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Algurén, B., Coenen, M., Malm, D., Fridlund, B., Mårtensson, J. & Årestedt, K. (2020). A scoping review and mapping exercise comparing the content of patient-reported outcome measures (PROMs) across heart disease-specific scales. Journal of Patient-Reported Outcomes, 4(1), Article ID 7.
Öppna denna publikation i ny flik eller fönster >>A scoping review and mapping exercise comparing the content of patient-reported outcome measures (PROMs) across heart disease-specific scales
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2020 (Engelska)Ingår i: Journal of Patient-Reported Outcomes, ISSN 2509-8020, Vol. 4, nr 1, artikel-id 7Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

BACKGROUND: Over the past decade, the importance of person-centered care has led to increased interest in patient-reported outcome measures (PROMs). In cardiovascular care, selecting an appropriate PROM for clinical use or research is challenging because multimorbidity is often common in patients. The aim was therefore to provide an overview of heart-disease specific PROMs and to compare the content of those outcomes using a bio-psycho-social framework of health.

METHODS: A scoping review of heart disease-specific PROMs, including arrhythmia/atrial fibrillation, congenital heart disease, heart failure, ischemic heart disease, and valve diseases was conducted in PubMed (January 2018). All items contained in the disease-specific PROMs were mapped to WHO's International Classification of Functioning, Disability and Health (ICF) according to standardized linking rules.

RESULTS: A total of 34 PROMs (heart diseases in general n = 5; cardiac arrhythmia n = 6; heart failure n = 14; ischemic heart disease n = 9) and 147 ICF categories were identified. ICF categories covered Body functions (n = 61), Activities & Participation (n = 69), and Environmental factors (n = 17). Most items were about experienced problems of Body functions and less often about patients' daily activities, and most PROMs were specifically developed for heart failure and no PROM were identified for valve disease or congenital heart disease.

CONCLUSIONS: Our results motivate and provide information to develop comprehensive PROMs that consider activity and participation by patients with various types of heart disease.

Ort, förlag, år, upplaga, sidor
Springer, 2020
Nyckelord
Healthcare quality, Patient outcome assessment, Heart disease, International Classification of Functioning, Disability and Health, Patient-reported outcome measures, Person-centered, Review
Nationell ämneskategori
Kardiologi Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hj:diva-47543 (URN)10.1186/s41687-019-0165-7 (DOI)31974688 (PubMedID)2-s2.0-85078179151 (Scopus ID)GOA HHJ 2020;HHJADULTIS,HHJIMPROVEIS (Lokalt ID)GOA HHJ 2020;HHJADULTIS,HHJIMPROVEIS (Arkivnummer)GOA HHJ 2020;HHJADULTIS,HHJIMPROVEIS (OAI)
Anmärkning

On behalf of the Collaboration and Exchange in Swedish cardiovascular caring Academic Research (CESAR) group.

Tillgänglig från: 2020-01-27 Skapad: 2020-01-27 Senast uppdaterad: 2020-02-04Bibliografiskt granskad
Rizzi, M. C., Rizzi, M., Kullgren, A. & Algurén, B. (2020). The potential of different countermeasures to prevent injuries with high risk of health loss among bicyclists in Sweden. Traffic Injury Prevention, 21(3), 215-221
Öppna denna publikation i ny flik eller fönster >>The potential of different countermeasures to prevent injuries with high risk of health loss among bicyclists in Sweden
2020 (Engelska)Ingår i: Traffic Injury Prevention, ISSN 1538-9588, E-ISSN 1538-957X, Vol. 21, nr 3, s. 215-221Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: As bicyclists account for the largest share of serious injuries in Sweden, focus to improve safety for bicyclists is needed. While knowledge about fatal bicycle crashes is rather extensive, the number of studies that have investigated non-fatal injuries is still rather limited. The aim of this study was to estimate the potential of different countermeasures to reduce crashes resulting in injuries with high risk of health-loss among cyclists in Sweden. A further aim was to describe the residual-that is, crashes that were not considered to be addressed by the analyzed countermeasures.

Methods: A sample of individuals with specific injury diagnoses was drawn from the Swedish national crash database Strada. A survey form was used to collect additional information about the crash and the health-related outcomes. The potential of countermeasures currently included in the Swedish Safety Performance Indicators, as well as of countermeasures that could be described as "existing but not fully implemented" was assessed. The overall potential of all countermeasures assessed was calculated, giving a grand total without double counting. Cases that were considered not to be addressed by any of the countermeasures included (i.e., the residual crashes) were described in more detail.

Results: The current Swedish Safety Performance Indicators that relate to safe cycling addressed 22% of crashes. Improved maintenance by deicing and removal of snow from bicycle infrastructure was found to have the highest potential (8%), followed by improved crashworthiness of passenger cars (5%) and safer bicycle crossings (4%). The potential for existing but not fully implemented safety improvements was 56%. The greatest potential was found for Autonomous Emergency Braking with cyclist detection for passenger cars (12%), followed by studded winter tyres for bicycles (12%), and improved maintenance on non-bicycle infrastructure (11%). In total, taking double counting into consideration, all safety improvements could address 64% of all crashes. Among the residual crashes, the majority (69%) were single bicycle crashes of which most were related to wheel locking during braking and losing balance at low speed or stationary.

Conclusions: Compared with fatal crashes that involve a majority of bicycle-car crashes, the crashes leading to health-loss are mostly single bicycle crashes. Therefore, innovation and development of additional countermeasures to improve safety for bicyclists should focus on single bicycle crashes.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2020
Nyckelord
Potential, bicycle, bicycling, countermeasure, crash, injury
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:hj:diva-47986 (URN)10.1080/15389588.2020.1730827 (DOI)000519722200001 ()32167786 (PubMedID)2-s2.0-85081953158 (Scopus ID)HOA HHJ 2020 (Lokalt ID)HOA HHJ 2020 (Arkivnummer)HOA HHJ 2020 (OAI)
Tillgänglig från: 2020-03-17 Skapad: 2020-03-17 Senast uppdaterad: 2020-04-07Bibliografiskt granskad
Norman, A.-C., Elg, M., Nordin, A., Andersson-Gäre, B. & Algurén, B. (2020). The role of professional logics in quality register use: a realist evaluation. BMC Health Services Research, 20, 1-11, Article ID 107.
Öppna denna publikation i ny flik eller fönster >>The role of professional logics in quality register use: a realist evaluation
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2020 (Engelska)Ingår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 20, s. 1-11, artikel-id 107Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Clinical practice improvements based on quality-register data are influenced by multiple factors. Although there is agreement that information from quality registers is valuable for quality improvement, practical ways of organising register use have been notoriously difficult to realise. The present study sought to investigate the mechanisms that lead various clinicians to use quality registers for improvement.

Methods: This research involves studying individuals’ decisions in response to a Swedish programme focusing on increasing the use of quality registers. Through a case study, we focused on heart failure care and its corresponding register: the Swedish Heart Failure Register. The empirical data consisted of a purposive sample collected longitudinally by qualitative methods between 2013 and 2015. In total, 18 semi-structured interviews were carried out. We used realist evaluation to identify contexts, mechanisms, and outcomes.

Results: We identified four contexts – registration, use of output data, governance, and improvement projects – that provide conditions for the initiation of specific mechanisms. Given a professional theoretical perspective, we further showed that mechanisms are based on the logics of either organisational improvement or clinical practice. The two logics offer insights into the ways in which clinicians choose to embrace or reject certain registers’ initiatives.

Conclusions: We identified a strong path dependence, as registers have historically been tightly linked to the medical profession’s competence. Few new initiatives in the studied programme reach the clinical context. We explain this through the lack of an organisational improvement logic and its corresponding mechanisms in the context of the medical profession. Implementation programmes must understand the logic of clinical practice; that is, be integrated with the ways in which work is carried out in everyday practice. Programmes need to be better at helping core health professionals to reach the highest standards of patient care.

Ort, förlag, år, upplaga, sidor
Springer, 2020
Nyckelord
Quality registers, Programme, Clinical practice, Professional logics, Realist evaluation
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hj:diva-47780 (URN)10.1186/s12913-020-4944-x (DOI)000514610400002 ()32046710 (PubMedID)2-s2.0-85079338390 (Scopus ID)GOA HHJ 2020 (Lokalt ID)GOA HHJ 2020 (Arkivnummer)GOA HHJ 2020 (OAI)
Forskningsfinansiär
Sveriges Kommuner och Landsting, SKL
Tillgänglig från: 2020-02-14 Skapad: 2020-02-14 Senast uppdaterad: 2020-03-05Bibliografiskt granskad
Ohlin, M., Algurén, B. & Lie, A. (2019). Analysis of bicycle crashes in Sweden involving injuries with high risk of health loss. Traffic Injury Prevention, 20(6), 613-618
Öppna denna publikation i ny flik eller fönster >>Analysis of bicycle crashes in Sweden involving injuries with high risk of health loss
2019 (Engelska)Ingår i: Traffic Injury Prevention, ISSN 1538-9588, E-ISSN 1538-957X, Vol. 20, nr 6, s. 613-618Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: The objectives of the present article were to (a) describe the main characteristics of bicycle crashes with regard to the road environment, crash opponent, cyclist, and crash dynamics; (b) compare individuals who describe their health after the crash as declined with those who describe their health as not affected; and (c) compare the number of injured cyclists who describe their health as declined after the crash with the predicted number of permanent medical impairments within the same population.

