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Biomedical subjects

Grethe Hellstrøm Hoddevik

Publications and source records attributed to Grethe Hellstrøm Hoddevik.

5 recordsLinked to original sources
PubMed2005

[Diagnosis versus code].

BACKGROUND: As a result of information about coding practice in a regional hospital, the Norwegian Board of Health carried out a special supervision of ear, nose and throat (ENT) departments and neurological departments during the autumn of 2003 and the spring of 2004. The aim was to investigate whether there was accordance between information in the patient records and the chosen diagnoses and codes. MATERIAL AND METHOD: Three hospitals were examined. Information in 100 selected patient records from each department was compared with diagnoses and codes. The codes reported to the Norwegian Patient Register (NPR) from two hospitals were compared with codes in the patient records. RESULTS: Incorrect diagnoses had been systematically recorded in one ENT department. Incorrect codes had been recorded in all the departments, especially the neurological departments. Many inconsistencies between codes in the patient records and those reported to NPR were found. INTERPRETATION: Wrong diagnoses were seldom made, but many diagnoses were unprecise because only ICD-10 diagnoses were used. The rules of coding hospital stays were frequently not used. Many of the codes reported to NPR had been altered, without medical basis and without being noted in the patients' records.

Diagnosis-Related Groups↗
PubMed2004

[Physicians with substance abuse problems].

BACKGROUND: This article provides information about the extent and characteristic features of physicians' abuse of alcohol and drugs and the Norwegian Board of Health's reaction in such cases. MATERIAL AND METHOD: All cases of physicians abusing alcohol or drugs in 1998, 1999 and 2000, a total of 36, were analysed according to predetermined parameters. RESULTS: Most of the physicians were men around fifty working in primary health care and with more than ten years' experience after authorization. Habit-forming drugs were used more often than alcohol. The usual type of problem was self-medication and self-prescription. 83% admitted that they had a problem when confronted with it. Employers gave no sanctions in 40% of the cases and less than 5% of the physicians were dismissed. The Norwegian Board of Health withdrew authorization in 41% of the cases. INTERPRETATION: The professional burdens on physicians combined with personal risk factors may be a cause of addiction. In most cases employers do not address the problem. The Norwegian Board of Health uses withdrawal of authorization more often than milder reactions. The chances of getting the authorization back are small.

Adult↗