Research in

  • quality development and complex interventions in general practice

This interdisciplinary group conducts research on quality development in general practice: Which factors affect the clinical behaviour in general practice? How do we ensure integration of treatment across primary and secondary care? In close collaboration with patients, clinicians and organisations in the healthcare sector, the group develops, tests and evaluates interventions aiming to improve the clinical work and the treatment of patients in general practice.

A special interest is directed towards the mechanisms that determine clinical behaviour, and how interventions may influence such behaviour. The group also investigates how new initiatives are best implemented in daily clinical practice. The approach is theory-based, and both quantitative and qualitative research methods are used. Complex interventions are developed within the framework drawn up by the Medical Research Council (MRC) and through rapid-cycle user involvement.

The current research activities include projects on medication optimisation in elderly residing in nursing homes, anticoagulant therapy in patients with atrial fibrillation, patient involvement in the treatment of multimorbidity, and clinical decision-making and the use of video consultations in general practice.


Selected publications

  • Interprofessional team-based collaboration between designated GPs and care home staff: a qualitative study in an urban Danish setting. doi.org/10.1186/s12875-023-01966-1
  • What GPs do to meet accreditation standards - implementation activities and perceived improvements attributed to general practice accreditation. 10.1186/s12875-022-01864-y 
  • Involving patients in medicines optimisation in general practice : a development study of the “PREparing Patients for Active Involvement in medication Review” (PREPAIR) tool. doi.org/10.1186/s12875-022-01733-8
  • Implementation of healthcare accreditation in Danish generel practice: a questionnaire study exploring general practitioners' perspectives on external support. doi.org/10.1080/02813432.2021.1882084
  • Exploring implementation processes in general practice in a feedback intervention aiming to reduce potentially inappropriate prescribing: a qualitative study among general practitioners. doi.org/10.1186/s43058-020-00106-5
  • External validation of the Medication Risk Score in polypharmacy patients in general practice: a tool for prioritizing patients at greatest risk of potential drug-related problems. doi.org/10.1111/bcpt.13636
  • Mental well-being, job satisfaction and self-rated workability in general practitioners and hospitalisations for ambulatory care sensistive conditions among listed patients: a cohort study combining survey data on GPs and register data on patientsdoi.org/10.1136/bmjqs-2018-009039
  • Mental well-being and job satisfaction among general practitioners: a nationwide cross-sectional survey in Denmark. doi.org/10.1186/s12875-018-0809-3
  • Barriers and facilitators to using a web-based tool for diagnosis and monitoring of patients with depression: a qualitative study among Danish general practitioners. doi.org/10.1186/s12913-018-3309-1
  • Who needs collaborative care treatment? A qualitative study exploring attitudes towards and experiences with mental healthcare among general practitioners and care managers. doi.org/10.1186/s12875-018-0764-z

Contact



Projects

  • ARRIBA heart: Patient involvement in decision-making to assess the risk of cardiovascular complications
  • MERIS: External validation of the Medications Risk Score (MERIS) in patients with polypharmacy
  • MOSAIC: A model for better disease and medications overview
  • OPTI-ACT: Optimised anticoagulant therapy for patients with atrial fibrillation
  • PREPAIR: A tool for active patient involvement in medication review in general practice
  • Involving residents and their relatives in medication changes in residential care
  • Social inequality in medical treatment