselves as persons and in therapeutic aims of professional within the field of psychology in order to help people to find solutions of problems within themselves. The aim with this essay were to do a qualitative study in order to see how possible effects of meditation influences daily life of contributory practisian's. Issue has been as follows; which effects have one regularly conducting of meditation on people and their lives? Interviews with four experienced meditators were done in India and the material were analyzed afterwards with the aid of thematic analysis, furthermore in order to link the results with clinical research and established theories about meditation.

The core process is responsible for internal business development and is the process that runs through the organization and the results which creates a value for the customer. Some research suggests that identification of the client's conscious or unconscious needs clarifying the so-called core process in the organization and operations can thus be more effective. The study aims to identify and analyze the experience of the core process within child health care. The method has been interviews with nine managers and 10 clinic nurses in a county. The results show a lack of knowledge regarding core process and process work.

The aim of this study was to get a deeper understanding of how employees at NCC Construction Sverige AB experience health promotion activities. The purpose was to identify and uncover the process of meaning constitution concerning health promotion within each subjective individual. To achieve this deeper understanding the participants were asked to answer a carefully formulated phenomenological question in a self-report. The received reports where analysed according to the method of Meaning Constitution Analysis. The result showed that both office workers and construction workers exclusively refer health promotion to bodily functions even though there where some differences in type of activity they focused.

Syfte: Syftet med denna systematiska ?versikt var att unders?ka medelhavskostens p?verkan p? grad av depression hos vuxna personer med depression. Metod: S?kningar utf?rdes i databaserna PubMed och Scopus under mars 2023. Inklusionskriterier var randomiserade kontrollerade studier, vuxna ?18 ?r med diagnostiserad depression enligt sj?lvskattningsformul?r eller medicinskt utl?tande. Utfallsm?ttet var grad av depressionssymtom m?tt med skalorna MADRS (Montgomery-?sberg Depression Rating Scale), BDI-II (Beck Depression Inventory II) eller DASS-21 (Depression Anxiety Stress Scale). Artiklar som inkluderat fler interventioner i sina studier ?n kostintervention eller artiklar som ej var skrivna p? engelska exkluderades. De studier som m?tte kriterierna inkluderades och kvalitetsgranskades enligt SBU:s (Statens beredning f?r medicinsk och social utv?rdering) granskningsmall ?Bed?mning av randomiserade studier ? effekt av att tilldelas intervention?.

This is a study about source criticism in Swedish health magazines in 2014 which is based on Torsten Thuréns positivist philosophy of science and formulations about source criticism. The thesis was based on the hypothesis that the Swedish health magazines are inadequate in their source-critical approach. To prove or disprove the hypothesis a quantitative content analysis of one hundred articles was made. The quantitative content analysis was based on twelve variables and the results showed that the hypothesis to some extent was true. The magazines reported their sources in most cases, but the majority of the sources consisted of various authorities such as doctors, psychologists, and personal trainers.

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