Browsing NTNU Open by Author "Hetlevik, Irene"
Now showing items 1-19 of 19
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Applying clinical guidelines in general practice: A qualitative study of potential complications
Austad, Bjarne; Hetlevik, Irene; Mjølstad, Bente Prytz; Helvik, Anne-Sofie (Journal article; Peer reviewed, 2016)Background Clinical guidelines for single diseases often pose problems in general practice work with multimorbid patients. However, little research focuses on how general practice is affected by the demand to follow ... -
Can general practitioners do the follow-ups after surgery with ventilation tubes in the tympanic membrane? Two years audiological data
Austad, Bjarne; Hetlevik, Irene; Bugten, Vegard; Wennberg, Siri; Olsen, Anita Helene; Helvik, Anne-Sofie (Journal article; Peer reviewed, 2014)A university hospital in Mid-Norway has modified their guidelines for follow-up after insertion of ventilation tubes (VTs) in the tympanic membrane, transferring the controls of the healthiest children to general practitioners ... -
Challenges in the follow-up of patients with stroke in general practice
Pedersen, Rune Aakvik (Doctoral theses at NTNU;2021:160, Doctoral thesis, 2021)Norsk sammendrag Utfordringer i oppfølgingen av pasienter med hjerneslag i allmennpraksis Hjerneslag kan beskrives som plutselig innsettende nevrologiske utfall grunnet en forstyrrelse i hjernens blodsirkulasjon. Det kan ... -
Challenges of adhering to clinical practice guidelines in general practice: A quantitative study of a guideline for follow-ups after insertion of tympanic membrane ventilation tubes, and a qualitative study of GPs’ experiences with clinical practice guidelines
Austad, Bjarne (Doctoral theses at NTNU;2017:66, Doctoral thesis, 2017)Background: Clinical guidelines are important in medicine. Quality of care is increasingly based on research and EBM, and developing recommendations based on EBM is prioritized in many countries. Still, it is well known ... -
Current European guidelines for management of arterial hypertension: Are they adequate for use in primary care? Modelling study based on the Norwegian HUNT 2 population
Petursson, Halfdan; Getz, Linn; Sigurdsson, Johann Agust; Hetlevik, Irene (Journal article; Peer reviewed, 2009)Background: Previous studies indicate that clinical guidelines using combined risk evaluation for cardiovascular diseases (CVD) may overestimate risk. The aim of this study was to model and discuss implementation of the ... -
Does ‘existential unease’ predict adult multimorbidity? Analytical cohort study on embodiment based on the Norwegian HUNT population
Tomasdottir, Margret Olafia; Sigurdsson, Johann Agust; Petursson, Halfdan; Kirkengen, Anna Luise; Nilsen, Tom Ivar Lund; Hetlevik, Irene; Getz, Linn Okkenhaug (Journal article; Peer reviewed, 2016)Objectives: Multimorbidity is prevalent, and knowledge regarding its aetiology is limited. The general pathogenic impact of adverse life experiences, comprising a wide-ranging typology, is well documented and coherent with ... -
Finding their place – general practitioners' experiences with palliative care—a Norwegian qualitative study
Fasting, Anne; Hetlevik, Irene; Mjølstad, Bente Prytz (Peer reviewed; Journal article, 2022)Background Modern palliative care focuses on enabling patients to spend their remaining time at home, and dying comfortably at home, for those patients who want it. Compared to many European countries, few die at home ... -
General practitioners’ role in palliative care: map versus terrain
Fasting, Anne (Doctoral theses at NTNU;2023:383, Doctoral thesis, 2023)Background In palliative care, the focus is on symptom relief and good quality of life for patients with lifethreatening illnesses and their relatives. The proportion of people needing palliative care increases with an ... -
Implementing guidelines for follow-up after surgery with ventilation tube in the tympanic membrane in Norway: a retrospective study
Austad, Bjarne; Hetlevik, Irene; Bugten, Vegard; Wennberg, Siri; Olsen, Anita Helene; Helvik, Anne-Sofie (Journal article; Peer reviewed, 2013-01-08)Background When clinical guidelines are being changed a strategy is required for implementation. St. Olavs University Hospital in Norway modified their guidelines for the follow-up care of children after insertion of ... -
