Author/Editor		Brcar, P; Truden-Dobrin, P; Kržišnik, C
Title		Racionalizacija oziroma nova organizacija pediatrične službe v Sloveniji na primarni, sekundarni in terciarni ravni zdravstvenega varstva
Translated title		The rationalisation and new organisation of paediatric care in Slovenia at the primary, secondary and tertiary levels of health
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 9, št. 2-3
Publication year		2002
Volume		str. 40-3
Language		slo
Abstract		The authors wish to present the national project "The rationalisation and new organisation of paediatric care in Slovenia at all three levels of health services." The project began in 1999 and is now in its second phase. The aims of the project are to improve the quality, organisation and availability with regard to staff, time, location and sufficient funding of health services for children and adolescents at the primary, secondary and tertiary level, with the main goal of assuring quality round- the-clock paediatric care. Analysis in the first phase of the project pointed to low levels of staffing, which need systematic improvement, both in employing paediatricians in deprived areas and in improving allocation of specialisations. The need for a new organisational structure, in which new centres for children and adolescents would replace the present smaller hospital department, has been shown. At these centres hospital treatment of patients, day-care hospital, specialist services depending on the health problems of children and adolescents and round-the-clock paediatric care covering primary and secondary level needs would be provided. Paediatricians and nurses from both the primary and secondary level would cover round-the-clock paediatric care at these centres. Paediatricians at these centres could also be consulted by local on-call doctors in remote areas. Three pilot centres have been established for the purpose of the study in its second phase. The three centres with round the clock services are at general hospitals in Murska Sobota, Šempeter near Nova Gorica and Trbovlje.
Summary		Avtorji želijo v prispevku predstaviti nacionalni projekt Racionalizacije oziroma nove organizacije pediatrične službe v Sloveniji na vseh treh ravneh zdravstvenega varstva. Projekt se je začel v drugi polovici leta 1999 in je sedaj v drugi fazi. Namen projekta je izbolj{ati kakovost, organizacijo in kadrovsko, časovno, krajevno ter finančno dostopnost zdravstvenega varstva otrok in mladostnikov na primarni, sekundarni in terciarni ravni. Glavni cilj je zagotoviti 24-urno kakovostno pediatrično skrb. Ocena obstoječega stanja v prvi fazi projekta je opozorila na kadrovsko problematiko, ki jo bo potrebno sistematično reševati z novim načinom pristopa k zaposlovanju pediatrov v manj razvitih ali odročnejših območjih in načrtovanjem specializacij. Pokazala se je potreba po preoblikovanju manjših otroških oddelkov v novo organizacijsko obliko - center za otroke in mladostnike. Tu bi bila možna bolnišnična oskrba pacientov, dnevna bolnišnična obravnava, specialistično ambulantna dejavnost glede na vodilno zdravstveno problematiko otrok in mladostnikov v območju in seveda pediatrična dežurna služba, ki bi pokrivala potrebe bolnišnice in primarne ravni in bi jo skupaj opravljali zdravniki - specialisti pediatri ali specialisti šolske medicine ter sestre primarne in sekundarne ravni. Pediatri v centrih bi nudili svetovanje kolegom v polivalentni dežurni službi, ki bo delovala v odročnejših krajih. Projekt je sedaj v fazi pilotnega preizkusa, v katerem se izvaja dežurna služba, kakor bo organizirana v predvidenih centrih za otroke in mladostnike. Sodelujejo Splošna bolnišnica Murska Sobota, Splošna bolnišnica Šempeter pri Novi Gorici in Splošna bolnišnica Trbovlje.
Descriptors		PEDIATRICS CHILD ADOLESCENCE SLOVENIA