Zdravstveno Varstvo最新文献_第5页

COVID-19 and Vitamin D- a Systematic Review. COVID-19和维生素D-系统综述

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2022-03-21 eCollection Date: 2022-06-01 DOI: 10.2478/sjph-2022-0017

Taja Jordan, Darko Siuka, Nada Kozjek Rotovnik, Marija Pfeifer

{"title":"COVID-19 and Vitamin D- a Systematic Review.","authors":"Taja Jordan, Darko Siuka, Nada Kozjek Rotovnik, Marija Pfeifer","doi":"10.2478/sjph-2022-0017","DOIUrl":"10.2478/sjph-2022-0017","url":null,"abstract":"Introduction: The COVID-19 pandemic has strongly affected global healthcare systems. Prior epidemiological studies on different infectious diseases have shown a strong correlation between serum vitamin D levels and the incidence of certain infectious diseases. Vitamin D has an important immunomodulatory effect on innate immunity and exhibits several other mechanisms in the pathogenesis of the cytokine storm, which is one of the main contributing factors to fatality in COVID-19 patients.Methods: A keyword search was conducted in the PubMed and Google Scholar research databases. The abstracts and/or full texts of selected papers were further evaluated. Articles that fulfilled the inclusion criteria were included in the systematic review.Results: The 28 studies summarized in this review provide observational findings that vitamin D levels are related to the incidence, severity, and mortality rate of COVID-19 infection. The literature does not suggest that COVID-19 could be eliminated with supplementation of vitamin D, but there are implications that vitamin D deficiency might increase the risk for COVID-19 infection and severity of the disease progression.Discussion: Current literature and several guidelines support the supplementation of vitamin D as a reasonable strategy for correcting and preventing vitamin D deficiency. The recommended dose for maintaining normal 25(OH)D levels by consensus is 1000 to 2000 IU vitamin D daily for at-risk teens and adults.Conclusion: Vitamin D supplementation might play an important role in protecting from acute respiratory infections like the SARS CoV2, and in high-risk individuals with COVID 19 from progressing to critical clinical condition and reducing mortality.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"124-132"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8937591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46547766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Cost of Diagnosing and Treating Cognitive Complaints: One-year Cost-evaluation Study in a Patient Cohort from a Slovenian Memory Clinic 诊断和治疗认知疾病的成本:斯洛文尼亚记忆诊所患者队列的一年成本评估研究

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2022-03-21 DOI: 10.2478/sjph-2022-0011

Eva Županič, A. Wimo, B. Winblad, M. Kramberger

{"title":"Cost of Diagnosing and Treating Cognitive Complaints: One-year Cost-evaluation Study in a Patient Cohort from a Slovenian Memory Clinic","authors":"Eva Županič, A. Wimo, B. Winblad, M. Kramberger","doi":"10.2478/sjph-2022-0011","DOIUrl":"https://doi.org/10.2478/sjph-2022-0011","url":null,"abstract":"Abstract Introduction Dementias present a global health challenge and give rise to significant economic costs. This study aims to evaluate the economic impact of one-year outpatient healthcare, nursing home, and formal and informal home help costs for all patients referred to the Centre for Cognitive Impairments at the Department of Neurology, Ljubljana University Medical Centre, Slovenia. Methods Data was acquired retrospectively from physicians’ records and the costs for 2015 were calculated. Total costs were estimated by means of a bottom-up calculation of outpatient visits, diagnostic examinations and anti-dementia medication. In a subgroup of 120 patients with dementia, the Resource Utilization in Dementia questionnaire was used to estimate formal and informal care costs. Results A total of 720 patients visited the memory clinic in 2015. Diagnosis at first visit was subjective cognitive or mild cognitive impairment (SCI/ MCI) for 322 patients, dementia for 258 patients, and psychiatric or other disorders for 140 patients. The average annual cost per patient was EUR 578. It was highest for patients with dementia (EUR 751), EUR 550 for patients with SCI/MCI, and lowest for patients with psychiatric and other disorders (EUR 324). Monthly informal and social care costs were between EUR 1,037 and EUR 3,369, depending on the methodology used. Conclusion The cost of diagnosing a cognitive disorder depends on how extensive the diagnosis is. With an estimated prevalence of 34,137 persons with dementia in Slovenia, basic diagnostic investigations incur costs of approximately EUR 7 million. Direct medical costs represent a smaller portion of total dementia costs; this is because annual costs for formal and informal home help are estimated at EUR 265 million and nursing home placements at EUR 105 million.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"76 - 84"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48734442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Quality of Life of Post-stroke Patients 脑卒中后患者的生活质量

