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Volumen 61 (2022): Edición 3 (September 2022)

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Volumen 60 (2021): Edición 4 (December 2021)

Volumen 60 (2021): Edición 3 (September 2021)

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Volumen 59 (2020): Edición 4 (December 2020)

Volumen 59 (2020): Edición 3 (September 2020)

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Volumen 58 (2019): Edición 4 (December 2019)

Volumen 58 (2019): Edición 3 (September 2019)

Volumen 58 (2019): Edición 2 (June 2019)

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Volumen 57 (2018): Edición 4 (December 2018)

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Volumen 56 (2017): Edición 4 (December 2017)

Volumen 56 (2017): Edición 3 (September 2017)

Volumen 56 (2017): Edición 2 (June 2017)

Volumen 56 (2017): Edición 1 (March 2017)

Volumen 55 (2016): Edición 4 (December 2016)

Volumen 55 (2016): Edición 3 (September 2016)

Volumen 55 (2016): Edición 2 (June 2016)

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Volumen 54 (2015): Edición 4 (December 2015)

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Volumen 54 (2015): Edición 2 (June 2015)

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Volumen 53 (2014): Edición 4 (December 2014)

Volumen 53 (2014): Edición 3 (September 2014)

Volumen 53 (2014): Edición 2 (June 2014)

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Volumen 52 (2013): Edición 4 (December 2013)

Volumen 52 (2013): Edición 3 (September 2013)

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Volumen 51 (2012): Edición 4 (October 2012)

Volumen 51 (2012): Edición 3 (September 2012)

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Volumen 50 (2011): Edición 4 (December 2011)

Volumen 50 (2011): Edición 3 (September 2011)

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Volumen 49 (2010): Edición 3 (September 2010)

Volumen 49 (2010): Edición 2 (June 2010)

Volumen 49 (2010): Edición 1 (March 2010)

Detalles de la revista
Formato
Revista
eISSN
1854-2476
Publicado por primera vez
29 Jul 2010
Periodo de publicación
4 veces al año
Idiomas
Inglés

Buscar

Volumen 60 (2021): Edición 3 (September 2021)

Detalles de la revista
Formato
Revista
eISSN
1854-2476
Publicado por primera vez
29 Jul 2010
Periodo de publicación
4 veces al año
Idiomas
Inglés

Buscar

8 Artículos

Invited editorial

Acceso abierto

Primary care research – influencing and implementing into policy

Publicado en línea: 28 Jun 2021
Páginas: 138 - 144

Resumen

Abstract

This editorial describes how research in primary health care can be used to influence policy. It draws on previous literature to give an example from the UK of how research in one part of primary care, the health-visiting service, has endeavoured to use evidence to influence policy and practice. The editorial considers frameworks for policy implementation such as Bardach’s eight phase approach and concepts that can inform policy implementation such as Lipsky’s Street-Level Bureaucrat approach.

Palabras clave

  • policy implementation
  • primary health care
  • research
  • health visiting

Ključne besede

  • izvajanje politike
  • primarno zdravstveno varstvo
  • raziskave
  • patronažna služba

Original scientific article

Acceso abierto

The safety culture of the Ljubljana community health centre’s employees

Publicado en línea: 28 Jun 2021
Páginas: 145 - 151

Resumen

Abstract Introduction

Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.

Methods

We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.

Results

The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace.

Conclusion

Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.

Palabras clave

  • patient safety
  • safety culture
  • family medicine
  • primary healthcare
  • Slovenia

Ključne besede

  • varnost pacientov
  • kultura varnosti
  • družinska medicina
  • primarna zdravstvena raven
  • Slovenija
Acceso abierto

Variation in perception of safety culture in out-of-hours family medicine service in Croatia

Publicado en línea: 28 Jun 2021
Páginas: 152 - 157

Resumen

Abstract Introduction

The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents’ demographic characteristic.

Methods

A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV) sub-scales.

Results

Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant.

Conclusions

SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.

