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Wyświetlanie 1-8 z 8
Tytuł:
Necessary level of skills and abilities of family physicians from decision-makers’ perspective in transitional Kosovo
Autorzy:
Skeraj, Fitim
Czabanowska, Katarzyna
Mone, Iris
Bojaj, Gazmend
Tahiri, Zejdush
Burazeri, Genc
Powiązania:
https://bibliotekanauki.pl/articles/635264.pdf
Data publikacji:
2013
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
kompetencje, lekarz rodzinny, podstawowa opieka zdrowotna
Opis:
Objective: The aim of this study was to assess the necessary level of abilities and competencies of family physicians from the decision-makers’ perspective in Kosovo, a post-war country in the Western Balkans.Methods: Our study was conducted in May-July 2013 and included a nationwide representative sample of 100 decision-makers operating at different primary health care institutions or public health agencies in Kosovo (63 men aged 48.6±5.5 years, and 65 women aged 46.2±5.7 years). A structured self-administered questionnaire was employed aiming to assess the necessary level of skills, abilities and competencies of family physicians in Kosovo regarding  different domains of the quality of health care. The questionnaire included 37 items organized into six subscales/domains. Answers for each item of the tool ranged from 1 (“novice” physicians) to 5 (“expert” physicians). An overall summary score (range: 37-185) and a subscale summary score for each domain were calculated for each participant. Cronbach’s alpha was used to assess the internal consistency of the instrument, whereas Mann-Whitney’s U-test was employed to assess sex-differences in the mean values of the summary score of 37-item instrument and the summary scores of each of the six subscales.Results: The internal consistency of the whole scale (37 items) was Cronbach’s alpha=0.92. The summary score of the 37-item instrument was higher in men than in women (162.3±17.9 vs. 156.1±17.5, respectively, P=0.071). The subscale scores were all higher in men than in women, a finding which was borderline statistically significant for the “patient care and safety” domain only (33.4±4.4 vs. 32.0±4.0, respectively, P=0.057). There was a weak correlation between the overall summary score of the tool and the work experience of decision-makers (Spearman’s rho=0.234, P<0.001).Conclusion: In the context of Kosovo, this study provides important evidence on the expected skills and competencies of family physicians from the decision-makers’ viewpoint. Future studies in Kosovo should compare our findings related to the necessary skills and competencies vis-à-vis the actual self-perceived skills and competencies of family physicians.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2013, 11, 2
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Rola pielęgniarki i położnej w sprawowaniu podstawowej opieki zdrowotnej
Autorzy:
Marcinowicz, Ludmiła
Powiązania:
https://bibliotekanauki.pl/articles/635320.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
pielęgniarki, podstawowa opieka zdrowotna, świadczenia zdrowotne
Opis:
The role of a nurse and midwife in providing primary health careThe scope of responsibilities and services of a nurse and midwife in primary health care was presented on the basis of a review of literature and current legal acts. The scope of responsibilities of a primary care nurse and midwife includes services provided at the patient's home and at an outpatients’ clinic concerning health promotion and disease prevention, as well as nursing, diagnostic, therapeutic and rehabilitation services. Services provided by a nurse in educational environment include carrying out and interpreting screening tests, counselling for students with health problems, care for students with chronic illnesses and disabilities, first aid, consultancy for the head teacher and participation in health education, including oral health issues. The objective of long-term home nursing care is to provide nursing care services at the patient's home, to instruct caregivers regarding proper care for the patient and to prepare the patient and their family to self-care and self-management.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Przestrzeganie zaleceń terapeutycznych przez pacjentów podstawowej opieki zdrowotnej
Autorzy:
Kardas, Przemysław
Powiązania:
https://bibliotekanauki.pl/articles/635338.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
nieprzestrzeganie zaleceń terapeutycznych, podstawowa opieka zdrowotna, Polska
Opis:
Polish primary care patients’ adherence to medication.Patient nonadherence is one of the major clinical problems in primary care settings. Patients who deviate from treatment, or completely discontinue therapy, expose themselves to deterioration of health, additional costs and sometimes even death. Despite that facts, on average, one in every two patients, suffering from chronic disease, does not follow therapeutic recommendations. Unexpectedly, similar is true with acute symptomatic diseases, such as infections. Patient nonadherence is associated with more frequent visits to the doctors, higher number of complications, and therapy ineffectiveness. Fortunately, poor adherence can be effectively prevented. This paper provides comprehensive review of reasons and consequences of nonadherence, as well as methods that family doctors can use in order to improve adherence to therapy in their patients
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Poprawa bezpieczeństwa pacjenta w podstawowej opiece zdrowotnej
Autorzy:
Kosiek, Katarzyna
Godycki-Ćwirko, Maciek
Powiązania:
https://bibliotekanauki.pl/articles/635342.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
bezpieczeństwo pacjenta, błąd medyczny, podstawowa opieka zdrowotna
Opis:
Patient's safety improvement in primary health carePatient safety is part of a health care quality. According to the World Health Organization patient safety is “a freedom, for a patient, from unnecessary harm or potential harm associated with healthcare”. The process of patient's safety improvement needs to engage all stakeholders and gain their understanding that the investment in safety could be recouped with efficiency gains and fewer adverse events. The article presents the selected aspects of patients safety in primary health care.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Psychospołeczne determinanty chorób. Implikacje medyczne w podstawowej opiece zdrowotnej
Autorzy:
Czachowski, Sławomir
Powiązania:
https://bibliotekanauki.pl/articles/635346.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
determinanty choroby, model bio-psycho-społeczny, podstawowa opieka zdrowotna
Opis:
The social determinants of diseases within the primary care settingThe article highlights the social determinants of diseases within the primary care setting. Since the introduction of the new paradigm of the bio-psycho-social model into medicine, the social impact on illness has gained recognition. This article discusses the new approach to patients, as well as the impact that socio-economic status, emotional factors and stress have on health. Furthermore, factors such as the stages of patients’ lives and their ethnic and cultural identity (as well as approaches, such as the general theory of systems) are taken into consideration. New problems in primary care, including multimorbidity, patient frailty and medically unexplained symptoms, which have recently come under intense scrutiny, are also presented. Finally, clinical aspects of frail patients and the economic cost of the treatment of patients who suffer from unexplained symptoms are pointed out.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Zadania podstawowej opieki zdrowotnej w zakresie opieki nad pacjentami z chorobami przewlekłymi
Autorzy:
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/635324.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
choroby przewlekłe, Model Opieki nad Chorymi Przewlekle, podstawowa opieka zdrowotna
Opis:
The tasks of primary health care in the chronically ill care Chronically ill care, carried out within primary care by physicians specialized in family medicine, is the most effective clinically, socially and economically. In countries that have attempted to shape health care in the direction of meeting the chronically ill expectations, it was noticed the evolution of patient care from reactive, that activates when the patient reports with the disorder, to proactive - aiming at maintain a high quality of life. Primary health care, which is shaped and evaluated in accordance with the guidelines set out in the paper, improves the functioning of the chronically ill patients, which is evaluated within the biopsychosocial model. Such primary health care has also been recognized as the level of health care system that fully realizes assumptions of the Chronic Care Model.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Podstawowa opieka zdrowotna nad osobami w wieku podeszłym
Autorzy:
Palka, Małgorzata Monika
Powiązania:
https://bibliotekanauki.pl/articles/635318.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
podstawowa opieka zdrowotna, pacjent wieku podeszłego, kompleksowa ocena geriatryczna, promocja i profilaktyka geriatryczna
Opis:
Primary health care of elderly peopleNowadays is need for developing grater system-wide support for managing our geriatric population. Improvement of common geriatric syndromes is important (urinary incontinence, falls, depressive symptoms, high risk medications or functional impairment).The new model of geriatric care is needed.  Does this model should wide connected to primary system? Which aspects of primary geriatrics care are important?  Do primary care doctors prepare for better care of geriatric population? Many of those questions still are not resolved. European Union prepared some instruments for care of older and aging population.Increasing hospitalization rate and out patients visit are a big problem in many health care systems. Out patterns of the look at the older population need change. We need to be preparing for new ideas of geriatric care. The voice of patients and their families is important
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prewencja chorób układu krążenia w podstawowej opiece zdrowotnej
Autorzy:
Tomasik, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/635332.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
choroby układu krążenia, lekarz rodzinny, prewencja, podstawowa opieka zdrowotna, ryzyko ogólne, styl życia
Opis:
Cardiovascular diseases in primary health careCardiovascular diseases (CVD) are the leading cause of lost productivity, morbidity, disability and mortality in Poland.The aim of this article is to present feasible in primary health care (PHC) actions to prevent or delay the onset of CVD. The role of the family doctor in these activities is discusses.Both in the Polish and European publications special attention is paid to health promotion and disease prevention as an important task of family doctors. Preventive measures should be implemented in all age groups (children, adults, elderly), and regardless of gender. This article highlights the need to assess the total CVD risk, which is the basis for selection of the best treatment decisions; discusses the risk factors for CVD; presents their occurrence in the Polish population and the methods used in PHC for their early diagnosis. It also describes the method of "brief interventions", which is a technique  that allows altering the lifestyle of patients.CVD prevention should include the correction of all modifiable risk factors. In our country, there are still areas in which there is much room for improvement of the quality of preventive care. In addition to the activities conducted in PHC, it is advisable to take action at other levels of health care system.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-8 z 8

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