Methods: A sample of individuals with specific injury diagnoses was drawn from the Swedish Traffic Accident Data Acquisition (STRADA) database (n = 2,678). A survey form was used to collect additional information about the crash and the health-related outcomes. The predicted number of impaired individuals was calculated by accumulating the risk for all individuals to sustain at least a 1% permanent medical impairment, based on the injured body region and injury severity.

Results: Nine hundred forty-seven individuals (36%) responded, of whom 44% reported declined health after the crash. The majority (68%) were injured in single bicycle crashes, 17% in collisions with motor vehicles, and 11% in collisions with another cyclist or pedestrian. Most single bicycle crashes related to loss of control (46%), mainly due to skidding on winter surface conditions (14%), followed by loss of control during braking (6%). There was no significant difference in crash distribution comparing all crashes with crashes among people with declined health. The predicted number of impaired individuals (n = 427) corresponded well with the number of individuals self-reporting declined health (n = 421).

Conclusions: The types of crashes leading to health loss do not substantially differ from those that do not result in health loss. Two thirds of injuries leading to health loss occur in single bicycle crashes. In addition to separating cyclists from motorized traffic, other preventive strategies are needed. 

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2019
Nyckelord
Bicyclist, crash, injury, injury outcome
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:hj:diva-45339 (URN)10.1080/15389588.2019.1614567 (DOI)000472459100001 ()31225743 (PubMedID)2-s2.0-85067898201 (Scopus ID)
Tillgänglig från: 2019-07-12 Skapad: 2019-07-12 Senast uppdaterad: 2019-08-12Bibliografiskt granskad
Algurén, B., Andersson Gäre, B., Thor, J. & Andersson, A.-C. (2018). Quality indicators and their regular use in clinical practice – results from a survey among users of two cardiovascular National Registries in Sweden. International Journal for Quality in Health Care, 30(10), 786-792
Öppna denna publikation i ny flik eller fönster >>Quality indicators and their regular use in clinical practice – results from a survey among users of two cardiovascular National Registries in Sweden
2018 (Engelska)Ingår i: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, nr 10, s. 786-792Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To examine the regular use of quality indicators from Swedish cardiovascular National Quality Registries (NQRs) by clinical staff; particularly differences in use between the two NQRs and between nurses and physicians.

Design: Cross-sectional online survey study.

Setting: Two Swedish cardiovascular NQRs: a) Swedish Heart Failure Registry and b) Swedeheart.

Participants: Clinicians (n=185; 70% nurses, 26% physicians) via the NQRs’ email networks.

Main outcome measures: Frequency of NQR use for a) producing healthcare activity statistics; b) comparing results between similar departments; c) sharing results with colleagues; d) identifying areas for quality improvement (QI); e) surveilling the impact of QI efforts; f) monitoring effects of implementation of new treatment methods; g) doing research; h) educating and informing healthcare professionals and patients.

Results: Median use of NQRs was ten times a year (25th and 75th percentiles range: 3 – 23 times/year). Quality indicators from the NQRs were used mainly for producing healthcare activity statistics. Median use of Swedeheart was six times greater than SwedeHF (p<0.000). Physicians used the NQRs more than twice as often as nurses (18 vs. 7.5 times/year; p<0.000) and perceived NQR work more often as meaningful. Around twice as many Swedeheart users had the role to participate in data analysis and in QI efforts compared to SwedeHF users.

Conclusions: Most respondents used quality indicators from the two cardiovascular NQRs infrequently (< 3 times/year). The results indicate that linking registration of quality indicators to using them for QI activities increases their routine use and makes them meaningful tools for professionals.

