Læknablaðið - 01.03.2017, Blaðsíða 26

134 LÆKNAblaðið 2017/103
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ENGLISH SUMMARY
Introduction: Most GPs in Iceland are public employees on fixed
salaries which is very different from their Norwegian colleagues. The aim
of this study was to explore the experience of Icelandic GPs who have
also worked as GPs in Norway and compare their experience of working
in these two neighboring countries.
Material and methods: Data were collected through interviews with 16
GPs that during the study period 2009-2010 were all working in Iceland.
Two to ten years had passed since their return from Norway. We used
qualitative methodology, the Vancouver-School of doing phenomen-
ology. This methodology seeks to increase understanding of human
phenomena for the purpose of improving healthcare services.
Results: The doctors discussed the benefits of the different systems of
delivering medical services. They saw the advantages of the Norwegian
healthcare system mostly in that all Norwegians have their own GP, thus
achieving a good overview of the health problems of each individual.
The GPs are gatekeepers for medical services which potentially reduces
duplication of medical services. The participants also noted more effici-
ent medical services in Norway than in Iceland. What characterizes
Icelandic healthcare outside the hospital from their perspective is direct
patient contact with specialists without referrals from GPs and incomp-
lete registration system of patients and much use of emergency services
in Iceland.
Conclusion: Participants agreed upon stronger primary healthcare
system in Norway compared to Iceland. Moreover, a good job situation
in primary care is needed in Iceland to appeal to junior doctors. When
changes are made to the Icelandic healthcare system it is important
to acknowledge the experience of neighboring countries in terms of
advancing health care system reforms.
General practice in Iceland and Norway: GPsˡ experience of different primary health care systems
Héðinn Sigurðsson1,4, Sunna Gestsdóttir2, Kristján Guðmundsson3, Sigríður Halldórsdóttir4
1Glaesibaer Health care centre, 2School of Education, University of Iceland, 3Reykjalundur rehabilitation centre, 4School of Health Sciences, University of Akureyri.
Key words: general practitioner, primary care, job situation, health service research, qualitative research.
Correspondence: Héðinn Sigurðsson, hedinn.sigurdsson@heilsugaeslan.is
R A N N S Ó K N
• Marktækt betri árangur við að hætta
að reykja en með notkun búprópíons,
nikótínplástra (21 mg) eða lyfleysu í
vikum 9-12 og vikum 9-241
• Ekki marktækt aukin áhætta á
taugageðrænum aukaverkunum*
samanborið við notkun lyfleysu við
að hætta að reykja, óháð sögu um
geðraskanir1
• Hjálpar til við að hætta að reykja með
því að hindra verkun nikótíns og draga
úr þörf fyrir reykingar2,3,4
• Þolist vel og hentar flestum
fullorðnum reykingamönnum sem vilja
hætta að reykja1,3
Hætt að reykja: Bentu
sjúklingum þínum á árangur
meðferðar með CHAMPIX®
Nikótínlaus leið til
að hætta að reykja 3
Fylgstu með reynslu sjúklinga þinna,
svo þú sjáir árangurinn
Ábending: Notað hjá fullorðnum til að hætta reykingum3.
Upplýsingar um CHAMPIX® (vareniclin) er að finna í blaðinu.
Heimildir:
1. Anthenelli RM, et al. Lancet 2016, 22. apr. doi: 10.1016/S0140-6736(16)30272-0 [Rafræn útgáfa áður en prentuð útgáfa kom út]. 2. Jorenby DE, et al. JAMA 2006;296:56-63. 3. CHAMPIX Samantekt á eiginleikum
lyfs, júlí 2016. 4. West R, et al. Psychopharmacology 2008;197:371-377. 5. Pisinger CH. Behandling af tobaksafhængighed - Anbefalingar til en styrket klinisk praksis. 2011 Sundhedsstyrelsen.
*16 meðalalvarlegar og alvarlegar taugageðrænar aukaverkanir, þ.m.t.: kvíði, þunglyndi, óeðlileg líðan, fjandsamleg hegðun (teljast mjög alvarlegar aukaverkanir), æsingur, árásargirni, ranghugmyndir, ofskynjanir,
manndrápshugsanir, oflæti, ofsahræðsla, vænisýki, geðrof, sjálfsmorðshugsanir, sjálfsmorðshegðun og sjálfsvíg (teljast meðalalvarlegar eða alvarlegar aukaverkanir).
PF
I-1
6-
12
-0
1

PP
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H
M
-D
N
K-
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