Anna Nager

Anna Nager

Affiliated to Research | Docent
Visiting address: Alfred Nobels Allé 23, 14183 Huddinge
Postal address: H1 Neurobiologi, vårdvetenskap och samhälle, H1 Allmänmedicin och primärvård, 171 77 Stockholm
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About me

  • I am a specialist in general medicine with docent-level competence. I have
    worked clinically as a general practitioner for more than 20 years. My
    research is strongly grounded in family medicine and extends to psychiatric
    illness, respiratory diseases and informatics in primary care. I am an
    affiliated researcher at Karolinska Institutet. My main occupation is as
    editor-in-chief of Medibas, an internet handbook for primary care. I am also
    assistant editor-in-chief of Scandinavian Journal of Primary Health Care.

    2020, Docent-level competence
    2011, Specialist in Family medicine
    2009, Doctoral degree
    1999, Medical Doctor (License to practise)
    1997, University Medical Degree (Läkarexamen), Karolinska Institutet

Research

  • My dissertation was a registry study of sociodemographic and medical factors
    associated with postpartum psychosis, as well as long-term follow-up of
    postpartum psychosis.
    My current research field is psychiatric diagnoses in primary care. During
    2013–2017, I was principal investigator for the SAFARI study, which
    investigated treatment methods for psychiatric diagnoses in primary care.
    SAFARI was a collaborative project between three regions (Västra Götaland,
    Västmanland and Stockholm). In the DUDE study, where I am principal
    investigator, we study differences in biomarkers between stress-induced
    exhaustion disorder and major depression.
    Another research field is respiratory diseases. As a principal investigator
    for the PRIMAIR study, we have in an RCT at primary health centers in
    Stockholm, studied the effect of continuing education about COPD to general
    practitioners for outcomes in patients with COPD. The patients' information
    needs for COPD have also been investigated. The PRIMAIR study has been
    incorporated into the PRAXIS study, which is a longitudinal study in which
    materials on patients with COPD and asthma, both in primary care and in
    hospitals, have been collected on several occasions since 2005 from several
    regions (Uppsala, Örebro, Dalarna, Värmland and Stockholm).
    I have been / am the main supervisor for four PhD candidates, of which three
    have defended their doctoral theses. I have been / are co-supervisor for four PhD
    candidates, of which three have defended their doctoral theses.
    I have over 40 published scientific papers.

Teaching

  • During 2014–2016 I was a senior lecturer at Karolinska Institutet, Division
    of Family Medicine and Primary Care. I teached at the primary health care
    thread (strimman) that runs throughout the whole medical program, and at the
    course of scientific methodology at the fifth term of the medical program at
    Karolinska Institutet. The teaching included lecturing, leading group
    seminars, examinations and course planning.
    During 2009–2016 I was course leader at the research methodology course for
    family doctors at specialist training writing a scientific paper / essay
    (VESTA), held by Region Stockholm (CeFAM). As course leader I participated in
    developing, planning and evaluating the course. I also teached in lectures
    and group seminars and tutored doctors in writing their scientific papers
    /essays (altogether 14 doctors).
    During 2012–2016 I was chair of the steering group for the research school
    in Primary Health Care, Karolinska Institutet.

Articles

All other publications

Grants

  • Swedish Research Council
    1 December 2023 - 30 November 2026
    Multimorbid primary care patients with asthma or chronic obstructive pulmonary disease (COPD) may receive suboptimal care, with adverse outcomes including exacerbations, mortality, morbidity, hospital admission, polypharmacy and sick-leave. Primary care patient management aspects that ameliorate these risks will be identified, such as specific treatment patterns, continuity of care and tackling polypharmacy. The longitudinal PRAXIS asthma and COPD cohorts include 1,111 patients with COPD and 1,100 with asthma from 2005 in central Sweden and a further 1,800 with COPD and 1,200 with asthma in 2014/2015, with questionnaire and record review follow-up to 2022. In the first year, PRAXIS will be extended with a 10-1 matched reference cohort and linkage with several registers covering health and socioeconomic characteristics and analysed for the following two years. Primary care registers covering Stockholm and Västra Götaland (over 4 million individuals) linked with other registers will also be used over the three years of the project. Patterns of multimorbidity and their associations with adverse outcomes estimated using methods including Cox regression, logistic/multinomial regression and flexible parametric models. Multi-level modelling will be used for examining the putative primary care ameliorating factors to address heterogeneity in patients and resources between the primary care centres. The resulting information will help to improve management of an at-risk patient group.
  • Swedish Research Council
    1 January 2013 - 31 December 2015

Employments

  • Affiliated to Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 2023-2026

Degrees and Education

  • Docent, Karolinska Institutet, 2020
  • Degree Of Doctor Of Philosophy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 2009
  • University Medical Degree, Karolinska Institutet, 1997

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