20.500.12556/DKUM-97468 Ocena izidov in izkušenj odraslih bolnikov s kroničnimi boleznimi z zdravstveno oskrbo v ambulantah družinske medicine v sloveniji PATIENT REPORTED INDICATOR SURVEYS (PARIS) in Slovenia Namen: Sistematično pridobiti in analizirati standardizirane, mednarodno primerljive podatke o s strani pacientov poročanih izidih (PROM) in izkušnjah z oskrbo (PREM) pri odraslih s kroničnimi nenalezljivimi boleznimi v ambulantah družinske medicine v Sloveniji. Metode: Raziskava je potekala v treh fazah po metodologiji OECD PaRIS: (1) kulturološko-jezikovna adaptacija in kognitivna validacija vprašalnikov PaRIS-PQ in PaRIS-PCPQ (namenski vzorec, n = 29); (2) pilotni preizkus izvedljivosti v 21 ambulantah in pri 454 pacientih; (3) glavna presečna raziskava v 81 ambulantah in pri 2.133 pacientih. Povezanosti so bile analizirane z večnivojskimi regresijskimi modeli; nelinearni vplivi z omejenimi kubičnimi zlepki. Rezultati: Kognitivno testiranje je podprlo ustreznost slovenskih instrumentov, psihometrična analiza pa potrdila visoko zanesljivost (Cronbach α = 0,63–0,91). Pilotna faza je potrdila izvedljivost in z usmerjenimi prilagoditvami okrepila metodološko robustnost glavne raziskave. Redna telesna dejavnost in socialnoekonomski položaj sta bila najmočnejša pozitivna dejavnika izidov (PROM). Pri izkušnjah (PREM) sta izstopala kakovost komunikacije (pogovor o zdravju) in telesna dejavnost. Starost in ITM sta imela nelinearne učinke; strukturne značilnosti ambulant so bile šibki napovedniki. Zaključek: Izidi in izkušnje so močneje povezani z individualnimi dejavniki in kakovostjo interakcije kot z organizacijskimi strukturami. Smiselna je rutinska integracija PROM/PREM ter usmeritve za opolnomočenje pacientov pri samoobvladovanju bolezni. Aims: To obtain and analyse internationally comparable PROMs and PREMs among adults with chronic non-communicable diseases in Slovenian family medicine practices. Methods: A three-phase OECD PaRIS design was used: (1) cultural-linguistic adaptation and cognitive validation of PaRIS-PQ/PCPQ (n = 29); (2) a pilot Field Trial in 21 practices with 454 patients; and (3) a national cross-sectional survey in 81 practices with 2,133 patients. Associations were examined using multilevel regression; non-linear effects were modelled with restricted cubic splines. Results: Cognitive testing supported instrument validity and reliability was high (Cronbach’s α = 0.63–0.91). The pilot confirmed feasibility and strengthened implementation of the main survey. Physical activity and socioeconomic status (income, employment) were the strongest positive determinants of health outcomes. For patient experiences, communication quality (discussion about health) and physical activity were key predictors. Age and BMI showed non-linear patterns, while structural practice characteristics were weak predictors. Conclusion: Outcomes and experiences were more strongly related to individual factors and interaction quality than to organisational structures. Routine PROM/PREM use and patient empowerment for chronic disease self-management are warranted. PaRIS primarna zdravstvena oskrba PROMs PREMs kakovost zdravstvene oskrbe PaRIS PROMs PREMs chronic conditions quality of care true true false [M. Ambrož] Slovenski jezik Angleški jezik Doktorska disertacija 2026-03-11 08:17:42 2026-08-06 14:17:53 2026-08-07 03:07:34 0000-00-00 00:00:00 2026 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-039.33-08:614.21+005.336.3(043.3) 285927683 DOK_Ambroz_Matija_2026.pdf DOK_Ambroz_Matija_2026.pdf 1 97D8C31BA3D4C3B16538CD0F951AF852 ab17985521876ec605e2bf2a670e239ffac7e4458eb48cf6d327e35dafdcf525 1d55928f-802d-11f1-8699-00155d580e34 https://dk.um.si/Dokument.php?lang=slv&id=208286 Medicinska fakulteta 0 0 0