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2. The constitutional right to health protection in BelarusAksana Shupitskaya, 2020, izvirni znanstveni članek Opis: The article analyzes the constitutional right enshrined in the Fundamental law of the Belarusian state, its Constitution, - the right to health protection. The purpose of the research is to analyze the relevant legal regulations and the problems associated with implementing the right to health protection in the modern Belarus. The paper will examine the constitutional basis of the right to health protection in Belarus, its essence and nature, normative legal acts regulating the analyzed right, problems and prospects of its implementation in light of the current conditions of the Belarusian state. The author considers the constitutional legal principles and constitutional legal norms as the basis of the right to health protection and reveals the essence of the analyzed right. The conclusion substantiates the idea that detailed regulation of the right to health protection is carried out at the level of normative legal acts of the Republic of Belarus adopted by various state bodies. The state of realization of the right to health protection is determined by socio-economic, political and other factors. Identifying a number of problems related to ensuring the right to health protection, the researcher analyzes the prospects for its further development in the Republic of Belarus.
Ključne besede: constitution, constitutional principles and norms, medical care, health protection
Objavljeno v DKUM: 15.01.2021; Ogledov: 587; Prenosov: 24
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3. Community health nursing in Slovenia and Croatia - selected legal aspectsSuzana Kraljić, Blanka Kačer, 2020, izvirni znanstveni članek Opis: This article is dedicated to community health nursing which today constitutes the indispensable cornerstone of Slovenian and Croatian primary health-care. Authors also stress that community health nursing is recognized of crucial importance for public health and various vulnerable groups (e.g., children, elderly, ...) in many other European as well as non-European states. In Chapter 2, the authors represent basic historical milestones in both countries, Slovenia and Croatia, which have common historical roots. In Chapters 3 and 4, the central part of the article, authors analyze the current legal regulation related to community health nursing and thereby give special attention to differences in both national legal regulations. The major difference is given in concessions. Namely in Slovenia, community health nursing can be performed also based on a granted concession, but not in Croatia. In Chapter 5, some legal views on the role of community health nursing in local communities are emphasized (e.g., domestic violence). The last chapter is dedicated to the summarization of the authors' conclusions, in which they especially stress that the community health nursing in both countries today represents an important key factor for ensuring the constitutional right to health-care.
Ključne besede: community health nurse, primary care, aging population, concession, legal regulation
Objavljeno v DKUM: 15.01.2021; Ogledov: 733; Prenosov: 45
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4. An overview of medical malpractice law in the United States including legislative and the health care industry's responses to increased claimsThomas Allan Heller, 2017, pregledni znanstveni članek Opis: Medical Malpractice claims are frequently asserted in the United States. At various time and places, an extraordinarily high number of claims and payouts led to what some have called medical malpractice crises. Consequently, in some geographical locations physicians either could not purchase malpractice insurance as carriers withdrew from the market, or, insurance became increasingly expensive and the overall costs associated with the delivery of health care continued to rise. Other undesirable consequences of these crises included a shortage of qualified physicians in certain parts of the country. Many of the states responded to these problems legislatively through a long series of tort reform measures. The health care industry itself has evolved in numerous ways. In particular, many health care providers have turned away from traditional private insurance models to self-insured models such as captives. Further, the industry has continued to consolidate, with fewer, but larger hospitals and clinics, and with an increasing number of physicians employed directly by hospitals and large clinics. The results of all of these changes have had mixed results.
Ključne besede: medical malpractice, defensive medicine, medical malpractice crises, tort reform, consolidation of health care industry, group captives
Objavljeno v DKUM: 09.10.2018; Ogledov: 1201; Prenosov: 152
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5. Monitoring of quality in health care using indicators : challenges and possible solutionsMircha Poldrugovac, Tit Albreht, 2017, izvirni znanstveni članek Opis: A number of stakeholders identified the need to revise the national set of quality indicators. The objectives of monitoring quality indicators that were determined in 2010 for the most part were not accomplished. Key reasons include: insufficient communication between stakeholders after the indicator set was introduced, insufficient definition of human and financial resources necessary for indicators' monitoring, lack of a thorough ICT structure that could support indicators' monitoring and weak leadership for these activities. A new performance indicators' set requires a clear identification of the objectives to be pursued and consequently of the theoretical framework for the indicators. Mostly it is necessary in addition to the identification of the challenges so far, to also recognize what are the possibilities to strengthen this area in the future.
Ključne besede: quality, health care, health promotion, efficiency
Objavljeno v DKUM: 09.10.2018; Ogledov: 909; Prenosov: 101
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6. Some aspects of the health-care institutions management in SloveniaJaka Vadnjal, Jurij Bernik, Andrej Baričič, 2009, izvirni znanstveni članek Opis: Not much has research has so far been done into the peculiarities of health-care organization management. The motivation was to explore the possible perspectives of the health-organization management system in comparison to other business forms. The hypotheses were tested through a questionnaire that was mailed to managers in health-care institutions. It has been confirmed to a certain degree that managers with a medical training background have different managerial scopes, oriented more to their own profession, including economics of their organization, need for enhanced knowledge and, their managerial style. The implications of the study are at two levels. The future design of training programs for top and middle management institutions will be influenced by the results and findings. At the other level, the implications are expected to arouse interest in the field of multidisciplinary education course design as well as some providing possible background for development of business consulting services in the field.
