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Title:The role of the psychosocial dimension in the improvement of quality of care : a systematic review
Authors:ID Makivić, Irena (Author)
ID Kersnik, Janko (Author)
ID Klemenc-Ketiš, Zalika (Author)
Files:.pdf Zdravstveno_varstvo_2016_Makivic,_Kersnik,_Klemenc-Ketis_The_Role_of_the_Psychosocial_Dimension_in_the_Improvement_of_Quality_of_Care_A.pdf (744,29 KB)
MD5: 10EE872EA341B0E29E9BA22F5C644B2A
 
URL http://www.degruyter.com/view/j/sjph.2016.55.issue-1/sjph-2016-0004/sjph-2016-0004.xml
 
Language:English
Work type:Scientific work (r2)
Typology:1.02 - Review Article
Organization:MF - Faculty of Medicine
Abstract:The aim of our systematic review was to analyse the published literature on the psychosocial dimension of care in family medicine and its relationship with quality of care. We wanted to find out whether there is any evidence on the psychosocial approach in (family) medicine. The recommended bio-psycho-social approach, besides the biomedical model of illness, takes into account several co-influencing psychological, sociological and existential factors. An online search of nine different databases used Boolean operators and the following selection criteria: the paper contained information on the holistic approach, quality indicators, family medicine, patient-centred care and/or the bio-psycho-social model of treatment. We retrieved 743 papers, of which 36 fulfilled our inclusion criteria. Including the psychosocial dimension in patient management has been found to be useful in the prevention and treatment of physical and psychiatric illness, resulting in improved social functioning and patient satisfaction, reduced health care disparities, and reduced annual medical care charges. The themes of patient-centred, behavioural or psychosocial medicine were quite well presented in several papers. We could not find any conclusive evidence of the impact of a holistic biopsycho-social-approach. Weak and variable definitions of psychosocial dimensions, a low number of welldesigned intervention studies, and low numbers of included patients limited our conclusions.
Keywords:general practice, social problems, psychosocial care, quality of health care, reviews
Year of publishing:2016
Publication status in journal:Published
Article version:Publisher's version of article
Number of pages:str. 86-95
Numbering:Letn. 55, št. 1
PID:20.500.12556/DKUM-65453 New window
ISSN:0351-0026
UDC:614
ISSN on article:0351-0026
COBISS.SI-ID:3458277 New window
DOI:10.1515/sjph-2016-0004 New window
NUK URN:URN:SI:UM:DK:VZFZDSAA
Publication date in DKUM:05.04.2017
Views:753
Downloads:149
Metadata:XML RDF-CHPDL DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Zdravstveno varstvo. Slovenian journal of public health
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje
ISSN:0351-0026
COBISS.SI-ID:3287810 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:05.04.2017

Secondary language

Language:Slovenian
Title:Vloga psihosocialne dimenzije v izboljševanju kakovosti obravnave bolnika : sistematični pregled literature
Abstract:Priporočen biopsihosocialni pristop poleg biomedicinskega modela bolezni upošteva številne psihološke, socialne in eksistenčne dejavnike. Želeli smo izvedeti, ali v družinski medicini obstajajo dokazi o psihosocialnem pristopu. Cilj našega sistematičnega pregleda je bil analizirati objavljeno literaturo s področja psihosocialne dimenzije dela zdravnika družinske medicine in njegovo povezavo s kakovostjo obravnave bolnikov. Spletno iskanje je potekalo v devetih bazah s pomočjo Boolovih operatorjev in vključenimi kriteriji iskanja, kot so, da članek vsebuje nekaj o celostni medicini, kazalnikih kakovosti, družinski medicini, modelu, usmerjenem na pacienta, ali/in biopsihosocialnem modelu obravnave. Vključeni so bili tudi članki, povezani z družinsko medicino, ki so poročali o meritvah kazalnikov kakovosti. Iskanje je ponudilo 743 zadetkov, od teh je 36 člankov izpolnilo kriterije za vključitev v analizo. Psihosocialna obravnava se je izkazala za uporabno pri preventivi ter pri obravnavi telesnih in psihiatričnih bolezni. Rezultati takšne obravnave so izboljšano socialno funkcioniranje, večje zadovoljstvo pacientov, zmanjšane razlike pri zdravstveni oskrbi in nižji letni stroški zdravljenja. Teme, kot sta osredotočenost na pacienta in psihosocialna medicina, so v člankih kar dobro zastopane. Ni pa bilo možno najti nobenih virov o vplivu celostnega biopsihosocialnega pristopa. Nepopolna in različna definicija psihosocialne dimenzije, majhno število dobro osnovanih intervencijskih raziskav na tem področju in majhno število vključenih pacientov so omejitve, ki so vplivale na sklepe te raziskave.
Keywords:splošna medicina, socialne težave, psihosocialna obravnava, kakovost zdravstvene oskrbe, pregled literature


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