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R Førde

Publications and source records attributed to R Førde.

At least 19 recordsLinked to original sources
PubMed1996

[General practitioners, community physicians and hospital physicians--how different are they?].

In 1993, 9,226 practising physicians in Norway received extensive questionnaires about their health, working and living conditions. In this article we compare municipality employed community physicians (n = 972), general practitioners in private practice (n = 869), and hospital physicians (n = 3,160) with regard to demographic variables and their experience of stress, professional autonomy and job satisfaction. General practitioners report higher job satisfaction and more autonomy than community and hospital physicians, whereas community physicians seem to have a somewhat higher stress level than the two other categories. The experience of general well being, however, is the same in the three groups. General practitioners also spend more time with patients, and are much more satisfied with their income.

Burnout, Professional↗
PubMed1996

Inclusion of psychosocial conditions in clinical practice and the problem of medicalization.

It is generally accepted today that the biomedical model's exclusive focus on the patient's somatic condition is too narrow. The biomedical model, however, has additional shortcomings. In the first place, resources are left out of the diagnostic perspective. Secondly, the automatic interpretation of symptoms and deviations from normal as present or potential threats to the individual's health. In this paper it is claimed that these characteristics of the biomedical model can lead to medicalization. To elucidate these claims, an alternative approach to antenatal care, is presented in which the psychosocial conditions of pregnant women are integrated. Some practical problems that follow from this approach are discussed.

Adaptation, Psychological↗
PubMed1994

[Prioritization of fertilization in vitro--a systematic analysis].

Who should be offered medically assisted conception treatment within a public health care system? This article discusses medical and ethical selection criteria in relation to general political guidelines for prioritization. Our tentative conclusion is that it is possible to differentiate between groups of patients according to disease criteria, the severity of disease, medical efficacy and cost-efficiency. We note that there is a great need for data to enable well-founded decisions when prioritizing applicants for in vitro fertilization within a public health care system.

Cost-Benefit Analysis↗
PubMed1994

[Children and health. A questionnaire survey of 12-year-old children].

Medicalization, implying that solutions to everyday or existential problems are being sought within the framework of the health care system, seems to be increasing. Morbidity has been related to socioeconomic status. This study aims at finding out how children perceive their own health condition and whether this is related to socioeconomic conditions. 192 pupils aged 12 years from a rural district and from two districts of Oslo with different socioeconomical conditions reported their health condition during the last school term by means of a questionnaire. There was a high prevalence of complaints from the children. 33% reported insomnia, and 14% had frequent episodes of headache. Nearly 50% reported the presence of one or more chronic diseases. The health problems were not related to gender or nationality. Except for dental health, we found no relation between reported sickness and the children's socioeconomic background.

Child↗
PubMed1993

[Do we need new guidelines on iron supplementation during pregnancy?].

Studies have shown that the present official Norwegian recommendations on iron supplementation during pregnancy are not followed. A meeting was arranged in February 1993 to discuss the need to change the recommendations. The article describes the conclusions of the panel. It was proposed that the iron status of the pregnant woman, determined as serum ferritin concentration, should be measured early (before the 15th week of gestation) and iron supplement should be given as selective prophylaxis based on the serum ferritin level. The Directorate of Public Health has been asked to issue new recommendations.

Female↗
PubMed1993

[Pregnancy and iron supplementation--are the official guidelines followed?].

In the present study we have examined to what extent the national recommendations concerning iron supplements during pregnancy are being followed. 222 women in childbed were interviewed within one week after delivery concerning their intake of iron and other dietary supplements. We found that no more than 1/4 of the women were using iron supplements according to the national recommendations and that the advice given by doctors, midwives or public health nurses varied considerably. 70% of the women were recommended to take iron supplement, but no more than 66% of them were given specific advice as to which iron preparation they should take, or in what doses. The specific advice that was given varied. 93% of the women who were advised to take iron supplement followed this advice. More women took low-dose iron preparations, while more doctors recommended high-dose preparations. Only 30% of the women thought that iron supplement is vital for all pregnant women. We also found that many of the women (59%) took one or more dietary supplements, alone or in addition to iron.

Female↗
PubMed1993

Clinical assessment of pregnant women's psychosocial conditions, prematurity and birth weight.

OBJECTIVE: To seek a relation between pregnant women's psychosocial condition, assessed clinically in general practice, and prematurity and birth weight of the child. DESIGN: Clinical assessment early and late in pregnancy of psychosocial condition based on all accessible information, which included an extended history on psychosocial condition supplemented by background information about the woman and her social network and clinical observations. SETTING: Antenatal care in a general practice. RESULTS: The women assessed as having psychosocial difficulties were younger, had less education, and gained less weight in pregnancy. Birth weight was related to parity, body mass index before pregnancy, and total weight gain in pregnancy. A relationship was found between difficult psychosocial conditions and prematurity and low birth weight of the child. If the assessment of psychosocial condition had been based on the women's verbal descriptions of their problems alone, no relationship would have been found between psychosocial difficulties and prematurity and birth weight of the child. CONCLUSION: A clinical assessment of a woman's psychosocial condition, in which all accessible information is used, and an emphasis on emotional and social support for women when needed, may be necessary for improvement of antenatal care.

Adaptation, Psychological↗
PubMed1992

Pregnant women's ailments and psychosocial conditions.

Pregnant women's ailments may cause anxiety and reduce the quality of life. Sixty-five pregnant women were followed prospectively in antenatal care in general practice, and spontaneously reported ailments not associated with serious pregnancy complications were registered prospectively. The vast majority of pregnant women spontaneously reported one or more ailments. A higher number of ailments was reported by women with psychosocial problems and heavy physical work. Abdominal pain was more often reported by women assessed as having psychosocial problems. Based on background knowledge, clinical observations and a somewhat extended history on the psychosocial situation, it is possible to identify a subgroup of women who experience a more than 50% increase in the frequency of such ailments. Reporting of a high number of ailments in antenatal care may provide the clinician with important clues regarding need for psychosocial support.

Abdominal Pain↗