Navodila za prvo nenujno napotitev na sekundarni nivo zdravstvene obravnave = Instrumentations for first non-urgent referral to the secondary health care level
Živčec Kalan, Gordana ; Šuta, Franc, 1963-2007
The health care system has become increasingly complex, expensive and less transparent. Because of the rapid development of medicine and changes in society, doctors are facing a restructuring of the ...health care system (transfer of secondary level cases), with new requirements imposed by the legislation and insurance companies, and new expectations of increasingly wellinformed and insured patients. Sadly, Slovenia ranks last among European Union members in terms of the number of doctors per 100,000 inhabitants. The recommendations of individual professions concerning referrals (gastroenterology, neurology) have not fulfilled expectations. It is probably not possible to ensure a higher or lower number of referrals via clinical guidelines. Major activities should ideally be focused on appropriate referrals, irrespective of their number. The number of hospital referrals varies markedly among general practitioners, which can largely be explained bydifferences between patients in the general population. When used properly, electronic communication can improve the doctor-patient relationship and the accessibility of medical care, reduce waiting times and perhaps even the costsof medical care. New diagnostic possibilities, such as e.g. genetic counseling, are creating completely new relationships both between patients and their personal doctors as well as between doctors of all levels. In order to improve communication between the primary and secondary level, we have compiled recommendations for preparing patients for their first non-urgent referral to a specialist, which are based on positive experiences that have resulted from recommendations for patients for procedures under anesthesia.
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