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How did general practices organize care during the COVID-19 pandemic : the protocol of the cross-sectional PRICOV-19 study in 38 countries
Esther Van Poel, Piet Van den Bussche, Zalika Klemenc-Ketiš, Sara Willems, 2022, izvirni znanstveni članek

Opis: Background: General practitioners (GPs) play a crucial role in the fight against the COVID-19 pandemic as the first point of contact for possibly infected patients and are responsible for short and long-term follow-up care of the majority of COVID-19 patients. Nonetheless, they experience many barriers to fulfilling this role. The PRICOV-19 study investigates how GP practices in 38 countries are organized during the COVID-19 pandemic to guarantee safe, effective, patient-centered, and equitable care. Also, the shift in roles and tasks and the wellbeing of staff members is researched. Finally, PRICOV-19 aims to study the association with practice- and health care system characteristics. It is expected that both characteristics of the GP practice and health care system features are associated with how GP practices can cope with these challenges. This paper describes the protocol of the study. Methods: Using a cross-sectional design, data are collected through an online questionnaire sent to GP practices in 37 European countries and Israel. The questionnaire is developed in multiple phases, including a pilot study in Belgium. The final version includes 53 items divided into six sections: patient flow (including appointments, triage, and management for routine care); infection prevention; information processing; communication; collaboration and self-care; and practice and participant characteristics. In the countries where data collection is already finished, between 13 and 636 GP practices per country participated in the study. Questionnaire data are linked with OECD and HSMR data regarding national policy responses to the pandemic and analyzed using multilevel models considering the system- and practice-level. Discussion: To the best of our knowledge, the PRICOV-19 study is the largest and most comprehensive study that examines how GP practices function during the COVID-19 pandemic. Its results can significantly contribute to better preparedness of primary health care systems across Europe for future major outbreaks of infectious diseases.
Ključne besede: family medicine, primary health care, COVID-19
Objavljeno v DKUM: 05.07.2024; Ogledov: 72; Prenosov: 3
.pdf Celotno besedilo (1,31 MB)
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Big data in sports : a bibliometric and topic study
Ana Šuštaršič, Mateja Videmšek, Damir Karpljuk, Ivan Miloloža, Maja Meško, 2022, pregledni znanstveni članek

Opis: Background: The development of the sports industry was impacted by the era of Big Data due to the rapid growth of information technology. Unfortunately, that has become an increasingly challenging Issue. Objectives: The purpose of the research was to analyze the scientific production of Big Data in sports and sports-related activities in two databases, Web of Science and Scopus. Methods/Approach: Bibliometric analysis and topic mining were done on 51 articles selected after four exclusion criteria (written in English, journal articles, the final stage of publication, and a detailed review of all full texts). The software tool used was Statistica Data Miner. Results: We found that the first articles appeared in Scopus in 2013 and WoS in 2014. USA and China are countries which produced the most articles. The most common research areas in WoS and Scopus are Public environmental and occupational health, Medicine, Environmental science ecology, and Engineering. Conclusions: We conducted that further research and literature review will be required as this is a broad and new topic.
Ključne besede: big data, sport, bibliometric study, topic study, health care management, services, decision making
Objavljeno v DKUM: 05.07.2024; Ogledov: 65; Prenosov: 3
.pdf Celotno besedilo (777,24 KB)
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The influence of anxiety and fear of COVID‑19 on vaccination hesitancy among postsecondary students
Andrej Šorgo, Nuša Crnkovič, Katarina Cesar, Špela Selak, Mitja Vrdelja, Branko Gabrovec, 2022, izvirni znanstveni članek

Opis: The aim of the present study was to explore the infuence of anxiety and fear of COVID-19 on vaccination hesitancy among Slovenian postsecondary students. A cross-sectional study using a set of previously tested instruments and ad hoc questions created by the authors was chosen as the method to gain insight into various health and sociodemographic aspects of Slovenian postsecondary students afected by the COVID-19-induced closures and suspensions of educational activities at tertiary educational institutions (N= 5999). Overall, 39.7% of participating students expressed an intention to get vaccinated at the frst possible opportunity, whereas 29.2% expressed no intent to do so. The highest vaccine hesitancy was observed among prospective teachers (50.3%) and the lowest among prospective physicians (5,7%). When examining the role of anxiety and fear of COVID-19 on the Slovenian postsecondary students' intentions to get vaccinated the results of logistic regression showed that only fear of COVID-19 played a mild and signifcant role.
Ključne besede: vaccination, health care, health occupations, medical research, risk factors, signs and symptoms, students
Objavljeno v DKUM: 05.07.2024; Ogledov: 51; Prenosov: 2
.pdf Celotno besedilo (950,20 KB)
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Safety culture and the positive association of being a primary care training practice during COVID-19 : the results of the multi-country European PRICOV-19 study
Bianca Silva, Zlata Ožvačić Adžić, Pierre Vanden Bussche, Esther Van Poel, Bohumil Seifert, Cindy Heaster, Claire Collins, Canan Tuz Yilmaz, Felicity Knights, Zalika Klemenc-Ketiš, 2022, izvirni znanstveni članek

