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Publications (10 of 30) Show all publications
Wadensten, T., Nyström, E., Sjöström, M., Lindam, A. & Samuelsson, E. (2023). APP-based treatment of urgency and mixed urinary incontinence in women: factors associated with long-term satisfaction. Archives of Gynecology and Obstetrics
Open this publication in new window or tab >>APP-based treatment of urgency and mixed urinary incontinence in women: factors associated with long-term satisfaction
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2023 (English)In: Archives of Gynecology and Obstetrics, ISSN 0932-0067, E-ISSN 1432-0711Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: App-based treatment of urgency (UUI) and mixed (MUI) urinary incontinence has proved to be effective. To further improve treatment, it will be beneficial to analyze baseline and treatment-related factors that are associated with satisfaction.

Methods: A secondary analysis was conducted of data from a randomized controlled trial (RCT) assessing an app for UUI or MUI treatment, encompassing 98 women for whom there was long-term treatment satisfaction data. All participants completed a short-term (15 weeks) and a long-term (15 months) follow-up questionnaire after being given access to treatment. The outcome was a 3-item question on current treatment satisfaction at the long-term follow-up. Factors potentially associated with the outcome were analyzed using the chi-square test, Student’s t test or logistic regression.

Results: At the long-term follow-up, 58% of the women were satisfied with the treatment. The most important baseline variable associated with satisfaction was incontinence-related quality of life (International Consultation on Incontinence Questionnaire (ICIQ) − Lower Urinary Tract Symptoms Quality of Life Module) (OR 0.91, 95% CI 0.58–0.97). Short-term follow-up variables associated with long-term treatment satisfaction were improvement in the ability to endure urgency (OR 4.33, 95% CI 1.43–13.12), and confidence in pelvic floor contraction ability (OR 2.67, 95% CI 1.04–6.82).

Conclusion: App-based treatment for UUI and MUI may be an alternative first-line treatment that is satisfactory to many women over the long-term. Furthermore, short-term treatment that focuses on improving the ability to endure urgency, and confidence in pelvic floor contraction ability, can also be recommended for long-term satisfaction.

Keywords
eHealth, Mobile app, OAB, Treatment satisfaction, Urgency urinary incontinence
National Category
Obstetrics, Gynecology and Reproductive Medicine Urology and Nephrology
Identifiers
urn:nbn:se:umu:diva-218896 (URN)10.1007/s00404-023-07303-2 (DOI)2-s2.0-85180422733 (Scopus ID)
Funder
The Kamprad Family FoundationRegion Jämtland HärjedalenVisare Norr
Available from: 2024-01-04 Created: 2024-01-04 Last updated: 2024-01-04
Brulin, E., Lidwall, U., Seing, I., Nyberg, A., Landstad, B., Sjöström, M., . . . Nilsen, P. (2023). Healthcare in distress: a survey of mental health problems and the role of gender among nurses and physicians in Sweden. Journal of Affective Disorders, 339, 104-110
Open this publication in new window or tab >>Healthcare in distress: a survey of mental health problems and the role of gender among nurses and physicians in Sweden
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2023 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 339, p. 104-110Article in journal (Refereed) Published
Abstract [en]

Introduction: The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences in sex compositions, and 3) if any sex differences were larger within either of the two professions.

Method: Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.

Results: Results showed that 16–28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.

Limitations: This study was based on cross-sectional survey data which has some limitations.

Conclusion: Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Burnout, Depression, Nurses, Physicians, Sex
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-212234 (URN)10.1016/j.jad.2023.07.042 (DOI)37433382 (PubMedID)2-s2.0-85164483462 (Scopus ID)
Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2023-07-20Bibliographically approved
Brulin, E., Ekberg, K., Landstad, B. J., Lidwall, U., Sjöström, M. & Wilczek, A. (2023). Money talks: performance-based reimbursement systems impact on perceived work, health and patient care for physicians in Sweden. Frontiers in Psychology, 14, Article ID 1216229.
Open this publication in new window or tab >>Money talks: performance-based reimbursement systems impact on perceived work, health and patient care for physicians in Sweden
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2023 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 14, article id 1216229Article in journal (Refereed) Published
Abstract [en]

Introduction: The study aimed to investigate in which way performance-based reimbursement (PBR) systems in Swedish healthcare services (1) subjectively impacted physicians’ work and patient care and (2) were associated with the occurrence of stress-induced exhaustion disorders among physicians.

