Disputas – Cand. med. Ingvild Mathiesen Rosenlund
Cand.med. Ingvild Mathiesen Rosenlund disputerer for ph.d.-graden i helsevitenskap og vil offentlig forsvare avhandlingen:
Too much medicine? A study investigating unwarranted regional variation and use of medical care
Kort sammendrag av avhandlingen:
Populærvitenskapelig sammendrag:
The overall theme of this thesis is unnecessary health care services and differences in use across regions. Using data from hospital health records, we studied the practice of imaging diagnostics for patients with self-limiting kidney stone attacks. Our results showed that imaging diagnostics was unnecessary for most patients. Women have no medical need of routine pelvic exams by gynecologists, and the practice is recommended against. Using national data, we found extensive use and regional variation of these exams. Gynecologists who are paid for each test they perform use additional tests to an extremely larger extent than other gynecologists. We also studied regional variation in health care services for diverticular disease, a condition with limited evidence on best practice. From national data, we found large variations in provided care between inhabitants of different regions. In this thesis we have found unwarranted use and variation of common health care services.
Veiledere
Professor Arthur Revhaug, hovedveileder
Professor Olav Helge Førde, bi-veileder
Bedømmelseskomiteen
Dr. med. Yngvild Skåtun Hannestad, Bergen specialistsenter, avdeling gynekologi, Bergen - 1. opponent
Forsker/allmennlege Hálfdán Pétursson, Omtanken Kållered Vårdcentral, Göteborg; FoU-centrum Göteborg och Södra Bohuslän, Göteborg; Institutt for samfunnsmedisin og sykepleie, NTNU - 2. opponent
Professor Inger Njølstad, Institutt for samfunnsmedisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet - Leder av komité
Disputasleder
Professor II Purusotam Basnet, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet
Prøveforelesning over oppgitt emne holdes kl. 10:15, samme sted: “Pasientmedvirkning/samvalg i beslutninger om utredning og behandling - teoretisk bakgrunn, pedagogiske utfordringer og implementering i klinisk hverdag”