Medical overuse (overinvestigating, overdiagnosis and overtreatment), clinical communication, disease at the intersection of of biology, culture and (loss of) meaning, medically unexplained symptoms (MUS), depression care in general practice.

Communication and consultation skills, psychiatry in general practice, multimorbidity in general practice, medical overuse. 

Selected publications related to current research

Utvalgte publikasjoner relaterte til pågående forskningsprosjekter

Hjörleifsson S, Meland E. 4 Clinical skills for avoiding overdiagnosis. BMJ Evidence-Based Medicine 2023;28:A2.

Hjörleifsson S, Getz LO, The sustainability of universal health care, Tidsskr Nor Legeforen 2023 doi: 10.4045/tidsskr.23.0025.

Jossang IH, Aamland Aa & Hjörleifsson S. Discovering strengths in patients with medically unexplained symptoms – a focus group study with general practitioners, Scandinavian Journal of Primary Health Care, 40:3, 405-413, DOI: 10.1080/02813432.2022.2139345.

Breivold J, Rø KI & Hjörleifsson S. Conditions for gatekeeping when GPs consider patient requests unreasonable: a focus group study, Family Practice 2021, DOI: 10.1093/fampra/cmab072

Ruths, S, Haukenes, I, Hetlevik, Ø, Smith-Sivertsen T, Hjörleifsson S, Hansen AB, Riiser S, Meling HM, Baste V, Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study). BMC Health Serv Res 21, 697 (2021). DOI: 10.1186/s12913-021- 06712-w.

Lea K, Swinglehurst D & Hjörleifsson S, Digital Consumer Health: Negotiating Multiple Voices in the Clinical Consultation, Professions and Professionalism 2021, 11(2), DOI: 10.7577.

Whelan B, Hjörleifsson S. & Schei E. Shame in medical clerkship: “You just feel like dirt under someone’s shoe”. Perspect Med Educ, 2021, DOI: 10.1007/s40037-021-00665-w

Hetlevik Ø, Garre-Fivelsdal G, Bjorvatn B, Hjörleifsson S & Ruths S, Patient-reported depression treatment and future treatment preferences: an observational study in general practice, Family Practice, 2019, 1–7, doi:10.1093/fampra/cmz026

Swinglehurst, D, Hjörleifsson S. The Everyday Ethics of Burdensome Polypharmacy, Public Policy & Aging Report, 2018, Vol. 28, No. 4, 113–115

