Digitalisaatio pakottaa numerokieleen, mutta helpottuuko tutkimus?

Teema : digipalvelutTerveydenhuollon digijärjestelmiin kertyy valtava määrä ¬numerotietoa. Sen hyödyntäminen tutkimuksessa ei sen sijaan tunnu edistyvän

Astma ja allergia: uuden allergiaohjelman juoni

Luento kumppanuusseminaarissa 21.10.201

Non-utilization of oral health services and associated factors among children and adolescents : an integrative review

Objective To review publications exploring non-utilization of oral health services and to identify factors associated with non-utilization of oral health services among children and adolescents. Materials and methods An integrative review design was adopted. A search was conducted for research articles published during the period from 2000 to April 2021 in five databases, Medline via Ovid, Scopus, CINAHL, Cochrane Library and Web of Science. Inclusion criteria were original articles examining non-utilization of oral health services among 0-19 years old and studies published in peer-reviewed journals in English. Thematic analysis was undertaken to identify common themes. The Newcastle-Ottawa scale was used to evaluate the quality of the studies. Results Twenty-one geographically diverse articles were included. Nineteen studies were cross-sectional, one was a prospective cohort and one a case-control study. Non-utilization of dental health services tended to be higher in children than adolescents. There were predisposing (age, gender, ethnicity, parent's level of education), enabling (family income, dental insurance) and need factors (subjective and objective oral health related parameters) that had been shown to be associated with non-utilization of dental services among children and adolescents. Conclusions This integrative review found predisposing, enabling and need factors to be associated with dental health service non-utilization.Peer reviewe

How Does Triage by an Electronic Symptom Checker Match with Triage by a Nurse?

Publisher Copyright: © 2022 European Federation for Medical Informatics (EFMI) and IOS Press.Electronic symptom checkers (ESCs) have been developed to make triage for primary health care patients in Finland. Based on the analysis of the patient's responses to a set of questions, the ESC classifies him/her as emergent, urgent, not urgent, or advices on self-care. In this study the user answered the questions posed by the electronic symptom checker, after which a nurse assessed the urgency of the same user's symptom. The triage nurse was not allowed to know the result of the electronic symptom assessment until he or she had assessed the patient's condition. The level of triage was compared between ESC and nurse in each individual case. Findings from 825 individual cases were analyzed. The mean 'exactly matched' for all symptom estimates was 52.6%. The mean 'exactly matched' or 'overconservative but suitable' for all symptom assessments was 66.6%. Safe assessments of electronic symptom checkers accounted for 98.6% of all assessments. A case was defined as 'safe' if the recommendation for action given by the symptom assessment was at most one level less urgent than the nurse's triage assessment of the same case. The findings show that electronic symptom assessments are safe compared to the assessment of an experienced nurse Omaolo.Peer reviewe

Who benefit from school doctors’ health checks : a prospective study of a screening method

Abstract Background School health services provide an excellent opportunity for the detection and treatment of children at risk of later health problems. However, the optimal use of school doctors’ skills and expertise remains unknown. Furthermore, no validated method for screening children for school doctors’ assessments exists. The aims of the study are 1) to evaluate the benefits or harm of school doctors’ routine health checks in primary school grades 1 and 5 (at ages 7 and 11) and 2) to explore whether some of the school doctors’ routine health checks can be omitted using study questionnaires. Methods This is a prospective, multicenter observational study conducted in four urban municipalities in Southern Finland by comparing the need for a school doctor’s assessment to the benefit gained from it. We will recruit a random sample of 1050 children from 21 schools from primary school grades 1 and 5. Before the school doctor’s health check, parents, nurses and teachers fill a study questionnaire to identify any potential concerns about each child. Doctors, blinded to the questionnaire responses, complete an electronic report after the appointment, including given instructions and follow-up plans. The child, parent, doctor and researchers assess the benefit of the health check. The researchers compare the need for a doctor’s appointment to the benefit gained from it. At one year after the health check, we will analyze the implementation of the doctors’ interventions and follow-up plans. Discussion The study will increase our knowledge of the benefits of school doctors’ routine health checks and assess the developed screening method. We hypothesize that targeting the health checks to the children in greatest need would increase the quality of school health services. Trial registration ClinicalTrials.gov Identifier: NCT03178331 , date of registration June 6 th 2017

Tulevaisuus rakentuu koulutuksen kautta

Jos koulutus jatkossakin jää sote-uudistuksessa katveeseen, laadukkaan perusterveydenhuollon ylläpitäminen muuttuu ¬mahdottomaksi. Työvoiman kouluttaminen pitää nähdä ¬investointina eikä lyhytnäköisesti pelkkänä menoeränä

Onko riski hoidon aihe? Esimerkkeinä kohonnut verenpaine ja kolesteroli

Riski on ei-toivotun asian todennäköisyys, mutta sitä on varsinkin numerona ilmaistuna vaikeaymmärtää ja tulkita.Valtimotautien ehkäisyssä (primaaripreventio) pyritään vaikuttamaan satojentuhansien henkilöiden riskitekijöihin, jotta tuhannet säästyisivät sairastumiselta.Etenkin terveen ihmisen riskitekijöihin puuttuminen vaatii potilaan ja lääkärin yhteisymmärrystä saavutettavissa olevista hyödyistä, käytettävistä keinoista ja niiden mahdollisista haitoista

Suu ja hampaat unohtuvat lääkärikoulutuksessa

Vertaisarvioitu. English summary.Vaikka suun terveyden yhteys yleisterveyteen on tutkimustiedon valossa selvä, jäävät suun ja hampaiden tutkimisen ja hoidon opetus lääkärikoulutuksessa sivuun. Aiheen tärkeys on tiedekunnissa tiedossa