Palabras clave

  • patient safety
  • attitudes of health personnel
  • safety
  • management
  • surveys
  • questionnaires, out-of-hours care
  • family medicine
  • Croatia

Ključne besede

  • varnost pacientov
  • odnos zdravstvenega osebja
  • upravljanje varnosti, ankete
  • vprašalniki
  • dežurna ambulanta
  • družinska medicina
  • Hrvaška
Acceso abierto

Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium

Publicado en línea: 28 Jun 2021
Páginas: 158 - 166

Resumen

Abstract Introduction

Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium.

Methods

This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries.

Results

Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals.

Conclusions

This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.

Palabras clave

  • scale-up
  • noncommunicable diseases
  • patient-centered care
  • primary healthcare
  • integrated healthcare

Ključne besede

  • nadgradnja
  • kronične nenalezljive bolezni
  • na pacienta usmerjena oskrba
  • primarno zdravstveno varstvo
  • celostna oskrba
Acceso abierto

Informal care in the context of long-term health care for the elderly in Slovenia: A qualitative study

Publicado en línea: 28 Jun 2021
Páginas: 167 - 175

Resumen

Abstract Background

Slovenia is an aging society. Social security expenditures for the elderly are rising steadily, and the majority of Slovenians are firmly convinced that the state must provide elder care. This situation means that informal caregivers face many challenges and problems in their altruistic mission.

Objectives

To explore the experiences and feelings of informal caregivers and to provide an understanding of how informal caregivers support the elderly and what challenges and difficulties they face in Slovenian society.

Methods

The study is based on qualitative semi-structured interviews with 10 caregivers. In addition to descriptive statistics, we conducted a qualitative study using the qualitative content analysis method.

Results

We identified four themes among health caregivers’ experiences with challenges and problems in providing long-term health care for the elderly. Caregivers pointed out that they are mostly left to themselves and their altruistic mission of giving informal long-term care to their elderly relatives and friends. Systemic regulation of the national public health care system is the source of many problems.

Conclusion

Other social systems determine and limit the position of informal caregivers in Slovenia. This qualitative study should be understood as useful stepping-stone to future research and real improvement in this area.

Palabras clave

  • caregivers
  • long-term health care
  • elderly
  • elder care
  • Slovenia
  • qualitative study

Ključne besede

  • skrbovalci
  • dolgotrajna zdravstvena oskrba
  • starejši
  • oskrba starejših
  • Slovenija
  • kvalitativna študija
Acceso abierto

Training in interprofessional learning and collaboration: An evaluation of the interprofessional education program in the scale-up phase in Antwerp (Belgium)

Publicado en línea: 28 Jun 2021
Páginas: 176 - 181

Resumen

Abstract Background

Curricula are reviewed and adapted in response to a perceived need to improve interprofessional collaboration for the benefit of patient care. In 2005, the module Interprofessional Collaboration in Healthcare (IPCIHC) was developed by the Antwerp University Association (AUHA). The program was based upon a concept of five steps to IPCIHC. This educational module aims to help graduates obtain the competence of interprofessional collaborators in health care.

Methods

Over a span of 15 years, the IPCIHC module is evaluated annually by students and provided with feedback by the tutors and steering committee. Data up to 2014 were supplemented with data up to 2019. For the students the same evaluative one-group, post-test design was used to gather data using a structured questionnaire. The tutors’ and students’ feedback was thematically analyzed.

Results

Based upon the results and the contextual changing needs, the program was adjusted. Between 2005 and 2019, a total of 8616 evaluations were received (response rate: 78%). Eighty percent of the respondents indicated through the evaluations that they were convinced of the positive effect of the IPCIHC module on their interprofessional development. Over the years, two more disciplines enrolled into this program and also education programs form the Netherlands.

Conclusions

After 15 years, positive outcomes are showed, and future health professionals have a better understanding of interprofessional learning. Gathering feedback and annually evaluation helped to provide a targeted interprofessional program addressing contextual changes. The challenge remains to keep on educating future healthcare providers in interprofessional collaboration in order to achieve an increase in observable interprofessional behaviour towards other professional groups.