Academic lecture

• Reiso, Magnhild; Mjølstad, Bente Prytz; Hjørleifsson, Stefan et al. (2024). Sustainable healthcare starting at the GP office . (external link)
• Hjørleifsson, Stefan; Tangen, Marte Kvittum; Mjølstad, Bente Prytz et al. (2024). Sustainability in general practice: a national innovation project to curb medical overuse. (external link)
• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; Mjølstad, Bente Prytz (2023). Bærekraft på legekontoret - et norsk perspektiv. (external link)
• Grung, Ina Lill Skurtveit; Anderssen, Norman; Hetlevik, Øystein et al. (2022). Patient experiences with depression care in general practice. (external link)
• Tahir, Sara; Anderssen, Norman; Carlsen, Benedicte et al. (2022). The role of general practice in care for young adults with depression who fall out of education and employment. (external link)
• Getz, Linn Okkenhaug; Hjørleifsson, Stefan (2022). Sustainable Healthcare starting in your GP's office- ideas for a complex intervention. (external link)
• Getz, Linn Okkenhaug; Hvas, Lotte; Hjørleifsson, Stefan (2022). Avancerad hvardagsmedicin - Kompleksitetsteori för almenläkare. (external link)
• Meling, Heidi Marie Kirkeng; Haukenes, Inger; Ruths, Sabine et al. (2021). Promoting sustainable work participation for workers with depression through improved collaboration in depression care: a focus group study. (external link)
• Ruths, Sabine; Baste, Valborg; Hetlevik, Øystein et al. (2019). Time trends in GPs’ provision of depression care during 2008-2016. (external link)
• Ruths, Sabine; Bjorvatn, Bjørn; Hjørleifsson, Stefan et al. (2017). Self-reported depression in patients visiting their general practitioner. (external link)
• Hjørleifsson, Stefan (2017). Overdiagnosis in general practice: How can it be limited?. (external link)
• Hjørleifsson, Stefan (2017). The non-linear relationship between evidence and practice – with homebirth as an emotionally charged case. (external link)
• Hjørleifsson, Stefan (2017). General practitioners’ gender and the gynecological examination - A survey among GPs in Western Norway. (external link)
• Johnsrud, Ruth E.; Schei, Edvin; Hjørleifsson, Stefan et al. (2015). Trustingly bewildered. First-year medical students’ reflections on the ideals of medicine and the realities of medical school. (external link)
• Hjørleifsson, Stefan; Rørtveit, Guri; Hannestad, Yngvild Skåtun et al. (2015). Pelvic examination in general practice. A survey from Western Norway.. (external link)
• Iden, Kristina Riis; Ruths, Sabine; Hjørleifsson, Stefan (2014). Sadness as perceived by nursing home patients. (external link)
• Iden, Kristina Riis; Engedal, Knut Arne; Hjørleifsson, Stefan et al. (2013). Depression in newly admitted patients. (external link)
• Iden, Kristina Riis; Hjørleifsson, Stefan; Engedal, Knut Arne et al. (2012). Depresjon hos nyinnlagte sykehjemspasienter. (external link)
• Iden, Kristina Riis; Hjørleifsson, Stefan; Ruths, Sabine (2011). Treatment decisions with regard to antidepressants. (external link)
• Iden, Kristina Riis; Hjørleifsson, Stefan; Ruths, Sabine (2010). Many pills, less of time – a qualitative study about treatment decisions regarding depression in nursing homes. (external link)
• Brekke, Ole Andreas; Hjørleifsson, Stefan (2005). Biobanks as National Constructs - Iceland and Norway. (external link)
• Hjørleifsson, Stefan (2003). Sjúkdómsvæðing - Inngangur. (external link)
• Hjørleifsson, Stefan (2002). Erfðafræði og samfélag [Genetikk og samfunn]. (external link)
• Hjørleifsson, Stefan (2002). Siðfræði og heilbrigðisþjónusta [Etikk og helsetjenester]. (external link)
• Hjørleifsson, Stefan (2002). When more is worse - Medical expansion as a threat to health. (external link)
• Hjørleifsson, Stefan (2002). Forskning og samfunn, om utilsiktede følger av medisinsk forskning. (external link)
• Hjørleifsson, Stefan (2002). Gode hensikter, utilsiktede følger?. (external link)
• Hjørleifsson, Stefan (2002). Gode hensikter, utilsiktede følger?. (external link)
• Hjørleifsson, Stefan (2002). How genetics alters the course of history. (external link)

