A Slovenian Model of Comprehensive Care for Patients with Difficulties Accessing Healthcare: A Step Towards Health Equity

Klemenc–Ketiš, Zalika; Benkovič, Robertina; Poplas-Susič, Antonija

doi:10.1080/07370016.2019.1630996

Cited by 6 publications

(21 citation statements)

References 15 publications

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“…The first steps in this direction have already been taken in Slovenia with the introduction of the registered nurse into the primary care team. This has proven to be effective [ 20 , 25 , 40 ]. However, patient education is also needed to reduce the burden on medical staff and to empower patients to take more responsibility for their own health.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

Stojnić

Klemenc–Ketiš

Lukančič

et al. 2023

BMC Health Serv Res

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Background Integrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation. Methods Eight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program. Results We identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful. Conclusion Primary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.

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Section: Discussionmentioning

confidence: 99%

“…A registered nurse working in a health education centre provides health education and self-management support [ 18 ]. A community nurse cares for patients at home when they are unable to see a physician [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

Stojnić

Klemenc–Ketiš

Lukančič

et al. 2023

BMC Health Serv Res

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“…They provide healthcare to new-born babies and their mothers, and preventive health and social care to individuals and families in their home environment. Under the supervision of the family physician and at their request, a community nurse can also provide curative healthcare to patients in their homes [16].…”

Section: Participantsmentioning

confidence: 99%

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

et al. 2021

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Introduction: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care.Methods: This was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients. Results:The implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. Discussion:The implementation of the integrated care of patients with diabetes and/ or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified. Conclusion:Integrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved.

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“…After duplicates removal, screening of titles and abstracts, 392 studies remained. After full-text assessment, only 23 papers were included in this review [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. The overall selection process is shown in the PRISMA flowchart ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…3; 13%) [ 31 , 36 , 47 ]. The other studies were performed in Italy [ 30 , 46 ], The Netherlands [ 48 , 49 ], Australia [ 38 ], Ireland [ 44 ], Portugal [ 32 ], Norway [ 45 ], Thailand [ 40 ] and Slovenia [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

State of the Art on Family and Community Health Nursing International Theories, Models and Frameworks: A Scoping Review

Gasperini,

Renzi,

Longobucco

et al. 2023

Healthcare

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A Family and Community Health Nursing (FCHN) model was first conceptualized by the WHO approximately 25 years ago in response to the epidemiological transition leading to major changes in the population health needs. To date, no study has comprehensively explored the adherence of current applications of FCHN to the WHO original framework. We carried out a scoping review on PubMed, Scopus and CINAHL with the aim to compare the main features of FCHN models developed at the international level with the WHO’s framework. We identified 23 studies: 12 models, six service/program descriptions, four statements and one theoretical model. The FCHN models appear to focus primarily on sick individuals and their family, mainly providing direct care and relying on Interaction, Developmental and Systems Theories. While these features fit the WHO framework, others elements of the original model are poorly represented: the involvement of FCHN in prevention activities is scarce, especially in primary and secondary prevention, and little attention is paid to the health needs of the whole population. In conclusion, current applications of FCHN show a partial adherence to the WHO framework: population approaches should be strengthened in current FCHN models, with a stronger involvement of nurses in primary and secondary prevention.

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A Slovenian Model of Comprehensive Care for Patients with Difficulties Accessing Healthcare: A Step Towards Health Equity

Cited by 6 publications

References 15 publications

Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

State of the Art on Family and Community Health Nursing International Theories, Models and Frameworks: A Scoping Review

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