Knowing patients as persons: Senior and Junior GPs explore a professional resource
Mjølstad, Bente Prytz; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Peer reviewed, 2013)As part of a research project exploring inter-professional communication in Norwegian healthcare, junior and senior general practitioners (GPs) participated in focus group interviews regarding the medical relevance of ... -
Palliative care in general practice; a questionnaire study on the GPs role and guideline implementation in Norway
Fasting, Anne; Hetlevik, Irene; Mjølstad, Bente Prytz (Peer reviewed; Journal article, 2021)Background: Patients in need of palliative care often want to reside at home. Providing palliative care requires resources and a high level of competence in primary care. The Norwegian guideline for palliative care points ... -
Patient experiences and the association with organizational factors in general practice: Results from the Norwegian part of the international, multi-centre, cross-sectional QUALICOPC study
Eide, Torunn Bjerve; Straand, Jørund; Melbye, Hasse; Rørtveit, Guri; Hetlevik, Irene; Rosvold, Elin Olaug (Journal article; Peer reviewed, 2016-08)Background General practitioners (GPs) constitute a vital part of a strong primary health care system. We need further knowledge concerning factors that may affect the patients’ experiences in their meetings with the GPs. ... -
Self Reported Childhood Difficulties, Adult Multimorbidity and Allostatic Load. A Cross-Sectional Analysis of the Norwegian HUNT Study
Tomasdottir, Margret Olafia; Sigurdsson, Johann Agust; Petursson, Halfdan; Kirkengen, Anna Luise; Krokstad, Steinar; McEwen, Bruce; Hetlevik, Irene; Getz, Linn (Journal article; Peer reviewed, 2015)Background: Multimorbidity receives increasing scientific attention. So does the detrimental health impact of adverse childhood experiences (ACE). Aetiological pathways from ACE to complex disease burdens are under ... -
Standardization meets stories: contrasting perspectives on the needs of frail individuals at a rehabilitation unit
Mjølstad, Bente Prytz,; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Peer reviewed, 2013)Background: Repeated encounters over time enable general practitioners (GPs) to accumulate biomedical and biographical knowledge about their patients. A growing body of evidence documenting the medical relevance of lifetime ... -
Stroke follow-up in primary care: a discourse study on the discharge summary as a tool for knowledge transfer and collaboration
Pedersen, Rune Aakvik; Petursson, Halfdan; Hetlevik, Irene; Thune, Henriette (Peer reviewed; Journal article, 2021)Background The acute treatment for stroke takes place in hospitals and in Norway follow-up of stroke survivors residing in the communities largely takes place in general practice. In order to provide continuous post ... -
Stroke follow-up in primary care: a Norwegian modeling study on the implications of multi morbidity for guideline adherence
Pedersen, Rune Aakvik; Petursson, Halfdan; Hetlevik, Irene (Journal article; Peer reviewed, 2019)Background Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors ... -
Stroke follow-up in primary care: a prospective cohort study on guideline adherence
Pedersen, Rune Aakvik; Petursson, Halfdan; Hetlevik, Irene (Journal article; Peer reviewed, 2018)Background After a stroke, a person has an increased risk of recurrent strokes. Effective secondary prevention can provide significant gains in the form of reduced disability and mortality. While considerable efforts ... -
Systems Medicine as a Theoretical Framework for Primary Care Medicine: A Critical Analysis
Vogt, Henrik (Doctoral theses at NTNU;2017:98, Doctoral thesis, 2017)Background Primary care medicine (general practice) is, as a generalist discipline, faced with the key challenge of counteracting fragmentation and developing a framework for conceptualizing and approaching patients as ... -
What Do GPs Actually Know About Their Patients As Persons?
Mjølstad, Bente Prytz; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Peer reviewed, 2013)Background and Aims: Life experience and existential circumstances have an impact on health. Within medicine, however, the significance to patient care of person-related, biographical knowledge receives only rudimentary ...