Izhodišča: Nenujne kontrolne obravnave na sekundarni ali terciarni ravni pogosto določi napotni zdravnik sam ob zadnji obravnavi. Po preteku veljavnosti predhodne napotnice mora družinski zdravnik ...le-to ponovno izdati oz. opredeliti, da je potrebna. Ob vse večjih administrativnih obremenitvah družinskih zdravnikov se zdi dodatna vloga družinskega zdravnika kot t. i. »vratarja« pri izdajanju nenujnih kontrolnih napotnic nepotrebna. Cilj te študije je izračunati stroškovno in časovno obremenitev zaradi izdajanja nenujnih kontrolnih napotnic in predlagati bolj smotrno ureditev.
Metode: Gre za presečno kvantitativno študijo. Podatki o izdanih napotnicah in skupno opravljenem delu izvirajo iz avtomatskega beleženja statističnih podatkov v računalniškem programu IRIS. Zbrani so za devet ambulant družinske medicine v enoti Center Zdravstvenega doma Ljubljana v obdobju od 1. 3. 2018 do 30. 6. 2018.
Rezultati: Skupno je bilo pregledanih 7.340 napotnic. Kontrolne napotitve so predstavljale 37 % (2.720 napotnic) vseh napotitev oz. 75 napotnic mesečno na ambulanto. Od tega jih je bilo 90 % (2.453 napotnic) izdanih zaradi nenujnega bolezenskega stanja. Kar 86 % (2.104 napotnic) nenujnih kontrolnih napotnic je bilo izdanih brez opravljenega kliničnega pregleda. Za izdajanje nenujnih kontrolnih napotnic je družinski zdravnik povprečno porabil 68 minut na teden (3,5 % delovnega časa). Porabljeni čas ustreza 10 obravnavam bolnika v ambulanti družinskega zdravnika. Za izdajanje kontrolnih napotnic je ambulanta družinske medicine povprečno mesečno obračunala 255 € oz. 6 % vseh obračunanih storitev. Mesečni strošek za vse zdravstvene time v Sloveniji na račun napotnic bi tako znašal 203.191 €, mesečna časovna obremenitev pa 2,8 % delovnega časa.
Zaključek: Administrativna obremenitev zaradi izdajanja nenujnih kontrolnih napotnic tako po času kot tudi stroških pretirano obremenjuje ambulante družinskega zdravnika, na da bi pri tem družinski zdravnik imel bistveno strokovno vlogo. Zato članek predstavi model ureditve izdajanja napotnic, ki bi odpravil nepotrebne administrativne obremenitve ter omogočil bolj sistematizirano napotovanje akutnih poslabšanj pri kroničnih boleznih.
Historians often write in general about how a state or administration ‘implemented’ or ‘introduced’ reforms. Of course, an administration does make certain decisions but, in modern times, whole ...groups of officials are responsible for their realisation. This is the duty of the official apparatus. The success of a given reform is dependent not only on the theory prepared in the silence of the cabinet, but also on its implementation in practice. For this reason, it is important to understand who the officials were and what was their position in the Habsburg Monarchy, where the administration had been one of the most important lynchpins of the functioning of the state since the time of Maria Theresa and Joseph II. It was no different in Dalmatia, where, as we shall later see, every reform of the central authorities increased the number of sections and therefore the number of officials. Regardless, the topic of officials who worked in Dalmatia in the period of the second Austrian administration did not draw the appropriate attention of Yugoslav and Croatian historians until now.This paper analyses the development of the officialdom in Dalmatia during the ‘second Austrian government’, from 1814 to 1914, when World War I began. We wish to show how the civil administration changed from the perspective of the officials, who were responsible for the realisation of the administration’s policies. The officialdom had a great influence, and deserves to be given more attention in historiography.
Javna uprava se svrstava u specifičan organizacijski oblik koji prati razvoj svih civilizacija. Danas se više nego ikad bavimo stvaranjem novog modela funkcioniranja javne uprave. Šta učiti kako bi ...ista bila funkcionalnija i efektivnija, te dostupna građanima? Jedan od načina je svakako uvođenje sustava kvalitete prema zahtjevima nekih od normi kao što su zahtjevi norme ISO 9001. Svakako da se onda postavljaju pitanja o mogućnosti uspostave ovakvih sustava u jedinicama lokalne samouprave, prihvatanja od strane zaposlenika, razumijevanja pojma usluge u ovom sektoru i brojna druga pitanja. U radu je prikazano istraživanje na primjeru pet općina u Federaciji Bosne i Hercegovine, od kojih četiri imaju uveden sustav kvalitete. U istraživanju su sudjelovali zaposlenici koji su u neposrednom kontaktu s njihovim kupcima te su razmatrana njihova mišljenja i stavovi u vezi izgrađenog sustava kvalitete u njihovim sredinama, kao i pitanja koja se tiču njihovog poznavanja i razine izgrađenog i uvedenog sustava kvalitete kroz njegove pojedine elemente. Rad je svakako tek početak na putu potpunog razumijevanja sustava kvalitete u jedinicama lokalne samouprave.
