Helsebibliotekets Research Archive
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Høyspesialisert medisin. Hvordan bør oppgavene fordeles?
No full textNorway has four million inhabitants and five university hospitals, each serving one health region. The authors describe the work of a governmental medical committee, whose mandate is to advise on where to locate the various highly specialized medical services. Important questions have been the relationship between experience and quality, and the desire of each university clinic to be able to provide treatment within its own region for most health problems. Their reasons are concern about research and specialist training, and the preference of patients for treatment near to home. A list of proposed national and over-regional centers for certain treatments has been prepared on the basis of the experts' report and comments from all university clinics. These recommendations have provided a medical basis for later economic and political analyses prior to final decision by the Government. Norwegian legislation permits strong governmental regulation of the highly specialized health services
Barn med bronkial obstruksjon i allmennpraksis. Behov for bedre oppfølging.
No full textEarly diagnosis and adequate follow-up routines are important in giving children with bronchial asthma good care and treatment. The aim of this study was to evaluate how children with bronchial obstruction and possible asthma were detected and treated in general practice. Children with bronchial obstruction (78) were registered in two municipalities in Nord-Trøndelag county, Norway. The data were supplemented by data from children with asthma (392) describing the situation before they received the diagnosis. In regard to frequency of symptoms and symptoms without infection, too few reported having bronchial asthma. Most children with repeated contacts because of bronchial obstruction had been examined by different doctors, and only seldom was a follow-up appointment made. Not all children with bronchial asthma had been referred to a paediatrician. The study shows that follow-up routines for children with bronchial obstruction are inadequate
Gode leger - hvordan blir studentene det?
No full textGood medical practice requires the amalgamation of two worlds, the world of medical science and the world of sick people. Medical science has seen unbelievable progress, but criticism from patients has nevertheless increased. There is also an increasing gap between the direction of medical science and sick people's problems. The curriculum needs reforming in most medical schools. But the teachers are probably more important than the curriculum. The teachers, at least a few of them, should serve as role models and influence the students for life. I describe my three role models as an illustration. The medical schools must therefore work along two lines, they must reform the curriculum and make the teachers good role models
Legehelikopter i fjellbygder. Evaluering av ett års drift av Dombåsbasen
No full textOn 1 January 1988 the Norwegian Air Ambulance Plan was put into effect. The operational base for the regional counties Oppland, parts of South Trøndelag, Møre and Romsdal and Hedmark was established in the township of Dombås. The base had a helicopter staffed with a specialist in emergency medicine. The operation of this base was evaluated for the period 1 February 1988 to 1 February 1989. 242 missions were undertaken. In 27 of 184 primary missions (15%) and in 11 of 32 secondary missions (33%) the service was judged to have given health benefit. It may have prevented the death of 13 patients. The service costs during the year were approximately NOK 10 million. The cost-benefit ratio is judged to be too high. In inland-Norway, with a widely scattered population, it is probably better to improve the quality of the emergency services offered by general practitioners and ordinary road ambulances than to use a helicopter staffed with a specialist in emergency medicine