Within the framework of the international Day "One Health", we highlighted the findings of research in the field of diseases that are transmitted by food and water, vector-borne diseases, rabies, dermato-phytosis, antibiotics resistance. The need for a more efficient and coordinated action of all participants in the system was emphasized to adapt more quickly to new needs in the field of protection of human health in animals.
F.18 Transfer of new know-how to direct users (seminars, fora, conferences)
COBISS.SI-ID: 289201152Existing preventive program for adult population has been upgraded and new contents, tools and approaches to more effectively integrate the target population into preventive program have been developed (in order to take into account the needs of users). All upgraded solutions aim to increase their involvement in the Integrated chronic disease prevention program in adults, improve the quality and effectiveness of its implementation, and reduce health inequalities. The following manual presents the interconnected activities that are carried out at the level of the entire health care center or in its individual organizational units and in the local environment in the project Upgrading and development of preventive programs and their implementation in primary health care and the local environment.
F.21 Development of new health/diagnostic methods/procedures
COBISS.SI-ID: 4088037Aims and objectives: To determine the possible associations between higher levels of selected quality indicators and the characteristics of providers. Background: In 2011, an ongoing project on a new model of family medicine practice was launched in Slovenia; the family physicians' working team (a family physician and a practice nurse) was extended by a nurse practitioner working 0.5 fulltime equivalents. This was an example of a personalised team approach to managing chronic patients. Methods: We included all family medicine practices in the six units of the Community Health Centre Ljubljana which were participating in the project in December 2015 (N = 66). Data were gathered from automatic electronic reports on quality indicators provided monthly by each practice. We also collected demographic data. Results: There were 66 family medicine teams in the sample, with 165 members of their teams (66 family physicians, 33 nurse practitioners and 66 practice nurses). Fifty-six (84.4%) of the family physicians were women, as were 32 (97.0%) of the nurse practitioners, and 86 (95.5%) of the practice nurses. Multivariate analysis showed that a higher level of the quality indicator "Examination of diabetic foot once per year" was independently associated with nurse practitioners having attended additional education on diabetes, duration of participation in the project, age and years worked since graduation of nurse practitioners, working in the Center unit and not working in the Bezigrad unit. Conclusions: Characteristics of team members are important in fostering quality management of chronic patients. Nurse practitioners working in new model family practices need obligatory, continuous professional education in the management of chronic patients. Relevance to clinical practice: The quality of care of chronic patients depends on the specific characteristics of the members of the team, which should be taken into account when planning quality improvements.
F.21 Development of new health/diagnostic methods/procedures
COBISS.SI-ID: 33504985Introduction: Medically unexplained symptoms (MUS) are very common in family medicine, despite being a poorly-defined clinical entity. This study aimed to evaluate the effect of an educational intervention (EI) on self-rated quality of life, treatment satisfaction, and the family physician-patient relationship in patients with MUS. Methods: In a multi-centre longitudinal intervention study, which was performed between 2012 and 2014, patients were asked to rate their quality of life, assess their depression, anxiety, stress and somatisation, complete the Hypochondriasis Index, the Medical Interview Satisfaction Scale and the Patient Enablement Instrument for assessing the physician-patient relationship, before and after the EI. Results: The mean values before and after the intervention showed that after the EI, patients with MUS gave a lower (total) mean rating of their health issues and a higher rating of their quality of life, and they also had a more positive opinion of their relationship with the physician (p(0.05). However, there were no differences in the (total) rating of treatment satisfaction before and after the EI (p=0.423). Significant differences in the symptoms in patients with MUS before and after the intervention were confirmed for stress, somatisation and hypochondriasis (p(0.05). Conclusions: It could be beneficial to equip family physicians with the knowledge, skills and tools to reduce hypochondriasis and somatisation in MUS patients, which would improve patients’ self-rated health status.
F.18 Transfer of new know-how to direct users (seminars, fora, conferences)
COBISS.SI-ID: 3764709We presented the developed telerehabilitation service for patients after lower limb amputation and its preliminary results.
F.23 Development of new system-wide, normative and programme solutions, and methods
COBISS.SI-ID: 2344297