An overview of self-treatment and selfmedication practices among Slovenian citizensMateja Smogavec
, Nina Softič
, Janko Kersnik
, Zalika Klemenc-Ketiš
, 2010, izvirni znanstveni članek
Opis: Background: The aim of this study was to acquire data related to the prevalence of self-medication use among inhabitants of Slovenia. We focused onthe use of different self-medication practices, reasons for their use, the groups that use them, and probable association with socioeconomic status of anindividual user. Methods: This is a cross-sectional study, based on anonymous questionnaires, mailed in April 2009 to one thousand randomly choseninhabitants in all regions of the Republic of Slovenia. Results: We got 41.0 % response rate. 51.0 % of the respondents have used some form of selftreatment in the previous year. 69.3 % used OTC drugs and 38.3 % prescription drugs for self-medication. 83.1 % of them got the drugs for self-medication from the pharmacist but 23.0 % of them got the drugs for self-medication from their friends and relatives. Several demographical characteristics of the respondents were statistically significantly associatedwith self-med-ication practices; thus women were more likely using OTC drugs, vitamins and minerals, and more likely buying them in pharmacies, as compared to men; students and active population were more likely to use OTCdrugs, also more likely buying them in pharmacies as compared to other population groups. Conclusions: The use of self-medication in Slovenia is veryhigh, but mainly in quite safe mode. Majority of medicines are bought in regulated pharmacies, where users can also get pharmaceutical care. Physicianshave to take into account self-medication in their patients, take a thorough self-medication history and make good use of each consultation by educating the patients on appropriate and safe use of prescribed and OTC medicines.
Ključne besede: family practice, cross-sectional study, prescription, prescription drugs, non-prescription drugs
Objavljeno: 27.03.2017; Ogledov: 136; Prenosov: 2
Polno besedilo (440,72 KB)
Burnout among Slovenian family medicine traineesPolona Selič
, Tea Stegne Ignjatović
, Zalika Klemenc-Ketiš
, 2012, izvirni znanstveni članek
Opis: Background: Burnout as a distinct work-related syndrome is established by the combination of high scores for emotional exhaustion (EE) and depersonalisation(D), and a low score for personal accomplishment (PA). The aim of the study was to assess the prevalence of burnout among Slovenian family medicine trainees and the influence of the socio-demographic characteristics on burnout assessment. Methods: The study included 127 family medicine trainees in a modular part of the residency in the study year 2008/09. A self-administered questionnaire addressed the socio-demographic variables (age, gender, marital status, and years of practice and labour details - number of patients per day, number of night shifts per month); the second part consisted of the Slovenian version of the Maslach Burnout Inventory. Results: The responses were received from 117 trainees (92 % response rate). In terms of burnout, 45.9 % respondents scored high for EE, 43.1 % for high D, and 45.9 % for low P, with 18.3 % scoring high burnout in all three dimensions, 27.5 % in two dimensions, 24.8 % in one dimension and only 29.4% id not score high for burnout in any dimension at al. A high EE wassignificantly associated with frequent work in the emergency unit (four times per month) and age; a higher D was associated only with frequent work inthe emergency unit (four times per month), whereas a low PA was not associated with any of the variables studied. Conclusions: The prevalence of burnout syndrome among family medicine trainees is high and consistent with data from other studies among the physicians worldwide using the same instrument. Family medicine trainees are at risk of burnout regardless of their demographic characteristics. Increased workload affects EE and D.
Ključne besede: professional burnout, family practice, psychological stress, workloads
Objavljeno: 27.03.2017; Ogledov: 96; Prenosov: 3
Polno besedilo (463,14 KB)
The impact of patientʼs socio-demographic characterictics, comorbidities and attitudes on flu vaccination uptake in family practice settingsAndrej Kravos
, Lucija Kračun
, Klara Kravos
, Rade Iljaž
, 2015, izvirni znanstveni članek
Opis: Objectives: In Slovenia, the role of family physicians in primary care and preventive procedures is very important. Influenza vaccination rates in Slovenia are low. The reasons for low vaccination rates in Slovenia were not clear. We suppose that patient’s beliefs and attitudes are important factors. We assessed patients’ opinions regarding the acceptance of flu vaccination by their family physicians and their beliefs and attitudes about flu and vaccination. The aim was to check out factors that influence the decision to take the vaccine in family physician offices.