Ključne besede: health-care, management, leadership, education, consulting
Objavljeno v DKUM: 22.01.2018; Ogledov: 994; Prenosov: 336
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7. Quality registers in professional health care educations : knowledge gaps and proposed actionsAnnika Nordin, Torie Palm Ernsäter, Bo Bergman, 2014, izvirni znanstveni članek Opis: Background and purpose: The use of quality registers has increased rapidly in Sweden and they are identified as beneficial for health care competitiveness. A quality register is a structured gathering of patient information, to improve health care. However, the introduction of quality registers in health care organisations presupposes that employees know how to use them in quality improvement. Disconnections, or knowledge gaps, concerning quality registers hamper the possibilities to take advantage of them. Taking departure in professional health care educations, the purpose with the paper is to identify and explore knowledge gaps concerning quality registers. A second purpose is to propose actions to bridge the gaps.
Methodology/Approach: In 2012 50 semi-structured telephone interviews were completed and the material analysed in the search for knowledge gaps.
Results: Five knowledge gaps were found. Some professional health care educations teach improvement knowledge, but they have difficulties integrating quality registers as a resource in teaching. Quality registers do not sufficiently cooperate with professional health care educations and county councils do not generally include learning of quality registers in clinical placements/practicums.
Conclusion: Professional health care educations need forums where they can collaborate with others to jointly explore how learning of quality registers can be integrated. There are promising approaches.
Ključne besede: quality registers, quality improvement, health care
Objavljeno v DKUM: 22.01.2018; Ogledov: 907; Prenosov: 131
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8. Health services utilization in older Europeans : an empirical studyAndrej Srakar, Rok Hren, Valentina Prevolnik Rupel, 2016, izvirni znanstveni članek Opis: Background and Purpose: Chronic diseases and associated co-morbidities are highly prevalent among elderly and are associated with an increase in health services utilization which in turn raises health care expenditures throughout industrialized societies. However, health care utilization in elderly is still inadequately understood, particularly regarding the differences among European jurisdictions. In our article, we use dataset of Wave 5 of SHARE survey to study the utilization of health care in older Europeans in 15 European countries.
Design/Methodology/Approach: We investigate relationships between factors such as age, gender, income, education and health variables and the utilization of various types of health services. We apply regression modeling to study the determinants of health utilization (different socioeconomic and health variables) of older people.
Results: We show some significant differences between determinants of health utilization in terms of probability and frequency of usage. We also explore patterns between welfare regimes, taking Eastern European jurisdictions as a reference category. Finally, we show that in a simple causal model the provision of formal and/or informal homecare serves as a complement to utilization of health care services.
Conclusion: Results of our article are important for the management of health care facilities in terms of health care usage by older people, and can be of value to health care providers and policy makers in the field.
Ključne besede: health services, health care, services, utilization, users, elderly people, analysis, Europe
Objavljeno v DKUM: 30.11.2017; Ogledov: 1026; Prenosov: 223
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9. Characters of innovation management in the primary health care centersAlireza Aslani, Marja Naaranoja, 2013, izvirni znanstveni članek Opis: Innovation management in the primary health care centers is one of the important debates among the governments and academic forums. Although the number of studies in the field of innovation in health care sectors has increased over the last 10 years, little is known about the conditions for the successful implementation of innovations in the health care centers. In this paper, we review and assess the situation of Finnish health care centers from innovation management viewpoint. We try to answer one of the important questions designed by policy makers: “How can Finnish health care centers move toward systems that continuously improve their innovation and creativity?” The presented framework describes the main characters and dimensions of diffusion of ideation and innovation in the health care centers.
Ključne besede: health care centers, ideation, diffusion of creativity and innovation, Finland
Objavljeno v DKUM: 29.11.2017; Ogledov: 1002; Prenosov: 375
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10. Variations in patient safety climate and perceived quality of collaboration between professions in out-of-hours careZalika Klemenc-Ketiš, Ellen Tveter Deilkås, Dag Hofoss, Gunnar Tschudi Bondevik, 2017, izvirni znanstveni članek Opis: Purpose: To get an overview of health care workers perceptions of patient safety climates and the quality of collaboration in Slovenian out-of-hours health care (OOHC) between professional groups.
Materials and methods: This was a cross-sectional study carried out in all (60) Slovenian OOHC clinics; 37 (61.7%) agreed to participate with 438 employees. The questionnaire consisted of the Slovenian version of the Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV).
Results: The study sample consisted of 175 (70.0%) physicians, nurse practitioners, and practice nurses. Practice nurses reported the highest patient safety climate scores in all dimensions. Total mean (standard deviation) SAQ-AV score was 60.9+-15.2. Scores for quality of collaboration between different professional groups were high. The highest mean scores were reported by nurse practitioners on collaboration with practice nurses (4.4+-0.6). The lowest mean scores were reported by practice nurses on collaboration with nurse practitioners (3.8+-0.9).
Conclusion: Due to large variations in Slovenian OOHC clinics with regard to how health care workers from different professional backgrounds perceive safety culture, more attention should be devoted to improving the team collaboration in OOHC. A clearer description of professional team roles should be provided.
Ključne besede: primary health care, out-of-hours medical care, patient care management
Objavljeno v DKUM: 27.11.2017; Ogledov: 1247; Prenosov: 351
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