Palabras clave

  • collaborate
  • education
  • healthcare
  • interprofessional

Ključne besede

  • sodelovanje
  • izobraževanje
  • zdravstveno varstvo
  • medpoklicno
Acceso abierto

Quality of life and health status in middle-aged presumed healthy Slovenian family practice attendees

Publicado en línea: 28 Jun 2021
Páginas: 182 - 189

Resumen

Abstract Background

There is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables.

Methods

The participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant.

Results

Of 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7±8.6 years. The average values for the EQ-5D-3L were 0.91±0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified.

Conclusion

Given that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.

Palabras clave

  • health related quality of life
  • health status
  • family practice
  • middle-age
  • physical activity
  • depression
  • stress
  • coping

Ključne besede

  • z zdravjem povezana kakovost življenja
  • zdravstveni status
  • družinska medicina
  • srednja leta
  • telesna aktivnost
  • depresivnost
  • spoprijemanje s stresom
Acceso abierto

Prevalence and incidence of frailty among community-dwelling older adults in Slovenia

Publicado en línea: 28 Jun 2021
Páginas: 190 - 198

Resumen

Abstract Introduction

Frailty is recognized as one of the most important global health challenges as the population is aging. The aim of this study was to evaluate prevalence and incidence of frailty, and associated factors, among the population of older adults in Slovenia compared to other European countries.

Methods

The prevalence and 4-year incidence of frailty among older adults (≥65 years) were evaluated using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Frailty was defined by the SHARE operationalization of Frailty phenotype. Multiple logistic regression model was used to explore factors associated with frailty.

Results

Age-standardized prevalence (95% CI) of frailty and pre-frailty in Slovenia were 14.9% (13.3-16.5) and 42.5% (39.8-45.2), respectively. Factors (OR, 95% CI) associated with increased frailty in Slovenia included age (7584 years: 5.03 (3.08-8.22); ≥85 years 21.7 (10.6-44.7) vs. 65-74 years), self-rated health (fair: 4.58 (2.75-7.61), poor: 54.6 (28.1-105.9) vs. excellent/very good/good), number of chronic diseases (1.20 (1.03-1.40)), and polypharmacy (yes: 3.25 (1.93-5.48) vs. no). Female gender and lower education were significantly associated with pre-frailty, but not frailty, in the adjusted model. Independently of these characteristics, age-standardized prevalence of frailty varied among geographical regions. Age-standardized 4-year incidence of frailty and pre-frailty in Slovenia were 6.6% (3.0-10.1) and 40.2% (32.7-47.6), respectively.

Conclusion

Among the Slovenian population of older adults aged 65 years and older, the age-standardized prevalence of frailty is 15% and 4-year incidence of frailty is 7%. Regional differences in Slovenia show the lowest prevalence in central Slovenian regions and the highest in northeastern Slovenian regions.

Palabras clave

  • frailty
  • older adults
  • SHARE survey
  • prevalence
  • incidence

Ključne besede

  • krhkost
  • starejši odrasli
  • raziskava SHARE
  • razširjenost
  • pojavnost
8 Artículos

Invited editorial

Acceso abierto

Primary care research – influencing and implementing into policy

Publicado en línea: 28 Jun 2021
Páginas: 138 - 144

Resumen

Abstract

This editorial describes how research in primary health care can be used to influence policy. It draws on previous literature to give an example from the UK of how research in one part of primary care, the health-visiting service, has endeavoured to use evidence to influence policy and practice. The editorial considers frameworks for policy implementation such as Bardach’s eight phase approach and concepts that can inform policy implementation such as Lipsky’s Street-Level Bureaucrat approach.

Palabras clave

  • policy implementation
  • primary health care
  • research
  • health visiting

Ključne besede

  • izvajanje politike
  • primarno zdravstveno varstvo
  • raziskave
  • patronažna služba

Original scientific article

Acceso abierto

The safety culture of the Ljubljana community health centre’s employees

Publicado en línea: 28 Jun 2021
Páginas: 145 - 151

Resumen

Abstract Introduction

Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.