Methods: This was a cross-sectional, multicenter, observational study in the Styria region in Slovenia. We included patients from seven family physicians during regular office visits. They filled in a questionnaire about their general demographic data and attitudes regarding influenza and vaccination. The main outcome was the decision to be vaccinated.
Results: The logistic regression model identified five predictors for influenza vaccination, namely: heart disease, previous vaccination, an agreement with the beliefs ‘the vaccination is an efficient measure to prevent influenza’, ‘after the vaccination there are usually no important side effects’ and ‘the vaccination is also recommended for a healthy adult person’. The belief that vaccinations harm the immune system is negatively associated with vaccination.
Conclusions: Patients’ beliefs are an important factor to decide for vaccination or not. Family physician teams should discuss with patients their beliefs and concerns about vaccination.
Ključne besede: vaccination, influenza, family practice, attitudes, chronic diseases
Objavljeno: 05.04.2017; Ogledov: 169; Prenosov: 3
Polno besedilo (187,94 KB)
Using movies in family medicine teachingZalika Klemenc-Ketiš
, Igor Švab
, 2017, izvirni znanstveni članek
Opis: Introduction: Cinemeducation is a teaching method where popular movies or movie clips are used. We aimed to determine whether family physicians’ competencies as listed in the Educational Agenda produced by the European Academy of Teachers in General Practice/Family Medicine (EURACT) can be found in movies, and to propose a template for teaching by these movies.
Methods: A group of family medicine teachers provided a list of movies that they would use in cinemeducation. The movies were categorised according to the key family medicine competencies, thus creating a framework of competences, covered by different movies. These key competencies are Primary care management, Personcentred care, Specific problem-solving skills, Comprehensive approach, Community orientation, and Holistic approach.
Results: The list consisted of 17 movies. Nine covered primary care management. Person-centred care was covered in 13 movies. Eight movies covered specific problem-solving skills. Comprehensive approach was covered in five movies. Five movies covered community orientation. Holistic approach was covered in five movies.
Conclusions: All key family medicine competencies listed in the Educational Agenda can be taught using movies. Our results can serve as a template for teachers on how to use any appropriate movies in family medicine education.
Ključne besede: family practice, medical education, narration, professional competences, movies, family medicine, education, EURACT
Objavljeno: 06.04.2017; Ogledov: 227; Prenosov: 3
Polno besedilo (665,34 KB)
Regional coordinatorsDavorina Petek
, Polona Vidič Hudobivnik
, Viktorija Jančar
, Bojana Petek
, Zalika Klemenc-Ketiš
, 2016, izvirni znanstveni članek
Opis: Background: A new project on education in family medicine training was implemented last year in Slovenia by establishing regional coordinators in the specialist training programme. They are responsible for conducting regular small-group meetings with family medicine trainees. This study wanted to explore the attitudes and opinions of regional coordinators and family medicine trainees concerning this new method.
Methods: This was a qualitative study based on focus groups. The participants were regional coordinators and family medicine specialist trainees. The data were analysed based on the principles of thematic content analysis with inductive technique.
Results: The study revealed five themes which were the same for the analysis of transcripts of both regional coordinators and family medicine trainees: 1) Meetings with trainees; 2) Coordination; 3) Characteristics of regional coordinators; 4) Position of regional coordinators, and 5) Evaluation of regional coordinators.
Conclusion: Participants of the study have many expectations for this new programme. They expect progress in trainees' clinical knowledge through experience-based group learning and with the help of the tutorship role of regional coordinators. The role of regional coordinators represents a new possibility for solving problems in the training programme in their coordinating role. In future, they have the potential to develop into an expert body that supervises the quality of training. A close follow-up is necessary to see if the position of regional coordinators is adequate and if they meet the expectations of the trainees as well as their own goals. Administrative and financial support for the programme is necessary. The project is important also in enabling the adaptation of the training programme's needs and the regional characteristics of medical care.
