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  • 1.
    Ekberg, Jan
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Management and Economics. Växjö University, Faculty of Humanities and Social Sciences, School of Management and Economics. Nationalekonomi och Statistik.
    Blight, Karin
    Karolinska Institutet Institutionen för Psyckosocial medicin.
    Ekblad, Solvig
    Karolinska institutet Institutionen för Psyckosocial medicin.
    Mental Health, employment and gender. Cross-sectional evidence in a sample of refugees from Bosnia-Herzegovina living in two Swedish regions2006In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 62, no 7, p. 1697-1709Article in journal (Refereed)
  • 2.
    Hult, Carl
    et al.
    Linnaeus University, Faculty of Science and Engineering, Kalmar Maritime Academy.
    Stattin, Mikael
    Janlert, Urban
    Järvholm, Bengt
    Comparing mortality rates and recognizing health selection bias: Reply to Wallman and Svärdsudd2010In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 70, no 10, p. 1489-1491Article in journal (Other academic)
  • 3.
    Hult, Carl
    et al.
    University of Kalmar, School of Human Sciences.
    Stattin, Mikael
    Janlert, Urban
    Järvholm, Bengt
    Timing of retirement and mortality - A cohort study of Swedish construction workers2009In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 70, p. 1480-1486Article in journal (Refereed)
    Abstract [en]

    Recent studies indicate that early retirement per se may have a negative effect on health to such an extent that it increases mortality risk. One type of early retirement often referred to in these studies is retirement with disability pension/benefit. Given the overall objective of disability benefit programmes – to help the disabled live socially and economically satisfactory lives, freed from exposure to employment health hazards and thus avoid further declines in health – the finding is challenging. This paper examined the relationship between timing of retirement and mortality using a cohort of Swedish construction workers. The mortality risk of disability pensioners – excluding those with diagnoses normally connected to increased mortality – was compared with the risk of those continuing to work. Although initial indications were in line with earlier results, it became obvious that the increased mortality risk of disability pensioners did not depend on early retirement per se but on poor health before early retirement not explicitly recognized in the diagnosis on which the disability pension rested. The results indicate that there are no general differences in mortality depending on timing of retirement. Future studies of mortality differences arising from working or not working must sufficiently control for health selection effects into the studied retirement paths.

  • 4.
    Wibe, Torunn
    et al.
    Oslo University Hospital, Norway;Abildsø Nursing Home, Norway;Oslo University, Norway.
    Hellesø, Raghild
    Oslo University, Norway.
    Slaughter, Laura
    Oslo University Hospital, Norway;Norwegian University of Science and Technology, Norway.
    Ekstedt, Mirjam
    Oslo University Hospital, Norway;Ersta Sköndal Bräcke University College.
    Lay people's experiences with reading their medical record2011In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 72, no 9, p. 1570-1573Article in journal (Refereed)
    Abstract [en]

    An increasing number of patients now make use of their legal right to read their medical record. We report findings from a study in which we conducted qualitative interviews with 17 Norwegian adult patients about their experiences of requesting a copy of their medical record following a hospital stay. Interviews took place between May, 2008 and April 2009. The analytical process, guided by qualitative content analysis, identified two main themes; "keeping a sense of control" and "not feeling respected as a person". The informants' experiences with reading their own medical record were often connected to their experiences in direct communication with health care professionals during the hospital stay, revealing a delicate interaction between trust and power. The informants were hoping for a more mutual exchange of information and knowledge from which they could benefit in the management of their own health. We conclude that to meet patients' expectations of mutuality, health care professionals in hospitals need to be more conscious about their attitudes and communication skills as well as how they exercise their power to define the patient's situation. At the same time, there should be more focus on how structural changes in the organization of hospitals may have impaired the capacity of health care professionals to meet these expectations. In the future, greater attention should also be paid to information exchange to avoid placing unreasonable responsibility on the patient to compensate for deficits in the health care system.

  • 5.
    Åsbring, Pia
    et al.
    Institutionen för Folkhälsovetenskap KI.
    Närvänen, Anna-Liisa
    Linköpings universitet.
    Ideal versus reality: Physicians perspectives on patients with chronic fatigue syndrome (CFS) and fibromyalgia2003In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 57, no 4, p. 711-720Article in journal (Refereed)
    Abstract [en]

    Encountering patients with chronic fatigue syndrome (CFS) or fibromyalgia can cause dilemmas for physicians due to the uncertainty inherent in these illnesses. The aim of this study was to investigate: (1) How physicians in a Swedish sample describe and categorise patients with CFS and fibromyalgia, (2) What the character of CFS and fibromyalgia, with regard to diagnosing, treatment and medical knowledge/aetiology, mean to the physicians in encounters with patients, and (3) Which strategies physicians describe that they use in the encounter with these patients. Semi-structured interviews were carried out with 26 physicians, specialists in various fields who all had some experience of either CFS or fibromyalgia. The results suggest that there is a discrepancy between the ideal role of the physician and reality in the everyday work in interaction with these patients. This may lead to the professional role being questioned. Different strategies are developed to handle the encounters with these patients. The results also illuminate the physician's interpretations of patients in moralising terms. Conditions given the status of illness were regarded, for example, as less serious by the physicians than those with disease status. Scepticism was expressed regarding especially CFS, but also fibromyalgia. Moreover, it is shown how the patients are characterised by the physicians as ambitious, active, illness focused, demanding and medicalising. The patient groups in question do not always gain full access to the sick-role, in part as a consequence of the conditions not being defined as diseases. ⌐ 2003 Elsevier Science Ltd. All rights reserved.

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