Method: The study applied a mixed-method design. Data were collected from a representative sample of Swedish physicians. In the questionnaire, respondents were asked to answer an open-ended question regarding their reflections on PBR. The answers to the open-ended question were analysed using thematic analysis. Respondents were also asked to rate the impact of PBR on their work. The association between PBR and self-rated stress-induced exhaustion disease was analysed with logistic regressions. Stress-induced exhaustion disorder was measured using the Burnout Assessment Scale.

Results: Thematic analysis resulted in four themes: (1) Money talks, (2) Patients are affected, (3) Medical morals are challenged, and (4) PBR increase the quantity of illegitimate tasks. Logistic regressions showed that physicians who experienced PBR had an impact on their work and had a two-fold higher risk of stress-induced exhaustion disorder.

Discussion: Our findings suggest that current reimbursement systems in Sweden play an essential role in Swedish healthcare and negatively influence physicians’ work and health. Also, current PBR impact patients negatively. No previous study has explored the potentially harmful impact of PBR on how physicians perceive work, health and patient care. Results indicate that policymakers should be encouraged to deeply review PBR systems and focus on ways that they can limit the negative impact on physicians’ work and health while meeting future challenges.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
mixed method, patient care, performance-based reimbursement, physicians, stress-induced exhaustion disorder, work environment
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-212508 (URN)10.3389/fpsyg.2023.1216229 (DOI)001030284300001 ()37484100 (PubMedID)2-s2.0-85165241479 (Scopus ID)
Available from: 2023-08-01 Created: 2023-08-01 Last updated: 2023-08-01Bibliographically approved
Boks, M., Lilja, M., Widerström, M., Karling, P., Lindam, A. & Sjöström, M. (2023). Persisting symptoms after Cryptosporidium hominis outbreak: a 10-year follow-up from Östersund, Sweden. Parasitology Research, 122(7), 1631-1639
Open this publication in new window or tab >>Persisting symptoms after Cryptosporidium hominis outbreak: a 10-year follow-up from Östersund, Sweden
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2023 (English)In: Parasitology Research, ISSN 0932-0113, E-ISSN 1432-1955, Vol. 122, no 7, p. 1631-1639Article in journal (Refereed) Published
Abstract [en]

In late 2010, an outbreak of Cryptosporidium hominis affected 27,000 inhabitants (45%) of Östersund, Sweden. Previous research shows that abdomen and joint symptoms commonly persist up to 5 years post-infection. It is unknown whether Cryptosporidium is associated with sequelae for a longer duration, how persisting symptoms present over time, and whether sequelae are associated with prolonged infection. In this prospective cohort study, a randomly selected cohort in Östersund was surveyed about cryptosporidiosis symptoms in 2011 (response rate 69.2%). A case was defined as a respondent reporting new diarrhoea episodes during the outbreak. Follow-up questionnaires were sent after 5 and 10 years. Logistic regressions were used to examine associations between case status and symptoms reported after 10 years, with results presented as adjusted odds ratios (aOR) with 95% confidence intervals. Consistency of symptoms and associations with case status and number of days with symptoms during outbreak were analysed using X 2 and Mann–Whitney U tests. The response rate after 10 years was 74% (n = 538). Case status was associated with reporting symptoms, with aOR of ~3 for abdominal symptoms and ~2 for joint symptoms. Cases were more likely to report consistent symptoms. Cases with consistent abdominal symptoms at follow-up reported 9.2 days with symptoms during the outbreak (SD 8.1), compared to 6.6 days (SD 6.1) for cases reporting varying or no symptoms (p = 0.003). We conclude that cryptosporidiosis was associated with an up to threefold risk for reporting symptoms 10 years post-infection. Consistent symptoms were associated with prolonged infection.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Cryptosporidium, Diarrhoea, Disease outbreaks, PI-IBS, Post-infectious symptoms, Sequelae
National Category
Infectious Medicine Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-209290 (URN)10.1007/s00436-023-07866-8 (DOI)000990476700002 ()37199767 (PubMedID)2-s2.0-85159654199 (Scopus ID)
Funder
Region Jämtland Härjedalen, JLL-939404Region Jämtland Härjedalen, JLL-965542Region Jämtland Härjedalen, JLL-967794Region Jämtland Härjedalen, JLL-978075Region Jämtland Härjedalen, JLL-980156Visare Norr, 967799
Available from: 2023-06-08 Created: 2023-06-08 Last updated: 2023-12-05Bibliographically approved
Ekersund, J., Samuelsson, E., Lindholm, L. & Sjöström, M. (2022). A mobile app for the treatment of female mixed and urgency incontinence: a cost-effectiveness analysis in Sweden. International Urogynecology Journal, 33, 1273-1282
Open this publication in new window or tab >>A mobile app for the treatment of female mixed and urgency incontinence: a cost-effectiveness analysis in Sweden
2022 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 33, p. 1273-1282Article in journal (Refereed) Published
Abstract [en]

Introduction and hypothesis: A previous randomized controlled trial (RCT) demonstrated that the app Tät II, for self-management of mixed urinary incontinence (MUI) and urgency urinary incontinence (UUI), yielded significant, clinically relevant improvements in symptom severity and quality of life (QoL) compared with a control group. We aimed to assess the cost-effectiveness of Tät II.

Methods: A cost–utility analysis with a 1-year societal perspective was carried out, comparing Tät II with an information app. Data were collected alongside an RCT: 122 community-dwelling women aged ≥18 years with MUI or UUI ≥2 times/week were randomized to 3 months of Tät II treatment focused on pelvic floor muscle training (PFMT) and bladder training (BT; n = 60), or to an information app (n = 62). Self-assessed data from validated questionnaires were collected at baseline and at 3-month and 1-year follow-ups. Costs for assessment, treatment delivery, incontinence aids, laundry, and time for PFMT and BT were included. We calculated quality-adjusted life-years (QALYs) using the International Consultation on Incontinence Modular Questionnaire Lower Urinary Tract Symptoms Quality of Life. The incremental cost-effectiveness ratio (ICER) between the groups was our primary outcome. Sensitivity analyses were performed.

Results: The mean age was 58.3 (SD = 9.6) years. Annual overall costs were €738.42 in the treatment group and €605.82 in the control group; annual QALY gains were 0.0152 and 0.0037 respectively. The base case ICER was €11,770.52; ICERs in the sensitivity analyses ranged from €−9,303.78 to €22,307.67.

Conclusions: The app Tät II is a cost-effective treatment method for women with MUI and UUI.

Place, publisher, year, edition, pages
Springer Science+Business Media B.V., 2022
Keywords
e-health, Health economics, Self-management, Urinary incontinence
National Category
Urology and Nephrology
Identifiers
urn:nbn:se:umu:diva-193222 (URN)10.1007/s00192-022-05137-1 (DOI)000767904500001 ()35278093 (PubMedID)2-s2.0-85126139319 (Scopus ID)
Funder
The Kamprad Family Foundation, 20170202
Available from: 2022-03-22 Created: 2022-03-22 Last updated: 2023-05-23Bibliographically approved
Kourie, M., Ängeby, K., Sjöström, M. & Fagerström, N. (2022). ABC om Ikterus hos vuxna: [Jaundice in the adult patient]. Läkartidningen, 119(48-49), 34-38
Open this publication in new window or tab >>ABC om Ikterus hos vuxna: [Jaundice in the adult patient]
2022 (English)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 119, no 48-49, p. 34-38Article in journal (Refereed) Published
Abstract [en]

