Author/Editor     Masten-Cuznar, Olivera
Title     Uporabnost rutinsko zbranih podatkov o evidentiranem delu za oceno kakovosti ambulant splošne medicine
Translated title     Aplicability of rutine data about registrated work for evaluation of quality of general practices
Type     monografija
Place     Ljubljana
Publisher     Univerza v Ljubljani, Medicinska fakulteta
Publication year     2006
Volume     str. 49
Language     slo
Abstract     The study has been made on routine data of Health insurance Institute of Slovenia about registrated work of general practitioners in 2004. The aim of study was to find out: whether characteristics and properties of general practitioners and their practices affect the quality indicators of their work whether the number and age of their patients affect the quality of work in their practices Results of quality of work of general practitioners in Slovenia. There were two hypotheses formulated: higher number and age of patients per general practitioner affects quality of their work Indicators important for Health insurance Institute are much more affected than those important for general practitioners. The study was a part of Slovenian European international trial EPOKSA and analysis was made on routine data of general practitioners, who had allowed usage of their data on Health insurance Institute of Slovenia only for research purposes. Qualitative Delphi consensus method and statistical methods: x2 test, Spearman's correlation of ranges, Mann-Whitney and Kruskal Walis test were used. Multivariate analysis was planed but had not been made because results did not show statistically significant influence of number and age of patients. The best average results of indicators important for general practitioners were in area of Nova Gorica and Gorenjska and the worst in area Krško and Celje. Average results of indicators important for Health insurance institute were best in area Novo mesto and Maribor, the worst in Gorenjska and Krško. Average total quality was best in Koper and Nova Gorica area and worst in Krško and Celje area. The research didn't include the most delicate areas of Slovenia. The difference in style and quality of work of general practitioners in Slovenia are big, the best results were in portion of antibiotic prescriptions. The author didn't succeed to confirm none of hypotheses. (Abstract truncated at 2000 characters)
Descriptors     PRIMARY HEALTH CARE
AMBULATORY CARE
QUALITY OF HEALTH CARE
INSURANCE, HEALTH
CAPITATION FEE
PHYSICIAN-PATIENT RELATIONS