Iskanje po katalogu digitalne knjižnice

Opis: 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.
Ključne besede: family physician, process quality, comparison
Objavljeno v DKUM: 28.06.2017; Ogledov: 6811; Prenosov: 293
Celotno besedilo (697,85 KB)
Gradivo ima več datotek! Več...

Opis: For many decades language theorists and linguists have had a great interest in the development of the languages spoken today. Grammatical rules suggested by language experts and indeed society at large through the processes of standardization and codification enable people of a particular ethnic group or community to communicate with each other in an understandable and functional manner. However, there are many disagreements and contradictions among theories and theorists. In my paper I deal with the theory of Steven Pinker, a well known Canadian-American experimental psychologist and cognitive scientist, especially interested in language development in children. He aims to outline different aspects of language and its rules. His research is particularly dedicated to the impulses and calculations emerging in the human mind when it is trying to capture and comprehend different events and communicate them to the environment. He argues that language instinctively emerges in a child based on innate basic concepts such as substance, time, space and causality. The vocabulary becomes spontaneously extended through everyday communication. By following rule generalizations, children are capable of forming a countless number of possible word combinations out of the finite number of examples they have heard so far. Pinker introduces a metaphor for language as a window through which human nature manifests and can be explored.
Ključne besede: jezik, mišljenje, filozofija, jezikovni instinkt, otroški govor, pridobivanje jezika
Objavljeno v DKUM: 07.01.2010; Ogledov: 2318; Prenosov: 123
Celotno besedilo (281,68 KB)