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  • Sustainability and longevit...
    Marusic, Dorjan; Miholic, Petrusa; Marusic, Andrej

    Bilten : ekonomika, organizacija, informatika v zdravstvu, 01/2012, Letnik: 28, Številka: 1
    Journal Article

    Ravnovesje med ceno in učinkovitostjo dela je najbolje optimizirati s primerno mešanico strokovnih profilov in izkušenj. V članku sta predstavljeni matematični enačbi za izračun potreb za različne duševne motnje ter potreb po osebju za ustrezno obravnavo določene duševne motnje. Teoretično bi lahko vse oblike zdravljenja opravil pedopsihiater, kar pa bi, zaradi dražjega izobraževanja in plačevanja zdravnikov, po nepotrebnem dvignilo ceno storitvam. Ena od rešitev bi bil kompromis, kjer bi pomemeben delež otrok, ki ne potrebujejo terapije z zdravili, spremljalo nezdravniško osebje. Zagotovo pa bi bilo potrebno razdeliti delo v tri kategorije: na primere, ko naj pedopsihiatrija prevzame vodilno vlogo, primere, ko naj preostale ustanove prevzamejo vodilno vlogo ter primere, pri katerih naj bo pristop od vsega začetka večslojen. S krepitvijo interesa staršev in ostalih svojcev ter s spodbujanjem k organiziranju skupin za samopomoč, bo tudi pedopsihiatrija dolgoročno pridobila. Predstavljeni podatki in razmišljanja v članku naj bodo izziv za razpravo med vsemi udeleženimi pri morebitnem prilagajanju ali celo preoblikovanju pedopsihiatričnih storitev v Sloveniji. The balance between cost and work effectiveness is best optimised with an appropriate mix of profiles and experiences. The article presents mathematical equations and calculations of requirements for a given mental disorder and requirements per personnel for all mental disorders. In theory, all forms of treatment could be performed by a pedopsychiatrist, but this would unnecessarily raise the price of services due to the more expensive education and payment of doctors. One solution would be a compromise, where a significant part of the children who do not need drug therapy can be monitored by non-medical personnel. It would surely be necessary to divide the work into three categories: into cases where pedopsychiatry takes a leading role, cases where the remaining institutions take the lead, and cases where the approach should be multilayered from the very beginning. Pedopsychiatry will also gain in the long-term by reinforcing the interest of parents and other relatives, and by encouraging the organisation of self-help groups. The data and thoughts presented in this article should be a challenge for debate among all parties involved in any adaptation or even transformation of pedopsychiatric services in Slovenia.