Publikationer från Malmö universitet
Ändra sökning
Avgränsa sökresultatet
1 - 17 av 17
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Ayala-Luis, Joselyn
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    A multivariable analysis of patient dental satisfaction and oral health-related quality-of-life: A cross-sectional study based on DVSS and OHIP-142014Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, nr 3, s. 187-193Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. The aim of this paper was to study the association between dental satisfaction and oral health-related quality-of-life (OHRQoL) when controlling for individual, clinical and psychological factors. Materials. Secondary analysis was conducted using data from a large study carried out in the Swedish region of Varmland in 2004. The questionnaire included demographic variables, clinical assessment and the following instruments: the Dental Visit Satisfaction Scale (DVSS), the short version of Oral Health Impact Profile (OHIP-14) and a modified version of the revised helping alliance questionnaire. Internal consistency analysis was undertaken on the instruments to assess reliability; bivariate comparisons were assessed to compare DVSS scores with individual factors (age, gender and education). In addition, a three step hierarchical multiple regression analysis was performed with DVSS as a dependent variable. Results. Data were completed for 485 randomly selected patients. The mean age of participants was 43.5 years, 54.6% were women, and 41.2% had high education. The median DVSS score was 48 (range 10-50) and the median OHIP was 3.0 (range 0-56). All the instruments showed good reliability. Bivariate analysis showed that females were more satisfied than males (p <= 0.01) and patients of 50 years or older were more satisfied than the younger ones (p <= 0.05). Finally, the following variables explained 31% of the variance of being very satisfied with dental visit: a good OHRQoL and patients' positive perceptions of the relationship with their care provider. Conclusion. This study showed positive associations between dental satisfaction and OHRQoL when controlling for related factors. The result suggests that care providers should take into account the various dimensions of OHRQoL rather than use only clinical measurements when they evaluate patient satisfaction.

  • 2.
    Jansson, Henrik
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Wahlin, Åsa
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Åkerman, Sigvard
    Malmö högskola, Odontologiska fakulteten (OD).
    Lundegren, Nina
    Malmö högskola, Odontologiska fakulteten (OD).
    Isberg, Per-Erik
    Norderyd, Ola
    Malmö högskola, Odontologiska fakulteten (OD).
    Impact of Periodontal Disease Experience on Oral Health-related Quality of Life2014Ingår i: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 85, nr 3, s. 438-445Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Periodontal research has traditionally focused on the site level, regarding etiology, pathogenesis, and treatment outcome. Recently, some studies have indicated that the presence of periodontal disease is associated with reduced quality of life. The aim of this study is to investigate the impact of periodontal disease experience on the quality of life. METHODS: This cross-sectional study includes 443 individuals. Clinical and radiographic examinations were performed; in conjunction, the oral health-related quality of life of all participants was assessed using the Swedish short-form version of the Oral Health Impact Profile (OHIP-14). Based on marginal bone loss, measured on radiographs, three different groups were identified: participants with loss of supporting bone tissue of less than one third of the root length (BL-), loss of supporting bone tissue of one third or more of the root length in <30% of teeth (BL), or loss of supporting bone tissue of one third or more of the root length in ≥ 30% of teeth (BL+). RESULTS: The effect of periodontal disease experience on quality of life was considerable. For the BL- group, the mean OHIP-14 score was 3.91 (SD: 5.39). The corresponding mean values were 3.81 (SD: 5.29) for the BL group and 8.47 (SD: 10.38) for the BL+ group. The difference among all groups was statistically significant (P ≤ 0.001). A comparison among the mean OHIP-14 scores in the different groups (BL-, BL, and BL+) revealed significant differences in six of seven conceptual domains. CONCLUSIONS: The BL+ individuals experienced reduced quality of life, expressed as the OHIP-14 score, compared with the BL and BL- participants.

  • 3.
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Bättre oral hälsa i kontraktstandvård2010Ingår i: Tandläkartidningen, ISSN 0039-6982, nr 12, s. 72-73Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Patienterna i kontraktstandvård har bättre oral hälsorelaterad livskvalitet än patienterna i styckepristandvård, visar Veronica Johansson i sin avhandling.

