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1.
Real-time polymerase chain reaction for quantitative assessment of common pathogens associated with healthcare-acquired infections on hospital textiles
Urška Rozman, Sabina Fijan, Sonja Šostar-Turk, Vid Mlakar, 2013, izvirni znanstveni članek

Opis: A hospital environment may act as a significant reservoir for potential pathogens that can be transmitted with hospital textiles, which could represent a source of healthcare-acquired infections. Quantitative assessment of nosocomial pathogens with real time polymerase chain reaction (qPCR) on textiles can serve to verify the achievement of standards for textile hygiene of hospital laundry that assess the risk for acquiring hospital infection frominappropriately disinfected textiles. The aim of the study was to establish qPCR for quantitative assessment of selected common nosocomial pathogens (Clostridium difficile, Staphylococcus aureus, Klebsiella pneumoniaeand Pseudomonas aeruginosa) on hospital textiles and to compare the efficiency of the molecular method to the standard procedures for evaluating the bio burden of textiles in hospitals. This study demonstrated that presenceof nosocomial pathogens on hospital textiles can be confirmed with qPCR even where conventional techniques do not give any results. qPCR offers apossibility to confirm the presence of microorganisms in dead or viable but non-culturable states that cannot be detected by conventional sampling techniques but may still pose a hazard to public health.
Ključne besede: healthcare-acquired infections, hospital textiles, Clostridium difficile, Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa
Objavljeno: 10.07.2015; Ogledov: 639; Prenosov: 62
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2.
The impact of the intellectual charm of physicians on the healthcare organizations
Elena Marulc, Gabrijel Devetak, 2013, izvirni znanstveni članek

Opis: The recession has greatly affected the business operations of every undertaking, including healthcare organizations. Change is required. This also concerns the relationship towards employees in terms of their influence on the successful business operations of an organization. Among employees, physicians possess a special, now already traditional status; therefore, their influence needs to be taken advantage of. In the empiric part of the study, we have identified twelve key physician competencies, based on the rankings of physicians, which, in their mind, influence successful business operations of their respective healthcare organizations during an economic recession. The comparison of the collected results to the findings on intellectual charm of managers has indicated that the collected key competencies, that are creativity, quality, education and personal development, attitude towards others, team work and cooperation, communication skills, problem management, business integrity, motivation and stimulation, multidisciplinary thinking, attitude towards culture and ethics, and acceptance of differences, form a whole which is named the intellectual charm of physicians.
Ključne besede: intellectual charm, physician competencies, successful business operations, healthcare organizations, factor analysis
Objavljeno: 10.07.2015; Ogledov: 487; Prenosov: 133
.pdf Celotno besedilo (986,45 KB)
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3.
Key economic parameters for an optimal pharmacy network in a regulated environment
Franjo Mlinarič, Žan Oplotnik, Boštjan Brezovnik, 2016, izvirni znanstveni članek

Opis: Pharmacies are an integral part of the modern healthcare system which strives for a holistic and efficient care. General practitioners and pharmacists are held in high esteem among local communities as they are the first point of contact when people have health issues. However, a strong demand for health services in developed countries and its present financing schemes undermined the sustainability of the whole health system (8.9% of GDP in 2013 and growing). According to WHO and EU recommendations, the whole healthcare system shall accept a holistic approach and focus on education, prevention and proper medicine consume. Part of this strategy is a seamless care concept, where medical doctors and pharmacists build a team around the well-being of a patient. Financing scheme incentives and KPIʼs (key performance indicators) will be focused on keeping people healthy, instead of paying for procedures. The future healthcare ecosystem obliges pharmacists to optimize network coverage and to extend health services. Nevertheless, their growth strategy needs to be gradual, considering the present level of network coverage, the low pace of private and public expenditures for medicine and services, and the fact that a new financing model for pharmacies is still unknown. Thus, we expect the development of pharmacy network in regulated environment to be financed predominantly from retained earnings in publicly owned pharmacies and by awarding pharmacy concessions.
Ključne besede: financial health, financing pharmacy growth, pharmacy network coverage, healthcare outcomes
Objavljeno: 14.07.2017; Ogledov: 317; Prenosov: 37
.pdf Celotno besedilo (972,60 KB)
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4.
Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia
Zalika Klemenc-Ketiš, Igor Švab, Tonka Poplas-Susič, 2017, izvirni znanstveni članek

Opis: Introduction: A new form of family practices was introduced in 2011 through a pilot project introducing nurse practitioners as members of team and determining a set of quality indicators. The aim of this article was to assess the quality of diabetes and hypertension management. Methods: We included all family medicine practices that were participating in the project in December 2015 (N=584). The following data were extracted from automatic electronic reports on quality indicators: gender and specialisation of the family physician, status (public servant/self-contracted), duration of participation in the project, region of Slovenia, the number of inhabitants covered by a family medicine practice, the name of IT provider, and levels of selected quality indicators. Results: Out of 584 family medicine practices that were included in this project at the end of 2015, 568 (97.3%) had complete data and could be included in this analysis. The highest values were observed for structure quality indicator (list of diabetics) and the lowest for process and outcome quality indicators. The values of the selected quality indicators were independently associated with the duration of participation in the project, some regions of Slovenia where practices were located, and some IT providers of the practices. Conclusion: First, the analysis of data on quality indicators for diabetes and hypertension in this primary care project pointed out the problems which are currently preventing higher quality of chronic patient management at the primary health care level.
Ključne besede: family practices, healthcare quality indicator, diabetes mellitus, hypertension, Slovenia
Objavljeno: 03.11.2017; Ogledov: 393; Prenosov: 141
.pdf Celotno besedilo (424,82 KB)
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5.
Patient safety in cross-border care
Eva Turk, Stephen Leyshon, Morten Pytte, 2015, izvirni znanstveni članek

