Author/Editor		Gregorič, A
Title		Perspektive slovenske pediatrije
Translated title		Perspectives on Slovene paediatrics
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 9, št. 2-3
Publication year		2002
Volume		str. 52-5
Language		slo
Abstract		In the 21st century European paediatricians are confronted with dramatic changes, which are, in part, a consequence of the knowledge explosion in the fields of biomedicine, and on the other hand, a consequence of large demographic changes, with a decline in the number of births and ageing of the population. The author first of all presents some thoughts on the state of and perspectives for European paediatrics. He refers to the problems concerning paediatric specializations and subspecializations and stresses the large differences existing in Europe between children's doctors. He then discusses that, according to the United Nations Convention, children's rights must be respected and also adequately financed. The author points to the intensive attention devoted to the new organization of paediatric health care, mainly in countries of the European Union, because of the decline in the number of births. The number of paediatric beds is being decreased, smaller children's hospitals are being closed and patients are being concentrated in larger paediatric hospitals, which are large enough to be professionally and economically viable. Care is being taken to ensure that the medical care of children is not taken over by non-paediatricians. Developed Europe also sees a positive prospect for the development of paediatrics in fruitful interdisciplinary cooperation with other branches of medicine (genetics) and judicious cooperation with the economy and politics. Some thoughts about Slovene paediatrics are also included. The author is of the opinion that the present state of Slovene paediatrics is disappointing. Its prospects are poor if there is no significant positive change in the heads of Slovene children's doctors, in the sense that they more decisively begin to follow the thinking and organizational trend of modern European paediatrics.
Summary		V 21. stoletju se evropski pediatri soočajo z dramatičnimi spremembami, ki so deloma posledica eksplozije znanja na področju biomedicine, na drugi strani pa posledica velikih demografskih sprememb, ki se kažejo v upadanju števila rojstev in staranju prebivalstva. Avtor na začetku naniza nekaj misli o stanju in perspektivah evropske pediatrije. Dotakne se problemov v zvezi s pediatričnimi specializacijami in subspecializacijami in poudarja velike razlike, ki obstojajo v Evropi med otroškimi zdravniki. Nadalje razpravlja o tem, da morajo biti po Konvenciji Združenih narodov otrokove pravice spoštovane in tudi ustrezno financirane. Avtor opozarja, da se predvsem v državah Evropske unije zaradi upadanja števila rojstev intenzivno posvečajo novi organizaciji pediatričnega zdravstvenega varstva. Zmanjšujejo število pediatričnih postelj, ukinjajo manj*e otroške bolnišnične oddelke in koncentrirajo bolnike v večjih hospitalnih pediatričnih središčih, ki so dovolj želika, da lahko strokovno in poslovno preživijo. Zelo pazijo na to, da ne bi medicinske oskrbe otrok prevzeli nepediatri. Raz ita Evropa vidi pozitivno perspektivo za razvoj pediatrije tudi v plodnem interdisciplinarnem sodelovanju z ostalimi vejami medicine (genetika) in razumevajočem sodelovanju z gospodarstvom in politiko. V prispevku je nanizanih tudi nekaj misli o slovenski pediatriji. Avtor meni, da današnje stanje slovenske pediatrije ni razveseljivo. Njene perspektive pa so slabe, če v glavah slovenskih otroških zdravnikov ne bo prišlo do pomembnega pozitivnega zasuka v tem smislu, da bodo bolj odločno začeli slediti miselnim in organizacijskim tokom moderne evropske pediatrije.
Descriptors		PEDIATRICS CHILD SLOVENIA