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2022-03-21 DOI: 10.2478/sjph-2022-0014

S. Bártlová, L. Šedová, Lucie Havierniková, Andrea Hudáčková, František Dolák, P. Sadílek

{"title":"Quality of Life of Post-stroke Patients","authors":"S. Bártlová, L. Šedová, Lucie Havierniková, Andrea Hudáčková, František Dolák, P. Sadílek","doi":"10.2478/sjph-2022-0014","DOIUrl":"https://doi.org/10.2478/sjph-2022-0014","url":null,"abstract":"Abstract Introduction Stroke is a disease whose consequences have a considerable impact on the quality of the patient’s life. It is a widespread disease that has a disabling impact on life and, in addition to physical changes, brings about a number of psychological and cognitive processes. Goal The goal of the study was to identify and describe the quality of life of post-stroke patients. Methodology The study design was quantitative. A questionnaire of the authors’ own design and the SF-36 questionnaire were used to obtain the data. Results Significant differences in patient quality of life were identified in relation to patient gender. Moreover, the quality of life in all individual SF-36 dimensions, except for mental health, deteriorated with age. With regard to occupational placement, employed respondents gave the highest evaluation of quality of life according to SF-36 and old-age pensioners the lowest. The analysis shows that quality of life in individual dimensions is positively influenced by respondents’ higher education. The evaluation in individual dimensions improves with the time that has passed since the stroke. Conclusion The quality of life of post-stroke patients deteriorates with age. The deteriorating level of patient quality of life in older age requires programmes that include assessments and interventions that lead to the treatment of these patients.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"101 - 108"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48962773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Self-efficacy and Unwanted Sexual Intercourse: 'Reproductive Health Education Programme for High-school Students in Vojvodina'. 自我效能和不必要的性交往：“伏伊伏丁那高中生生殖健康教育计划”

IF 1.6 4区医学

Zdravstveno Varstvo Pub Date : 2022-03-21 eCollection Date: 2022-06-01 DOI: 10.2478/sjph-2022-0013

Tanja Tomašević, Snežana Ukropina, Vesna Mijatović Jovanović, Svetlana Kvrgić, Sonja Čanković, Dragana Milijašević

{"title":"Self-efficacy and Unwanted Sexual Intercourse: 'Reproductive Health Education Programme for High-school Students in Vojvodina'.","authors":"Tanja Tomašević, Snežana Ukropina, Vesna Mijatović Jovanović, Svetlana Kvrgić, Sonja Čanković, Dragana Milijašević","doi":"10.2478/sjph-2022-0013","DOIUrl":"10.2478/sjph-2022-0013","url":null,"abstract":"Introduction: Studies have shown the importance of self-efficacy in the domain of risky sexual behaviour. The aim of this study was to examine the association of unwanted sexual intercourse among secondary-school students with socio-demographic factors and perceived self-efficacy, and to assess the effectiveness of the programme on reproductive health.Methods: The study involved 5,026 second-grade students in 72 high schools in the Province of Vojvodina, Serbia (APV). They were surveyed before and after the implementation of the extracurricular 'Reproductive health education programme for secondary-school students in APV'. A questionnaire consisting of 57 questions (socio-demographic characteristics, knowledge, attitudes, and behaviour of students regarding reproductive health, and a general self-efficacy scale) was used as the research instrument.Results: One quarter of students had engaged in unwanted sexual intercourse on one or more occasions. Students with poor material status were twice as likely to engage in unwanted sexual intercourse (ОR=2.01; 95%CI=1.07-3.75) as students with average or good material status. Students who did not engage in unwanted sexual intercourse had a higher self-efficacy score than students who who did (t=2.903; p<0.01). After the programme was completed, there was an increase in general self-efficacy.Conclusion: Poor material status is a predictor of unwanted sexual intercourse. Students who have a higher level of self-efficacy engaged to a lesser degree in unwanted sexual intercourse. The programme is effective in terms of increasing general self-efficacy, and can be applied to encourage responsible sexual behaviour.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"93-100"},"PeriodicalIF":1.6,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8937587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47559013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of Questionnaires on Professional Drivers' Knowledge and Attitudes About Various Medications' Influence on Driving Ability. 职业驾驶人对各种药物对驾驶能力影响的知识态度问卷的编制与验证。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0006