Jaundice is an alarm symptom that should always be treated urgently, regardless of whether the responsible doctor is in primary care or in the emergency room. The differential diagnoses can be significantly delimited (hepatocellular vs. cholestasis) and several clues to the etiology can be determined from a carefully performed anamnesis, clinical examination, and basic laboratory tests. Exclusion of cholestatic etiology is essential due to life-threatening differential diagnoses and complications, but acute medical conditions also occur, such as acute liver failure. Prompt processing at the correct instance can be crucial for the short-term and long-term prognosis of the patient.

Abstract [sv]

Ikterus, även kallat gulsot, är ett allvarligt symtom där korrekt handläggning är av stor betydelse [1]. Denna artikel syftar till att redogöra för några vanliga och viktiga bakomliggande orsaker till ikterus, ge förslag till handläggning och uppföljning samt översiktligt beskriva olika behandlingsalternativ.

National Category
Gastroenterology and Hepatology
Identifiers
urn:nbn:se:umu:diva-201746 (URN)36465003 (PubMedID)2-s2.0-85143366817 (Scopus ID)
Available from: 2022-12-30 Created: 2022-12-30 Last updated: 2023-05-26Bibliographically approved
Wadensten, T., Nyström, E., Nord, A., Lindam, A., Sjöström, M. & Samuelsson, E. (2022). App-based self-management of urgency and mixed urinary incontinence in women: One-year follow-up. Neurourology and Urodynamics, 41(4), 945-954
Open this publication in new window or tab >>App-based self-management of urgency and mixed urinary incontinence in women: One-year follow-up
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2022 (English)In: Neurourology and Urodynamics, ISSN 0733-2467, E-ISSN 1520-6777, Vol. 41, no 4, p. 945-954Article in journal (Refereed) Published
Abstract [en]

Aims: To evaluate the long-term effect of the Tät®II app for treatment of urgency (UUI) and mixed urinary incontinence (MUI).

Methods: Long-term follow-up of a randomized controlled trial, including 123 women ≥18 years old with UUI or MUI, without red-flag symptoms, and ≥2 leakages per week. All participants, regardless of group, had received the intervention, a treatment app, at the long-term follow-up. Long-term data were collected through web-based questionnaires 15 months after participants received the intervention. The app included pelvic floor muscle training, bladder training, psychoeducation, lifestyle advice, an exercise log, reminders, reinforcement messages, and tailored advice. The primary outcome was a change in incontinence symptoms (International Consultation on Incontinence Questionnaire [ICIQ]—Urinary Incontinence Short Form [ICIQ-UI SF]), from baseline to follow-up. Other outcomes were urgency symptoms (ICIQ—Overactive Bladder Module (ICIQ-OAB)), quality of life (ICIQ—Lower Urinary Tract Symptoms Quality of Life Module [ICIQ-LUTSqol]), and improvement (Patient's Global Impression of Improvement [PGI-I]).

Results: Of the 123 women, 102 (83%) completed the long-term follow-up. The ICIQ-UI SF mean score improved from 11.5 to 7.6 (mean difference 4.0, 95% CI 3.2–4.7). The ICIQ-OAB improved from 6.7 to 5.5 (mean difference 1.3, 95% CI 0.9–1.6) and the ICIQ-LUTSqol improved from 38.0 to 30.9 (mean difference 7.1, 95% CI 5.7–8.5). Of the 102 women, 74 (73%) reported improvement.

