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Hogne Sandvik

Publications and source records attributed to Hogne Sandvik.

4 recordsLinked to original sources

Validity of the incontinence severity index: comparison with pad-weighing tests.

The incontinence severity index (ISI) consists of two questions, regarding frequency and amount of leakage. It categorizes urinary incontinence (UI) into slight, moderate, severe, and very severe. The purpose of this study was to test its validity. The index was compared with the results of pad-weighing tests performed by 200 incontinent women referred to a hospital clinic and 103 at a primary care incontinence clinic. Inconvenience was scored by a six-level Likert scale. Mean pad-weighing results (grams per 24 hours, 95% confidence intervals) were 7 (4-10) for slight, 39 (26-51) for moderate, 102 (75-128) for severe, and 200 (131-268) for very severe UI. Spearman's correlation coefficient for pad-weighing results and severity index was 0.58 (p<0.01), and inconvenience increased significantly with increasing severity. The ISI demonstrated good criterion validity against 24-h pad tests. Good construct validity was indicated by a clear link between ISI and inconvenience.

Female↗

[Telephone accessibility in general practices].

BACKGROUND: We wanted to chart telephone accessibility in 100 randomly selected general practices in Norway and to define a standard against which others could compare themselves. MATERIAL AND METHODS: During one week, the telephone company recorded all calls to each practice and how many were answered, unanswered, or blocked. Mean waiting time for answer and mean conversation time were also registered. Each practice received a report, comparing its own results to those of other practices. An accessibility index was calculated by dividing the percentage of answered calls with mean holding time on the line (waiting time plus conversation time). Background variables about the practices were collected by questionnaires. RESULTS: There were 266 calls (95 % confidence interval 219 - 312) per week per 1000 patients on the list. 66 % (61 - 71) were answered. Mean waiting time was 25 seconds (20 - 30), conversation time 119 seconds (111 - 127). It is estimated that 7.0 calls (6.4 - 7.5) are answered per patient on a list per year. The accessibility index showed large variations, mostly independent of background variables. INTERPRETATION: Compared with earlier registrations, telephone accessibility has improved despite a strong increase in traffic. Structural aspects of the practices do not explain the variation in telephone accessibility; interest and attitudes are probably just as important.

Family Practice↗

Attitudes to family practice registration programmes. Survey of Korean and Norwegian family doctors.

BACKGROUND: In order to save money and improve continuity, many countries plan to introduce registration programmes and capitation. OBJECTIVE: The aim of this study was to explore family doctors' attitudes towards such programmes. METHODS: Random samples of board-certified Korean family doctors (n = 205) and Norwegian general practice specialists (n = 257) were included in a postal survey using a structured questionnaire with visual analogue scales. Main outcome measures were demographic characteristics, practice types, workload, level of agreement with 10 statements and explanatory variables for the principal attitude towards a registration programme (regression analyses). RESULTS: Overall response rate was 79%. Nineteen per cent [95% confidence interval (CI) 14-23%] of Norwegian and 96% (95% CI 93-99%) of Korean doctors were solo practitioners. Korean doctors reported 388 (95% CI 359-418) consultations per week and Norwegian doctors 83 (95% CI 80-87). Satisfaction with their present organization was lower in Korea (50%, 95% CI 46-53%) than in Norway (71%, 95% CI 68-74%). Korean doctors were more in favour of a registration programme (70%, 95% CI 66-73%) than Norwegian doctors (57%, 95% CI 53-61%). Main explanatory variables for being in favour of a registration programme were increased continuity (beta 0.495, P < 0.001) and dissatisfaction with the present system (beta -0.212, P < 0.001). In Korea, the prospect of more comprehensive care (beta 0.440, P < 0.001) and a positive attitude towards gatekeeping (beta 0.193, P < 0.001) were strong predictors, while Norwegian doctors favour a registration programme if it will not increase their workload (beta -0.166, P < 0.01). CONCLUSION: Regardless of nationality, most family doctors favour a registration programme.

Attitude of Health Personnel↗