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Projects / Programmes source: ARIS

Assessment of experiences and outcomes of health care for patients with chronic non-communicable diseases in family medicine in Slovenia

Research activity

Code Science Field Subfield
3.08.00  Medical sciences  Public health (occupational safety)   

Code Science Field
3.03  Medical and Health Sciences  Health sciences 
Keywords
Primary Care; Assessment, Outcome Health Care; Chronic Disease; Assessment, Health Care Quality; Care, Patient Centred; Comprehensive Health Care; Validation Studies; Cross Sectional Analysis
Evaluation (rules)
source: COBISS
Researchers (14)
no. Code Name and surname Research area Role Period No. of publicationsNo. of publications
1.  55698  Matija Ambrož  Public health (occupational safety)  Researcher  2021 - 2023  10 
2.  51190  Mojca Dolinar    Technical associate  2021 - 2022 
3.  55702  Urška Grdadolnik  Public health (occupational safety)  Researcher  2021 - 2023 
4.  32520  PhD Zalika Klemenc Ketiš  Public health (occupational safety)  Head  2021 - 2023  775 
5.  38415  Eva Murko  Public health (occupational safety)  Researcher  2021 - 2023  31 
6.  28218  PhD Davorina Petek  Public health (occupational safety)  Researcher  2021 - 2023  497 
7.  23657  Lidija Pollak  Political science  Technical associate  2023 
8.  24488  PhD Janez Rifel  Public health (occupational safety)  Researcher  2021 - 2023  216 
9.  54298  Nina Ropret  Psychology  Researcher  2021 - 2023  27 
10.  10937  PhD Polona Selič - Zupančič  Public health (occupational safety)  Researcher  2021 - 2023  466 
11.  55701  Neža Starič  Public health (occupational safety)  Researcher  2021 - 2023 
12.  55700  Mihaela Strgar Hladnik  Public health (occupational safety)  Researcher  2021 - 2023 
13.  26220  Barbara Toplek  Public health (occupational safety)  Researcher  2021 - 2023 
14.  38419  Metka Zaletel  Public health (occupational safety)  Researcher  2021 - 2023  265 
Organisations (3)
no. Code Research organisation City Registration number No. of publicationsNo. of publications
1.  1324  Community Health Centre Ljubljana  Ljubljana  5056063  2,954 
2.  0381  University of Ljubljana, Faculty of Medicine  Ljubljana  1627066  48,446 
3.  3333  National Institut of Public Health  Ljubljana  6462642  18,424 
Abstract
Healthcare systems have little information about the experience and outcomes of primary care, from the point of view of users, i.e. patients. There is also a lack of evidence that primary care is comprehensive, patient-centered, and well-coordinated. This is especially important for a group of patients who have chronic diseases or even multiple concomitant chronic diseases. The main goal of the proposed project is to gain internationally comparable outcomes and experiences with care at the primary level of health care reported by patients. The proposed project will take place in five work packages (WPs):- WP 1: Preparation of tools, - WP 2: Piloting methodology, - WP 3: Main research, - WP 4: Analysis and proposal of measures, - WP 5: Dissemination. As part of WP 1, we will translate the questionnaires into Slovenian, which will then be cognitively tested. We plan to include 20 patients and 10 family medicine teams for cognitive testing. WP 2 is intended to pilot the research methodology, which will check the feasibility of our plan and modify the methodology if necessary. We plan to include a random sample of 25 family medicine clinics in the piloting of the methodology, each of which should include a random sample of 50 patients. Inclusion criteria for patients are: 1) age 45 years and older, 2) at least one outpatient contact in the last 6 months, 3) ability to participate, and 4) signed consent to participate in the study. We will use a questionnaire for the family medicine clinic team and for patients. It will be possible to solve the questionnaire in e-form or in paper form. Patients will receive a questionnaire from their clinic by regular mail or email. We plan to include up to 100 family medicine clinics in the main study, each of which is expected to include 50 patients. We expect that the proposed project will provide valid, reliable and useful tools for measuring outcomes of care and experience with primary care by patients. We expect to define the quality of such care, identify the factors (on the part of the patients and on the part of the family medicine clinic team) that are important. We expect to identify areas where improvements are needed and prepare a plan to implement the necessary measures. The proposed project should increase the quality of care, which will lead to better health of the population and improved self-sufficiency of the population. It can also help reduce health inequalities and thus increase the health outcomes of vulnerable populations. The proposed measures, which will be based on the results of the project, could also increase the efficiency of healthcare. Better quality of care could lead to less morbidity and premature deaths. With a better understanding of relationships in primary care, there is the potential to improve the work environment and increase job satisfaction, which results in better work outcomes. The chosen research approach enables us to determine the quality of work and identify potential safety risks in the treatment of patients. Indirectly, this could affect the quality of care and significant public health benefits should be achieved. The contribution of this research proposal to public health is remarkable. Chronic diseases are a growing public health problem. Most patients are treated in primary care. Therefore, the quality of work is extremely important for the health outcomes and quality of life of this population.
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