Academic article

• Grung, Ina Lill Skurtveit; Hjørleifsson, Stefan; Anderssen, Norman et al. (2024). Norwegian general practitioners’ perceptions of their depression care – a national survey. (external link)
• Breivold, Jørgen; Isaksson Rø, Karin Elisabet; Nilsen, Stein et al. (2024). Gatekeeping and referral of patients holding private health insurance: a survey among general practitioners in Norway. (external link)
• Forthun, Ingeborg; Møen, Kathy Ainul Mashrooka; Hjørleifsson, Stefan (2024). To neutrally offer or strongly recommend? General practitioners’ perspectives on screening for gestational diabetes according to the national guideline in Norway. (external link)
• Hofmann, Bjørn Morten; Andersen, Eivind Richter; Brandsæter, Ingrid Øfsti et al. (2024). Success factors for interventions to reduce low-value imaging. Six crucial lessons learned from a practical case study in Norway. (external link)
• Hjørleifsson, Stefan; Getz, Linn Okkenhaug; Tangen, Marte Kvittum (2024). Bærekraft på legekontoret. (external link)
• Meling, Heidi Marie Kirkeng; Anderssen, Norman; Ruths, Sabine et al. (2023). Stakeholder views on work participation for workers with depression and intersectoral collaboration in depression care: a focus group study with a salutogenic perspective. (external link)
• Hjørleifsson, Stefan; Getz, Linn Okkenhaug (2023). Besinnelse for bærekraft. (external link)
• Gjøssang, Ingjerd Helene; Aamland, Aase; Hjørleifsson, Stefan (2022). Discovering strengths in patients with medically unexplained symptoms–a focus group study with general practitioners. (external link)
• Breivold, Jørgen; Isaksson Rø, Karin Elisabet; Hjørleifsson, Stefan (2022). Conditions for gatekeeping when GPs consider patient requests unreasonable: a focus group study. (external link)
• Grung, Ina Lill Skurtveit; Anderssen, Norman; Haukenes, Inger et al. (2022). Pasienterfaringer med depresjonsomsorg i allmennpraksis: en kvalitativ spørreskjemastudie. (external link)
• Ruths, Sabine; Haukenes, Inger; Hetlevik, Øystein et al. (2021). Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study). (external link)
• Lea, Kjersti Elisabet; Hjørleifsson, Stefan; Swinglehurst, Deborah (2021). Digital Consumer Health: Negotiating Multiple Voices in the Clinical Consultation. (external link)
• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; Saxtrup, Niels et al. (2021). Komplekse problemstillinger – allmennlegens ekspertområde. (external link)
• Whelan, Beth; Hjørleifsson, Stefan; Schei, Edvin (2021). Shame in medical clerkship: “You just feel like dirt under someone’s shoe”. (external link)
• Opdal, Per Øystein; Meland, Eivind; Hjørleifsson, Stefan (2019). Dilemmas of medical overuse in general practice?A focus group study. (external link)
• Hjørleifsson, Stefan; Bjorvatn, Bjørn; Meland, Eivind et al. (2019). The when and how of the gynaecological examination: a survey among Norwegian general practitioners. (external link)
• Hetlevik, Øystein; Garre-Fivelsdal, Gina Dorothea; Bjorvatn, Bjørn et al. (2019). Patient-reported depression treatment and future treatment preferences: an observational study in general practice. (external link)
• Schei, Edvin; Johnsrud, Ruth E.; Mildestvedt, Thomas et al. (2018). Trustingly bewildered. How first-year medical students make sense of their learning experience in a traditional, preclinical curriculum. (external link)
• Hjørleifsson, Stefan; Hammer, Elise; Diaz, Esperanza (2017). General practitioners' strategies in consultations with immigrants in Norway - practice-based shared reflections among participants in focus groups. (external link)
• Iden, Kristina Riis; Ruths, Sabine; Hjørleifsson, Stefan (2015). Residents’ perceptions of their own sadness - a qualitative study in Norwegian nursing homes. (external link)
• Diaz, Esperanza; Raza, Ali; Sandvik, Hogne et al. (2014). Immigrant and native regular general practitioners in Norway. A comparative registry-based observational study. (external link)
• Iden, Kristina Riis; Engedal, Knut Arne; Hjørleifsson, Stefan et al. (2014). Prevalence of depression among recently admitted long-term care patients in Norwegian nursing homes: Associations with diagnostic workup and use of antidepressants. (external link)
• Reiter, Simone B. Catharina; Hjørleifsson, Stefan; Breidablik, Hans Johan et al. (2013). Impact of divorce and loss of parental contact on health complaints among adolescents. (external link)
• Diaz, Esperanza; Hjørleifsson, Stefan (2011). Immigrant general practitioners in Norway: A special resource? A qualitative study. (external link)
• Iden, Kristina Riis; Hjørleifsson, Stefan; Ruths, Sabine (2011). Treatment decisions on antidepressants in nursing homes: A qualitative study. (external link)
• Hjørleifsson, Stefan; Árnason, Vilhjálmur; Schei, Edvin (2008). Decoding the genetics debate: hype and hope in Icelandic news media in 2000 and 2004. (external link)
• Árnason, Vilhjálmur; Hjørleifsson, Stefan (2007). Geneticization and bioethics: advancing debate and research. (external link)
• Hjørleifsson, Stefan; Schei, Edvin (2006). Scientific rationality, uncertainty and the governance of human genetics: an interview study with researchers at deCODE genetics. (external link)
• Hjørleifsson, Stefan; Strand, Roger; Schei, Edvin (2005). Health as a genetic planning project: Enthusiasm and second thoughts among biomedical researchers and their research subjects. (external link)
• Schei, Edvin; Norheim, Ole Frithjof; Rørtveit, Guri et al. (2000). Legen - den enøyde samaritan?. (external link)

