20.500.12556/DKUM-68860 Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia Uvajanje kazalnikov kakovosti za sladkorno bolezen in arterijsko hipertenzijo v družinski medicini v Sloveniji Introduction: A new form of family practices was introduced in 2011 through a pilot project introducing nurse practitioners as members of team and determining a set of quality indicators. The aim of this article was to assess the quality of diabetes and hypertension management. Methods: We included all family medicine practices that were participating in the project in December 2015 (N=584). The following data were extracted from automatic electronic reports on quality indicators: gender and specialisation of the family physician, status (public servant/self-contracted), duration of participation in the project, region of Slovenia, the number of inhabitants covered by a family medicine practice, the name of IT provider, and levels of selected quality indicators. Results: Out of 584 family medicine practices that were included in this project at the end of 2015, 568 (97.3%) had complete data and could be included in this analysis. The highest values were observed for structure quality indicator (list of diabetics) and the lowest for process and outcome quality indicators. The values of the selected quality indicators were independently associated with the duration of participation in the project, some regions of Slovenia where practices were located, and some IT providers of the practices. Conclusion: First, the analysis of data on quality indicators for diabetes and hypertension in this primary care project pointed out the problems which are currently preventing higher quality of chronic patient management at the primary health care level. Uvod: Pilotni projekt na področju družinske medicine v Sloveniji je leta 2011 uvedel novo metodo dela v družinski medicini, pri čemer je nov član tima postala diplomirana medicinska sestra, prav tako pa se je uvedel nadzor kakovosti s pomočjo kazalnikov kakovosti. Namen tega članka je bil oceniti kakovost vodenja bolnikov s sladkorno boleznijo in hipertenzijo. Metode: V analizo smo vključili vse ambulante družinske medicine, ki so sodelovale v projektu konec decembra 2015. Iz avtomatične baze poročil smo izluščili in analizirali naslednje podatke: spol in specializacijo zdravnika, status zdravnika (javni uslužbenec, koncesionar), trajanje sodelovanja v projektu, regijo, v kateri je ambulanta, število prebivalcev na območju, ki ga pokriva ambulanta, računalniško hišo, ki nudi program, in raven izbranih kazalnikov kakovosti. Rezultati: Od 584 ambulant družinske medicine jih je imelo 568 (97,3%) popolne podatke in so bile vključene v analizo. Najvišja vrednost kazalnikov kakovosti je bila opazovana pri kazalnikih kakovosti pogojev (register diabetikov), najnižja pa pri kazalnikih procesa in izida. Vrednosti izbranih kazalnikov kakovosti so bile neodvisno povezane s trajanjem sodelovanja v projektu, nekaterimi regijami Slovenije in nekaterimi računalniškimi hišami, ki nudijo elektronsko podporo. Zaključek: Prva analiza podatkov kazalnikov kakovosti za diabetes in arterijsko hipertenzijo je pokazala na probleme, ki trenutno onemogočajo doseganje višje kakovosti obravnave bolnikov na primarni ravni zdravstvenega varstva. family practices healthcare quality indicator diabetes mellitus hypertension Slovenia družinska medicina kazalniki kakovosti sladkorna bolezen arterijska hipertenzija Slovenija true false true Angleški jezik Slovenski jezik Znanstveno delo 2017-11-03 12:10:52 2017-11-03 12:11:51 2022-08-01 16:24:02 2019-07-11 17:12:50 2017 0 0 str. 211-219 št. 4 Letn. 56 2017 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 0351-0026 614 3287810 4053477 10.1515/sjph-2017-0029 0351-0026 URN:SI:UM:DK:O86ELFVB Slovenian_Journal_of_Public_Health_2017_Klemenc-Ketis,_Svab,_Poplas_Susic_Implementing_quality_indicators_for_diabetes_and_hypertension.pdf Slovenian_Journal_of_Public_Health_2017_Klemenc-Ketis,_Svab,_Poplas_Susic_Implementing_quality_indicators_for_diabetes_and_hypertension.pdf 1 C64BF30AB0B7659528B075823B999E46 6f9f068e378ce2a2e97e75a900adf04f0d858639ab0f4da17e4bb844206be025 7849a0b7-7c0f-11eb-bb7a-00155d0001ca 20.500.12556/dkum/a980b253-f576-40dd-aae7-b6c319807cc4 https://dk.um.si/Dokument.php?lang=slv&id=120003 http://www.degruyter.com/view/j/sjph.2017.56.issue-4/sjph-2017-0029/sjph-2017-0029.xml 1 https://dk.um.si/Dokument.php?lang=slv&id=120002 Medicinska fakulteta 0 0 0