Opis: Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.
Ključne besede: patient safety, cross-border care, accreditation, healthcare, EU
Objavljeno: 08.10.2018; Ogledov: 93; Prenosov: 16
.pdf Celotno besedilo (427,83 KB)
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6.
Supervision of medical activities
Grega Strban, 2016, izvirni znanstveni članek

Opis: It is investigated what kind of supervision could be exercised over medical activities in order to ensure the highest attainable quality of healthcare and access to medical services. To this end rights and especially duties of healthcare providers, definitions of sickness and effective healthcare provision, as well as various supervisory mechanisms and procedures for enforcing the rights, are analysed. It is argued that legal definitions of sickness and effective healthcare provision, stricter supervisory mechanisms and a single, legally regulated professional complaint procedure are required de lege ferenda.
Ključne besede: healthcare provision, sickness, mandatory health insurance, supervision, complaint proceedings, judicial review
Objavljeno: 08.10.2018; Ogledov: 103; Prenosov: 20
.pdf Celotno besedilo (333,49 KB)
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7.
Different approaches to cross border mobility of patients in the European Union in Czechia, Slovakia and Poland
Filip Křepelka, 2016, izvirni znanstveni članek

Opis: Poland and Slovakia are neighbour countries with similar history and socioeconomic conditions. They share heritage of socialized healthcare. Nevertheless, they adopted different policies towards promotion of patients´ mobility in the European Union. Accession to coordination of social security establishing assistance for tourists was smooth. Providers offer quality care for good prices. Foreign patients come to all three countries. Right for reimbursement of treatment intentionally sought across borders was created by the Court of Justice already before their accession. Nevertheless, they already decided on the Patients´ directive. Czechia supported it, Slovakia abstained and Poland refused. Numerous Poles seek treatment abroad and ask for its reimbursement, while implementing legislation barely complies and authorities are tight-fisted. Few Slovaks do it in accordance with rules adopted with cautiousness. Czechs ignore this opportunity despite official benevolence. Quality of healthcare, various price-setting and peculiarities of public financing explain this difference.
Ključne besede: European Union, free movement of services and goods, medical tourism, public financing of healthcare, patients' rights
Objavljeno: 09.10.2018; Ogledov: 145; Prenosov: 22
.pdf Celotno besedilo (1002,30 KB)
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8.
Systems methodology for strategic decision-making in complex healthcare system
Tadeja Jere Lazanski, 2017, izvirni znanstveni članek

Opis: Systems methodology as a support for strategic decision- making will be discussed in the paper. A society will be presented as a complex system, which is comprised of many smaller, complex systems as its component parts. The healthcare system is one of them. The support to the strategic decision-making in a healthcare system will be shown through systems thinking and systems modelling. We will develop models of a healthcare system in frame of a systems dynamics; a qualitative causal loop diagram (CLD), which helps us to discuss the challenges categorically and a quantitative model, which is a simulation model. Both models illustrate the discussed methodology.
Ključne besede: systems methodology, healthcare system, strategic decision-making, systems thinking, modelling
Objavljeno: 09.10.2018; Ogledov: 202; Prenosov: 16
.pdf Celotno besedilo (783,10 KB)
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9.
Factors affecting the intentions to use RFID subcutaneous microchip implants for healthcare purposes
Borut Werber, Alenka Baggia, Anja Žnidaršič, 2018, izvirni znanstveni članek

Opis: Background and Purpose: While there are many studies regarding the adoption of Radio Frequency Identification Devices (RFID), only a few of them deal with RFID subcutaneous microchip (RFID-SM) usage by individuals. After the first in vivo tests conducted on volunteers from 1998 to 2000, the use of RFID-SM in healthcare remains limited. This study examines the likelihood of adopting RFID-SM in healthcare from the end user’s point of view. Design/Methodology/Approach: The aim of this paper is to develop and evaluate the model for analysing the acceptance of RFID-SM adoption. An extended Technology Acceptance Model (TAM) for RFID-SM adoption is proposed and empirically tested in a cross-sectional study. Online survey was conducted using a convenience sample of 531 respondents. In addition to the three original components of TAM (Perceived Usefulness, Perceived Ease of Use, and Behavioural Intentions to Use), three external variables (Health Concerns, Perceived Trust, and Age) were also included in the model. The model was validated with confirmatory factor analysis and structural equation modeling techniques. Results: Perceived Usefulness has a significant impact on behavioural intentions to adopt RFID-SM in the future, while the influence of Perceived Ease of Use is not significant. The most influential external variable is Perceived Trust, indicating the lack of confidence in personal data security ensured by the state and other institutions. As expected, Health Concerns factor has a negative effect on the Perceived Trust and Perceived Usefulness of RFID-SM. Conclusion: The results of the empirical study prove that all external variables considered in the model significantly influence the RFID-SM adoption. The Perceived Ease of Use is irrelevant to the attitude towards the RFID-SM adoption. In addition to the proposed model, the analysis of gathered data shows that the positive attitude toward the use of RFID-SM in healthcare is rising.
Ključne besede: healthcare, microchip, Slovenia, RFID, TAM, SEM, Slovenia
Objavljeno: 10.10.2018; Ogledov: 375; Prenosov: 129
.pdf Celotno besedilo (530,61 KB)
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