  • 4.
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Dental hygienist students and communication with patients about health behaviours2012Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 5.
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Oral health-related quality of life and patient payment systems: A study of Contract and Fee-for-service care in a county in Sweden2009Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Sedan 1999 har Folktandvården i Värmland två alternativa tandvårdssystem: Styckepris- och Kontraktstandvård. I Kontraktstandvård tecknar patienten ett kontrakt med Folktandvården, betalar en fast summa för en specifik tidsperiod, och erhåller sedan vård utan extra kostnader.Det övergripande syftet var att undersöka om de förmodade olika behandlingsfilosofierna i Kontrakts- och Styckepristandvård leder till olika utfall, med bättre oralhälso-relaterad livskvalitet hos patienter i Kontraktstandvård, än hos patienter i Styckepristandvård.Studie I var en litteraturgenomgång av tidigare forskning, med material insamlat genom databassökningar. Studie II, III och IV bestod av material insamlat genom en postenkät under 2003. Enkäten sändes till 1 200 slumpvis utvalda patienter i varje system i Folktandvården Värmland, totalt 2 400 patienter. Studie I. Det fanns indikationer på mer preventiv vård, och i det långa loppet också på minskat behov av restorativa åtgärder i kapitering, jämfört med i fee-for-service. Det fanns för lite material för att kunna dra några slutsatser om produktivitet, tandläkarens tillfredsställelse med sitt arbete och patientens tillfredsställelse med erhållen vård. Studie II. Patienterna i Kontraktstandvård var yngre, hade högre utbildning, var i större utsträckning gifta eller sammanboende, födda i Sverige, och hade bättre allmänhälsa och oralhälso-relaterad livskvalitet än Styckepristandvårdspatienterna. De senare upplevde å andra sidan en högre samhörighet med sitt bostadsområde. Studie III. När andra faktorer kontrollerades i hierarkisk multipel regression fanns ett samband mellan oralhälso-relaterad livskvalitet och tandvårdssystem: Kontraktstandvårdspatienterna hade en signifikant bättre oralhälso-relaterad livskvalitet än Styckepristandvårdspatienterna. Studie IV. I pathanalys med strukturell ekvationsmodellering fanns indikationer på olika underliggande mekanismer i de två systemen. I Styckepristandvård samvarierade patientens uppfattning om vårdgivarens förhållningssätt med den oralhälso-relaterade livskvaliteten: ju mer patientcentrerat förhållningssätt, desto bättre oralhälso-relaterad livskvalitet. Detta samband fanns inte i Kontraktstandvård. Där samvarierade istället hur mycket patienten var beredd att betala för sin tandvård med hur högt hon skattade vårdgivarens förhållningssätt som patient-centrerat: ju mer patienten var beredd att betala, ju högre skattade hon vårdgivaren som patient-centrerad. Detta samband fanns inte i Styckepristandvård. Vad patienten hade betalat för sin tandvård föregående år samvarierade med oralhälso-relaterad livskvalitet i båda tandvårdssystemen: ju mer patienten hade betalat, desto sämre oralhälso-relaterad livskvalitet. Sambandet var dock dubbelt så starkt i Styckepristandvård jämfört med Kontraktstandvård. Sammanfattningsvis fanns det skillnader mellan tandvårdssystemen som hade samband med den oralhälso-relaterade livskvaliteten. Selektionsbias, dvs att olika individer söker sig till olika system, kan inte helt uteslutas, men avsaknaden av multivariata samband mellan exempelvis utbildning, ålder och oralhälso-relaterad livskvalitet indikerar att skillnaderna mellan systemen troligen beror systemfaktorer. Denna konklusion styrktes av att de skillnader som fanns mellan systemen inte var relaterade till bakgrundsvariabler.

