The CPF. A collaboration between Region Skåne and Lund University

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2 The CPF A collaboration between Region Skåne and Lund University

3 Research on the front line Two primary study areas: Cardiovascular diseases: Lifestyle, migration, heredity and environment Mental illness: Interactions between genes, home environment and area of residence Photo: Alex Askew

4 Research on the front line: The board s mission 4 branches: Epidemiology Clinical interventions Qualitative research Experimental research Photo: Alex Askew

5 Vision To perform cutting-edge clinical research to increase the quality of primary care and thereby improve the nation s health

6 Research on the front line 5 research groups: 1. Jan Sundquist Family medicine, psychiatric epidemiology and migration 2. Kristina Sundquist Family medicine, cardiovascular epidemiology and lifestyle 3. Juan Merlo Social epidemiology 4. Martin Lindström Social medicine 5. Ulf Gerdtham Health economics Photo: Alex Askew

7 We need networks for research and knowledge development to build bridges between academia and everyday care Photo: veggiefrog

8 Ideas are born in the clinic...

9 Academic Knowledge Centres (AKCs) Primary care centres with research assignments from the CPF At every AKC there is a research coach, a clinically active care provider (PhD) = AKC coordinator Mission: to build bridges between the academic world and the health care system

10 At the AKCs, health care professionals and students receive hands-on guidance in designing and implementing their research ideas This develops health care on the ground

11 10 AKCs in Skåne Lund Dalby Eslöv Landskrona Kristianstad CPF Helsingborg Perstorp Fågelbacken Malmö Sorgenfri Malmö Ystad

12 AKC coordinators areas of responsibility To support the research and development of care providers in primary care in Skåne To capture research-interested care providers in the whole of Skåne To inform all health care centres in their assigned catchment area about the CPF and the AKC network

13 The CPF and AKCs offer care providers help with: Starting up projects Applying for research funding Establishing contact networks Arranging seminars Qualitative research Biostatistics Medical epidemiology Scientific writing

14 The CPF and AKCs offer care providers help with: The supervision of PhD students and trainee medical specialists (ST-läkare), among others

15 Regional primary care database The aim is: To increase the quality of care high-quality data on illnesses, lifestyle and sick leave can be used to improve patient care and health To provide cost-effective, world-class primary health care to study at the primary care centre level treatment outcomes and health economics related to diagnoses, lifestyle, etc.

16 Implementation Data are collected automatically without interfering with doctors work Traditional patient records supplemented by information on lifestyle Delivering high-quality care at primary care centres is facilitated by direct feedback The foundation for performing research in family medicine will be improved

17 Födelseland Coronary heart disease, men Kranskärlssjukdom, män OECD-länder Afrika utom Nordafrika * Latinamerika * Sydeuropa * Östeuropa med fd Sovjet * Asien * Iran * Bosnien * Finland * Turkiet * Irak och andra arabisktalande länder * Polen * 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 1,8 2 RR=1 (Sverige)

18 Födelseland Coronary heart disease, women Kranskärlssjukdom, kvinnor OECD-länder * Latinamerika Asien Östeuropa med fd Sovjet * Sydeuropa * Polen * Turkiet * Finland * Iran * Bosnien * Irak och andra arabisktalande länder * 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 1,8 2 RR=1 (Sverige)

19 Födelseland Breastcancer, Bröstcancer ** Turkiet ** Afrika ** Asien ** Chile * Iran * Irak * Bosnien Sydeuropa Polen Öststater Finland OECD-länderna 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 1,8 2 RR=1 (Sverige) * P-värde <0.01 P-värde <0.0001

20 Födelseland Lungcancer (women) Lungcancer (kvinnor) Afrika * Asien Chile Irak Iran Turkiet Sydeuropa Bosnien Öststater Polen Finland ** OECD-länderna ** 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 1,8 2 RR=1 (sverige) * P-värde <0.01 P-värde <0.0001

21 Födelseland Lungcancer, men Lungcancer (män) ** Iran Chile Afrika Asien Irak Polen* Turkiet * Öststater ** OECD-länderna ** Finland ** Sydeuropa ** Bosnien ** 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 1,8 2 2,2 2,4 2,6 2,8 3 3,2 3,4 * P-värde <0.01 P-värde < RR=1 (sverige)

22 Födelseland Psychiatric hospitaisations, men Vård på psykiatrisk avdelning, män Bosnien * Asien * Latinamerika * Turkiet * Sydeuropa * Östeuropa med fd Sovjet OECD-länder Afrika utom Nordafrika Irak och andra arabisktalande länder * Iran * Polen * Finland * 0,5 0,7 0,9 1,1 1,3 1,5 1,7 1,9 2,1 2,3 2,5 RR=1 (Sverige)

23 Födelseland Prostatacancer Prostatacancer ** Turkiet ** Irak ** Iran ** Asien ** Bosnien ** Sydeuropa * Afrika * Chile Polen ** Finland * Öststater ** OECDländerna 0 0,2 0,4 0,6 0,8 1 1,2 1,4 RR=1 (Sverige) * P-värde <0.01 P-värde <0.0001

24 Födelseland Psychiatric hospitalisations, women Vård på psykiatrisk avdelning, kvinnor Bosnien Turkiet Asien * Latinamerika * OECD-länder * Sydeuropa * Östeuropa med fd Sovjet * Irak och andra arabisktalande länder* Polen * Iran * Afrika utom Nordafrika * Finland * 0,5 0,7 0,9 1,1 1,3 1,5 1,7 1,9 2,1 2,3 2,5 RR=1 (Sverige)

25 Födelseland Attempted suicide, men Självmordsförsök, män Sydeuropa * Asien Latinamerika Östeuropa med fd Sovjet Turkiet Irak och andra arabisktalande länder * OECD-länder * Iran * Polen * Finland * 0,5 0,7 0,9 1,1 1,3 1,5 1,7 1,9 2,1 2,3 2,5 RR=1 (Sverige)

26 Födelseland Attempted suicide, women Självmordsförsök, kvinnor Turkiet Sydeuropa Irak och andra arabisktalande länder OECD-länder * Östeuropa med fd Sovjet * Asien * Latinamerika * Finland * Polen * 0,5 0,7 0,9 1,1 1,3 1,5 1,7 1,9 2,1 2,3 2,5 RR=1 (Sverige) Iran *

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