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Nystrøm, Vivian; Lurås, Hilde; Moger, Tron Anders & Leonardsen, Ann-Chatrin Linqvist
(2023).
Patient experiences and clinical outcomes of admissions to municipal acute wards versus a hospital.A multicenter randomised controlled trial in Norway.
.
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Nystrøm, Vivian; Lurås, Hilde; Moger, Tron Anders & Leonardsen, Ann-Chatrin Linqvist
(2023).
Finding good alternatives to hospitalisation.A data register study in five municipal acute wards in Norway.
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Nystrøm, Vivian; Lurås, Hilde; Midlov, Patrik & Leonardsen, Ann-Chatrin Linqvist
(2023).
Tenk om det skjer noe i natt?
Kommunale legers erfaringer med å henvise pasienter til kommunale akutte døgnenheter.
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Leonardsen, Ann-Chatrin Linqvist; Werner, Anne; Lurås, Hilde & Johannessen, Anne-Kari M.
(2022).
Bedre kommunikasjon kan styrke pasientforløpet for eldre.
Dagens medisin.
ISSN 1501-4290.
-
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Strømsvik, Nina; Olsson, Pernilla Marie A.; Gravdehaug, Berit; Mæhle, Lovise Olaug; Lurås, Hilde & Schlichting, Ellen
[Vis alle 11 forfattere av denne artikkelen]
(2021).
Breast Cancer Patients' Experiences with Mainstreamed Genetic Testing in Two Hospitals in South Eastern Norway - Preliminary results.
Vis sammendrag
Background: In South Eastern Norway, genetic testing of BRCA1 and BRCA2 is mainstreamed into regular oncological care. Testing is offered directly to breast cancer (BC) patients by surgeons and oncologists. Only patients who test positive for a pathogenic BRCA variant or have a family history of cancer, are referred to genetic counseling. The aim of this study was to gain knowledge on how BC patients experience this health care service.
Methods: Thirty women, diagnosed with BC during the first half of 2016 or 2017 at one regional and one university hospital, and who had been tested by their treating physician were invited.. Twenty two (73%) consented to inclusion, and qualitative individual interviews were undertaken with all of them. The data were analysed using a thematic approach.
Results: Being diagnosed with BC was a shock that created a need for and an obstacle to absorbing and remembering information. A feeling of trust in the health care providers facilitated communication in this chaotic period. The women regarded genetic testing as important for themselves, their cancer treatment and their relatives. The participants’ experience of how genetic testing was offered, the amount of information they received and how they had received the test result varied. Not all patients had been offered testing, and some had asked for the test themselves. The participants emphasized the importance of having routines to secure that all eligible patients were given the opportunity of being tested.
Conclusions: Based on the findings in this qualitative study of BC patients’ experience with mainstreamed genetic testing, we conclude that access to testing during diagnosis and treatment had been important to these women. Their varied experiences regarding when and how they had been offered testing indicate that there may be a need to strengthen and unify routines for this health care service.
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Werner, Anne; Lurås, Hilde & Johannessen, Anne-Kari M.
(2019).
Skadelig alkoholbruk hos (eldre) pasienter: et fortiet tema i sykehus? .
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Aae, Tommy Frøseth; Randsborg, Per-Henrik; Lurås, Hilde; Årøen, Asbjørn & Lian, Øystein Bjerkestrand
(2017).
MIKROFRAKTUR VERSUS AUTOLOG CHONDROCYTTIMPLANTASJON
– EN KOSTNADSEFFEKTIV ANALYSE.
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Holm, Anne Guro Vreim; Lurås, Hilde & Randsborg, Per-Henrik
(2016).
Helseøkonomiske vurderinger av polikliniske
kontroller ved frakturer i overekstermiteten
hos barn. Koster det mer enn det smaker?
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Ringard, Ånen; Tveter, Ellen C; Lurås, Hilde & Ingebrigtsen, Tor
(2013).
The impact of health care reform on quality and patient safety in Norway.
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Iversen, Tor & Lurås, Hilde
(2007).
The impact of quality perception on patients switching physicians in a list patient system.
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Gulbrandsen, Pål; Lurås, Hilde & Vendshol, Turid
(2006).
A study of the integration of a primary care emergency ward and a hospital emergency unit.
Socialmedicinsk Tidskrift (SMT).
ISSN 0037-833X.
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Iversen, Tor & Lurås, Hilde
(2006).
The impact of service provision on patient switching in a list patient system.
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Iversen, Tor & Lurås, Hilde
(2006).
The impact of service provision on patient switching in a list patient system.
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Lurås, Hilde
(2004).
Hva vet vi om inntektsmotivert adferd blant allmennleger?
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Godager, Geir & Lurås, Hilde
(2004).
The effect of patient shortage on the GPs' involvement in the community health service.
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Lurås, Hilde & Godager, Geir
(2004).
The effect of patient shortage on the GPs' involvement in the community health service.
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Lurås, Hilde
(2004).
Choosing a GP. Experiences from the implementation of a listpatient system in Norway.
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Lurås, Hilde
(2003).
Hva bestemmer befolkningens valg og tildeling av fastlege?
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Lurås, Hilde
(2003).
Fastlegeordningen: De fleste fikk den de ville ha.
Samfunnsspeilet : Tidsskrift om levekår og livsstil.
ISSN 0801-7603.
s. 2–11.
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Lurås, Hilde
(2003).
Individuals' preferences for GPs. Choice analysis from the establishment of a list patient system in Norway.
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Lurås, Hilde
(2003).
Individuals' preferences for GPs. Choice analysis from the establishment of a list patient system in Norway.
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Lurås, Hilde
(2003).
Individuals' preferences for GPs. Choice analysis from the establishment of a list patient system in Norway.
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Finnvold, Jon Erik & Lurås, Hilde
(1998).
Longitudinal and personal continuity of care in general practice.
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Iversen, Tor & Lurås, Hilde
(1998).
The interaction between patient shortage and patients' waiting time in general practice.
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Iversen, Tor & Lurås, Hilde
(1996).
Do economic constraints influence the provision of health services in general practice.
Vis sammendrag
We study GPs¿ choice of optimal service provision under alternative
payment systems. When there is fee per item component in the payment
system we show that phycisians who experience a shortage of patients,
are likely to have a more service intensive practice style than their
unconstrained colleagues. Data from the Norwegian capitation experiment
is used to test the hypothesis. We find that physicians with shorter
individual lists than they wished to have when the experiment started,
had a larger income per person enlisted than their unconstrained
colleagues. There are, however, important modifications.
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Brekke, Kjell Arne; Bruvoll, Annegrete; Lurås, Hilde & Nyborg, Karine
(1993).
Nytte-kostnadsanalyser og miljøprising. En moralfilosofisk kritikk.
Sosialøkonomen.
ISSN 0038-1624.
7/8,
s. 8–15.
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Iversen, Tor & Lurås, Hilde
(2008).
Patient switching in a list patient system.
Health Economics Research Programme at the University of Oslo.
ISSN 82-7756-187-3.
2008(4).
Vis sammendrag
We study whether the information patients have about physician quality when they choose a
physician, influences their probability of switching physicians. We also study whether a physician
with unfavorable characteristics, as perceived by patients (ex post), can compensate for patient
switching by providing a higher quantity of services to his patients. If so, a trade-off exists between
quality characteristics and quantity of services in the physician services market. From panel data
covering the entire population of Norwegian general practitioners, we find that information on
physician quality, as perceived by patients, has a huge effect on the volume of patients switching
physicians. We also find that although physicians who experience patient shortages in general provide
more services to their patients than physicians who have enough patients, the increased level of service
provision only has a very small impact on the number of patients who decide to switch. We conclude
that a higher level of service provision does not seem to compensate for negative characteristics
(patients’ impression of competence, empathy etc) of less popular physicians. We suggest that
information about the volume of patient switching at the physician practice level should be made
public.
