39 KB95 KB38 KB192920262003Kopčavar Guček, Nenaštevilka:11letnik:72str. 619-624ISSN:1318-0347COBISSID:17166041URN:URN:NBN:SI:doc-EXL6L0XFslSlovensko zdravniško društvoZdravniški vestnikBolnik, zadovoljstvoDružinska medicinaFamily PracticeHealth ServicesHealth SurveysInterprofessional RelationsKakovost zdravstvenega varstvaOrganization And AdministrationPatient SatisfactionPoklicni odnosiPosvetovanje in napotilaQuality Of Health CareReferral And ConsultationsodelovanjeSpecialistične stroke medicinskeSpecialties, Medicalzdravnikizdravstvena dokumentacijaZdravstvene službeZdravstveni preglediSodelovanje med zdravniki družinske medicine in specialisti na različnih ravneh| Coopeation between family doctors and specialists at various levels of health care|Background. Progress of medical science, development of new technologies and new medications, aging of population, limitedsources, increasinghealth-consciousness and demands of the population require new approaches to the organisation of health - care. Besides all activities which protect andpreserve health of an individual, health care integrates several other activities, including the care at various levels. All health care activities in Slovenia, at primary and also at secondary and tertiary level have increased significantly in the past decade. The characteristics of overload at various levels vary significantly and should be analysed separately. A critical view of the present state of art may render possibilities for better access, decreased working load and include the efforts for maintaining on even improving the quality of primary health care. Moreover, it is absolutely necessary as a solid foundation for cooperation with care providers at higher levels. New communication technologies offer newpossibilities for communication between doctors at various levels of healthcare. Health reforms, transformations of health care system, new clinical guidelines and recommendations facilitate more rational healthcare and its higher quality. Collecting data on patient satisfaction, or their perception of quality of health care, beside standardized predictors of quality and pear monitoring enable feedback information for the health providers, which is essential Conclusions. Increasing demand of the patients at all levels of health care is overloading the normal functioning and demandschange in the health care system. The central, "gate keeper" role of the family practitioner coordinates treatment on the same level and offers possibility of referring to secondary and tertiary level. (Abstract truncated at 2000 characters)Izhodišča. Napredek medicinskih znanosti, pojavjanje novih tehnologij in novihzdravil, staranje prebivalstva, omejeni viri zdravstvene oskrbe in vedno večja osveščenost prebivalstva zahtevajo nov pristop k organizaciji zdravstvene dejavnosti. Zdravstvo kot področje vseh dejavnosti, s katerimi ščitimo ali ohranjamo zdravje posameznikov, združuje poleg drugih dejavnosti tudi oskrbo zavarovanca na primarnem, posledično pa tudi na višjih ravneh zdravstvenega varstva. Vse ravni zdravstvene dejavnosti v Sloveniji so v preteklem desetletju beležile povečanje obsega dejavnosti, četudi so značilnosti te rasti različne in terjajo ločeno obravnavo. Kritičen pregled stanja in možnosti za boljšo dostopnost, manjšo obremenitev in vsaj vzdrževanje, če ne celo dvig kakovosti na osnovni ravni zdravstvenega varstva,je nujen kot dobra osnova za sodelovanje z nosilci oskrbe na višjih ravneh. Nove komunikacijske tehnologije odpirajo nove poti sodelovanja med družinskim zdravnikom in zdravniki specialisti na sekundarni in terciarni ravni. Zdravstvena reforma in uveljavljanje kliničnih poti, smernic in enotnihstrokovnih priporočil vodijo k racionalnejši in bolj kakovostni oskrbi.Zbiranje podatkov o kakovosti oskrbe in zadovoljstvu bolnikov, poleg standardnih merilcev kakovosti in strokovnega spremljanja le-te ponujajo možnost povratne informacije, ki je za izvajalce nedvomno izjemno pomembna. Zaključki. Povečano povpraševanje po pregledih tako na osnovni kot na višjih ravneh zdravstvene oskrbe terja spremembe v zdravstvenem sistemu. Centralna vloga družinskega zdravnika kot "čuvaja vrat" ponuja možnosti obravnave na tejravni - po njegovi presoji pa tudi napotitve na sekundarno in terciarno raven. (Izvleček skrajšan na 2000 znakov)TEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo