Supercykelstier på landet: Proces og effekt

Favrskov Kommune er en landkommune beliggende mellem Viborg, Randers, Aarhus og Silkeborg. Der er ingen samlende hovedby, og cykelstinettet mellem byerne er usammenhængende. Generelt er der mange ønsker om cykelstier på lange strækninger - også mellem de mindre byer. Favrskov Kommune har erfaret efter projekter med midler fra cykelpuljen, at mere ’forkromede’ cykelløsninger, som fx supercykelstier og cykelbarometre, ikke nødvendigvis fremmer cyklismen eller får flere på cyklen. Med færre midler uden cykelpuljer, satses der fremover i større grad på cykeltransport for skolebørn og de kortere cykelstrækninger. Favrskov Kommune har erfaret, at det største udbytte – de lavest hængende frugter, bedst høstes i samarbejdet mellem de andre forvaltninger, som Sundhed og Børn og Skole. Et projekt kan ligge hos en anden forvaltning, mens gevinsten i det fælles arbejde også kan hjælpe en målsætning for udbredelsen af cyklismen for skolebørn i kommunen

A typical patient with depression? A comparative linguistic analysis of accounts by general practitioners and psychiatrists

In Denmark and internationally there is a push for enhanced collaboration between general practice and the psychiatric sector in the treatment of patients with depression. Linguistic and other qualitative studies into doctor-patient interaction have shown that general practitioners (GPs) and psychiatrists have different understandings of depression, which could hamper collaboration. The present study adds to linguistic research of the understanding of depression in the two sectors by examining healthcare communication in a context of representation: how doctors talk about their patients in interviews, rather than how they communicate with their patients in consultations. We demonstrate that the two groups of doctors have diverging representations of patients with depression. Most GPs present patients as individuals whose condition is explained by psychosocial circumstances; whereas psychiatrists predominantly present patients as categories. This difference is evidenced by how the two groups respond to the interviewer’s elicitation of patient stories. The GPs employ personal or specific narrative genres, whereas the psychiatrists use general narrative genres, indicating that the two groups occupy their own separate spaces within what is termed the narrative field. We also demonstrate that these different representations concur with variations in interactional patterns in the interview context, enhancing the gap between the professional identities of the two groups of doctors and, consequently, their conceptualizations of depression. The difference between the groups could be suggestive of cultural differences between the two sectors, caused by their different roles and working conditions in the health care system, which could pose a challenge to future cooperation

Support for mobilising medical students to join the COVID-19 pandemic emergency healthcare workforce:a cross-sectional questionnaire survey

Objective To identify what motivates medical students to join a pandemic emergency healthcare workforce.Design Cross-sectional study.Setting Aalborg University, Denmark.Participants All medical students.Main outcome measures Motivational points as perceived by the students to be important. Demographic characteristics and 11 motivational domains scored on a Visual Analog Scale from 0 (low) to 100 (high) responding to the question: ‘To what degree are the following statements important for you to join a national emergency preparedness workforce?’ The questionnaire was developed by an expert panel in a process of four iterations.Results A total of 486 students of 688 (70.6%) completed the survey within 7 days in March 2020. 80% had decided to join the pandemic emergency healthcare workforce. Ranked median scores for motivational statements in each domain were: care, 100; learn, 90; pride, 83; team, 77; needed, 75; safety, 75; supervision, 75; job, 73; duty, 66; salary, 62; historic, 50. Supervision (p<0.001), salary (p<0.001) and duty (p=0.001) were given increasing priority with advancing study years. Interestingly, students added that support by the university and clarification of study plans were priorities.Conclusions Results guide decision-makers and colleagues on how to motivate or reinforce medical students in joining the pandemic emergency healthcare workforce. Importantly, students emphasised protection for themselves

Grammatisk talesprogsanalyse som tilgang til at studere forståelser af depression

I såvel Danmark som i andre lande er der et ønske om øget samarbejde, ’sharedcare’, mellem almen praksis og psykiatrien i behandlingen af patientermed depression. Gennem interview med henholdsvis praktiserende lægerog psykiatere demonstreres, at de to faggrupper har divergerende tilgange tildepression: De praktiserende læger udviser en konstruktivistisk, bottom-upforståelseaf depression som en foranderlig størrelse, der kan forhandles ogmodificeres, mens psykiaterne udviser en essentialistisk, top-down-forståelseaf depression som en statisk størrelse. Denne forskel kommer til udtryk i faggruppernesgengivelser af deres habituelle sprogbrug om depression. Såledesbruger lægerne oftere kausative konstruktioner, modalitet samt pronominermed tydelige referenter, mens psykiaterne bruger kopulakonstruktioner, generiskereferenter og sjældnere modalitet. Disse forskellige forståelser kanhave konsekvenser for ønsket om sambehandling af patienter med depression.Mens hovedparten af sundhedskommunikationsstudier anskues fra etinteraktionelt perspektiv, er denne undersøgelse et bidrag til sundhedskommunikationi en repræsentationskontekst, dvs. hvordan læger taler om deresprofession og deres patienter frem for i deres profession med deres patienter.Inspirationen til denne analysemetode hentes fra en – i udgangspunktet litterær– teori om gengivelse af tale og tanke. For at gøre fænomenet anvendeligttil undersøgelse af forståelser af depression indplaceres det i en grammatisktalesprogsramme, og de metodiske implikationer heraf diskuteres