Methods

We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.

Results

The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace.

Conclusion

Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.

Palabras clave

  • patient safety
  • safety culture
  • family medicine
  • primary healthcare
  • Slovenia

Ključne besede

  • varnost pacientov
  • kultura varnosti
  • družinska medicina
  • primarna zdravstvena raven
  • Slovenija
Acceso abierto

Variation in perception of safety culture in out-of-hours family medicine service in Croatia

Publicado en línea: 28 Jun 2021
Páginas: 152 - 157

Resumen

Abstract Introduction

The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents’ demographic characteristic.

Methods

A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV) sub-scales.

Results

Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant.

Conclusions

SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.

Palabras clave

  • patient safety
  • attitudes of health personnel
  • safety
  • management
  • surveys
  • questionnaires, out-of-hours care
  • family medicine
  • Croatia

Ključne besede

  • varnost pacientov
  • odnos zdravstvenega osebja
  • upravljanje varnosti, ankete
  • vprašalniki
  • dežurna ambulanta
  • družinska medicina
  • Hrvaška
Acceso abierto

Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium

Publicado en línea: 28 Jun 2021
Páginas: 158 - 166

Resumen

Abstract Introduction

Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium.

Methods

This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries.

Results

Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals.

Conclusions

This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.

Palabras clave

  • scale-up
  • noncommunicable diseases
  • patient-centered care
  • primary healthcare
  • integrated healthcare

Ključne besede

  • nadgradnja
  • kronične nenalezljive bolezni
  • na pacienta usmerjena oskrba
  • primarno zdravstveno varstvo
  • celostna oskrba
Acceso abierto

Informal care in the context of long-term health care for the elderly in Slovenia: A qualitative study

Publicado en línea: 28 Jun 2021
Páginas: 167 - 175

Resumen

Abstract Background

Slovenia is an aging society. Social security expenditures for the elderly are rising steadily, and the majority of Slovenians are firmly convinced that the state must provide elder care. This situation means that informal caregivers face many challenges and problems in their altruistic mission.

Objectives

To explore the experiences and feelings of informal caregivers and to provide an understanding of how informal caregivers support the elderly and what challenges and difficulties they face in Slovenian society.

Methods

The study is based on qualitative semi-structured interviews with 10 caregivers. In addition to descriptive statistics, we conducted a qualitative study using the qualitative content analysis method.

Results

We identified four themes among health caregivers’ experiences with challenges and problems in providing long-term health care for the elderly. Caregivers pointed out that they are mostly left to themselves and their altruistic mission of giving informal long-term care to their elderly relatives and friends. Systemic regulation of the national public health care system is the source of many problems.

Conclusion

Other social systems determine and limit the position of informal caregivers in Slovenia. This qualitative study should be understood as useful stepping-stone to future research and real improvement in this area.

Palabras clave

  • caregivers
  • long-term health care
  • elderly
  • elder care
  • Slovenia
  • qualitative study

Ključne besede

  • skrbovalci
  • dolgotrajna zdravstvena oskrba
  • starejši
  • oskrba starejših
  • Slovenija
  • kvalitativna študija
Acceso abierto

Training in interprofessional learning and collaboration: An evaluation of the interprofessional education program in the scale-up phase in Antwerp (Belgium)

Publicado en línea: 28 Jun 2021
Páginas: 176 - 181

Resumen

Abstract Background

Curricula are reviewed and adapted in response to a perceived need to improve interprofessional collaboration for the benefit of patient care. In 2005, the module Interprofessional Collaboration in Healthcare (IPCIHC) was developed by the Antwerp University Association (AUHA). The program was based upon a concept of five steps to IPCIHC. This educational module aims to help graduates obtain the competence of interprofessional collaborators in health care.