    Ladda ner fulltext (pdf)
    Comprehensive Summary
  • 6. Johansson, Veronica
    et al.
    Axtelius, B
    Söderfeldt, B
    Path analyses of patient payment systems and oral health-related quality of life2009Manuskript (preprint) (Övrigt vetenskapligt)
  • 7.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    A path analysis of contract and fee-for-service care2009Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Objectives: In Swedish dentistry, the traditional patient financial system is fee-for-service care (FFS). Since 1999, the public dental health service (PDHS) in the county of Värmland offers an alternative system, contract care (CC). Here, the patient pays a set fee for a fixed period of time, and receives oral health care as specified by a contract, without additional costs. Previously, an association between patient financial system and oral health-related quality of life (OHRQoL) was found. The aim was to model direct and indirect effects with path analysis, to study if there were different underlying mechanisms in the patient financial systems. Material and methods: In 2003, a questionnaire was sent to randomly selected patients enrolled in CC (n=1,200) and FFS (n=1,200) in the PDHS in Värmland. The study was approved by the ethical board in the Southern region of Sweden. Response rate was 57%. Data without internal non-response (n=1,044; CC: 57%, FFS: 43%) were analysed with a multiple group path analysis. The interactions of four variables were of central interest: OHRQoL, the respondents’ perceptions of the dental caregiver’s humanistic (patient-, as opposed to disease-centred) qualities, what the respondents were prepared to pay, and what they had paid for dental care the previous year. Results: The underlying mechanisms in the systems were similar. However, there were differences regarding the central variables: the perceived humanism of the caregiver affected OHRQoL only in FFS, while what the respondents were prepared to pay for dental care was affecting the perception of humanism only in CC. Conclusions: The findings indicated that the perception of the caregiver’s humanistic qualities were important for oral health for respondents in FFS, while financial considerations were important for how the caregiver’s qualities were perceived by respondents in CC. Funding: The study was financed by the Swedish Research Council.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 8.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Malmö högskola, Odontologiska fakulteten (OD).
    Lannerud, Monica
    Malmö högskola, Odontologiska fakulteten (OD).
    Sondell, Katarina
    Department of Odontology, Jönköping, Sweden.
    Financial systems' impact on dental care: a review of fee-for-service and capitation systems2007Ingår i: Community Dental Health, ISSN 0265-539X, Vol. 24, nr 1, s. 12-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective This review covers the impact of financial systems on dental care. Background Remuneration in fee-for-service (FFS) is done per service provided and in capitation (CAP) per patient enrolled. It may be expected that dentists’ incentive in CAP is to keep the number of services provided at a minimum, while in FFS it is to keep the number of services at a maximum. This should lead to a different impact on care, with the dentists in CAP focusing more on prevention and dentists in FFS more on restorative treatment. Six questions were put: Does CAP increase or decrease caries incidence? Does CAP increase or decrease restorative treatments? Does CAP increase preventive care? Does CAP increase or decrease productivity? Does CAP increase or decrease the dentist’s satisfaction with his/her work? Does CAP increase or decrease the patients’ satisfaction with the oral care provided? Methods Literature was obtained through searches in databases. A format was developed to define the literature of interest. Results CAP decreases restorative treatment and there is a tendency of decreased caries incidence. “Supervised neglect” cannot be established. CAP increases preventive care. A conclusion regarding productivity was not possible. The results on dentist’s satisfaction with work were inconclusive, as were the results regarding patient satisfaction. Conclusions CAP has a different impact on provided care than FFS. More research is needed in this area and focus on efficiency is of importance. This review was funded by the Swedish Research Council.

