Author/Editor		Kerstin Petrič, Vesna; Zaletel, Jelka
Title		Nacionalni program za obvladovanje sladkorne bolezni - strategija razvoja 2010 do 2020
Translated title		Diabetes prevention and care development programme 2010 - 2020
Type		članek
Vol. and No.		Letnik 26, št. 3
Publication year		2010
Volume		str. 73-79
ISSN		1318-2927 - Asian philosophy
Language		slv
Abstract		Kronične bolezni so zaradi množičnosti in kompleksnega zdravljenja velik javnozdravstveni problem ter ogrožajo vzdržnost zdravstvenih sistemov. Uspešen nadzor nad kroničnimi boleznimi zahteva usklajeno delovanje zdravstvenega sistema in celotne družbe. Usklajevanje partnerjev in dejavnosti za vzpostavitev novih struktur in razmerij lahko omogoči krovna strategija za obvladovanje kroničnih bolezni, v večini evropskih držav pa za posamezne kronične bolezni oblikujejo ločene strategije. Nacionalni program za obvladovanje sladkorne bolezni: strategija razvoja 2010-2020 predstavlja eno od orodij za obvladovanje kroničnih bolezni v Sloveniji. Na pobudo stroke in bolnikov ga je za ministrstvo za zdravje v ugodnih mednarodnih političnih razmerah pripravila delovna skupina strokovnjakov različnih strok in predstavnikov bolnikov. Delovna skupina je pri usklajevanju sledila skupnemu cilju, da je v središču pozornosti bolnik. V pripravo vključeni posamezniki in ustanove so v njem že med nastajanjem nacionalnega programa prepoznali priložnost za boljše sodelovanje in doseganje skupnih ciljev pri preprečevanju sladkorne bolezni, njenem pravočasnem odkrivanju ter dostopnem in kakovostnem zdravljenju za vse bolnike. Opolnomočenje bolnika, gojenje partnerstva in dopolnjevanje z drugimi postopki v zdravstvu so ključna načela nacionalnega programa. Izziv za vse, ki delujejo na tem področju, tudi za organizirane bolnike, pa je ohranjanje trajne motivacije posameznikov in ustanov za izvajanje nacionalnega programa. Koordinacijska skupina pri ministrstvu za zdravje, kratkoročni izvedbeni načrti in trajno spremljanje izvajanja in učinkov programa so samo nekaj tem od mehanizmov, ki zagotavljajo trajnost izvajanja nacionalnega programa in omogočajo prilagajanje novim izzivom.Chronic diseases due to their high incidence and demanding and complex care, constitute an enormous public health problem and represent a treat to sustainability of health care systems. Successful control calls for coordinated action between the healthcare system and the society as a whole. A framework strategy on managing chronic diseases could enable coordination of partners and activities; however most of European countries model separate strategies for different chronic diseases. The Diabetes prevention and care development programme 2010 - 2020 thus represents one of the tools for managing chronic diseases in Slovenia. Proposed by experts and patients in a favorable political context of international processes it has been developed by a working group at the Ministry of health, composed of patients' representatives and experts of different specialties. The working group has in search of consensus followed a common goal: putting patients at the centre. Individuals and institutions have already in the process of developing the programme recognized opportunities for better cooperation and achievement of synergies in prevention and early detection of diabetes and in assuring accessible and qualitative care to all patients. Empowerment of patients, fostering partnership and complementarities to other processes in health care are the main principals of the programme. A challenge for all involved, including organized patients, is however to keep motivation of individuals and institutions high during the process of implementation. The coordinating group at the ministry of health, action plans and permanent monitoring of implementation and outcomes of the programme are only some of the mechanisms to assure sustainability of the implementation and to foster change corresponding to future challenges.
Keywords		kronične bolezni sladkorna bolezen nacionalni programi chronic disease diabetes national programmes