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Diagnosis-linked antibiotic prescribing in Swedish primary care - a comparison between in-hours and out-of-hours

BackgroundThe rise in antibiotic resistance is a global public health concern, and antibiotic overuse needs to be reduced. Earlier studies of out-of-hours care have indicated that antibiotic prescribing is less appropriate than that of in-hours care. However, no study has compared the out-of-hours treatment of infections to in-hours treatment within the same population.MethodsThis retrospective, d

Horizontal and vertical disconnects in the complex social organization of flood risk governance in Sweden

Urban flood risk is a big and growing concern, particularly in relation to climate change. The complexity of this problem poses distinctive challenges to a broad range of actors involved in various ways in flood risk governance, as well as to the social scientists endeavoring to grasp them. These challenges are related both to the complexity of risk and risk perception as such, which attract a lot

Visualizing healthcare system variability and resilience: a longitudinal study of patient movements following discharge from a Swedish psychiatric clinic

Background: As healthcare becomes increasingly complex, new methods are needed to identify weaknesses in the system that could lead to increased risk. Traditionally, the focus for patient safety is to study incident reports and adverse events, but that starting point has been contested with a new era of safety investigations: the analysis of everyday clinical work, and the resilient healthcare. Th

Material consumption in the healthcare sector: Strategies to reduce its impact on climate change - The case of Region Scania in South Sweden

The healthcare sector constitutes a major part of the economy of developed nations and consumes significant quantities of consumables. The Region Scania commissioned IIIEE, Lund University, to develop a management tool for strategic decision-making in order to reduce the climate impact indirectly derived from material, consumption. The tool was streamlined to fit operational conditions at Region S

Polybrominated diphenyl ethers in precipitation in Southern Sweden (Skane, Lund)

The presence of polybrominated diphenyl ether (PBDE) flame retardants in total deposition (wet + dry) was assessed with the simultaneous use of three bulk samplers during a 2 week period. The particle associated and the 'dissolved' phase were separated during sampling. Volume weighted mean (VWM) concentrations of SigmaPBDE (9 congeners) in rain were 209 pg l(-1). Total deposition rates were 2 +/-

Construction waste management based on industrial management models: a Swedish case study

This paper describes a methodology for estimating the true internal costs of construction waste, aimed at promoting environmentally friendly waste management. The study employs cost-benefit analysis, contribution margin analysis, the polluter-pays principle and a mathematical model: the model for Efficient Use of Resources for Optimal Production Economy (EUROPE), which has been introduced previous