Author/Editor		Živčec-Kalan, Gordana; Švab, Igor; Car, Josip
Title		Možni vzroki obremenjenosti zdravnikov družinske medicine v Sloveniji
Translated title		Possible causes of family practitioners' overwork in Slovenia
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 42, št. 4
Publication year		2003
Volume		str. 167-72
Language		slo
Abstract		Health care systems in most West European countries, including Slovenia, place great emphasis on primary health care. Family practitioners are confronted with an ever-growing demand in terms of quality and quantity of health services they provide. In addition, primary health care is facing multiple epidemiological and demographical changes (e.g.a growing numberof patients with multiple chronic conditions), ageing of the population and an evergreater complexity of medicine. Numerous rationalization processes in the delivery of health care, such as shortening of hospital stay, have increased pressure on family practitioners. All these challenges and changes add to stress and lead to poorer performance of family practitioners. Further research will be needed to determine the amount of work-load that family practitioners are still able to cope with, and to find ways to best equip them for the provision of modern primary health care.
Summary		Večina zahodnih držav, med njimi tudi Slovenija, je postavila težišče zdravstvenega varstva na osnovno zdravstvo. To sooča družinske zdravnike z naraščajočimi zahtevami, tako v kakovosti kot količini dela, ki ga morajo opraviti. Dodatno se primarna zdravstvena dejavnost sooča z veliko spremembami; te izhajajo iz spremenjenih epidemioloških in demografskih okoliščin (kot recimo: vedno večje število bolnikov s kroničnimi boleznimi), vse starejša populacija in tudi vse večja kompleksnost medicine same. Številni varčevalni ukrepi vzdravstvenem varstvu (npr. skrajševanje časa bolnišnične oskrbe) povzročajo nadaljnji dodatni pritisk na družinskega zdravnika. Vsi ti izzivi in spremembe dodatno povečujejo stres izvajalcev in posledično slabšajo oskrbo. Potrebne so dodatne raziskave, kje so meje obremenitev družinskih zdravnikov in kako jih ustrezno usposobiti, da bodo lahko zagotavljali sodobno primarno zdravstveno varstvo.
Descriptors		FAMILY PRACTICE WORKLOAD HEALTH CARE RATIONING STRESS, PSYCHOLOGICAL WAITING LISTS MASS SCREENING CHRONIC DISEASE MENTAL DISORDERS SUBSTANCE DEPENDENCE