Ort, förlag, år, upplaga, sidor
Oxford University Press, 2018
Nyckelord
Quality indicators, Quality Registry, meaningful usage, quality improvement, eHealth
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hj:diva-39220 (URN)10.1093/intqhc/mzy107 (DOI)000457587100007 ()29762660 (PubMedID)2-s2.0-85060401965 (Scopus ID)
Tillgänglig från: 2018-04-25 Skapad: 2018-04-25 Senast uppdaterad: 2019-03-01Bibliografiskt granskad
Ohlin, M., Berg, H.-Y., Lie, A. & Algurén, B. (2017). Long-term problems influencing health-related quality of life after road traffic injury – Differences between bicyclists and car occupants. Journal of Transport and Health, 4, 180-190
Öppna denna publikation i ny flik eller fönster >>Long-term problems influencing health-related quality of life after road traffic injury – Differences between bicyclists and car occupants
2017 (Engelska)Ingår i: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 4, s. 180-190Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of this study was to describe and compare road traffic injuries leading to long-term problems in Health related quality of life (HRQoL), with regards to road user group, injury severity and injured body region, which is important when considering injury preventive strategies. From the Swedish Traffic Accident Data Acquisition (STRADA), a randomized sample of people injured in a road traffic crash and seeking emergency hospital care in connection to the crash between 1st of January 2007 and 31st of December 2009 was drawn (n=4761). HRQoL was investigated using a self-report survey, namely the EQ-5D. Among the responding persons injured in a bicycle crash (n=402) or car crash (n=557) the injury outcome of reporting or not reporting any problem in HRQoL was compared between bicyclists and car occupants depending on injured body region and injury severity. The results showed that 59% of car occupants and 44% of bicyclists reported problems in HRQoL after a road traffic injury. Pain/discomfort and anxiety/depression were the health-related dimensions where people most frequently reported problems. Leg injuries were most often associated with reporting problems in HRQoL, for both bicyclists and car occupants. Another finding was that car occupants consistently reported more problems in HRQoL compared to bicyclists, even when controlled for injury severity and injured body region.

Ort, förlag, år, upplaga, sidor
Elsevier, 2017
Nyckelord
Traffic injuries; Injury severity; HRQoL; Bicyclists; Car occupants
Nationell ämneskategori
Arbetsterapi
Identifikatorer
urn:nbn:se:hj:diva-34606 (URN)10.1016/j.jth.2016.08.007 (DOI)000403125400021 ()2-s2.0-85004008218 (Scopus ID)
Tillgänglig från: 2017-01-03 Skapad: 2017-01-03 Senast uppdaterad: 2017-07-10Bibliografiskt granskad
Algurén, B. (2016). Användning av RiksSvikt – vad gör vi egentligen? Notering från en pågående studie. In: : . Paper presented at Årsmöte RiksSvikt, Stockholm 17 maj, 2016.
Öppna denna publikation i ny flik eller fönster >>Användning av RiksSvikt – vad gör vi egentligen? Notering från en pågående studie
2016 (Svenska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hj:diva-30909 (URN)
Konferens
Årsmöte RiksSvikt, Stockholm 17 maj, 2016
Tillgänglig från: 2016-06-28 Skapad: 2016-06-28 Senast uppdaterad: 2016-06-28Bibliografiskt granskad
Algurén, B. (2016). Creating value for those who need us! Person-centered care provided by foundations, associations and patient organizations in Nordic countries. In: : . Paper presented at International Forum on Quality & Safety in Healthcare, Göteborg, 12- 15 april 2016.
Öppna denna publikation i ny flik eller fönster >>Creating value for those who need us! Person-centered care provided by foundations, associations and patient organizations in Nordic countries
2016 (Engelska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hj:diva-30904 (URN)
Konferens
International Forum on Quality & Safety in Healthcare, Göteborg, 12- 15 april 2016
Tillgänglig från: 2016-06-28 Skapad: 2016-06-28 Senast uppdaterad: 2016-06-28Bibliografiskt granskad
Algurén, B. (2016). Erfarenheter av praktiskt arbete med värdegrund, social dokumentation, ICF och kvalitetsarbete. In: Thomas Carlsson, Ann Nilsson (Ed.), Social dokumentation i handläggning och genomförande: med värdegrund och ICF (pp. 89-100). Stockholm: Gothia Förlag AB
Öppna denna publikation i ny flik eller fönster >>Erfarenheter av praktiskt arbete med värdegrund, social dokumentation, ICF och kvalitetsarbete
2016 (Svenska)Ingår i: Social dokumentation i handläggning och genomförande: med värdegrund och ICF / [ed] Thomas Carlsson, Ann Nilsson, Stockholm: Gothia Förlag AB, 2016, s. 89-100Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Gothia Förlag AB, 2016
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hj:diva-30938 (URN)9789172059870 (ISBN)
Tillgänglig från: 2016-06-29 Skapad: 2016-06-29 Senast uppdaterad: 2016-06-29Bibliografiskt granskad
Jansson, I. & Algurén, B. (2016). ICNP, ICF, KVÅ, ICD och NANDA - Hur kan dessa samverka?. In: : . Paper presented at SOI Konferens 2016, 18 april, Uppsala.
Öppna denna publikation i ny flik eller fönster >>ICNP, ICF, KVÅ, ICD och NANDA - Hur kan dessa samverka?
2016 (Svenska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hj:diva-30907 (URN)
Konferens
SOI Konferens 2016, 18 april, Uppsala
Anmärkning

Tema: "Vårddokumentation – Patientens och professionens gemensamma yta"

Tillgänglig från: 2016-06-28 Skapad: 2016-06-28 Senast uppdaterad: 2020-03-05Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-9993-8741

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