Avtor/Urednik		Kersnik, Janko
Naslov		Praksa zdravnika splošne medicine v ZD Jesenice na področju preventive kardiovaskularnih bolezni: preliminarni podatki projekta izboljšanje kakovosti preventivne dejavnosti v splošni medicini
Prevedeni naslov		Practice of general practitioner (GP) in primary health center Jesenice in prevention of cardiovascular diseases: preliminary results of the project quality improvement in preventive services in general practice
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 35, št. 9-10
Leto izdaje		1996
Obseg		str. 295-8
Jezik		slo
Abstrakt		Background. Sistematic detection of risk factrors for cardiovascular diseases is an increasingly important part of GPs' routine work. Baseline data will be used for designing and implementing change in future quality improvement activities. Method. I reviewed a sample of medical records in a medium sized primary Health Care Center Jesenice for GPs' practice on occasional detection of hypertension, periodic measuring of cholesterol levels, noting body weight and smoking practices of patients in the period from 1991 to 1995. Results. In a sample of 280 patients in the last two years blood pressure was measured in 66 (29%) of non-hypertensive patients, in five year period cholesterol level was determined in 31 (11%) patients, body weight was noted in 11 (4%) and smoking practice in 20 (7%) patients. Conclusion. We have to inform GPs' with recent guidelines on prevention of cardiovascular diseases and motivate them by providing feed-back on their performance to use guidelines in practice. Developing national guidelines on prevention of cardiovascular diseases and creating new medical record for management of chronic diseases and quality assessment are top priorities.
Izvleček		Izhodišča. Sistematični pristop k odkrivanju dejavnikov tveganja za razvoj kardiovaskularnih bolezni predstavlja pomembno področje dela zdravnika splošne medicine. Z ugotavljanjem stanja na tem področju pridobimo izhodiščne podatke za načrtovanje in vpeljavo sprememb v okviru izboljševanja kakovosti dela. Metoda. S pomočjo vzorca zdravstvenih kartonov zdravnikov splošne medicine, zaposlenih v ZD Jesenice, sem pregledal prasko priložnostnega merjenja krvnega tlaka, obdobnega merjenja ravni holesterola v krvi, zapisovanja telesne teže in kadilskega statusa bolnikov v letih 1991 do 1995. Rezultati. V vzorcu 280 bolnikov je bil v zadnjih dveh letih krvni tlak izmerjen le pri 66 (29%) nehipertonikih, raven holesterola v krvi je bila izmerjena pri 31 (11%) bolnikih, teža, vpisana pri 11 (4%) in kajenje pri 20 (7%) bolnikov. Zaključki. Zdravnike splošne medicine je potrebno seznaniti s priporočili na področju preventive in jih z ustreznimi povratnimi podatki o lastnem delu motivirati, da bodo priporočila uporabljali v praksi. Poleg oblikovanja nacionalnih priporočil za preprečevanje kardiovascularnih bolezni v splošni medicini je potrebno oblikovati tudi nov zdravstveni karton, ki bo primeren tako za vodenje kroničnih bolezni kot tudi ocenjevanje kakovosti dela na področju preventive.
Deskriptorji		CARDIOVASCULAR DISEASES PHYSICIANS, FAMILY ADOLESCENCE ADULT MIDDLE AGE AGED SLOVENIA