Opis: The day-to-day work of primary care (PC) was substantially changed by the COVID-19 pandemic. Teaching practices needed to adapt both clinical work and teaching in a way that enabled the teaching process to continue, while maintaining safe and high-quality care. Our study aims to investigate the effect of being a training practice on a number of different outcomes related to the safety culture of PC practices. PRICOV-19 is a multi-country cross-sectional study that researches how PC practices were organized in 38 countries during the pandemic. Data was collected from November 2020 to December 2021. We categorized practices into training and non-training and selected outcomes relating to safety culture: safe practice management, community outreach, professional well-being and adherence to protocols. Mixed-effects regression models were built to analyze the effect of being a training practice for each of the outcomes, while controlling for relevant confounders. Of the participating practices, 2886 (56%) were non-training practices and 2272 (44%) were training practices. Being a training practice was significantly associated with a lower risk for adverse mental health events (OR: 0.83; CI: 0.70-0.99), a higher number of safety measures related to patient flow (Beta: 0.17; CI: 0.07-0.28), a higher number of safety incidents reported (RR: 1.12; CI: 1.06-1.19) and more protected time for meetings (Beta: 0.08; CI: 0.01-0.15). No significant associations were found for outreach initiatives, availability of triage information, use of a phone protocol or infection prevention measures and equipment availability. Training practices were found to have a stronger safety culture than non-training practices. These results have important policy implications, since involving more PC practices in education may be an effective way to improve quality and safety in general practice.
Ključne besede: safety culture, patient safety, quality of care, primary health care, COVID-19, medical education, vocational training, PRICOV-19, infectious disease, multi-country, general practice
Objavljeno v DKUM: 04.07.2024; Ogledov: 56; Prenosov: 10
.pdf Celotno besedilo (376,37 KB)
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Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level : protocol for a multicentric randomized controlled pilot study
Matic Mihevc, Črt Zavrnik, Majda Mori-Lukančič, Tina Virtič, Valentina Prevolnik Rupel, Marija Petek Šter, Zalika Klemenc-Ketiš, Tonka Poplas-Susič, 2022, izvirni znanstveni članek

Opis: Introduction: Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test the acceptability, clinical effectiveness, and cost-effectiveness of telemonitoring in elderly patients with AH and T2D at the primary care level. Methods: A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients a ged ≥ 65 y ears with AH and T2D will be randomized in a 1:1 proportion to a mHealth intervention or standard care group. Patients in the intervention group will measure their blood pressure (BP) twice weekly and blood glucose (BG) once monthly. The readings will be synchronously transmitted via a mobile application to the telemonitoring platform, where they will be reviewed by a general practitioner who will indicate changes in measurement regimen or carry out a teleconsultation. The primary endpoint will be a change in systolic BP (SBP) and glycated haemoglobin (HbA1c) relative to standard care up to 12 months after inclusion. Secondary endpoints will be a change in other observed clinical variables, quality-of-life indexes, and costs. Expected results: Telemonitoring will be an acceptable method of care associated with significant reductions in SBP and HbA1c levels and an increase in quality-of-life indexes in the intervention group. However, the cost-effectiveness threshold (incremental cost-effectiveness ratio below €25,000/quality-adjusted life year) might not be reached. Conclusion: This study will provide new evidence for scaling up telemonitoring network at the primary care level and modifying telemonitoring protocols to achieve the best clinical and cost-effective outcomes.
Ključne besede: mobile health, telemonitoring, blood pressure, blood glucose, HbA1c, aged, primary health care, costs
Objavljeno v DKUM: 27.06.2024; Ogledov: 81; Prenosov: 2
.pdf Celotno besedilo (377,42 KB)
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Self-management of chronic diseases : a concept analysis
Lucija Gosak, Dominika Vrbnjak, Majda Pajnkihar, 2022, pregledni znanstveni članek

