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91.
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: 108; Prenosov: 11
.pdf Celotno besedilo (783,10 KB)
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92.
The Ebola epidemic and cholera outbreak and the international response
Richard B. Roberts, 2017, pregledni znanstveni članek

Opis: Infectious diseases are responsible for 15 million of the 57 million deaths worldwide despite the remarkable discoveries of antibiotics and vaccines. Many individuals succumb to microbial diseases in poor and less-developed countries where these preventive and therapeutic modalities are not available. Furthermore these less fortunate countries do not have the resources or public health infrastructure to combat unforeseen and explosive outbreaks. Two relatively recent outbreaks are reviewed in this article; the Ebola epidemic in West Africa and the cholera outbreak in Haiti. This outbreak of cholera, in a country of only 7.8 million inhabitants, is one of the largest ever recorded worldwide. Early intervention by international health organizations is critical to curtail and ultimately control infectious disease outbreaks and epidemics. This responsibility, especially for less-developed countries, lies in the hands of the United Nations and World Health Organization. Unfortunately, the international response from the UN and WHO was slow, cumbersome and poorly coordinated both in West Africa and Haiti.
Ključne besede: Ebola, cholera, international response, United Nations, World Health Organization
Objavljeno: 09.10.2018; Ogledov: 124; Prenosov: 10
.pdf Celotno besedilo (440,47 KB)
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93.
Combating counterfeiting of medicines in the Republic of Belarus
Pavel Saschenko, 2017, izvirni znanstveni članek

Opis: Counterfeiting of medicines constitutes as a threat to public health, which nowadays has a “pandemic character”. In this regard, the legislation of the Republic of Belarus should properly address the risks caused by counterfeited medicines. Being a member of several economic alliances aimed at simplifying turnover of goods, including medical products, Belarus needs to develop comprehensive preventive measures and provide effective and proportionate criminal and other sanctions for the commission of acts connected with counterfeiting of medicines. This article focuses on key factors which impact the development of Belorussian legislation. The main obstacles for effective international cooperation in criminal matters concerning turnover of counterfeit medicines are also explored. Amendments to legislation aimed at improving the effectiveness of combating counterfeiting of medicines will also be discussed.
Ključne besede: medicine, counterfeiting of medicines, crime, criminal liability, administrative liability, Belarus
Objavljeno: 09.10.2018; Ogledov: 123; Prenosov: 15
.pdf Celotno besedilo (350,33 KB)
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94.
Legal aspects of the safety of healthcare professionals working with migrants
Dalila Olinda de Sá Gomes da Costa Brito, Idalina Vilela, Noemia Bessa Vilela, 2017, izvirni znanstveni članek

Opis: The coexistence of multiple cultures is a challenge that requires behavioral changes for the health professionals, in particular nurses. This work´s objective was to understand the factors and beliefs that influence the demand for health care from immigrants in the Porto metropolitan area (Portugal), and their accessibility to the health services. We developed an exploratory-descriptive qualitative study. We obtained the data through semi-structured interviews of eleven Ukrainian residents of the Porto metropolitan area. We used the twelve cultural domains of Purnell. Sampling was non-probability, of convenience and in ˝snowball˝. Participants were required to give their free and informed consent. The results indicated some difficulties accessing health care due to inefficient communication, resulting from the language barrier and/or of different interpretations, and the disarticulation between the different immigrant support services. This study allowed the implementation of strategies designed to promote health care directed to immigrants, taking into consideration the diversity and vulnerability when accessing health services.
Ključne besede: legal aspects, immigrants, needs, nurse care, interculturality, beliefs
Objavljeno: 09.10.2018; Ogledov: 38; Prenosov: 15
.pdf Celotno besedilo (566,07 KB)
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95.
Monitoring of quality in health care using indicators
Mircha 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: 09.10.2018; Ogledov: 79; Prenosov: 13
.pdf Celotno besedilo (564,57 KB)
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96.
Legal aspects of health implications caused by environmental distress
Rajko Knez, 2017, izvirni znanstveni članek

Opis: The article tries to explore legal consequences in cases where the environmental distress causes health implications for individuals. The author begins with the observations from two different angles, that is ex ante and ex post actions. Both approaches differ substantively, since the ex ante approach is applied by state authorities (command-and-control approach, de iure imperii acts), while the ex post approach is by a general rule initiated by individuals against polluters/state. Both approaches are discussed considering the application of EU rules and beyond (ECHR, Aarhus convention). The main emphasis is given to one of the biggest problems, that is the issue of causality, which discourages many plaintiffs from claiming damages. For the so-called post-industrial risks the conventional rules of causality do not suffice, which is why certain courts proposed that changes in this respect are necessary. In addition, the role of NGOs is emphasised, since the NGO can, especially in the ex ante approach, achieve better effects, especially when locus standi is assured.
Ključne besede: environmental protection, healthy living environment, legal remedies in environmental law, ECHR Art. 8, ECHR Art. 2, command-and-control approach, claims for damages, health
Objavljeno: 09.10.2018; Ogledov: 60; Prenosov: 14
.pdf Celotno besedilo (470,49 KB)
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97.
Inoculation of safety in healthcare
Bojan Dobovšek, Boštjan Slak, 2017, pregledni znanstveni članek