Roland Antonić, Slobodan Janković, Marko Folić

{"title":"Development and Validation of Questionnaires on Professional Drivers' Knowledge and Attitudes About Various Medications' Influence on Driving Ability.","authors":"Roland Antonić, Slobodan Janković, Marko Folić","doi":"10.2478/sjph-2022-0006","DOIUrl":"https://doi.org/10.2478/sjph-2022-0006","url":null,"abstract":"Introduction: Professional drivers' knowledge about driving-impairing medications is not satisfactory. The aim of this study was to develop and test the reliability and validity of the questionnaires designed to measure the knowledge and attitude of professional drivers about the influence of various medications on driving ability.Methods: The questionnaires for assessing professional driver's knowledge (performance-based) and attitudes about influence of various medications on driving abilities were developed by creating the item pool, testing reliability and validity, and factor analysis. The study was conducted as a multicenter, cross-sectional study in Serbia and Bosnia and Herzegovina. The study population consisted of professional drivers, who filled out both questionnaires in three time intervals.Results: Both questionnaires showed great internal consistency and temporal stability. Cronbach's Alpha for the first questionnaire was 0.984 and for the second it was 0.944. The Kaiser-Meyer-Olkin test for the first questionnaire confirmed sampling adequacy with its value of 0.964 and for the second questionnaire it was 0.933. Exploratory factor analysis of the questionnaire showed that three factors were revealed after rotation for the first questionnaire and they explained 78.0% of variance. Both questionnaires showed high degree of correlation between scores after the first and repeated administration, Spearman's rho coefficient of correlation for was 0.962 and 0.980.Conclusion: Based on the results of this study, we believe that both questionnaires are useful tools for testing professional drivers' knowledge and attitudes about the influence of medications on driving ability.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"32-39"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/71/sjph-61-032.PMC8776291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in The Use of Alcohol and Tobacco in Slovenia During the First Wave of The SARS-COV-2 Pandemic. 在第一波SARS-COV-2大流行期间，斯洛文尼亚酒精和烟草使用的变化。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0003

Sandra Radoš Krnel, Carolin Kilian, Marjetka Hovnik Keršmanc, Maja Roškar, Helena Koprivnikar

{"title":"Changes in The Use of Alcohol and Tobacco in Slovenia During the First Wave of The SARS-COV-2 Pandemic.","authors":"Sandra Radoš Krnel, Carolin Kilian, Marjetka Hovnik Keršmanc, Maja Roškar, Helena Koprivnikar","doi":"10.2478/sjph-2022-0003","DOIUrl":"https://doi.org/10.2478/sjph-2022-0003","url":null,"abstract":"Background: In the first months of 2020, the SARS-CoV-2 virus spread all over the world and numerous measures were adopted that had a strong impact on both personal and public life. This contribution explores changes in alcohol and tobacco use during the first months of the COVID-19 pandemic in Slovenia.Methods: Self-reported changes in alcohol and tobacco use during the first few months of the Covid-19 pandemic were recorded in 495 Slovenian adults, as part of the European Alcohol Use and COVID-19 survey.Results: About half of the Slovenian sample indicated that the frequency of drinking occasions did not change in the months after the pandemic's outbreak, while the remainder stated either a decrease (26.0%) or an increase (24.2%). 23.1% reported a decrease and 17.3% an increase in the quantity of alcohol consumed per occasion. Respondents who reported that their overall alcohol consumption decreased were more likely to be male than female and more likely to be younger than middle-aged. Those who reported experiencing at least a substantial level of distress due to financial loss were at a four-times increased risk of reporting an increase in their alcohol consumption compared to individuals who reported no or only some financial distress. Of the 120 people reporting the use of tobacco, almost half indicated an increase in tobacco consumption within the previous month, and about 20% reported a decrease in use. The differences in the results between Slovenia and other European countries are small and the overall pattern suggests that the situation in Slovenia was comparable to other European countries.Conclusion: As this pandemic continues to evolve, further monitoring is needed to identify the long-term effects of alcohol and tobacco use on public health in relation to the management of COVID-19.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"6-13"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/37/sjph-61-006.PMC8776286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Careful Assessment Tool for Managing Patients with Medically Unexplained Symptoms - the Experience of Slovenian Family Medicine Trainees: a Qualitative Study. 管理有医学上无法解释的症状的病人的仔细评估工具——斯洛文尼亚家庭医学学员的经验:一项定性研究。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0008

Vojislav Ivetić, Špela Martinjak, Alem Maksuti

{"title":"The Careful Assessment Tool for Managing Patients with Medically Unexplained Symptoms - the Experience of Slovenian Family Medicine Trainees: a Qualitative Study.","authors":"Vojislav Ivetić, Špela Martinjak, Alem Maksuti","doi":"10.2478/sjph-2022-0008","DOIUrl":"https://doi.org/10.2478/sjph-2022-0008","url":null,"abstract":"Introduction: Primary care physicians use various tools and methods to identify medically unexplained symptoms (MUS). The main purpose of our study is to determine the views of Slovenian family medicine trainees (FMT) about using the \"Careful Assessment\" tool for managing patients with MUS.Methods: A qualitative study using open survey questions focused on the experience of family medicine trainees in managing patients with MUS. The sample consisted of surveys from 184 family medicine trainees. These trainees analysed a total of 702 patients with MUS. Manual coding was used for quantitative content analysis.Results: In the coding process, 49 codes were developed that included broader research fields about using the \"Careful Assessment\" tool for managing patients with MUS. The codes were grouped into four theoretically grounded, logical categories in accordance with the elaborated theoretical concept: multi-purpose utility; improved patient management; in-depth knowledge and new skills; and patient response.Conclusion: The study demonstrated that, in the view of Slovenian FMT, the \"Careful Assessment\" tool has multi-purpose utility. The study showed that FMT felt that this tool helps them in systematic patient management. Their opinion is that it helps them establish a trusting relationship with patients, which is a precondition for providing further treatment.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"48-54"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/d1/sjph-61-048.PMC8776293.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39744482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review of Vitamin D Status and Dietary Intake in Various Slovenian Populations. 关于斯洛文尼亚不同人群维生素 D 状态和膳食摄入量的系统性综述。

IF 1.6 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0009

Maša Hribar, Evgen Benedik, Matej Gregorič, Urška Blaznik, Andreja Kukec, Hristo Hristov, Katja Žmitek, Igor Pravst

