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Self-reported chronic conditions in student population in Slovenia
Zalika Klemenc-Ketiš, Žiga Hladnik, Danica Rotar-Pavlič, Mieke Post, Janko Kersnik, 2010, original scientific article

Abstract: Purpose/Objective: The aims of this study were (1) to determine the prevalence of chronic diseases in a student population in Slovenia, (2) to determine the effects of chronic diseases on the use of health services. Methods: A cross-sectional web-survey among university students in Ljubljana and Maribor, Slovenia took place in March and April 2008. Data were analyzed using SPSS version 13.0 (SPSS Inc, Chicago, IL, USA),and chi-square test, t-test and binary logistic regression analysis were performed. Results: The prevalence of chronic diseases in the student population was 40.3 %. The most common chronic diseases were allergies (excluding hay fever) (14.9 %), hay fever (11.4 %), followed by skin diseases (9.2 %) and anxiety (5.3 %). Both high blood pressure and asthma had a higher prevalence in men than in women (p < 0.001 and p = 0.023, respectively). Students with chronic conditions less often thought that they can influence their own health by self-treatment, experienced stress in the previous week, more likely visited or contacted his/her personal doctor in the past year, more likely purchased medications for self-treatment from a pharmacist in the past year, were more aware of the facts that self-treatment may hide the symptoms and signs of illness to such extent that the doctor may not be able to recognize it or overlook it completely. Conclusion: A greater awareness of the prevalence and impact of chronic diseases in students is warranted and the existing interventions should be changed in order to achieve a better life quality of university students.
Keywords: students, chronic disease, prevalence, self-care, quality of life
Published: 28.03.2017; Views: 284; Downloads: 25
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Health beliefs and practices among Slovenian Roma and their response to febrile illnesses
Danica Rotar-Pavlič, Erika Zelko, Janko Kersnik, Verica Lolič, 2011, original scientific article

Abstract: Introduction: When the Roma fell ill in the past, they used herbal home remedies to treat diseases. If the remedy failed to cure the illness, they called the local healer. Today, most Roma visit physicians. This study investigates health beliefs and practices held by the Roma people in Slovenia and their response to febrile illnesses. Methods: Field interviews using a semi-structured questionnaire were conducted in the vicinity of Kočevje. Sociodemographic data were gathered and recorded manually, and the interviews were tape recorded. Qualitative analysis was performed by three researchers. Special attention was paid to data validation. Results: The majority of Roma are not acquainted with thermometers and therefore do not use them. About onethird of the interviewees knew what the normal body temperature should be. Only 15% of the Roma population take their body temperature when they are feeling unwell. One-half visit their physicians. More than half of the population take paracetamol or aspirin when they feel feverish. More often, they resort to tea and emphasize the healing effect of sweating. Conclusion: The Roma beliefs and practices regarding health and fever are instructive and show how impoverished a narrow biomedical approach can be. Failure to use technical devices, such as thermometers, and lack of familiarity with the numerical values defining the border between normal and elevated body temperature, nonetheless do not mean that the Roma take inappropriate measuresin response to illness. Illnesses (including fever) can also be recognized without these tools and can be appropriately responded to by drinking teas, using compresses, and taking fever-reducing medications.
Keywords: Roma, illness, thermometer, fever, activity, doctor
Published: 05.04.2017; Views: 260; Downloads: 56
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Quality of life and patient satisfaction with family practice care in a roma population with chronic conditions in northeast Slovenia
Erika Zelko, Igor Švab, Danica Rotar-Pavlič, 2015, original scientific article

Abstract: Objectives: Health-related quality of life (HRQoL) measures a patient's subjective experience of his or her health status. We aimed to show how the presence of chronic diseases and satisfaction with family physicians (FPs) were associated with the HRQoL of a Roma population. Methods: A cross-sectional study was carried out in May 2011 on a representative sample of 650 Roma living in Prekmurje, Slovenia. The EQ-5D questionnaire was used for measuring the HRQoL of the Roma. Demographical data, 12 groups of diseases diagnosed in the last 12 months and satisfaction with FPs were included in the questionnaire. Results: The response rate was 88.3% (574), of which 56.4% were female, and the average age of the participants had a mean value of 40.2+-12.7 years. The presence of cardiovascular problems with risk factors for them or presence of musculoskeletal disorders were strongly associated with the presence of pain (Cramer's V = 0.40 and 0.46 respectively). There was a strong association between the presence of mental disorders and anxiety and depression (Cramer's V = 0.58). The average satisfaction with the family physician was 3.9 (mean+-1.10) on a five-point Likert scale. There was no significant association between HRQoL and satisfaction with the family physician. Conclusions: Roma with chronic mental health problems had the lowest HRQoL in the Roma population. More attention should be paid to this subgroup of Roma in family medicine, and interventions should be provided. High satisfaction with their FPs is not associated with the observed quality of life variables.
Keywords: quality of life, Roma, patient satisfaction
Published: 05.04.2017; Views: 295; Downloads: 35
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Do the experiences of patients of state-employed family physicians and concessionaires in Slovenia differ?
Danica Rotar-Pavlič, Maja Sever, Zalika Klemenc-Ketiš, Igor Švab, Janko Kersnik, Wienke Boerma, 2015, original scientific article

Abstract: Background: Family practice healthcare in Slovenia is provided by state-employed family physicians as well as concessionaires. However, both work under a contract with the National Health Insurance Institute. This study focuses on comparing patients’ experiences with Slovenian concessionaires and state-employed physicians. Methods: We performed analyses using survey data from a cross-sectional study on patient experiences, which took place from September 2011 to April 2012 as a part of the international QUALICOPC study. The Slovenian branch of this study included 1,962 patients visiting family practices. Patients were classified into two groups with respect to the registered status of their family physician. They completed the questionnaires immediately aſter visiting their family physicians. Data used in the analyses included 76 variables: 18 socio-economic and 58 variables linked to the patient’s experience. Results: The analyses showed few differences between concessionaires and state-employed family physicians. In comparison with patients of state-employed family physicians, patients of concessionaires were less likely to make an appointment for a visit (19.8 % vs. 29.2 %), were generally more frequent visitors (43.7 % vs. 50.7 %), and more oſten felt that opening hours were too restricted (25.7 % vs. 31.9 %). Patients of concessionaires believed more oſten that in general, doctors can be trusted (40.1 % vs.47.1 %). A smaller percentage of patients of concessionaires felt that their physician had the capacity to deal with personal problems as well as to provide medical care (61.9 % vs. 54.7 %). Conclusions: There are few differences in patients’ experiences of state-employed family physicians and concessionaires. Slovenian patients have a generally positive experience with family practice services regardless of the family physicians’ status. Plans for organizational change of the health sector should include patients’ perceptions of services.
Keywords: patient, experience, family physician, state-employed, concessionaire
Published: 10.05.2017; Views: 342; Downloads: 76
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Process quality indicators in family medicine
Danica Rotar-Pavlič, Maja Sever, Zalika Klemenc-Ketiš, Igor Švab, 2015, original scientific article

Abstract: Background: The aim of our study was to describe variability in process quality in family medicine among 31 European countries plus Australia, New Zealand, and Canada. The quality of family medicine was measured in terms of continuity, coordination, community orientation, and comprehensiveness of care. Methods: The QUALICOPC study (Quality and Costs of Primary Care in Europe) was carried out among family physicians in 31 European countries (the EU 27 except for France, plus Macedonia, Iceland, Norway, Switzerland, and Turkey) and three non-European countries (Australia, Canada, and New Zealand). We used random sampling when national registers of practitioners were available. Regional registers or lists of facilities were used for some countries. A standardized questionnaire was distributed to the physicians, resulting in a sample of 6734 participants. Data collection took place between October 2011 and December 2013. Based on completed questionnaires, a three-dimensional framework was established to measure continuity, coordination, community orientation, and comprehensiveness of care. Multilevel linear regression analysis was performed to evaluate the variation of quality attributable to the family physician level and the country level. Results: None of the 34 countries in this study consistently scored the best or worst in all categories. Continuity of care was perceived by family physicians as the most important dimension of quality. Some components of comprehensiveness of care, including medical technical procedures, preventive care and health care promotion, varied substantially between countries. Coordination of care was identified as the weakest part of quality. We found that physician-level characteristics contributed to the majority of variation. Conclusions: A comparison of process quality indicators in family medicine revealed similarities and differences within and between countries. The researchers found that the major proportion of variation can be explained by physicians' characteristics.
Keywords: family physician, process quality, comparison
Published: 28.06.2017; Views: 151; Downloads: 53
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Danica Rotar, 2014, undergraduate thesis

Abstract: Namen diplomske naloge je kontrola kakovosti rezultatov hematološkega analizatorja ABX Pentra XL 80, proizvajalca HORIBA Medical, ki smo jo izvajali v diagnostičnem laboratoriju Zdravstvenega doma Ormož. Ugotavljali smo točnost in natančnost meritev omenjenega hematološkega analizatorja. Nadzor kakovosti v laboratoriju je namenjen za odkrivanje, zmanjšanje in odpravo pomanjkljivosti v analitskem procesu v medicinskem laboratoriju. Kontrola kakovosti je ključnega pomena pri izboljšanju kakovosti rezultatov meritev parametrov krvne slike pri pacientih, ki jih vsak dan sporočamo zdravnikom in naročnikom. Naključnim pacientom v ZD Ormož smo odvzeli vzorce polne krvi z dodatkom antikoagulanta K3EDTA in izvedli meritve krvnih slik. Primerljivost izmerjenih rezultatov smo ugotavljali z referenčnim hematološkim analizatorjem ABX Pentra 60. Dobljene rezultate smo statistično ovrednotili s parnim t-testom in linearno regresijo. Ponovljivost smo izvajali z večkratnimi meritvami vzorcev znotraj delovnega dne. Izračunane koeficiente variacij smo primerjali s podanimi koeficienti variacij proizvajalca hematološkega analizatoja HORIBA Medical. Merjenje točnosti smo izvajali s komercialnimi kontrolnimi vzorci ABX Difftrol na dveh koncentracijskih nivojih (normalni in visoki nivo). Dobljene rezultate kontrolnih vzorcev smo statistično ovrednotili s t-testom in jih hkrati tudi vnesli v kontrolne karte, ter jih ocenili z Westgardovimi pravili. Diferencialne krvne slike levkocitov smo primerjali z mikroskopskim diferenciranjem krvnih razmazov, ki smo jih izdelali sami in pobarvali po metodi May-Grünwald Giemsa. Ugotovili smo, da statistično ovrednotenje hematoloških vrednosti s t-testom in parnim t-testom ni najbolj primerno. S pomočjo linearne regresije in kontrolnih kart smo prišli do sklepa, da je hematološki analizator dovolj točen in natančen za uporabo analize krvnih slik.
Keywords: hematološki analizator, kompletna krvna slika, kontrola kakovosti
Published: 17.10.2014; Views: 1048; Downloads: 276
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