20.500.12556/DKUM-65282 Kazalniki kakovosti preventive srčno-žilnih bolezni v ambulanti družinske medicine Quality indicators of cardiovascular disease prevention for primary care in Slovenia Namen: Nacionalna validacija kazalnikov kakovosti v preventivi bolezni srca in ožilja v primarnem zdravstvu v Sloveniji in primerjava z mednarodno validiranimi kazalniki. Metode: V okviru mednarodne raziskave Epa cardio je bil razvit seznam kazalnikov kakovosti, ki so izvirali iz strokovnih smernic, priporo- čil in dobre klinične prakse. V vsaki sodelujoči državi so bili predlagani kazalniki predstavljeni skupini nacionalnih ekspertov, ki so jih glede na razumljivost, veljavnost in izvedljivost ocenili v dveh krogih s pomočjo metodologije Delphi. V Sloveniji je sodelovalo 14 ekspertov–zdravnikov družinske medicine s posebnim zanimanjem za bolezni srca in ožilja. Rezultati: Največ validiranih kazalnikov je pripadalo skupini zdravstvene oskrbe bolnikov z boleznijo srca in ožilja. Manjše število kazalnikov je bilo validiranih s področja primarne preventive, večinoma glede zapisa in nasveta v zvezi z življenjskim slogom. Zelo malo je bilo validiranih kazalnikov izida (vrednost dejavnikov tveganja). Noben kazalnik o vključenosti bolnika ali o novejših dejavnikih tveganja, npr. socioekonomske okoliščine, ni bil validiran. Zaključki: Slovenija je validirala več kazalnikov kot mednarodna skupina, posebej s področja primarne preventive. Eksperti niso dosegli konsenza glede kazalnikov bolnikove perspektive kljub paradigmi družinske medicine, da je bolnik v središču oskrbe. Validirane kazalnike je potrebno pred uporabo za sistematično sledenje kakovosti preizkusiti v praksi. Aim: National validation of quality indicators for cardiovascular prevention in primary care in Slovenia and comparison with a set of internationally validated indicators. Methods: A list of indicators derived from guidelines, recommendations and good clinical practice was developed internationally within a wider Epa-cardio study. In each participating country a panel of national experts were recruited to assess the indicators using a Delphi Technique methodology in two rounds for clarity, validity and feasibility. In Slovenia, 14 national experts, all general practitioners with special interestin cardiovascular diseases, were recruited. Results: Most of validatedindicators belonged to the health-care management of people with established cardiovascular disease. Fewer numbers of indicators were validatedfor primary prevention, mostly on life style recording and advice. Only very few indicators on outcome measures (level of risk factors) were validated. No indicators of patientsć involvement or new risk factors, such associoeconomic circumstances, got consensus. Conclusion: Slovenia validated more indicators than the international study, especially indicators of primaryprevention. The experts did not achieve consensus on indicators of patientsć perspective, despite the paradigm of family medicine that the patient is in the centre of care. Validated indicators can now be tested for systematic quality assessment of cardiovascular prevention in the country. kazalniki kakovosti zdravstvena oskrba bolezni srca in ožilja preventiva quality indicators health care cardiovascular disease prevention and control true false true Slovenski jezik Angleški jezik Znanstveno delo 2017-03-28 12:06:26 2017-03-28 12:07:33 2022-07-07 03:09:06 2019-07-11 15:13:23 2012 0 0 str. 687-698 št. 10 Letn. 81 okt. 2012 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1318-0347 616.1 32893696 30238937 1318-0347 URN:SI:UM:DK:CGV7VYAU Zdravniski_vestnik_2012_Petek_et_al._Kazalniki_kakovosti_preventive_srcno-zilnih_bolezni_v_ambulanti_druzinske_medicine.pdf Zdravniski_vestnik_2012_Petek_et_al._Kazalniki_kakovosti_preventive_srcno-zilnih_bolezni_v_ambulanti_druzinske_medicine.pdf 1 F10D272C9E7E52C5B58FADF3CCB59883 1aa355f17b936dff7bd71b60114c410396e8d30409e6ced1c4aee9bb785f9eef 07811a28-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=110259 http://vestnik.szd.si/index.php/ZdravVest/article/view/598 1 https://dk.um.si/Dokument.php?lang=slv&id=110258 Medicinska fakulteta 0 0 0