  • 9.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Paulander, Jörgen
    Patients' health in contract and fee-for-service care: a descriptive analysis2006Ingår i: Community Dental Health, ISSN 0265-539X, Vol. 23, nr 3, s. 187-188Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    AIM Fee-for-service, paying afterwards for services provided, is the traditional patient financial system in dentistry in Sweden. The public dental health service (PDHS) in Värmland has since 1999 also an alternative system: contract care, where a fixed sum of money is paid annually for dental care, which is then received without additional cost. This study describes demographic as well as general and oral health-related characteristics among patients in a service study comparing the two patient financial systems, fee-for-service and contract care, in the PDHS in Värmland. METHODS A questionnaire was answered by 1,324 patients (response rate 57%). Of the respondents, 52% were in contract care and 48% in fee-for-service. A non-response analysis and a special study of the non-respondents were undertaken. General health was studied with SF-36, measuring health in eight dimensions: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. Oral health was studied with OHIP-14, measuring oral health in seven dimensions (functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap) and as an index. The demographic factors included gender, age, birth country, marital status, education, and social affinity with neighbourhood and housing area. The data were analysed with contingency tables, Chi-square tests, t-tests, Mann-Whitney non-parametric tests and logistic regression analyses. RESULTS The non-response analysis revealed that the likelihood for answering the questionnaire was higher for women (OR=1.27), for respondents in contract care (OR=1.43) and for each year of life (OR=1.02). A short telephone interview with 40 non-respondents in each financial system indicated that the non-respondents had better oral health than the respondents. The non-respondents had experienced less pain in the mouth, less difficulties doing their usual jobs and had found life more satisfying than the respondents. There were no significant differences in gender or age. In the study population, differences in health were observed between the financial systems. Respondents in contract care had better oral health than those in fee-for-service (p=0.019). They had also better general health in half of the dimensions of SF-36 (physical functioning: p<0.001; role-physical: p=0.002; general health: p<0.001; social functioning: p=0.045), were younger (p<0.001), better educated (p< 0.001), were born in Sweden more often (p<0.001) and were more often married/living with somebody (p=0.011) than were the fee-for-service respondents. The fee-for-service respondents experienced higher social affinity with their housing area (p=0.049). CONCLUSION There was bias in nonresponse. Contract care patients had better general and oral health than patients in fee-for-service. Acknowledgement: The study was financed by the Swedish Research Council.

  • 10.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Malmö högskola, Odontologiska fakulteten (OD).
    Paulander, Jörgen
    Sondell, Katarina
    Multivariate analyses of patient financial systems and oral health-related quality of life2010Ingår i: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 38, nr 5, s. 436-444Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: Since 1999, the public dental health service (PDHS) in the county of Värmland, Sweden, has two co-existing patient financial systems, i.e. ways for the patient to pay for dental care services. Alongside the traditional system of fee-for-service payment, i.e. paying afterwards for provided services, a new system of contract care is offered. In this system, dental care is covered by a contractual agreement, for which the patient pays an annual fee and receives care covered by the contract without additional costs. The aim of this article was to study whether patient financial system was associated with oral health-related quality of life (OHRQoL). Methods: A questionnaire was answered by 1324 randomly selected patients, 52% from contract care and 48% from fee-for-service. The questionnaire contained questions about how much one was prepared to pay for dental care, how much one paid for dental care the previous year, OHIP-14 (measured OHRQoL), dental anxiety, humanism of caregiver, SF-36 (measured general health), multidimensional health locus of control, sense of coherence (SOC), self-esteem and demographics. Data on patient financial system, gender and age were obtained from the sampling frame. The material was analysed with a hierarchical block method of multiple regression analysis. Results: When controlling for all other variables, patient financial system was one of the strongest associations with OHRQoL: patients in fee-for-service had worse OHRQoL than those in contract care. OHRQoL was also associated with general health, SOC and to some extent also with psychological and economic factors. Of the social variables, only being foreign born was significant: it was associated with worse OHRQoL. Conclusions: Patient financial system was associated with OHRQoL when controlling for confounding factors: patients in contract care had better OHRQoL than those in fee-for-service care.

  • 11.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Malmö högskola, Odontologiska fakulteten (OD). Health Services Research Unit, IDI-IRCCS, Rome, Italy.
    Paulander, Jörgen
    Public Dental Health Service in Värmland, Karlstad, Sweden.
    Sondell, Katarina
    Institute for Postgradute Dental Education, Jönköping, Sweden.
    Patients' health in contract and fee-for-service care: I. A descriptive comparison2007Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 31, nr 1, s. 27-34Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fee-for-service care, paying afterwards for services provided, is the traditional adult patient financial system in dentistry in Sweden. The public dental health service (PDHS) in the county of Värmland has since 1999 also an alternative system, contract care. There, a fixed sum of money is paid annually for dental care, which then is received without additional costs. This study compares the demographics, general health and oral health-related quality of life (OHRQoL) in the patient financial systems fee-for-service and contract care in the PDHS in Värmland. A questionnaire was answered by 1,324 patients, response rate 57%. A non-response analysis was undertaken. The non-response analysis showed that the likelihood for answering the questionnaire was higher for women, for respondents in contract care and for increasing age. Further analyses revealed that the non-respondents were healthier than the respondents and that experience of pain in the mouth was the only variable increasing the likelihood of response. General health was studied with the SF-36 and OHRQoL with the OHIP-14. The demographics studied were gender, age, birth country, marital status, education and social network. The results showed that there were differences in patients' health between the patient financial systems. Respondents in contract care had better OHRQoL than those in fee-for-service care. They also had better general health in four of the dimensions of SF-36, were younger, better educated, born in Sweden and were married/living with somebody to a larger extent than fee-for-service care respondents. Fee-for-service care respondents experienced higher social affinity with their housing area. In conclusion, patients in contract care had better general health and OHRQoL than patients in fee-for-service care. There were social differences in choice of financial system and biased non-response.

  • 12.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Sampogna, Francesca
    Malmö högskola, Odontologiska fakulteten (OD).
    Sondell, Katarina
    Contract and fee-for-service care - regression modelling of oral health-related quality of life2007Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    In 1999, the public dental health service (PDHS) in the county of Värmland, Sweden, implemented contract care alongside the traditional patient financial system of fee-for-service care. In contract care, the patient pays a fixed sum annually for dental care and then receives basic dental care without additional costs. Aim The aim was to study the relation between patient financial system and oral health-related quality of life (OHRQoL). Methods In 2003, a questionnaire was sent to 2,400 consecutively selected patients in the PDHS in Värmland, 1,200 from each patient financial system. The questionnaire was answered by 1,324 participants (57% of those who could be reached). The questionnaire contained questions about willingness to pay for dental care, how much one had paid for dental care the previous year, OHRQoL (measured with the OHIP-14), dental anxiety, humanism of caregiver, general health (measured with the SF-36), multidimensional health locus of control, sense of coherence, self-esteem and demographics. Data on patient financial system, gender and age were obtained from the sampling frame. The data were analysed with a block method of multiple linear regression, adding blocks of variables in six steps: financial system, economic factors, individual factors, social factors, psychological factors and health factors. The threshold for statistical significance was set at p≤0.05. Results OHRQoL was affected by the financial system of the respondent: those in fee-for-service care had a worse OHRQoL than those in contract care. OHRQoL was also affected by health, sense of coherence and to some extent by psychological and economical factors. Of the social variables, only being foreign born had a significant effect on OHRQoL. Conclusions OHRQoL was found to be affected by patient financial system. Acknowledgements The study was financed by the Swedish Research Council.

  • 13.
    Johansson, Veronica
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Oral B's Nordic Report on Oral Health: Caries prevalence among children, adolescents and adults, and periodontal conditions among adults in Denmark, Finland, Norway and Sweden2008Rapport (Övrigt vetenskapligt)
    Abstract [en]

