Aim: The Public Health Reform II project was implemented in Bosnia and Herzegovina from December 2011 to December 2013 and was funded by the European Union Aid schema. The principal aim of the ...project was to strengthen public health services in the country through improved control of public health threats. Workshops for primary care physicians were provided to improve the situation and increase communicable diseases notification rates in eight selected primary care centres. They were followed with visits from the project’s implementing team to verify the effects of trainings. Methods: The quality of notifications from physicians in Tuzla region was compared before and after the workshop. The timeliness was used as an indicator of quality. Medians of timeliness before and after the training were compared by use of Wilcoxon test, whereas the averages of timeliness were compared by use of the t-test. Results: There were 980 reported cases, 80% before the training and 20% after the training. A lower median of timeliness for all the reported cases after the training was statistically significant compared to the median value before the training. A similar picture was revealed for specific diseases i.e. tuberculosis and enteritis, not so for scarlet fever and scabies. Conclusion: The significant reduction in time response between the first symptoms and disease diagnosis indicates the positive impact of the training program in Tuzla. Hence, primary care physicians provided better quality of reported data after the training course.
Aim: The Public Health Reform II project was implemented in Bosnia and Herzegovina from December 2011 to December 2013 and was funded by the European Union Aid schema. The principal aim of the ...project was to strengthen public health services in the country through improved control of public health threats. Workshops for primary care physicians were provided to improve the situation and increase communicable diseases notification rates in eight selected primary care centres. They were followed with visits from the project’s implementing team to verify the effects of trainings. Methods: The quality of notifications from physicians in Tuzla region was compared before and after the workshop. The timeliness was used as an indicator of quality. Medians of timeliness before and after the training were compared by use of Wilcoxon test, whereas the averages of timeliness were compared by use of the t-test. Results: There were 980 reported cases, 80% before the training and 20% after the training. A lower median of timeliness for all the reported cases after the training was statistically significant compared to the median value before the training. A similar picture was revealed for specific diseases i.e. tuberculosis and enteritis, not so for scarlet fever and scabies. Conclusion: The significant reduction in time response between the first symptoms and disease diagnosis indicates the positive impact of the training program in Tuzla. Hence, primary care physicians provided better quality of reported data after the training course.
Hand hygiene is considered to be the most simple, effective and economic measure to prevent the spread of healthcare-associated infections and antimicrobial resistance. Based on the study, ...application of the World Health Organization’s Multimodal Hand Hygiene Improvement Strategy can improve hand hygiene compliance in hospital settings and reduce these infections. Trnava University Hospital was included to World Health Organization (WHO) launched a worldwide campaign focused on hand hygiene in 2013, when infection control specialist has started working on daily basis. Our objective was to evaluate the impact of implementing the Multimodal Hand Hygiene Strategy according to WHO. We assessed alcohol-based hand rub consumption during the period 2013 and 2018 and hand hygiene compliance in 2018 as a baseline. During observed period alcohol-based hand rub consumptions significantly increased from 15.7 L/1000 patient days to 24.3 L/1000 patient days (p<0.05). Overall compliance as per WHO guidelines were 38.9%.
The paper aims to discuss meanings of terms used in medical jargon to categorize activities with mostly disease preventive orientation. Based on definitions authors discussed scope of social ...medicine, public health, global health and epidemiology and their mutual intersections. Each statement is provided along with literature sources
The purpose of this article is to discuss the legal aspects applicable in emergency psychiatric intervention. Therefore, inter alia, the provisions of the act on the protection of mental health ...(dated August 19, 1994) and the act on the rights of the patient and the Patient's Rights Ombudsman (6 November 2008) are recalled in this article. In addition, examples of the emergency states in which psychiatric interventions may take place are given in this paper. Moreover, the importance of the therapeutic-diagnostic contact with the patient with psychopathological disorders is taken into account. The article highlights the need for the knowledge of the aforementioned legal aspects since, in many cases, it can protect the life of the patient or the life of medical staff.
Purpose - Increased levels of hostility are associated with the increased risk of coronary artery disease (CAD), and with poorer outcomes in CAD patients. The purpose of this paper is to estimate the ...level of hostility in CAD patients and in health care (HC) workers, as potential groups for intervention programmes.Design methodology approach - A qualitative cross-sectional study was undertaken. Hostility questionnaires were distributed in a non-randomized fashion in a group of 236 CAD patients (187 men, 49 women), aged from 33 to 69 years (average 52 years) and 181 health care workers (52 men, 129 women), aged from 19 to 65 (average 31 years). The results of the survey were discussed in a focused group.Findings - The results showed that the high level of hostility in both CAD patients and HC workers exceeded the risk value of 10 in 89 per cent of CAD patients and 95 per cent of HC workers. No difference was found in the hostility scores between CAD patients and HC workers. There was a tendency to higher scores of hostility or of its subcategories (cynicism, anger, aggression) in physicians and nurses of the invasive cardiology or the intensive care units.Originality value - This paper is of value by showing how increased level of hostility was the issue in both patients and HC workers, with potential consequences of health risk for individuals, as well as deteriorated interpersonal relations and a conflict-generated corporate culture for organizations. Differently tailored programmes for hostility management for particular target groups may help to prevent negative developments.
The authors' purpose of this study was to analyze the current system of healthcare manager's education in the Slovak Republic. The study was essentially qualitative and used a triangular approach. ...This included an analysis of the range of healthcare management education providers, an assessment of needs that was based on questionnaires distributed to a sample of top managers in hospitals, and a focus group discussion. The findings revealed a gap between the estimated needs and the current capacities for management education. The results serve as a baseline for a discussion of future management training and education for healtcare providers in the Slovak Republic.
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