QUALICOPC PERFORMANCE - THE QUALITY AND ACCESSIBILITY OF PRIMARY HEALTH CARE IN LATVIA


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

The aim of this study was to analyze the quality of primary care in Latvia. We took into account the main principles of family medicine - continuity, coordination, community orientation, and comprehensiveness of care. Objectives. Analyze access to Latvian General Practitioner services and patient satisfaction with the work of General Practitioner practices. Subject and methods. Data were collected as a part of a larger international study entitled Quality and Costs of Primary Care in Europe (QUALICOPC) that took place in 2012 and 2013. A cross-sectional survey of 1,937 patients who had just visited general practitioners in 218 family doctor practices was done. We used random sampling of GP practices in Latvia. Results. Most Highly Rated Latvian Patient Values. Patients of 218 physicians across Latvia completed the patient value scale indicating his/her perceived importance of primary care aspects before, during and after consultation with their family doctor. This first section highlights the aspects of primary care that patients most frequently rated as being very important to them. Patient Values and Experiences in Four Dimensions of Primary Care. The second results section of this report summarizes patient experience responses with a particular focus on those aspects of primary care rated as most important to patient respondents. Conclusion. By analyzing the data obtained, we can conclude that the organization and accessibility of most general practices in Latvian are in compliance of the principles outlined in the World Health Organization (WHO) and in accordance with Latvian laws and regulations. Key message: The organization of general practices and their accessibility in Latvia is ensured. There are separate GP practices where performance indicators should be improved, regarding the principles of work organization in order to improve accessibility ratios, improved communication with patients. These are the basic principles of family medicine.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Gunta Ticmane

Riga Stradins University

Email: gunta.t@inbox.lv
MD, General Practitioner, Medical Faculty, Department of Family Medicine Dzirciema street 16, Riga, Latvia, LV1007

Sandra Gintere

Riga Stradins University

Email: sandra.gintere@rsu.lv
MD, PhD, General Practitioner, Department of Family Medicine. Dzirciema street 16, Riga, Latvia, LV1007

Linda Bridina

Riga Stradins University

Email: linda.bridina@gmail.com
Resident of Family Medicine Dzirciema street 16, Riga, Latvia, LV1007

Liga Kozlovska

Riga Stradins University

Email: liga_kozlovsla@inbox.lv
MD, General Practitioner, Medical Faculty, Department of Family Medicine. Dzirciema street 16, Riga, Latvia, LV1007

Vija Silina

Riga Stradins University

Email: vija.silina@gmail.com
MD, General Practitioner. Dzirciema street 16, Riga, Latvia, LV1007

Maija Kozlovska

Riga Stradins University

Email: mmmaijina@inbox.lv
MD, General Practitioner. Dzirciema street 16, Riga, Latvia, LV1007

Ludmila Viksna

Riga Stradins University

Email: krumina.angelika@inbox.lv
MD, PhD, Medical Faculty, Department of Infectology and Dermatology Dzirciema street 16, Riga, Latvia, LV1007

Angelika Krumina

Riga Stradins University

Email: krumina.angelika@inbox.lv
MD, PhD, Medical Faculty, Department of Infectology and Dermatology. Dzirciema street 16, Riga, Latvia, LV1007

Әдебиет тізімі

  1. Правила Кабинета министров Латвийской Республики № 60 от 20.01.2009. «Правила об обязательных требованиях для медицинских учреждений и их структурных подразделений». Available at: http://likumi.lv/doc. php?id=187621
  2. Правила Кабинета министров Латвийской Республики № 1529 от 17.12.2013. «Порядок организации и финансирования здравоохранения». Available at: http://likumi.lv/doc.php?id=263457
  3. Правила Кабинета министров Латвийской Республики № 1046 от 19.12.2006. «Порядок организации и финансирования здравоохранения». (утратившие силу) Available at: https://www.vest-nesis.lv/ta/id/150766-veselibas-aprupes-organizesanas-un-finansesa-nas-kartiba
  4. Starfield B., Shi L., Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005; 83(3): 457-502.
  5. The European Definition of General Practice / Family Medicine. WONCA, World family doctors Caring for people. WONCA Europe 2002. Barcelona, Spain.
  6. Boelen C., Haq C., Hunt V., Rivo M., Shahady E. Improving health systems: the contribution of family medicine. A guidebook. Singapore: WONCA, Bestprint Publications; 2002.
  7. Income and living conditions in Latvia. (EU-SILC) research data, Central Statistical Bureau of Latvia; 2012.
  8. Karaskevica J. Latvia’s health care system in the movie. In: Proceedings of the 5th general conference FICOSSER “Health systems in the world: evidence from the policy. Athens; 2004: 113-29.
  9. Karaskevica J. Latvian population morbidity trends in relation to access to health care and health insurance: the Ministry of Welfare Social Policy applied research results, in 1998, 20-P21.
  10. Schäfer W.L., Boerma W.G., Kringos D.S., De Maeseneer J., Gress S., Heinemann S. et al. QUALICOPC, a multi-country study evaluating quality, costs and equity in primary care. BMC Fam. Pract. 2011; 12: 115.
  11. Schäfer W.L., Boerma W.G., Kringos D.S., De Ryck E., Greß S., Heinemann S. et al. Measures of quality, costs and equity in primary health care instruments developed to analyse and compare primary care in 35 countries. Qual. Prim. Care. 2013; 21(2): 67-79.
  12. Kringos D.S., Boerma W.G., Hutchinson A., van der Zee J., Groenewegen P.P. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Serv. Res. 2010; 10: 65.
  13. World Health Organization. The World Health Report 2008: Primary Health Care Now More than Ever. Geneva, Switzerland: World Health Organization; 2008.
  14. Starfield B. Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report. Gazeta Sanitaria. 2012 Marzo; 26(S1).
  15. Friedberg M.W., Coltin K.L., Pearson S.D., Kleinman K.P., Zheng J., Singer J.A. et al. Does affiliation of physician groups with one another produce higher quality primary care? J. Gen. Intern. Med. 2007; 22(10): 1385-92.
  16. Sans-Corrales M., Pujol-Ribera E., Gene-Badia J., Pasarin-Rua M.I., Iglesias-Perez B., Casajuana-Brunet J. Family medicine attributes related to satisfaction, health and costs. Fam. Pract. 2006; 23(3): 308-16.
  17. Pavlić D.R., Sever M., Klemenc-Ketiš Z., Švab I. Process quality indicators in family medicine: results of an international comparison. BMC Fam. Pract. 2015; 16(1): 172.
  18. Appleby J., Raleigh V., Frosini F., Bevan G., Gao H., Lyscom T. Variations in health care. The good, the bad and the inexplicable. 2011. Available at: http:// www.kingsfund.org.uk/sites/files/kf/Variations-in-health-care-good-badinexplicable-report-The-Kings-Fund-April-2011.pdf

Қосымша файлдар

Қосымша файлдар
Әрекет
1. JATS XML
Жүктеу

© Bionika Media, 2016

Осы сайт cookie-файлдарды пайдаланады

Біздің сайтты пайдалануды жалғастыра отырып, сіз сайттың дұрыс жұмыс істеуін қамтамасыз ететін cookie файлдарын өңдеуге келісім бересіз.< / br>< / br>cookie файлдары туралы< / a>