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Raziskava o zagotavljanju kakovosti v slovenskem osnovnem zdravstvu = Primary health care quality management project.

Bulc, M., Kersnik, J., Boerma, W., Pellny, M. Raziskava o zagotavljanju kakovosti v slovenskem osnovnem zdravstvu = Primary health care quality management project. Zdravstveno Varstvo: 2009, 48(1), p. 1-19.
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Background: The article summarizes the main results of the WHO Primary Care Quality Management project, which has been implemented as a pilot study to identify and support mechanisms for quality management in primary health care. Material and methods: The project was commissioned by WHO Europe and carried out in 2007 by NIVEL in collaboration with the University of Ljubljana, Department of Family Medicine, Medical Faculty of Ljubljana, and National Health Institute of Uzbekistan. In Slovenia it was implemented in the urban region of Ljubljana and in the semi-urban region of Gorenjska. Tree types of questionnaires were used: one for policy/decision makers (experts from the Ministry of Health, representatives of professional associations, National Health Insurance Institute, human rights ombudsman, association of patients and consumers), one for managers of primary health care facilities and one for all practicing family physicians in the two areas. All data were processed and analyzed by the NIVEL Institute. Results: Of the 244 questionnaires sent out,106(43.4%) were completed and returned. At the policy/decisionmaking level, 11 (65%) participants out of 17 returned the questionnaires. At the management level, nine (64%) of the 14 questionnaires completed in Ljubljana and five (39%) of the 13 questionnaires filled in Gorenjska were returned. In Ljubljana, 63 (49%) out of the130 practicing family physicians completed the questionnaire, and in Gorenjska only 18 (26%) out of 70. Conclusions: The study showed that quality assurance is not yet a matter of priority in the Slovene health care system. Stake holders do not pay adequate attention to this issue, and managers lack information and guidelines on the subject. Practicing family physicians would need protected time for systematic quality control and improvement, and above all, assistance by a secondary level professional body for family medicine. (aut. ref.)