{"title":"A Systematic Review of Vitamin D Status and Dietary Intake in Various Slovenian Populations.","authors":"Maša Hribar, Evgen Benedik, Matej Gregorič, Urška Blaznik, Andreja Kukec, Hristo Hristov, Katja Žmitek, Igor Pravst","doi":"10.2478/sjph-2022-0009","DOIUrl":"10.2478/sjph-2022-0009","url":null,"abstract":"Aim: Vitamin D (VitD) is involved in calcium and phosphate homeostasis, bone health, and normal functioning of the immune system. VitD status is monitored using serum 25-hydroxy-vitamin D (25(OH)D) as a biomarker. Serum 25(OH)D concentrations below 30 nmol/L indicate VitD deficiency and below 50 nmol/L indicate insufficiency. VitD can be synthesised endogenously in human skin when exposed to ultraviolet B (UVB) radiation. In the absence of sufficient UVB-light exposure, VitD intake becomes the main source of VitD, with a recommended daily intake of 20 μg. The aim of this study was to conduct a review and meta-analysis on the abovementioned topics, focusing on scientific studies in various Slovenian populations.Methods: We conducted a systematic review and meta-analysis of published scientific papers, academic theses, or conference contributions reporting serum 25(OH)D status and VitD intake across various Slovenian populations. A search was carried out using Web of Science, Scopus, Medline, and the Slovenian library database.Results: We identified 43 pertinent studies that addressed 25(OH)D status and 16 that addressed VitD intake. Serum 25(OH)D status was generally low across all populations, and notable seasonal variability was observed. VitD intakes were below 5 μg in all studies.Conclusions: A general observation is that various population groups across Slovenia are at high risk of vitamin D insufficiency and deficiency, particularly during wintertime. Regarding vitamin D intake, all included studies reported daily intakes below the recommended level. We also identified key research gaps that need to be addressed to support further public health decision-making.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"55-72"},"PeriodicalIF":1.6,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/d1/sjph-61-055.PMC8776289.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39744483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Care System Factors and Clinical Decision-making in Patients that Could Have Lung Cancer: a Vignette Study in Five Balkan Region Countries. 初级保健系统因素和肺癌患者的临床决策:巴尔干地区5个国家的小研究

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0007

Davorina Petek, Radost Assenova, Gergana Foreva, Svjetlana Gašparović Babić, Marija Petek Šter, Nuša Prebil, Aida Puia, Emmanouil Smyrnakis, Michael Harris

{"title":"Primary Care System Factors and Clinical Decision-making in Patients that Could Have Lung Cancer: a Vignette Study in Five Balkan Region Countries.","authors":"Davorina Petek, Radost Assenova, Gergana Foreva, Svjetlana Gašparović Babić, Marija Petek Šter, Nuša Prebil, Aida Puia, Emmanouil Smyrnakis, Michael Harris","doi":"10.2478/sjph-2022-0007","DOIUrl":"https://doi.org/10.2478/sjph-2022-0007","url":null,"abstract":"Introduction: Lung cancer is the leading cause of cancer death, with wide variations in national survival rates. This study compares primary care system factors and primary care practitioners' (PCPs') clinical decision-making for a vignette of a patient that could have lung cancer in five Balkan region countries (Slovenia, Croatia, Bulgaria, Greece, Romania).Methods: PCPs participated in an online questionnaire that asked for demographic data, practice characteristics, and information on health system factors. Participants were also asked to make clinical decisions in a vignette of a patient with possible lung cancer.Results: The survey was completed by 475 PCPs. There were significant national differences in PCPs' direct access to investigations, particularly to advanced imaging. PCPs from Bulgaria, Greece, and Romania were more likely to organise relevant investigations. The highest specialist referral rates were in Bulgaria and Romania. PCPs in Bulgaria were less likely to have access to clinical guidelines, and PCPs from Slovenia and Croatia were more likely to have access to a cancer fast-track specialist appointment system. The PCPs' country had a significant effect on their likelihood of investigating or referring the patient.Conclusions: There are large differences between Balkan region countries in PCPs' levels of direct access to investigations. When faced with a vignette of a patient with the possibility of having lung cancer, their investigation and referral rates vary considerably. To reduce diagnostic delay in lung cancer, direct PCP access to advanced imaging, availability of relevant clinical guidelines, and fast-track referral systems are needed.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"40-47"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/a4/sjph-61-040.PMC8776292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39744481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Inactivity - the Human Health's Greatest Enemy. 缺乏运动——人类健康最大的敌人。

IF 1.5 4区医学

Zdravstveno Varstvo Pub Date : 2021-12-27 eCollection Date: 2022-03-01 DOI: 10.2478/sjph-2022-0002

Rado Pišot

引用次数: 4