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1.
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, original scientific article

Abstract: 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.
Keywords: integrated health care system, type-2-diabetes, Hypertension, Health care team, interdisciplinary primary care, qualitative research
Published in DKUM: 19.04.2024; Views: 108; Downloads: 5
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2.
Overview of this issue: "clinical pharmacy impacting mental health delivery and outcomes"
Martina Hahn, Matej Štuhec, Filipa Alves da Costa, 2023, preface, editorial, afterword

Keywords: clinical pharmacy, mental health care
Published in DKUM: 15.04.2024; Views: 92; Downloads: 3
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3.
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, original scientific article

Abstract: 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.
Keywords: entrepreneurship, leadership, company performance, business efficiency, agile management, delphi study, health-care organisations, organisational transformation, Slovenia, change management, health services sector
Published in DKUM: 08.04.2024; Views: 129; Downloads: 9
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4.
The safety of patient management in family medicine in Slovenia during Covid-19 : a crosssectional study
Maja Cvetko Gomezelj, Špela Miroševič, Alina Verdnik Tajki, Ksenija Tušek-Bunc, Esther Van Poel, Sara Willems, Zalika Klemenc-Ketiš, 2023, original scientific article

Abstract: Abstract Background During the Covid-19 pandemic, family medicine practices (FMPs) changed to improve safety against new coronavirus infections for both patients and employees. Protocols for treating patients with suspected Sars-Cov-2 infections were established to protect medical staf and other patients from being infected. However, these protocols also led to increased safety risks, such as delays in treating patients with other medical conditions. This exploratory study aimed to investigate safety risks in treating patients in FMPs during the Covid-19 pandemic and to suggest improvements to prevent Covid-19 in FMPs in Slovenia. Methods A cross-sectional study was rolled out in FMPs in Slovenia as part of the international Pricov-19 study. Data collection on safety management during the Covid-19 pandemic in FMPs in Slovenia took place from November 2020 until January 2021 using a self-administered online survey for FP working in Slovenia. A chi-square test, ANOVA, independent samples t-test or bivariate correlation test was performed to explore associations regarding the safety of patients’ management variables. Results From the 191 participating family physicians (FPs) (15.2% response rate), 54.8% reported having treated patients with fever (not Covid-19) late due to the new protocols at least once, and 54.8% reported patients with urgent conditions having been seen late at least once due to not coming. In the suburbs and rural environments FPs more often reported that at least once patient with a fever (not Covid-19) was seen late due to the protocol (p=0.017) and more often reported that at least once patient with an urgent condition was seen late due to not com‑ ing to their FP (p=0.017). The larger the practice, the more they reported that at least once a patient with fever (not Covid-19) was seen late due to the protocol (p=0.012) and the more they reported at least once a patient with an urgent condition was seen late due to not coming to their FP (p=0.012). Conclusion Covid-19 afected the safety of patient management in FMP in Slovenia. The most common prob‑ lem was foregone care. Therefor, protocols for chronic patient management in the event of epidemics need to be established.
Keywords: Covid-19, family medicine, patient safety, patient management, quality of care, PRICOV-19, primary health care, general practice, timeliness
Published in DKUM: 29.03.2024; Views: 118; Downloads: 10
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5.
The Implementation and evaluation of the United States Affordable Care Act
David Andrew Schultz, 2019, original scientific article

Keywords: United States, health care reform, Affordable Care Act, Obamacare, ethic
Published in DKUM: 15.01.2021; Views: 698; Downloads: 0

6.
The constitutional right to health protection in Belarus
Aksana Shupitskaya, 2020, original scientific article

Abstract: 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.
Keywords: constitution, constitutional principles and norms, medical care, health protection
Published in DKUM: 15.01.2021; Views: 706; Downloads: 28
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7.
Community health nursing in Slovenia and Croatia - selected legal aspects
Suzana Kraljić, Blanka Kačer, 2020, original scientific article

Abstract: 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.
Keywords: community health nurse, primary care, aging population, concession, legal regulation
Published in DKUM: 15.01.2021; Views: 894; Downloads: 50
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8.
An overview of medical malpractice law in the United States including legislative and the health care industry's responses to increased claims
Thomas Allan Heller, 2017, review article

Abstract: 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.
Keywords: medical malpractice, defensive medicine, medical malpractice crises, tort reform, consolidation of health care industry, group captives
Published in DKUM: 09.10.2018; Views: 1322; Downloads: 160
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9.
Monitoring of quality in health care using indicators : challenges and possible solutions
Mircha Poldrugovac, Tit Albreht, 2017, original scientific article

Abstract: 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.
Keywords: quality, health care, health promotion, efficiency
Published in DKUM: 09.10.2018; Views: 1083; Downloads: 108
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10.
Some aspects of the health-care institutions management in Slovenia
Jaka Vadnjal, Jurij Bernik, Andrej Baričič, 2009, original scientific article

Abstract: 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.
Keywords: health-care, management, leadership, education, consulting
Published in DKUM: 22.01.2018; Views: 1153; Downloads: 340
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