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Biomedical subjects

I M Lunde

Publications and source records attributed to I M Lunde.

13 recordsLinked to original sources
PubMed1997

[The health project Ebeltoft: health check ups and discussions in general practice. Basic data from a 5-year, prospective, randomized, controlled population study].

A study was carried out to investigate people's interest in participating in health check-up and in discussions about health with their own general practitioner, participants' health status, the proportion who received health advice following health check-up, and the lifestyle goals they set following discussion with their general practitioner. This study reports the baseline data from a five-year randomized, controlled, prospective, population-based study in general practices in Ebeltoft, Denmark. All general practitioners from the four practices in Ebeltoft and a random sample of 2,000 people aged between 30 and 50 years were invited to participate. Participants were randomly divided into three groups-one control group and two intervention groups. One intervention group was given a health check-up which included a range og tests (Table 2 and 3); this group received written feedback from the general practitioner. The other intervention group was also given a health check-up and written feedback, in addition, they were given the opportunity to attend their general practitioner to discuss health-promoting measures. A total of 1370 people participated in the study (69% response rate). Health advice was given to 76% of 905 participants following health check-up. Almost all of the 456 participants (96%) who were offered the opportunity of discussing their health with their general practitioner took up the offer: 64% of the 456 participants reported that they had decided to undertake lifestyle changes. Eleven of those who discussed their health with the doctor were referred to a specialist (2%). There was considerable interest in participating in health promotion. Three out of four of those who had a health check-up were given health advice. Two out of three of those who were offered a health talk with the general practitioner appeared willing to make relevant lifestyle changes. Longterm follow up is needed to determine effects and side effects of health check-up and health talks.

Adult↗
PubMed1997

[The need for humanistic research in medicine].

The need for humanities in medicine is often discussed these years. Results from qualitative studies are now published in many medical journals. This article describes some characteristics of qualitative research and presents its theoretical basis. To give a better understanding of the qualitative research process, it is here compared with the clinical process. This analogy is reasonable because the qualitative researcher just as the clinician performs data collection and data analysis during the same process. The most important aspect of qualitative research is not "to measure" but "to understand" something. And understanding is created through concepts that makes phenomena and events "conceivable". The conceptual work in qualitative research is of great importance. The relation between traditional medical research and medical humanities is such that we need both, because the one cannot solve the others' tasks, and vice versa. It is worth while remembering that an engagement in the one research area does not exclude respect for the other research areas' potential and value.

Humanities↗
PubMed1995

[Focus group interview as a qualitative research method].

Focus group research is a qualitative method with interesting properties. It is performed by planned discussion and interview with a small group of people conducted by a moderator. The participants are sampled from the study population. The aim is to obtain knowledge of the participant's considerations and ideas on a specific topic. The method is feasible in illuminating the variation of viewpoints held in a population. It is used as a single source of data or in combination with other methods. As the method provides data in a social context it is used as an alternative to individual interviews, when appropriate, or in the initial development of a questionnaire. The focused interviews is feasible in methodological triangulation or when other methods are suboptimal. Focus group interviews is considered to be of value in health research.

Focus Groups↗
PubMed1995

Ebeltoft project: baseline data from a five-year randomized, controlled, prospective health promotion study in a Danish population.

BACKGROUND: There is increasing political pressure on the medical profession to approach welfare diseases, such as coronary heart disease and diabetes, through prevention. General practitioners are required to offer regular health checks to healthy people, in spite of the lack of scientific evidence for the universal need, usefulness and side effects of such an intervention. Randomized controlled trials are needed. AIM: A study was carried out to investigate people's interest in participating in health checks and in discussions about health with their own general practitioner, participants' health status, the proportion who received health advice following health checks, and the lifestyle goals they set following discussion with their general practitioner. This study reports the baseline data from a five-year randomized, controlled, prospective, population-based study in general practices in Ebeltoft, Denmark. METHOD: All general practitioners from the four practices in Ebeltoft and a random sample of 2000 people aged between 30 and 50 years were invited to participate. Participants were randomly divided into three groups--one control group and two intervention groups. One intervention group were given a health check which included being screened for cardiovascular risk factors, lung and liver function, fitness, sight and hearing and an optional test for the human immunodeficiency virus (HIV); this group received written feedback from the general practitioner. The other intervention group were also given a health check and written feedback; in addition, they were given the opportunity to attend their general practitioner to discuss preventive health. RESULTS: A total of 1370 people participated in the study (69% response rate). Health advice was given to 76% of 905 participants following health checks. Almost all of the 456 participants (96%) who were offered the opportunity of discussing their health with their general practitioner took up the offer; 64% of the 456 participants reported that they had decided to undertake lifestyle changes. Eleven of those who discussed their health with the doctor were referred to a specialist (2%). CONCLUSION: There was considerable interest in participating in health promotion. Three out of four of those having a health check were given health advice. Two out of three of those offered a health talk with the general practitioner appeared willing to make relevant lifestyle changes. Long-term follow up is needed to determine effects and side effects of health checks and health talks.

Adult↗
PubMed1993

Patients' perceptions--a shift in medical perspective.

Based on an empirical study in general practice, patients' perceptions and a fundamental shift in medical perspective are described. The research material was collected in a prospective interview-study that included 13 general practitioners and 35 patients (24 female and 11 male). Patients and doctors were interviewed before and after the consultation. A semistructured schedule was followed, and all 175 interviews were performed by the investigator, and taped. A patient-perception-model of health, based on the analysis of the interviewdata, became the framework for describing the complexities of illness experiences. The coupling of viewpoints revealed that patients and doctors live in different conceptual worlds. Often they did not know the extent to which their perceptions were different, nor why. The aspects of disease that lie outside the biomedical field have not hitherto been of great interest in medical research. However, our ability to act on the humanistic dimensions in everyday clinical settings depends on knowledge about these as well. Medical human science research may give us new conceptions and theories in this complex territory.

Adult↗
PubMed1993

[Integration of the patient's viewpoint in quality assessment--a new method].

Attempts at evaluating the health services are characterised by the multiplicity of methods used to assess diagnosis, treatment and care--e.g., compliance investigations, consensus and audit methods, and methods that include evaluation by patients. By means of triangulation methods both medical and consumer perspectives can be included in the evaluation.

Denmark↗
PubMed1991

[Medical humanistic research, fields and methods].

Medical research, which attempts to analyse the numerous aspects of human disease which cannot be investigated scientifically, is at present in a phase of clarification. It is argued that the term "medical humanistic research" is a more adequate term for research into the aspects of human disease within a human scientific tradition than e.g. "qualitative research". The fields of research, methods of collecting data and the various theoretical bases and disciplinary roots of the methodological aspects are discussed. New methodological possibilities are mentioned and the weaknesses and sources of error are indicated. Finally, reflections concerning the future prospects of medical humanistic research in the medical profession are made. The problem is not only the current medical scientific research but, on the other hand, the extent to which the continued medical disciplinary development in scientific understanding is desired. Is possible new structured knowledge about human understanding, feelings, volition and desires which are associated intensely with every medical activity to be abandoned?

Humanism↗
PubMed1990

[Can prevention be hazardous to health?].

Health-promotion/disease-prevention may--despite the best intentions--have mischievous effects and overlooked ethical implications. This article describes some consequences of health promotion when initiated by the medical profession as medicalization of the modern human being, problems with false test-results, iatrogenic disease, and the risk of "victim blaming". The responsibility of the medical profession includes the well-being of healthy people as well as the actually or future sick. Therefore, health promotion has to be based on the values and informed consent of the healthy part of the population.

Attitude to Health↗