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master's thesis
Suradnja primarne i sekundarne zdravstvene zaštite
Zagreb: University of Zagreb, School of Medicine, 2014. urn:nbn:hr:105:911852
Lazić, Vanja
University of Zagreb
School of Medicine
Department of Family Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Lazić, V. (2014). Suradnja primarne i sekundarne zdravstvene zaštite (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:911852

Lazić, Vanja. "Suradnja primarne i sekundarne zdravstvene zaštite." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:911852

Lazić, Vanja. "Suradnja primarne i sekundarne zdravstvene zaštite." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:911852

Lazić, V. (2014). 'Suradnja primarne i sekundarne zdravstvene zaštite', Master's thesis, University of Zagreb, School of Medicine, accessed 19 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:911852

Lazić V. Suradnja primarne i sekundarne zdravstvene zaštite [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2014 [cited 2024 April 19] Available at: https://urn.nsk.hr/urn:nbn:hr:105:911852

V. Lazić, "Suradnja primarne i sekundarne zdravstvene zaštite", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2014. Available at: https://urn.nsk.hr/urn:nbn:hr:105:911852

Metadata
TitleSuradnja primarne i sekundarne zdravstvene zaštite
Title (english)Collaboration between primary and secondary health care
AuthorVanja Lazić
MentorMilica Katić (mentor)
Committee memberZlata Ožvačić Adžić (predsjednik povjerenstva)
Committee memberVenija Cerovečki Nekić (član povjerenstva)
Committee memberMilica Katić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Family Medicine)
Zagreb
Defense date and country2014-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Family Medicine
Abstract
Cilj ovog preglednog rada ja analizirati kvalitetu komunikacije između primarne i sekundarne zdravstvene zaštite kroz sustav upućivanja u različitim sustavima zdravstvene zaštite. Pretraženi su Cochrane Reviews i PubMed baze podataka. Korišteni su ključni pojmovi “Referral and Consultation”- upućivanje i konzultacije, “Gatekeeping”- čuvanje ulaza u zdravstveni sustav te “Primary Health Care”- primarna zdravstvena zaštita. U pregled su uključena tri pregledna članka te jedanaest radova iz časopisa publicirana nakon 1.1.2008. godine. Rezultati su pokazali da su zdravstveni sustavi u kojima postoji “gatekeeping” trošili manje sredstava, osiguravali veću razinu jedankosti u dostupnosti skrbi, ali su imali i negativnih značajki kao što je manje zadovoljstvo bolesnika pruženom uslugom te lošiji ishod preživljenja bolesnika zbog nedovoljne pozornosti liječnika upozoravajućim simptomima i neodgovarajućem upućivanju bolesnika na sekundarnu razinu zaštite. Kao pozitivne intervencije za poboljšanje upućivanja pokazale su se strukturirane smjernice za upućivanje, uključivanje specijalista konzultanata u edukaciju o upućivanju, povećanje kompetencije liječnika opće medicine uz povećanje obujma njegovih funkcija i pruženih usluga, uključivanje specijalista drugih struka u rad ordinacije opće medicine, te dijeljenje odgovornosti upućivanja s drugim liječnikom unutar ustanove. Potrebno je unaprijediti sustave komunikacije između primarne i sekundarne zdravstvene zaštite jer to dovodi do povećanja standarda skrbi za pacijente.
Abstract (english)
The aim of this review was to analyze the quality of communication between primary and secondary health care through the perspective of referral systems in different health care settings. A search of Cochrane reviews and PubMed databases was conducted using keywords “Referral and Consultation”, “Gatekeeping” and “Primary Health Care”. Three systematic reviews and twelve journal articles published after 1.1.2008. were included. The results show that health care systems with gatekeeping utilized less resources, provided higher degree of equality in access to health services, but were shown to have some negative aspects such as lower patient satisfaction with service provided and poorer one-year cancer survival rates due to insufficient GPs level of alertness to early warning symptoms and delay in referral to secondary health care. Generally effective strategies to improve referrals included dissemination of guidelines with structured referral sheets, involvement of consultants in educational activities, providing primary care physicians with greater freedom of utilizing diagnostic procedures and extending the range of their services, involving other medical specialists in primary care setting and requiring a second 'in-house' opinion prior to referral. It is necessary to improve communication interface between primary and secondary health care in order to improve the standard of patient care.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:911852
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2015-10-07 08:33:56