Abstract

• Getz, Linn Okkenhaug; Mjølstad, Bente Prytz; Hjørleifsson, Stefan (2023). Sustainable healthcare starting at the GP office: a national innovation to curb medical overuse. (external link)
• Sturmberg, Joachim; Hvas, Lotte; Saxtrup, Niels et al. (2019). From Theory to practice: Complexity science in Daily Practice. Workshop, Nordic Congress of General Practice, Aalborg 17-20 June 2019. (external link)
• Hjørleifsson, Stefan; Hvas, Lotte; Saxtrup, Nils et al. (2019). Working with complexity is a core generalist competence – Obesity as a case. Symposium at the 21st Nordic Congress of general Practice, Aalborg 17-20 June 2019. (external link)
• Hjørleifsson, Stefan; Heath, Iona; Getz, Linn Okkenhaug (2018). Good doctoring: Core writings as an antidote to „too much medicine . (external link)

Feature article

• Størdal, Ketil; Hjørleifsson, Stefan (2023). Fem år med Gjør kloke valg – hjelper det?. (external link)
• Getz, Linn Okkenhaug; Mjølstad, Bente Prytz; Hjørleifsson, Stefan (2022). Har fastlegeordningen egentlig noen fremtid?. (external link)
• Roksund, Gisle; Brodersen, John; Johnson, Georg Espolin et al. (2016). Overdiagnostikk – norske allmennleger viser vei :. (external link)

Article in business/trade/industry journal

• Anis, Sundas; Møen, Kathy Ainul Mashrooka; Fadnes, Lars Thore et al. (2022). Bruk av tolk blant fastleger på Vestlandet. (external link)

Academic literature review

• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; Saxtrup, Niels et al. (2022). Komplekse problemstillinger 3. Et Klinisk eksempel. (external link)
• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; Saxtrup, Niels et al. (2022). Komplekse problemstillinger 2. Centrale egenskaber ved komplekse systemer. (external link)
• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; Saxtrup, Niels et al. (2022). Komplekse problemstillinger 1. Den praktiserende læges særlige kompetence. (external link)
• Árnason, Vilhjálmur; Hjørleifsson, Stefan (2016). The person in a state of sickness: the doctor-patient relationship reconsidered. (external link)

Poster

• Tahir, Sara; Hjørleifsson, Stefan; Carlsen, Benedicte et al. (2021). General Practice and the marginalization of young adults with depression who fall out of education and employment: A case study . (external link)
• Hetlevik, Øystein; Garre-Fivelsdal, Gina; Bjorvatn, Bjørn et al. (2019). Patient-reported treatment preferences in case of future depression . (external link)
• Iden, Kristina Riis; Ruths, Sabine; Hjørleifsson, Stefan (2016). Sadness as perceived by nursing home patients. (external link)
• Iden, Kristina Riis; Ruths, Sabine; Hjørleifsson, Stefan (2015). Sadness as perceived by nursing home patients. (external link)
• Abildsnes, Eirik; Samdal, Gro Beate; Stea, Tonje Holte et al. (2013). Promoting health in Healthy Living Centers – does it work, how does it work, and why? A study protocol. (external link)
• Hjørleifsson, Stefan (2003). How genetics changes the course of history. (external link)