    The aim of this report was to compare the oral health in the Nordic countries of Denmark, Finland, Norway and Sweden, from existing national clinical data. The conditions of interest were caries prevalence and periodontal conditions. The groups of interest were children and adolescents up to the age of 19, and adults up to 60 years old. Further, socio-economic and ethnic differences, as well as differences in relation to living area were also of interest. There are indications of similar trends in caries prevalence among children and adolescents in the Nordic countries, with a continuing decrease in caries prevalence during the past 20-30 years, and tendencies of a levelling out at the turn of the century. The WHO goal of a mean DMFT for 12-year-olds at 1.5 or below before the year 2020 (Petersen 2003), is already fulfilled in all four countries. However, it seems there is still work to do to attain the goal of at least 80% caries free 6-year-olds in 2020. The available data do not distinguish differences between urban and rural areas, nor ethnic and socio-economic differences. The most important finding regarding both caries prevalence and periodontal conditions in adults is that there is a lack of national data from Norway and Sweden. Although interpretations should be cautious, there are indications of slightly higher caries prevalence in Finland, compared to Denmark, among adult men. Data on educational level indicate similar patterns of associations between higher levels of education and lower figures of caries prevalence. There is a lack of data on ethnic differences in caries prevalence in adults. There is also a lack of data regarding differences between urban and rural living areas, which only were available for Denmark. The results regarding periodontal conditions indicate that bleeding is widespread in both Denmark and Finland, while both shallow and deep pockets seem to be more common in Finland. Data on educational level indicate similar patterns of associations between higher levels of education and lower prevalence of shallow and deep pockets. There is a lack of data on ethnic differences in periodontal conditions in adults. There is also a lack of data regarding differences between urban and rural living areas, which only were available for Denmark. From the available data, no interpretations regarding aggressive periodontitis, i.e. rapid deterioration of bone loss and periodontal ligaments, nor probability of developing it, can be made. A recommendation for the future is to conduct more national clinical assessments of oral health in adults. National clinical research is needed in order to estimate what actions need to be taken to improve oral health. Without national assessments, political reforms cannot be evaluated and conclusions regarding their effectiveness cannot be drawn.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 14.
    Leisnert, Leif
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Wennerberg, Ann
    Malmö högskola, Odontologiska fakulteten (OD).
    Diagnoses and treatment proposals in periodontal treatment: A comparison between dentists, dental hygienists and undergraduate students2015Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 39, nr 2, s. 87-97Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study is to find out how professionals in Swedish dental care perform diagnostic procedures in general. Is there a common ground between dentists and dental hygienists concerning sharing different job assignments in an effective way? Are the methods of treatment used in accordance with degree of severity of the disease and to what extent is proposed treatment in accordance with the National Guidelines? A questionnaire consisting of three different patient cases with periodontal disease was sent to 804 private practitioners, 809 dentists in Dental Public Service, 802 dental hygienists and 40 dental students on their final semester at the Dental School in Malmo.The questionnaire was completed by 1,103 respondents (47%). A majority of all practitioner groups (94%) found that a relatively healthy patient had disease, the risk for developing further disease was deemed none too low by 97%, but 91% wanted to give preventive care. A vast majority suggested more dental care to healthy patients as compared to patients with severe periodontal disease. In Conclusion the two groups, i.e. dentists and dental hygienists, did not to a sufficiently high degree share views on diagnosis and treatment, in order to optimize the resources in dentistry. The delivery of dental care was not in line with the severity of disease and too much attention was paid to the needs of relatively healthy persons.To change this pattern, the incentives in and structure of the national assurance system could be adapted. Furthermore, the knowledge basis for periodontal diagnosis and treatment needs, with special reference to the National Guidelines, should to a higher degree be shared by all caregivers.

  • 15.
    Sampogna, Francesca
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Abeni, Damiano
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    A multilevel analysis of factors affecting the difference in dental patients' and caregivers' evaluation of oral quality of life2008Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 116, nr 6, s. 531-537Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In a previous study, we observed that the concordance between patients' and caregivers' evaluation of oral health-related quality of life (OHRQoL) was low. The aim of this study was to use multilevel analysis to investigate the possible determinants of the low concordance, taking into account different patients' demographic and clinical variables, the financial system used by patients to pay for dental treatment, and the role of the different caregivers and clinics. The OHRQoL of patients was assessed both by the patients and by their caregivers, using the Oral Health Impact Profile (OHIP)-14. Data were collected in four clinics, and patients were evaluated by one of 27 caregivers. We tested eight multilevel models, using the difference (caregivers OHIP - patients OHIP) as the dependent variable. Data were complete for 432 patients. The mean difference was 4.4 (standard deviation = 8.2; higher scores indicated a higher impact on OHRQoL). The variance due to patients was partly explained by their age, gender, and number of teeth, with a greater OHIP difference for older vs. younger patients, for women than for men, and in patients with fewer teeth. Almost 30% of the variance was due to caregivers, while the effect of clinics was not significant. It is important to study the possible causes of the different judgments concerning patients' OHRQoL by patients and caregivers, in order to improve the patients' satisfaction with care.

  • 16.
    Sampogna, Francesca
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Abeni, Damiano
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    A multilevel analysis of factors affecting the difference in patients’ and providers’ evaluation of oral quality of life2008Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background It is important for dentists and hygienists to evaluate the oral health-related quality of life (OHRQoL) of patients, in order to depict with accuracy the burden of the disease on them, and thus to reach their specific needs. In a previous study, we observed that caregivers tended to overestimate the burden of dental conditions on patients’ life. Aim of the study In the present study, we further analysed those data using multilevel analysis, to investigate the possible determinants of the low concordance between patients’ and caregivers’ evaluation of OHRQoL, taking into account the role of the different caregivers and clinics. Methods This study consisted of a simultaneous assessment of patients’ oral quality of life, performed both by patients themselves and by their caregivers. Data were collected in four clinics, and patients were evaluated by 27 caregivers (15 dentists and 12 hygienists). OHRQoL was measured using the OHIP-14, that contains measures of physical, psychological and social abilities, general physical function, ability of speech and eating, symptoms of pain and discomfort, and appearance and social embarrassment. We tested eight multilevel models, using the OHIP difference as the dependent variable. In each model, the variance for the fixed effect (i.e., the levels) and the random effects (i.e., the intercept and other variables) was estimated. Results Data were complete for 432 patients. The mean difference between the caregivers’ OHIP and the patients’ OHIP was 4.4 (SD=8.2). The variance due to patients was partly explained by their age (higher OHIP difference in elderly vs young patients), gender (higher OHIP difference in women vs men), and number of teeth (higher OHIP difference in patients with less teeth). Almost 30% of variance was due to caregivers, while the effect of clinics was not significant. Conclusions The differences in caregivers’ evaluation could depend on the different caregivers’ experience, or their personal ability to empathize with the patient, or at least in part descend from different conceptual models of dental disease among caregivers. It is important to study the possible causes of the different judgments concerning patients’ OHRQoL by patients and caregivers, in order to improve the patients’ satisfaction of care, and to help patients to reach a well-informed decision about the treatment. Acknowledgement. The study was supported by the Swedish Research Council. DA is supported, in part, by funds from the "Progetto Ricerca Corrente" of the Italian Ministry of Health, Rome, Italy.

  • 17.
    Sampogna, Francesca
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Johansson, Veronica
    Malmö högskola, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Abeni, Damiano
    Health Services Research Unit, Istituto Dermopatico dell’Immacolata IDI-IRCCS, Rome, Italy.
    Söderfeldt, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Quality of life in patients with dental conditions: comparing patients' and providers' evaluation2009Ingår i: Community Dental Health, ISSN 0265-539X, Vol. 26, nr 4, s. 234-238Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. To measure the agreement between patients and their caregivers in evaluating patients’ oral quality of life. Basic research design. Cross-sectional study. Clinical setting. Data collected in four Swedish dental clinics in 2004. Participants. Consecutive patients. Data were completed for 444 patients. Fifteen dentists and 12 dental hygienists agreed to participate. Interventions. For each patient, the patient him/herself and his/her caregiver completed the 14-item Oral Health Impact Profile (OHIP-14), a specific instrument used to measure quality of life in oral conditions, with higher scores indicating a worse quality of life. Information on personal and clinical characteristics of patients were also collected. Main outcome measures. Median OHIP-14 scores given by caregivers and patients were calculated and compared in different subgroups of patients. Cohen’s kappa was calculated to measure the agreement between the evaluation of patients and caregivers. Results. OHIP-14 scores median values were 3.0 among patients and 9.0 among caregivers. Caregivers always gave a higher score than patients, especially in older patients and patients with lower education. The concordance between patients’ and caregivers’ evaluation was very low (for different OHIP-14 cutoffs: Cohen’s kappa from 0.10 to 0.15). Conclusions. In this study, great discrepancies were observed between patients and caregivers in the evaluation of patients’ oral quality of life, with caregivers overestimating the burden of dental conditions on patients. It is important to improve patient-caregiver communication, in order to increase patient satisfaction and provide better care. A good patient-caregiver relationship is essential for the patients’ well-being and their adherence to treatment.

1 - 17 av 17
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf