19th NCGP

Nordic GP 2015

Tuesday June 16

08:30 Opening ceremony: Congress Hall

Welcome

Time
08:30-10:00

Room
Congress Hall

8:30-9:00 
Västkustens toner- Sounds of the Swedish west coast with Tove Brandt, Åsmund Solberg och Hannah Shermis. 

9:00-10:00
Welcome speeches, awarding paper of the year 2013 and 2014

10:00 Coffee break

10:30 Keynote Sessions: Congress Hall

Simon Griffin, John Brodersen

Time
10:00-12:00

Room
Congress Hall

10:30 Simon Griffin

Missed oppotunities and too much medicine: discovering 'lagom' in primary care
At a time of growing recognition that strong primary care is associated with better and more equitable health outcomes, general practice is facing unprecedented challenges. Demand from patients and policymakers is rising inexorably while simultaneously general practitioners are being blamed for over-investigation and treating people with ‘too much medicine’. Sustainable health care requires evidence –informed judgments about what constitutes the right amount of medicine in primary care.

11:15 John Brodersen

Quaternary Prevention:  Doing More Good than Harm
‘First, do no harm’ (Primum non nocere) – is a precept in the Hippocratic Oath. However, any medical intervention runs the risk of doing harm. Preventive medicine is no exception. In primary prevention, we have recently witnessed how a large influenza vaccination campaign injured hundreds of children. For what turned out to be a rather harmless pandemic, these children will now suffer from narcolepsy caused by the vaccine. In secondary prevention, we have seen how healthy individuals have been harmed by false-positive screening results, overdiagnosis, and overtreatment. These harms are not only manifested physically, but also psychologically, socially, and economically. In tertiary prevention, we have unfortunately also seen serious cases where patients have been exposed to more harm than good, for example by hormone replacement therapy to menopausal women. When the healthcare system or we as GPs initiate preventive procedures, we are directly responsible if these procedures in fact do more good than harm. This is where quaternary prevention comes into play. Quaternary prevention is “Action taken to protect individuals (persons/patients) from medical interventions that are likely to cause more harm than good”. Quaternary prevention reminds us that there is evidence that medicine can also do harm, and that we must always consider non-intervention in order to avoid medicalisation of the individual and society. The principles of quaternary prevention should be included in the core curriculum of medical students, general practice trainees, and in the continuing medical education of GPs, in other words, in the culture of general practice. By doing this, we can transform preventive medicine in primary healthcare into an evidence-based sustainable practice of doing more good than harm.

12:00 Lunch break

13:30 Session 1

H2 Unnecessary treatment and procedures in primary health care in the Nordic countries

Time
13:30-15:00

Room
H2

Programme No.
101-SY

Objective:

1) To introduce SFAM´s (the Swedish Society of Primary Care) discussion list of "unnecessary" treatments and procedures in general practice.
2) To identify and discuss similarities and differences between the Nordic countries regarding unnecessary interventions in general practice.
3) To discuss ways to challenge over diagnosis and overtreatment in general practice.

H1 Mindfull acceptance and commitment in health care – does it matter?

Time
13:30-15:00

Room
H1

Programme No.
102-WS

Objective: To present and discuss the perspective of the “third generation cognitive treatment”
G1 Depression treatment in the primary care context – pills, psychology, or other panacea?

Time
13:30-15:00

Room
G1

Programme No.
103-SY

Objective: To present studies on depression treatment and depression management performed in the primary care context . To present new evidence-based methods for use in clinical primary care practice
G2 Vitamin D deficiency among immigrants in the Nordic countries

Time
13:30-15:00

Room
G2

Programme No.
104-SY

Objective: Individuals from non-Western countries are identified as having a risk of vitamin D deficiency when migrating to the Nordic countries with low exposure to the sun during wintertime.
G3 Is it better to replace the old cancer screening technology with new and more sensitive technology or are the consequences more overdiagnosis and overtreatment?

Time
13:30-15:00

Room
G3

Programme No.
105-WS

Objective: The present workshop will explore if the fundamental assumption that disease invariably leads to illness is valid and if not, what happens to screening test accuracy.
J1 Assessing the link between health care utilisation in general practice and morbidity patterns in the elderly in the Nordic countries

Time
13:30-15:00

Room
J1

Programme No.
106-SY

Objective: The objective is to describe and analyze the prevalence of comorbidity and multimorbidity among older people with extensive and complex care needs. Next, the main objective is to present and discuss papers on the association between healthcare utilisation in general practice and individual level patient morbidity and socioeconomic characteristics among older people with extensive and complex care needs.
J2 Stress-related mental health problems. Challenges and solutions.

Time
13:30-15:00

Room
J2

Programme No.
107-SY

Objective: The aim of this symposium is to present knowledge on stress-related mental health problems from different perspective. This includes the causes, the consequences as well as several clinical perspectives with regard to symptoms, prognosis, treatment and rehabilitation.

R2 The WONCA World Working Party on Quality and Safety in Family Medicine - Developing the Quality Improvement Interactive PDF

Time
13:30-15:00

Room
R2

Programme No.
108-WS

Objective: The goal is to provide participants with knowledge about different support materials on quality and safety for GPs interested in and/or involved with quality and safety work in the Nordic countries, the various methods by which these can be accessed, and how such support materials can be kept up to date and improved over time to ensure the continued relevance to the needs of quality and safety interested GPs.
R5/R6 Pakkeforløb – the Scandinavian way to reduce waiting times for cancer patients and improve cooperation between primary and hospital care.

Time
13:30-15:00

Room
R5/R6

Programme No.
109-SY

Objective: Introducing the Danish model with “pakkeforløb” even in Norway and Sweden is supposed to reduce waiting times, decrease local and regional differences and make cancer patients more satisfied.
One objective for the symposium is to emphasize the important role primary care physicians play in the work with pakkeforløb in Scandinavia. The experiences of the implementation of standardized care processes so far, will be shared. Challenges and opportunities that pakkeforløb bring for primary care will be discussed.
R22/R23 After-hours, telephone triage, primary care, organisation, quality

Time
13:30-15:00

Room
R22/R23

Programme No.
110-WS

Objective: To discuss strengths and weaknesses of different models for telephone triage, define preconditions for high-quality triage and list potential quality indicators.
R31 The role of the GP in cancer care

Time
13:30-15:00

Room
R31

Programme No.
111-WS

Objective:

We have two objectives: First a presentation of our own methods for maintaining relation with our cancer patients and families, and second to discuss and define possible initiatives for establishing such relations.

15:00 Coffee break

15:30 Session 2

H2 Sadness in general practice – strengthening or undermining patient agency

Time
15:30-17:00

Room
H2

Programme No.
201-WS

Objective: To increase general practitioners’ ability to empower patients dealing with mental problems through refining their awareness of the disempowering consequences of over- and underdiagnosis. To sharpen practitioners’ diagnostic acumen in distinguishing meaningful sadness from counterproductive depression. To enable practitioners to provide support without medicalizing social causes of suffering and turning people into lifelong clients. To encourage practitioners to promote agency in spite of declining health and loss of function as well as social status.
H1 Doctor patient relationship when patients have diagnosed themselves by gadgets or by consulting the Internet. Doctor authority versus patient empowerment.

Time
15:30-17:00

Room
H1

Programme No.
202-WS

Objective:

Initiate a discussion on how GPs are prepared for the future patient who have consulted the internet, already know what is wrong, and only see GPs as hindrance to “proper” doctors.

G1 The continuity of care for older medical patients - Collaboration between general practice and other primary care services following hospital discharge

Time
15:30-17:00

Room
G1

Programme No.
203-WS

Objective: In this workshop we synthesize the experiences and practical knowledge on how general practice (GP) is or could be enabled to manage and collaborate with other primary care services on older medical patients following a hospital discharge.
Participants will acquire and share knowledge from Nordic frameworks and initiatives improving the continuity of care for older medical patients – and be inspired to develop or facilitate collaboration between GP and other primary care services in own local settings.
G2 Primary care patients with medically unexplained symptoms: Health status, sick leave and work disability

Time
15:30-17:00

Room
G2

Programme No.
204-SY

Objective: The aim of this symposium is to present results from studies using different methods but each focusing on health status and functioning in patients with medically unexplained symptoms. In the symposium, we will discuss consequences of sick leave and work disability and the potential for prevention of marginalization from a patient, doctor and societal perspective.
G3 Improving the Delivery of Primary Care through Risk Stratification

Time
15:30-17:00

Room
G3

Programme No.
205-WS

Objective: The aim of this workshop is to provide an insight into how information gained through applications of risk stratification in the primary health care sector, from integrated care networks to primary care clinics and finally at the individual clinician level can improve the delivery of primary care.
G4 National Research School of General Practice - creating a strong network for future primary care research

Time
15:30-17:00

Room
G4

Programme No.
212-SY

Objective: To highlight the following questions : Are research schools in general practice effective in improving research activity and research quality in general practice and primary care? What are the options for future primary care research?
J1 How do you understand that you do not yet understand the patient? Training patient-centred consultation skills in the Nordic countries

Time
15:30-17:00

Room
J1

Programme No.
206-WS

Objective: The symposium will present and discuss Nordic approaches to the teaching of patient-centred consultation techniques. What do we want to achieve with our teaching? Which texts, models and methods are we using – and do they work?
R2 Medical practice and its relation to existential and religious dimensions.

Time
15:30-17:00

Room
R2

Programme No.
207-WS

Objective: To discuss and share experiences of existential and religious dimensions in relation to health in order to promote partnership and attachment with our patients in primary care.
R24/R25 Quality Improvement is an Imperative in Modern General Practice – What Should We Measure in Heart Diseases?

Time
15:30-17:00

Room
R24/R25

Programme No.
208-WS

Objective: To make recommendations, which ones should be the key indicators to measure the quality of care of patients with heart diseases in primary health care (PHC)
R5/R6 From Research-based Evidence to Best Practice in Primary Health Care

Time
15:30-17:00

Room
R5/R6

Programme No.
209-SY

Objective: Describe efforts performed by the health authorities to improve the quality of general practice and how such guidelines can be implemented through clinical tools like NEL, Medibas (both are commercial products) and Lægehåndbogen.
R22/R23 Patient Empowerment in Chronic Condition Patient Self-Management

Time
15:30-17:00

Room
R22/R23

Programme No.
210-WS

Objective: The aim of this workshop is to share information among participants from different Nordic countris on concepts of patient empowerment in management of chronic conditions. Furthermore, an e-learning module in English on Patient Empowerment in Chronic Conditions will be presented to the participants.
R31 Dissecting the Paper of the Year to get the Anatomy of a Successful Manuscript OR How to get published? The Scandinavian Journal of Primary Health Care Workshop

Time
15:30-17:00

Room
R31

Programme No.
211-WS

Objective: To present the essence of getting published by knowing the structure of a scientific manuscript, specific standards for writing manuscripts for specific study types, the writing process, and the editorial process.

 


 
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