Ključne besede: family practice, education, mentors
Objavljeno: 28.06.2017; Ogledov: 50; Prenosov: 0
Polno besedilo (467,20 KB)
Importance of international networking in academic family medicineZalika Klemenc-Ketiš
, Janko Kersnik
, 2014, pregledni znanstveni članek
Opis: European family medicine/general practice (FM/GP) has travelled the long and successful journey of profiling the discipline and has produced valuable position papers on education and research. Nowadays, academic medicine is one of the pillars in the future development of FM/GP in Europe. A common European curriculum on undergraduate and postgraduate family medicine is needed. Also, a sound international platform of teaching institutions and/or teachers of family medicine would foster the further development of family medicine as an academic discipline. This would stimulate students and teachers to engage in international exchange to gain new knowledge and experiences, present their work and ideas abroad and prepare the conditions for further exchange of students and teachers.
Conclusion: Established departments of FM/GP, led by a teacher who is a family physician/general practitioner, at each Medical School in Europe should provide students with knowledge and skills related to the core attributes of FM/GP. International exchanges of teachers and students should foster the development of a common curriculum on FM in Europe and foster improvement in the quality of FM education.
Ključne besede: family practice, education, network, exchange
Objavljeno: 24.07.2017; Ogledov: 70; Prenosov: 0
Polno besedilo (71,97 KB)
The role of the European Academy of Teachers in General Practice and Family Medicine in family medicine education in EuropeZalika Klemenc-Ketiš
, Janko Kersnik
, 2012, pregledni znanstveni članek
Opis: Primary health care is important item of political agendas since Alma Ata conference in 1978. West Balkans share common history in development of primary care since 1920' when Andrija Stampar introduced social and community based primary care concepts. The first known specialist training in general practice in the world started in former Yugoslavia in the early 1960'. Since then, much has been done in the field of general practice and family medicine and this is reflected in The European Academy of Teachers in General Practice and Family Medicine (EURACT), which is a network organisation within World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians Region Europe (WONCA Europe). Its aim is to foster and maintain high standards of care in European general practice by promoting general practice as a discipline by learning and teaching. EURACT developed several documents and teachers' courses which can serve the development of family medicine curricula in new established departments of medical schools. This is also the case at Maribor Medical School, where learning outcomes and teaching methods are in concordance with EURACT teaching agenda, but also some innovative approaches are used, such as art and e-learning environment as teaching methods.
Ključne besede: family practice, education, Europe, Slovenia
Objavljeno: 24.07.2017; Ogledov: 66; Prenosov: 2
Polno besedilo (83,80 KB)
Defining rural, remote and isolated practicesRok Petrovčič
, 2016, pregledni znanstveni članek
Opis: There is no single definition of rural practice available. Definitions vary from one country to another, as countries differ in geography and have different health care systems with varying organizational specificities, even within the same country. In spite of increased urbanization and the specific health-related problems it brings with it, a large proportion of the world population still dwells in rural, remote, and isolated areas. In fact, there are many countries in the world with extensive rural areas. Rural areas are unique in organization, demographics, and infrastructure, and so are the specific health-related problems of people living in them. Healthcare in such areas is generally provided by general practitioners or by physicians specialized in family medicine. One of the basic challenges in rural health is defining which areas are rural and finding the characteristics that define “rural”. There are several criteria and combinations of criteria that can be used to define rural areas. Their use mostly depends on the purpose for which the definition is used, and can thus vary from application to application. This paper addresses issues in rural family practice and criteria that may be used to define such practices. It also presents the use of criteria for defining rural practices in a small European country, on the example of Slovenia.
Ključne besede: Slovenia, rural health, rural population, family practice
Objavljeno: 07.08.2017; Ogledov: 43; Prenosov: 2
Polno besedilo (174,94 KB)