Author/Editor		Živčec-Kalan, Gordana; Kersnik, Janko; Švab, Igor; Dobnikar, Brane
Title		Kakovost v zdravstvu: predpisi in praksa
Translated title		Quality in healthcare: regulations and practice
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 12
Publication year		2002
Volume		str. 743-9
Language		slo
Abstract		Background. Quality of physician's work is getting more and more important element being assessed both by laic and professional world. A profession of physician is certainly one of the most exactly regulated jobs in a legal way. But this fact alone cannot automatically ensure a proper and needed quality. In Slovenia, this is a relatively new element when comparing a steady practice of taking operational directives and algorythms. There is no head organisation or body that would be appointed for adopting regulations from the field, implementing them into practice, controlling their operation and supplementing them accordingly. That leads towards a dispersion, inclusion of many subjects and relatively substantial funding. Unfortunately, outcomes do not match efforts involved. The purpose of this article is to present institutions, legislation and regulations related to the physician work quality in Slovenia. Conclusions. Profession of physician is currently the most regulated profession from a legal point of view. Violation of regulations usually has consequences for both physician and patient. By adopting the appropriate criteria, quality can be defined, monitoredand improved. Using certain mechanisms, there is a possibility to detect deviations and differences in order to eliminate them.
Summary		Izhodišča: Kakovost zdravnikovega dela je pomemben element, ki ga ocenjuje laična in strokovna javnost. Zdravniški poklic je pravno najbolj natančno reguliran, kar pa še ne zagotav ja ustrezne kakovosti. V slovenskem prostoru je kakovost sorazmerno nova prvina. Ni krovne organizacije oz telesa, ki bi sprejemala predpise s tega področja in jih uvajala v prakso, preverjala njihovo izvajanje in jih ustrezno dopolnjevala. To vodi v razpršenost, vključevanje velikega števila subjektov in sorazmerno velikih sredstev. Rezultati napora niso vselej sorazmerni glede na vložek. Prispevek pregledno predstavlja institucije, zakonodajo in predpise, ki se nanašajo na kakovost dela zdravnikov v Sloveniji. Zaključki. Zdravniški poklic je pravno najbolj natančno reguliran poklic. Nespoštovanje predpisov privede do posdedic za izvajalca in uporabnika zdravstvenih storitev. S sprejetjem ustreznih meril se kakovost opredeli, spremlja in izboljšuje. Z ustreznimi mehanizmi je možno odkrivati odstopanja in razlike odstranjevati.
Descriptors		QUALITY OF HEALTH CARE HEALTH POLICY LIABILITY, LEGAL INFORMED CONSENT MEDICAL ERRORS PROFESSIONAL REVIEW ORGANIZATIONS QUALITY ASSURANCE, HEALTH CARE