Opis: Introduction. Due to coronavirus disease 2019, which affected the provision of nursing care to chronic patients, the self-management of patients has increased through the use of modern technology. To support the self-management of chronic patients, it is essential to analyze and clarify the concept of self-management before using it in practice. Methods. A literature search was performed in the Web of Science, PubMed, CINAHL, ScienceDirect, Sage Journals, MEDLINE, Cochrane Library databases, in addition to Google Scholar and COBISS using the keywords “concept,” “self-care,” “chronic disease,” and “nurse.” Qualitative, quantitative, and mixed methods research, books, and abstracts, related to the selected concept in English were included in the review. Studies were ranked according to the hierarchy of evidence. Concept analysis by Cutcliffe and McKenna was used. Results. Of the 2974 identified studies, 31 were included in the analysis. Seven attributes were identified: assessment of physical and emotional signs and symptoms, response to changes, consultation with the health care provider, communication, goals, attention to treatment effectiveness, and awareness of the situation. The antecedents are learning, motivation, habits, cultural and religious values, self-efficacy, literacy. The consequences concept includes improving individuals’ clinical outcomes and quality of life and reducing public health costs. Conclusions. As nursing care focuses more and more on self-management of the disease and not just on treatment, patients are increasingly using different techniques to manage their disease. By incorporating the concept of self-management of chronic disease into modern technology, we can contribute to patient care.
Ključne besede: chronic patients, health care, self-care, self-management
Objavljeno v DKUM: 13.06.2024; Ogledov: 68; Prenosov: 17
.pdf Celotno besedilo (215,81 KB)
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Review of artificial intelligence-based question-answering systems in healthcare
Leona Cilar Budler, Lucija Gosak, Gregor Štiglic, 2023, pregledni znanstveni članek

Ključne besede: artificial intelligence, conversational agents, ChatGPT, health care, machine learning
Objavljeno v DKUM: 05.06.2024; Ogledov: 99; Prenosov: 5
.pdf Celotno besedilo (3,65 MB)
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Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia : qualitative study
Nataša Stojnić, Zalika Klemenc-Ketiš, Majda Mori-Lukančič, Črt Zavrnik, Tonka Poplas-Susič, 2023, izvirni znanstveni članek

Opis: Background Integrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation. Methods Eight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program. Results We identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful. Conclusion Primary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.
Ključne besede: integrated health care system, type-2-diabetes, Hypertension, Health care team, interdisciplinary primary care, qualitative research
Objavljeno v DKUM: 19.04.2024; Ogledov: 182; Prenosov: 5
.pdf Celotno besedilo (1007,00 KB)
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Overview of this issue: "clinical pharmacy impacting mental health delivery and outcomes"
Martina Hahn, Matej Štuhec, Filipa Alves da Costa, 2023, predgovor, uvodnik, spremna beseda

Ključne besede: clinical pharmacy, mental health care
Objavljeno v DKUM: 15.04.2024; Ogledov: 149; Prenosov: 7
.pdf Celotno besedilo (259,41 KB)
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Leadership and managerial challenges to ensure agile management as a method to enable business success : a Delphi study of the Slovenian health organisations
Vasja Roblek, Vlado Dimovski, Kristjan Jovanov Oblak, Maja Meško, Judita Peterlin, 2024, izvirni znanstveni članek

Opis: Purpose This study aims to apply the Delphi method to explore the possibilities for implementing agility management concepts in Slovenian health-care organisations. Design/methodology/approach The research is based on a qualitative Delphi study encompassing 15 employees in different Slovenian health-care organisations. Findings Slovenian health-care organisations need to be more agile currently. For this reason, it is necessary to begin with organisational changes and organisational learning concepts to educate employees about the meaning and content of agile processes. It is essential to ensure that accepting employee mistakes and offering help to employees becomes normal practice, and it is necessary to ensure the greater trust of the management towards the employees. Originality/value The research empowers health-care professionals with new management and leadership concepts, such as agile management, sustainable leadership and leadership development methods in health care.
Ključne besede: entrepreneurship, leadership, company performance, business efficiency, agile management, delphi study, health-care organisations, organisational transformation, Slovenia, change management, health services sector
Objavljeno v DKUM: 08.04.2024; Ogledov: 218; Prenosov: 9
.pdf Celotno besedilo (588,83 KB)
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