Letter to the editor

• Swinglehurst, Deborah; Dowrick, Chris; Heath, Iona et al. (2020). 'Bad old habits' … and what really matters. (external link)

Editorial

• Størdal, Ketil; Hjørleifsson, Stefan (2020). Kan vi gjøre klokere valg?. (external link)

Reader opinion piece

• Krokstad, Steinar; Hjørleifsson, Stefan; Riseth, Marte Ulvestad et al. (2019). Fastlegegarantien. (external link)
• Mjølstad, Bente Prytz; Roksund, Gisle; Brelin, Petter et al. (2018). Svangerskapsomsorgen må være kunnskapsbasert. (external link)

Academic chapter/article/Conference paper

• Lea, Kjersti; Hjørleifsson, Stefan (2018). Mismanagement in General Practice. (external link)
• Hjørleifsson, Stefan; Getz, Linn (2011). Hvert er framlag siðfræðinnar til heilbrigðis og læknavísinda?. (external link)
• Hjørleifsson, Stefan (2011). Challenging population screening. (external link)

Non-fiction book

• Hjørleifsson, Stefan; Lea, Kjersti (2017). God praksis – om medisin og etikk. (external link)
• Hjørleifsson, Stefan; Lea, Kjersti (2017). God praksis. Om medisin og etikk. (external link)

Lecture

• Getz, Linn Okkenhaug; Hjørleifsson, Stefan; heath, iona et al. (2017). Key Writings in General Practice: The Core of a Discipline and Formation of its Practitioners. (external link)

Popular scientific article

• Hjørleifsson, Stefan (2002). Risikokunnskap - ein helserisiko. (external link)

See a complete overview of publications in Cristin.

Leder av Den norske legeforenings styringsgruppe for kampanjen Gjør kloke valg.

Kampanjens formål er å redusere undersøkelser og behandling som pasienter ikke har nytte av og som føre til skade. Kampanjen feiret fem år i september 2023 og ved den anledning gjorde vi oss noen refleksjoner i denne kronikken og arrangerte et jubileumsseminar som kan ses i opptak her. På de fem første årene har vi oppnådd mye større bevissthet om overaktivitet blant helsepersonell, beslutningstakere og til dels også i befolkningen. Vi satser i økende grad på implementeringsprosjekter for å redusere overaktivitet, som laboratorieprosjektet "Ikke stikk meg uten grunn" og "Bærekraft på legekontoret", det sistnevnte prosjektet som et samarbeid mellom Norsk forening for allmennmedisin og forskere ved UiB og NTNU (se egen fane).

Det er førsteamanuensis Stefán Hjörleifsson ved IGS/UiB og professor Linn Okkenhaug Getz som har tatt initiativ til Bærekraft på legekontoret. Fra februar 2023 utvikles prosjektet i samarbeid med Norsk forening for allmennmedisin. Prosjektet har sitt utgangspunkt i kampanjen Gjør kloke valg og erkjennelsen av at vår solidariske, offentlige helsetjeneste er truet fordi ressursene ikke brukes godt nok. Målet er å motvirke medisinsk overaktivitet og ikke-bærekraftig bruk av den felles, offentlige helsetjenesten i Norge. Virkemidlene utvikles i samarbeid med blant annet SKIL og Noklus, og er beskrevet på prosjektets hjemmeside. Legeforeningens Fond for kvalitetsarbeid og pasientsikkerhet støttet prosjektet for første gang med 1.000.000 kroner i 2023 og har gitt samme  beløp til prosjektet i 2024.