Real-world tools to build your venture, grow your business, and avoid mistakes Startup, Scaleup, Screwup is an expert guide for emerging and established businesses to accelerate growth, facilitate ...scalability, and keep pace with the rapidly changing economic landscape. The contemporary marketplace is more dynamic than ever before—increased global competition, the impact of digital transformation, and disruptive innovation factors require businesses to implement agile management and business strategies to compete and thrive. This indispensable book provides business leaders and entrepreneurs the tools and guidance to meet growth and scalability challenges head on. Equal parts motivation and practical application, this book answers the questions every business leader asks from the startup ventures to established companies. Covering topics including funding options, employee hiring, product-market validation, remote team management, agile scaling, and the business lifecycle, this essential resource provides a solid approach to grow at the right pace and stay lean. This book will enable you to: * Apply 42 effective tools to sustain and accelerate your business growth * Avoid the mistakes and pitfalls associated with rapid business growth or organizational change * Develop a clear growth plan to integrate into your overall business model * Structure your business for rapid scaling and efficient management Startup, Scaleup, Screwup: 42 Tools to Accelerate Lean & Agile Business Growth is a must-read for entrepreneurs, founders, managers, and senior executives. Author Jurgen Appelo shares his wisdom on the creative economy, agile management, innovation marketing, and organizational change to provide a comprehensive guide to business growth. Practical methods and expert advice make this book an essential addition to any business professional's library.
U radu se obrađuje problematika
uređenja dušobrižništva za katolike istočnog obreda, odnosno za grkokatolike u
Bosni i Hercegovini u vrijeme Austrougarske Monarhije s naglaskom na ulozi
nadbiskupa ...Stadlera u rješavanju tog problema. Većina grkokatolika u BiH za
vrijeme Austrougarske Monarhije bili su doseljenici Rusini iz Galicije. Rad je
podijeljen u osam poglavlja u kojima se problematika obrađuje od prvog pokušaja
uređenja grkokatoličkog dušobrižništva na razmeđu 19. i 20. stoljeća do njegova
konačnog uređenja imenovanjem generalnog vikara za ovdašnje grkokatolike
(1910.), odnosno uspostavom Apostolske administrature (1914.) sa svim
problemima koji su pratili taj proces. Glavni akteri u rješavanju te
problematike bili su nadbiskup Stadler i austrougarska administracija.
The author analyzes circumstances and processes regarding the organization of pastoral care
for the Greek-Catholic believers in Bosnia and Herzegovina during the times of the Austro-Hungarian Monarchy. Special attention is put on the role of archbishop
Stadler regarding finding the solution to this issue. Greek-Catholic Rusyns
immigrated to Bosnia and Herzegovina at the end of the nineteenth century.
According to the official Austro-Hungarian records in 1910, there were 8000 inhabited in Bosnia and Herzegovina. This article is divided into eight
chapters. In the first chapter, the author describes the first attempts to arrange pastoral
care for the Greek-Catholics at the turn of the nineteenth and twentieth
centuries, and the problem of the jurisdiction over the Greek-Catholics in Bosnia
and Herzegovina. The second chapter contains a description of the mission of
Andrej Schepyzki, archbishop of Lviv, who in 1902 has visited Greek Catholics in Bosnia and Herzegovina. In the author of the third and fourth chapters analyzes the endeavors of archbishop Stadler regarding this issue. Namely, Stadler wanted to
establish a Greek-Catholic bishopric, or at least an Apostolic administration
in Bosnia and Herzegovina. Such a solution demanded cooperation and agreement
with the Austro-Hungarian administration. Still, though the Austro-Hungarian
administration was not against Stadler’s idea, they objected it because of
political and financial reasons. The fifth chapter discusses the question of
jurisdiction over the Greek-Catholics in Bosnia and Herzegovina, and this issue
was solved by decree of the Holy See, according to which jurisdiction over them
was assigned to the local ordinary of the Roman liturgy, and not to the
Greek-Catholic bishop in Križevci. In the sixth chapter, the author elaborates the negative reaction of the local Greek-Catholics to the decree of the Holy See,
and Stadler’s efforts to adequately solve this problem together with the
Austro-Hungarian administration. The Holy See and archbishop of Lviv
Scheptyzkyj were adequately involved in these processes and a compromising – but
temporary – the solution was achieved when J. Žuka, Rusyn Greek-Catholic priest,
was appointed to the position of general vicar of the Roman rite bishop in
Bosnia and Herzegovina. Later in 1914, this issue was finally solved by
establishing the Apostolic administration in Bosnia and Herzegovina. With this
solution problem of priests, who would perform pastoral care, was resolved by
bringing more Greek-Catholic priests from Galicia, and this issue is described
in the last two chapters of the article.
Clear and effective communication within and beyond organisations has always been a crucial business driver, and as communication channels proliferate and the speed of communication increases, ...getting your message across has never been more important. Using the series' trademark mix of checklists and thinker profiles, the guide looks at different types of business communications - written, verbal and external - and also focusses on the challenges of cross-cultural and virtual communication, and websites and social media. Topics covered include: report writing, running meetings, presentations, negotiation, PR and media interview planning, influencing, crisis communications and much more.
Business Process Change, 3rd Edition provides a balanced view of the field of business process change. Bestselling author Paul Harmon offers concepts, methods, cases for all aspects and phases of ...successful business process improvement. Updated and added for this edition is new material on the development of business models and business process architecture development, on integrating decision management models and business rules, on service processes and on dynamic case management, and on integrating various approaches in a broad business process management approach. New to this edition: How to develop business models and business process architecture How to integrate decision management models and business rulesNew material on service processes and on dynamic case managementLearn to integrate various approaches in a broad business process management approach
Extensive revision and update addresses Business Process Management Systems, and the integration of process redesign and Six SigmaLearn how all the different process elements fit together in this best first book on business process, now completely updated Tailor the presented methodology, which is based on best practices, to your organization's specific needs Understand the human aspects of process redesignBenefit from all new detailed case studies showing how these methods are implemented
Glavni cilj ovog teksta je objasniti ulogu i utjecaj Sjedinjenih Američkih Država na razrješenje vojne i političke krize, te tranzicijskih procesa na prostoru jugoistoka Europe. Rad daje pregled ...dobro znanih povijesnih zbivanja kako bi se rasvijetlile okolnosti u svjetskoj politici i međunarodnim odnosima koje su utjecale na raspad Jugoslavije, razbuktavanje rata i oblikovanje politike američkih administracija prema jugoistoku Europe. U rješavanju krize i stabilizaciji regije SAD su se neprekinuto koristile cijelim spletom političkih, diplomatskih i vojnih instrumenata što je presudno utjecalo na uspjeh Clintonove administracije koja je uspjela nametnuti američko liderstvo u mirovnom procesu. Istovremeno nemogućnost kombiniranja ovih elemenata, uz neodlučnost i razjedinjenost vodećih zemalja članica, bila je razlogom mlake i nikad do kraja definirane politike EU prema ovim prostorima. lako su ratna zbivanja prestala i uspostavljeni politički aranžmani osiguravaju kakav-takav mir, i dalje je neosporna potreba da se politološki, historiografski i sociološki istraži ovo turbulentno razdoblje kako bi se dobio temeljit uvid u do sada nedovoljno poznate činjenice i poteze glavnih političkih aktera tih zbivanja.
Rund 25 Jahre nach der letzten rechtsvergleichenden Analyse der Alterssicherung von Beamten ist am Max-Planck-Institut für ausländisches und internationales Sozialrecht in München eine neue Studie zu ...dieser Fragestellung konzipiert und unter Mithilfe von einigen externen Kooperationspartnern durchgeführt worden. Untersucht werden die grundlegenden Prinzipien der Alterssicherung von Beamten und ihre mögliche Veränderung im Laufe der Zeit. Dabei steht die aktuelle Situation in einer Reihe von europäischen Ländern im Vordergrund. Ausgehend von den in Deutschland über die letzten Jahrzehnte gesammelten Erfahrungen, wird die Alterssicherung von Beamten in Deutschland, Frankreich, Italien, Dänemark, Norwegen, Schweden, Rußland, der Schweiz, Slowenien, Tschechien und im Vereinigten Königreich dargestellt. Das Dienstrecht der Europäischen Union und der Vereinten Nationen wird ergänzend einbezogen.
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