Conclusions: Self-management with the Tät®II app for UUI and MUI had a significant effect across all outcome measures also long-term and might serve as an alternative first-line treatment for these conditions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
eHealth, long-term follow-up, mHealth, mixed urinary incontinence, mobile app, telehealth, treatment, urgency urinary incontinence
National Category
Urology and Nephrology
Identifiers
urn:nbn:se:umu:diva-193171 (URN)10.1002/nau.24898 (DOI)000766391200001 ()35266189 (PubMedID)2-s2.0-85125995581 (Scopus ID)
Funder
The Kamprad Family Foundation, 20170202Visare Norr, 931113
Available from: 2022-03-17 Created: 2022-03-17 Last updated: 2023-03-23Bibliographically approved
Boks, M., Lilja, M., Widerström, M., Karling, P., Lindam, A., Eriksson, A. & Sjöström, M. (2022). Increased incidence of late-onset inflammatory bowel disease and microscopic colitis after a Cryptosporidium hominis outbreak. Scandinavian Journal of Gastroenterology, 57(12), 1443-1449
Open this publication in new window or tab >>Increased incidence of late-onset inflammatory bowel disease and microscopic colitis after a Cryptosporidium hominis outbreak
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2022 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 57, no 12, p. 1443-1449Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: In 2010, 27,000 inhabitants (45% of the population) of Östersund, Sweden, contracted clinical cryptosporidiosis after drinking water contaminated with Cryptosporidium hominis. After the outbreak, local physicians perceived that the incidence of inflammatory bowel disease (IBD), including ulcerative colitis (UC), Crohn's disease (CD), and IBD-unclassified, and microscopic colitis (MC) increased. This study assessed whether this perception was correct.

MATERIALS AND METHODS: This observational study included adult patients (≥18 years old) from the local health care region who were diagnosed with pathology-confirmed IBD or MC during 2006-2019. We collected and validated the diagnosis, date of diagnosis, age at diagnosis, and sex from the Swedish quality register SWIBREG and electronic patient records. Population data were collected from Statistics Sweden. The incidences for 2006-2010 (pre-outbreak) and 2011-2019 (post-outbreak) were evaluated by negative binomial regression analysis and presented as incidence rate ratios (IRRs). Data were analyzed for IBD, for UC and CD separately, and MC.

RESULTS: During the study period, we identified 410 patients with new onset IBD and 155 new cases of MC. Overall, we found a trend toward an increased incidence of IBD post-outbreak (IRR 1.39, confidence interval (CI) 0.99-1.94). In individuals ≥40 years old, the post-outbreak incidence significantly increased for IBD (IRR 1.69, CI 1.13-2.51) and CD (IRR 2.23, CI 1.08-4.62). Post-outbreak incidence of MC increased 6-fold in all age groups (IRR 6.43, CI 2.78-14.87).

CONCLUSIONS: The incidence of late-onset IBD and MC increased after the Cryptosporidium outbreak. Cryptosporidiosis may be an environmental risk factor for IBD and MC.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
Crohn’s disease, Cryptosporidium, epidemiology, inflammatory bowel disease, microscopic colitis
National Category
Gastroenterology and Hepatology Health Care Service and Management, Health Policy and Services and Health Economy Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-199584 (URN)10.1080/00365521.2022.2094722 (DOI)000822350600001 ()35802626 (PubMedID)2-s2.0-85133721591 (Scopus ID)
Funder
Region Jämtland Härjedalen, JLL-939404Region Jämtland Härjedalen, JLL-965542Region Jämtland Härjedalen, JLL-564341
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2023-05-22Bibliographically approved
Sjöström, M., Arvidsson, M., Söderström, L., Lilja, M., Lindh, J. & Widerström, M. (2022). Outbreak of Cryptosporidium hominis in northern Sweden: persisting symptoms in a 5-year follow-up. Parasitology Research, 121, 2043-2049
Open this publication in new window or tab >>Outbreak of Cryptosporidium hominis in northern Sweden: persisting symptoms in a 5-year follow-up
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2022 (English)In: Parasitology Research, ISSN 0932-0113, E-ISSN 1432-1955, Vol. 121, p. 2043-2049Article in journal (Refereed) Published
Abstract [en]

In 2010–2011, a waterborne outbreak of the parasite, Cryptosporidium hominis, affected approximately 27,000 inhabitants in the city of Östersund, Sweden. Previous research suggested that post-infectious symptoms, such as gastrointestinal symptoms and joint pain, could persist for up to 2 years after the initial infection. In this study, we investigated whether the parasite caused post-infectious sequelae for up to 5 years after the outbreak. Prospective cohort study. A randomly selected cohort of individuals residing in Östersund at the time of the outbreak was sent a postal questionnaire in 2011. Responders were sent a follow-up questionnaire in 2016 and completed items on whether they experienced a list of symptoms. We examined whether outbreak cases were more likely than non-cases to report post-infectious symptoms 5 years later. We analysed data using logistic regression and calculated odds ratios with 95% confidence intervals. The analysis included 626 individuals. Among the 262 individuals infected during the outbreak, 56.5% reported symptoms at follow-up. Compared to non-cases, outbreak cases were more likely to report watery diarrhoea, diarrhoea, swollen joints, abdominal pain, bloating, joint discomfort, acid indigestion, alternating bowel habits, joint pain, ocular pain, nausea, and fatigue at the follow-up, after adjusting for age and sex. Our findings suggested that cryptosporidiosis was mainly associated with gastrointestinal- and joint-related post-infectious symptoms for up to 5 years after the infection.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2022
Keywords
Cryptosporidium, Diarrhoea, Disease outbreaks, Post-infectious symptoms, Sequelae
National Category
Infectious Medicine Microbiology in the medical area
Identifiers
urn:nbn:se:umu:diva-194898 (URN)10.1007/s00436-022-07524-5 (DOI)000785587000001 ()35451705 (PubMedID)2-s2.0-85129469551 (Scopus ID)
Funder
Region Jämtland Härjedalen, JLL-564341
Available from: 2022-06-02 Created: 2022-06-02 Last updated: 2023-11-23Bibliographically approved
Nilsson, K., Landstad, B. J., Ekberg, K., Nyberg, A., Sjöström, M. & Hagqvist, E. (2022). Physicians' experiences of challenges in working conditions related to the provision of care during the initial response to the COVID-19 pandemic in Sweden. International Journal of Health Governance, 27(3), 254-267
Open this publication in new window or tab >>Physicians' experiences of challenges in working conditions related to the provision of care during the initial response to the COVID-19 pandemic in Sweden
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2022 (English)In: International Journal of Health Governance, ISSN 2059-4631, Vol. 27, no 3, p. 254-267Article in journal (Refereed) Published
Abstract [en]

Purpose: This aim of this study was to explore how hospital-based physicians in Sweden experienced the challenges in working conditions related to the provision of care during the initial response to the COVID-19 pandemic in 2020 when hospitals transitioned to pandemic care. Design/methodology/approach: The study has a qualitative design. Twenty-five hospital-based physicians were interviewed about their experiences from working in a hospital while healthcare organisations initially responded to COVID-19 pandemic in 2020. A thematic analysis was used to analyse the empirical material. Findings: The analysis resulted in four themes: involuntary self-management, a self-restrictive bureaucracy, passive occupational safety and health (OSH) management, and information overload. These themes reflect how the physicians perceived their work situation during the pandemic and how they tried to maintain quality care for their patients. Practical implications: The study gives valuable insights for formulating preparedness in regard to crisis management plans that can secure the provision of care for future emergencies in the healthcare services. Originality/value: This paper shows that a crisis management plans in the healthcare services should include decision structures and management, measures of risk assessment and OSH management, and the maintenance of personnel wellbeing. A prepared healthcare management can preserve quality care delivery while under crisis.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2022
Keywords
Communication, Health care quality, Health professions, Leadership, Management, Patient safety, Qualitative research, Risk management, Safety culture
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-196097 (URN)10.1108/IJHG-01-2022-0015 (DOI)000793212000001 ()2-s2.0-85130167015 (Scopus ID)
Funder
Region Stockholm, 20191179Forte, Swedish Research Council for Health, Working Life and Welfare, 2019–00311
Available from: 2022-06-20 Created: 2022-06-20 Last updated: 2023-05-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0868-6249

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