20.500.12556/DKUM-65613 Do the experiences of patients of state-employed family physicians and concessionaires in Slovenia differ? Ali se izkušnje bolnikov z zdravniki družinske medicine, zaposlenimi v javnih zavodih, in s koncesionarji v Sloveniji razlikujejo? Background: Family practice healthcare in Slovenia is provided by state-employed family physicians as well as concessionaires. However, both work under a contract with the National Health Insurance Institute. This study focuses on comparing patients’ experiences with Slovenian concessionaires and state-employed physicians. Methods: We performed analyses using survey data from a cross-sectional study on patient experiences, which took place from September 2011 to April 2012 as a part of the international QUALICOPC study. The Slovenian branch of this study included 1,962 patients visiting family practices. Patients were classified into two groups with respect to the registered status of their family physician. They completed the questionnaires immediately aſter visiting their family physicians. Data used in the analyses included 76 variables: 18 socio-economic and 58 variables linked to the patient’s experience. Results: The analyses showed few differences between concessionaires and state-employed family physicians. In comparison with patients of state-employed family physicians, patients of concessionaires were less likely to make an appointment for a visit (19.8 % vs. 29.2 %), were generally more frequent visitors (43.7 % vs. 50.7 %), and more oſten felt that opening hours were too restricted (25.7 % vs. 31.9 %). Patients of concessionaires believed more oſten that in general, doctors can be trusted (40.1 % vs.47.1 %). A smaller percentage of patients of concessionaires felt that their physician had the capacity to deal with personal problems as well as to provide medical care (61.9 % vs. 54.7 %). Conclusions: There are few differences in patients’ experiences of state-employed family physicians and concessionaires. Slovenian patients have a generally positive experience with family practice services regardless of the family physicians’ status. Plans for organizational change of the health sector should include patients’ perceptions of services. Izhodišče: Družinsko medicino v Sloveniji izvajajo zdravniki, ki so zaposleni v javnih zavodih, in koncesionarji. Oboji delujejo v okviru pogodbe z Zavodom za zdravstveno zavarovanje. Ta študija se osredinja na primerjavo izkušenj bolnikov z zdravniki, zaposlenimi v javnem zdravstvu, in s koncesionarji. Metode: Uporabili smo podatke presečne raziskave o izkušnjah bolnikov, ki je kot del mednarodne raziskave QUALICOPC potekala od septembra 2011 do aprila 2012. V njeno slovensko vejo je bilo vključenih 1.962 bolnikov, ki so obiskali ambulante družinske medicine. Bolniki so vprašalnike izpolnili takoj po opravljenem obisku. Podatki, uporabljeni v analizi, vključujejo 76 spremenljivk: 18 socialno-ekonomskih in 58 spremenljivk, povezanih z bolnikovimi izkušnjami. Rezultati: Analiza je pokazala nekaj razlik med koncesionarji in zdravniki v javnih zavodih. V primerjavi z bolniki, ki so obiskali zdravnike družinske medicine, zaposlene v javnem zdravstvu, so se bolniki koncesionarjev manjkrat naročili na pregled (19,8 % v primerjavi z 29,2 %), na splošno so koncesionarja tudi pogosteje obiskali (43,7 % v primerjavi s 50,7 %) in pogosteje menili, da je obratovalni čas preveč omejen (25,7 % v primerjavi s 31,9 %). Bolniki koncesionarjev so pogosteje menili, da so zdravniki vredni zaupanja (40,1 % v primerjavi s 47,1 %). Manjši odstotek bolnikov, ki so obiskali koncesionarje, je povedal, da so bili poleg obravnave medicinskih deležni tudi obravnave svojih osebnih težav (61,9 % v primerjavi s 54,7 %). Zaključki: Obstaja nekaj razlik v izkušnjah bolni- kov, ki so obiskali zdravnike družinske medicine, zaposlene v javnem zdravstvu, in koncesionarje. Slovenski bolniki imajo na splošno pozitivne izkušnje z družinsko medicino ne glede na status družinskega zdravnika. Načrti za organizacijske spremembe v zdravstvenem sektorju bi morali vključevati izkušnje bolnikov. patient experience family physician state-employed concessionaire bolnik izkušnje zdravnik družinske medicine zaposleni koncesionar true false true Angleški jezik Slovenski jezik Znanstveno delo 2017-05-10 11:31:24 2017-05-10 11:35:05 2022-07-08 03:09:18 2019-07-11 15:24:17 2015 0 0 str. 670-678 št. 10 Letn. 84 okt. 2015 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1318-0347 614.2 32893696 32313049 1318-0347 URN:SI:UM:DK:K8FPRAR9 Zdravniski_vestnik_2015_Pavlic_et_al._Do_the_experiences_of_patients_of_state-employed_family_physicians_and_concessionaires_in_Slovenia.pdf Zdravniski_vestnik_2015_Pavlic_et_al._Do_the_experiences_of_patients_of_state-employed_family_physicians_and_concessionaires_in_Slovenia.pdf 1 3F8CF20997218A0A8E25D8B6662003B8 f22a1177a7dfdcc78e445b770299ef2a56e9f6b6dd45244782e3ab04090eac5f 1aba64cb-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=111087 http://vestnik.szd.si/index.php/ZdravVest/article/view/1108 1 https://dk.um.si/Dokument.php?lang=slv&id=111086 Medicinska fakulteta 0 0 0