Iskanje po katalogu digitalne knjižnice

Opis: Background: In family medicine, decisions can be difficult due to the early presentation of often poorly developed symptoms or the presentation of undifferentiated conditions that require competencies unique to family medicine, such as; primary care management, specific problem-solving skills, and a comprehensive and holistic approach to be taught to medical students. Purpose: The aim of this study was to assess the decision-making process covering all theoretical aspects of family practice consultation and to recognize possible areas of deficiency in undergraduate medical students. Materials and methods: This was a cross-sectional, observational study performed at the Medical School of the University of Maribor in Slovenia. The study population consisted of 159 fourth-year medical students attending a family medicine class. The main outcome measure was the scores of the students' written reports on solving the virtual clinical case. An assessment tool consisted of ten items that could be graded on a 5-point Likert scale. Results: The final sample consisted of 147 (92.5%) student reports. There were 95 (64.6%) female students in the sample. The mean total score on the assessment scale was 35.1+-7.0 points of a maximum 50 points. Students scored higher in the initial assessment items and lower in the patient education/involvement items. Female students scored significantly higher in terms of total assessment score and in terms of initial assessment and patient education/involvement. Conclusion: Undergraduate medical education should devote more time to teaching a comprehensive approach to consultation, especially modification of the health behavior of patients and opportunistic health promotion to patients. Possible sex differences in students' performance should be further evaluated.
Ključne besede: assessment, family medicine, undergraduate medical education, decision making
Objavljeno: 03.08.2017; Ogledov: 511; Prenosov: 290
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Opis: The focus of the paper is on consideration of how to use indicators to monitor sustainable development in a relevant and useful manner. Integrated information on sustainable development of a company is very essential for decision-making since it is very difficult to evaluate the performance of the company on the ground of too many indicators. The objective of the work was to design a model for obtaining a composite sustainable development index (ICSD) in order to track integrated information on economic, environmental, and social performance of the company with time. Normalized indicators were associated into three sustainability sub-indices and finally composed into an overall indicator of a company performance. This was applied by determining the impact of individual indicator to the overall sustainability of a company using the concept of analytic hierarchy process. The demonstration of the model used data for a case study company, Henkel, and a set of sustainable development indicators that were classified using the currently most widely accepted approach of the Global Reporting Initiative (GRI). Case study was used to measure ICSD and sustainability sub-indices of the company over the time interval of 6 years. Interpretation of results is given and the utility of ICSD with its relevance for decision-making is pointed out. Using a case study, the paper demonstrates that the model can be applied to deliver composite indicators of sustainability performance of companies.
Ključne besede: clean technologies, environmental protection, sustainable development, sustainability indicators, composite index, sustainability assessment, multiattribute decision-making
Objavljeno: 01.06.2012; Ogledov: 2103; Prenosov: 72
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