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Lurås, Hilde; Holmås, Tor Helge; Kjerstad, Egil & Kristiansen, Frode
(2007).
Long term care and hospital length of stay for elderly patients.
Samfunns- og næringslivsforskning AS.
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Godager, Geir; Iversen, Tor & Lurås, Hilde
(2007).
Fastlegeordningen: Utvikling i bruk, tilgjengelighet og fornøydhet.
Health Economic Research Programme at the University of Oslo.
ISSN 82-7756-178-4.
2007(6).
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Iversen, Tor; Godager, Geir & Lurås, Hilde
(2005).
Utviklingen i fastlegenes listelengder, driftsinntekter og takstbruk.
Helseøkonomisk forskningsprogram ved Universitetet i Oslo.
ISSN 82-7756-148-2.
2005(3).
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Godager, Geir & Lurås, Hilde
(2005).
I skyggen av Fastlegeordningen: Hvordan har det gått med det offentlige legearbeidet?
Helseøkonomisk forskningsprogram ved Universitetet i Oslo.
ISSN 82-7756-151-2.
2005(6).
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Lurås, Hilde
(2004).
Choosing a GP. Experiences from the implementation of a listpatient system in Norway.
Universitetet i Oslo.
ISSN 82-7756-145-8.
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Lurås, Hilde
(2004).
General Practice. Four Empirical Essays on GP Behaviour and the Individuals Preferences for GPs.
Universitetet i Oslo.
ISSN 82-7756-132-6.
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Lurås, Hilde
(2003).
Individuals' preferences for GPs. Choice analysis from the establishment of a list patient system in Norway.
Universitetet i Oslo.
ISSN 82-7756-108-3.
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Aas, Eline & Lurås, Hilde
(2002).
Bruk av paneldatametoder til å belyse allmennlegers henvisningsmønster.
HERO.
ISSN 1501-9071.
2002(6).
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Iversen, Tor & Lurås, Hilde
(1999).
The importance of micro-data for revealing income motivated behaviour among GPs.
Health Economics Research Programme at the University of Oslo.
ISSN 82-7756-027-3.
1999(3).
Vis sammendrag
The objective of this paper is to demonstrate that micro data is fundamental for the study of income motivated behaviour among general practitioners (GPs). We argue that a GP who experiences a shortage of patients in a mixed capitation and fee for service payment system, is likely to have a more service intensive practice style than his unconstrained colleagues. If he cannot have his optimal number of patients, a second best is to increase the number of services per patient if the income per time unit of providing services is greater than the marginal valuation of leisure. An empirical test requires micro data of GPs' rationing status. Data from the Norwegian capitation experiment provide us with this opportunity. We find that the effect of patient shortage (strong rationing) on a GP's income from fees per patient is positive and statistically significant. Furthermore, we find that only the municipality with the lowest GP density has a negative and statistically significant effect. If only GP density data would have been available, we might erroneously have concluded that service provision among GPs is not income motivated. The reason is that aggregate data miss the within municipality variation in the actual number of patients relative to GPs' preferred numbers. We conclude that macro data of GP density in an area are not likely to be useful in this context because the effect of better access is often not distinguishable from the effect of physician initiated services.
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Iversen, Tor & Lurås, Hilde
(1998).
The impact of economic motives on the provision of health services in general practice.
Center for health administration, University of Oslo.
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Iversen, Tor & Lurås, Hilde
(1998).
The effect of capitation on GPs' referral decisions.
Center for health administration, University of Oslo.
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Lurås, Hilde & Iversen, Tor
(1996).
Forsøk med fastlegeordning - økonomievaluering av forsøkskommunene.
Senter for helseadministrasjon, Universitetet i Oslo.
ISSN 82-7756-005-2.