Opis: The purpose of this paper is to analyse - through a prism of informal institutions - the role and importance of security in healthcare and the manner in which healthcare sector copes with security threats in postmodern society. We note that bad informal institutions are differently reflected in Slovenia. In the forefront are the problems of systemic corruption, various forms of clientelism and nepotism. This is (in)directly reflected in the (lack of) quality of Slovenian healthcare system. Inadequate public procurement system and conflicts of interest in healthcare sector are causing inferior quality of the healthcare system, while informal institutions in politics and economics are weakening Slovenian economy, consequently affecting the funding of Slovenian healthcare system which is also undermined by the financial crisis. Additionally, globalisation, which has a (negative) impact on human health, has caused the importation of improper business practices into healthcare system. It is therefore necessary to develop a preventive action that will inoculate the idea of a safe country for the benefit of people and not for the benefit of bad informal networks.
Ključne besede: informal institutions, corruption, health systems, security
Objavljeno: 09.10.2018; Ogledov: 80; Prenosov: 14
.pdf Celotno besedilo (566,97 KB)
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98.
Patient's right to protection of personal data in the legal system of Bosnia and Herzegovina
Marko Bevanda, Maja Čolaković, 2017, izvirni znanstveni članek

Opis: Health-related personal data belong to a category of sensitive data which, therefore, must be specially protected. The protection of personal health data is one of the patients´ fundamental rights. Doctors protect their patients´ interests only when the information gained about patients, while providing them medical treatment, are kept secret. In this paper, the authors provide an overview of the legal framework for the protection of health-related personal data in the legal system of Bosnia and Herzegovina. In addition to the analysis of the relevant legal provisions and considering the situation in practice, it can be concluded that formal harmonisation of legislation with the acquis communautaire in this field is not followed by effective implementation of regulation in practice.
Ključne besede: privacy, doctor, medical malpractice, liability for damage
Objavljeno: 09.10.2018; Ogledov: 57; Prenosov: 10
.pdf Celotno besedilo (573,46 KB)
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99.
Important issues of providing genetic services in Serbia from the perspective of medical law
Hajrija Mujović-Zornić, 2016, izvirni znanstveni članek

Opis: Medico-legal issues that arise from the work of genetic health services became in recent time very current, especially regarding the Serbian law issues and dilema how to treat rare diseases patients among other vulnerable groups, wish often were not recognized in society. The legal system shall be an important mechanism, which could help by giving some solutions concerning the relations, rights and obligations of all parties in providing genetic services (informing, counseling, testing, keeping privacy). The law is invited to establish a delicate balance between legal qualification and more practical issues. In many countries there are medical guidelines for health professionals and biologists who work in the area of human genetics, according to which is done the essential rules for medical proceedings, with also significant parameters for legal decisions. Sometimes the legal situation is more complex when it includes malpractice cases due to violation of rights or breach of professional duties and contractual obligations in genetics. All issues should be consider from the aspect of Serbian legislator efforts to make a new codification in the area of genetic diagnostics, which is adopted in January 2015.
Ključne besede: medical genetic, legislation, human rights, case of Serbia
Objavljeno: 09.10.2018; Ogledov: 35; Prenosov: 8
.pdf Celotno besedilo (9,03 MB)
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100.
Responsibilities of pregnant women for on going pregnancy
Ratko Matijević, Katja Erjavec, 2016, izvirni znanstveni članek

Opis: There are numerous factors known to affect the course of pregnancy and adversely impact perinatal mortality and morbidity. Some of them are avoidable and some are not. Avoidable factors can be either under responsibility of medical staff, health care systems and communities; or under responsibility of pregnant women. By modifying and changing their lifestyle, pregnant women can influence some avoidable factors and improve their pregnancy outcome. However, by ignoring them, they can cause potential damage to themselves and to their unborn child. There is no well defined responsibility for women concerning ways they influence their pregnancy outcome; they have a full right to make decisions about themselves and their unborn children, whether right or wrong. Good communication, education and understanding are essential when dealing with these issues.
Ključne besede: obstetrics, antenatal care, pregnant women, lifestyle habits
Objavljeno: 09.10.2018; Ogledov: 36; Prenosov: 11
.pdf Celotno besedilo (5,50 MB)
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