Approximately one third of all patients in Primary care have a psychosocial component to their illness that requires adequate professional treatment. However, Primary care is insufficiently prepared for these patients. The aim of this case-study was to evaluate a pilot project in Primary care offering psychotherapy as a treatment alternative. The data collected includes 1) data from 352 referred patients regarding demographics, diagnosis, treatment duration and pre- and post health status, 2) a patient-satisfaction questionnaire and 3) interviews with six therapists and five medical doctors. The treated patients improved significantly and showed a high degree of satisfaction.

ABSTRACTBackgroundPostpartum depression (PPD) occurs in 10% of women who have recently given birth. Postpartum depression is treatable but unidentified and untreated it could lead to serious consequences. There are multiple instruments for screening available. The Edinburgh Postnatal Depression Scale is the most frequently used and is regarded as the best instrument. AimThe aim of this study was to analyze to what extent and how midwifes and Primary care nurses identify mothers with symptoms of depression respectively PPD.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

The aim of the thesis is to present a study of what works well and what does not work so well in today?s use of computers in Primary care with a special focus on the use of computers in the management of referrals for consultation. In May 2009 a module for electronic consultation referrals was introduced in the computer system Cosmic at the University Hospital in Uppsala. Previously, the Primary care units had to use two different systems for management of referrals. Referrals sent internally within Primary care have been sent electronically while referrals to the University Hospital or other external units were sent on paper.

The Purpose of the study was to highlight the Primary care managers' perception of the barriers and opportunities in the implementation of the national guidelines for harmful drinking and alcohol abuse in KalmarCounty. The data was collected by questionnaires which were directed to all Primary care managers in the county. The response rate was low, 40%. The data collection was complemented at a later stage with a non-response analysis. To analyze the results implementation theory with following terms were used: wants to, understand and know.

The aim of this thesis is to analyze and explain the similarities and differences in management control between a private and a public Primary care company. A comparative case study was developed based on one public and one private Primary care company in Stockholm County Council. The framework of Otley (1999) was used to define and limit the area of management control systems, according to his five factors. For the analysis of the empirical results Hood's (1995) seven doctrines of New Public Management was applied, and customized to fit the purpose of the study. The results indicate that the differences between the two organizations are very limited.

Introduction: Our lifestyle habits affect our health and unhealthy habits are a contributing factor to disease. Health care is an arena that should work with health promotion. MI (motivational interviewing) is a method used in various forms of care to work with lifestyle. Aim: To map methods with intention to be used in Swedish Primary care, to work with the lifestyle habits diet, physical activity, alcohol and tobacco. Method: This is a literature based study.

Background:Mental illness has increased in Sweden and the individuals seeking care expect to be met with respect. The way patients perceive themselves to be treated by health care professionals plays a central part to care and treatment of patients, and the patients experience will decide how future care will proceed. The majority of complaints from patients with mental illness suggest that the way they are treated in health care is inadequate. For people with mental illness it is crucial how they perceive themselves to be treated since poor treatment can lead to reluctance in seeking future help. Aim: The purpose of this study was to describe how people with mental illness perceive themselves to be treated in primary health care.

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As Primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to Primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

AimThe aim with this essay was to find out what the personal in the Primary care of Värmdö have for attitude to work with physical activity in prevention and treatment of diseases, how they work with the method today and how they think about working with the method in the future. Following questions were in focus of the study: How are they working in the Primary care of Värmdö today with physical activity in prevention and treatment of diseases? What is the attitude to work with physical activity in prevention and treatment of diseases? And how do they want to work with physical activity in prevention and treatment of diseases in the future?MethodThe study includes all doctors, nurses and physiotherapists in Gustavsberg and Djurö Primary care in Värmdö. To get answers on the question of issue was a questionnaire handed out. 82 % answered, which means that 45 of totally 55 employed in both Primary care units answered the questinnaire.Results44 of 45 asked reported that they give verbal advice about physical activity to their patients today.

The purpose of this study was to describe how nurses, working in primary health care and responsible for diabetes care, reflected on patient information and education, its? content and experiences of providing it. The study had a descriptive design and seven nurses from seven health care units in the middle of Sweden participated in the study. Data were analyzed with qualitative content analysis. The results are presented in two main categories; ?The information? and ?The procedure?.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, Primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

AbstractBackgroundWorking in Primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.AimThe aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in Primary care.MethodThe approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in Primary care were interviewed. The phenomenological perspective focuses on the respondents? own life-world and has openness to the interviewee's own experiences.

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As Primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to Primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

Background: Ill-health related to unhealthy lifestyle is increasing and despite existing knowledge about healthy lifestyle it is difficult to change behaviour. Counselling in the primary health care is often superficial and without critical elements for behaviour change. Aim: The aim of this paper to elucidate interventions for change of lifestyle with respect diet and physical activity. Method: A literature review was carried out and ten scientific articles were analyzed and compiled in two main categories: design of these interventions and participation in them. Results: Education, decision making, goal setting, feedback, social support and follow-up were identified as critical elements for behaviour change.