Methods

Over a span of 15 years, the IPCIHC module is evaluated annually by students and provided with feedback by the tutors and steering committee. Data up to 2014 were supplemented with data up to 2019. For the students the same evaluative one-group, post-test design was used to gather data using a structured questionnaire. The tutors’ and students’ feedback was thematically analyzed.

Results

Based upon the results and the contextual changing needs, the program was adjusted. Between 2005 and 2019, a total of 8616 evaluations were received (response rate: 78%). Eighty percent of the respondents indicated through the evaluations that they were convinced of the positive effect of the IPCIHC module on their interprofessional development. Over the years, two more disciplines enrolled into this program and also education programs form the Netherlands.

Conclusions

After 15 years, positive outcomes are showed, and future health professionals have a better understanding of interprofessional learning. Gathering feedback and annually evaluation helped to provide a targeted interprofessional program addressing contextual changes. The challenge remains to keep on educating future healthcare providers in interprofessional collaboration in order to achieve an increase in observable interprofessional behaviour towards other professional groups.

Palabras clave

  • collaborate
  • education
  • healthcare
  • interprofessional

Ključne besede

  • sodelovanje
  • izobraževanje
  • zdravstveno varstvo
  • medpoklicno
Acceso abierto

Quality of life and health status in middle-aged presumed healthy Slovenian family practice attendees

Publicado en línea: 28 Jun 2021
Páginas: 182 - 189

Resumen

Abstract Background

There is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables.

Methods

The participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant.

Results

Of 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7±8.6 years. The average values for the EQ-5D-3L were 0.91±0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified.

Conclusion

Given that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.

Palabras clave

  • health related quality of life
  • health status
  • family practice
  • middle-age
  • physical activity
  • depression
  • stress
  • coping

Ključne besede

  • z zdravjem povezana kakovost življenja
  • zdravstveni status
  • družinska medicina
  • srednja leta
  • telesna aktivnost
  • depresivnost
  • spoprijemanje s stresom
Acceso abierto

Prevalence and incidence of frailty among community-dwelling older adults in Slovenia

Publicado en línea: 28 Jun 2021
Páginas: 190 - 198

Resumen

Abstract Introduction

Frailty is recognized as one of the most important global health challenges as the population is aging. The aim of this study was to evaluate prevalence and incidence of frailty, and associated factors, among the population of older adults in Slovenia compared to other European countries.

Methods

The prevalence and 4-year incidence of frailty among older adults (≥65 years) were evaluated using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Frailty was defined by the SHARE operationalization of Frailty phenotype. Multiple logistic regression model was used to explore factors associated with frailty.

Results

Age-standardized prevalence (95% CI) of frailty and pre-frailty in Slovenia were 14.9% (13.3-16.5) and 42.5% (39.8-45.2), respectively. Factors (OR, 95% CI) associated with increased frailty in Slovenia included age (7584 years: 5.03 (3.08-8.22); ≥85 years 21.7 (10.6-44.7) vs. 65-74 years), self-rated health (fair: 4.58 (2.75-7.61), poor: 54.6 (28.1-105.9) vs. excellent/very good/good), number of chronic diseases (1.20 (1.03-1.40)), and polypharmacy (yes: 3.25 (1.93-5.48) vs. no). Female gender and lower education were significantly associated with pre-frailty, but not frailty, in the adjusted model. Independently of these characteristics, age-standardized prevalence of frailty varied among geographical regions. Age-standardized 4-year incidence of frailty and pre-frailty in Slovenia were 6.6% (3.0-10.1) and 40.2% (32.7-47.6), respectively.

Conclusion

Among the Slovenian population of older adults aged 65 years and older, the age-standardized prevalence of frailty is 15% and 4-year incidence of frailty is 7%. Regional differences in Slovenia show the lowest prevalence in central Slovenian regions and the highest in northeastern Slovenian regions.

Palabras clave

  • frailty
  • older adults
  • SHARE survey
  • prevalence
  • incidence

Ključne besede

  • krhkost
  • starejši odrasli
  • raziskava SHARE
  • razširjenost
  • pojavnost

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