Self-assessment questionnaire for family doctors’ assessment of quality improvement competencies: a cross-cultural adaptation in Slovenia

Klemenc–Ketiš, Zalika; Kuhar, Primož; Kersnik, Janko; Burazeri, Genc; Czabanowska, Katarzyna

doi:10.2478/sjph-2014-0005

Cited by 4 publications

(6 citation statements)

References 28 publications

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“…Similarly to results of Klemenc-Ketiš and co-workers ( 24 ), emphasizing that older GPs, those with longer working experiences, specialists of family medicine and those involved in education had assessed their level of competencies higher, this study results shown older age in participants to be associated with better self-efficiency ( Table 4 ). The aforementioned study also found out that GPs who had not attended any Continued Medical Education activity assessed their level of competencies lower ( 24 ) and this study results shown poor attendance to conferences was associated with lower self efficiency ( Table 4 ).…”

Section: Discussionsupporting

confidence: 83%

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Palliative Care: a Cross Sectional Study Focused on Different Capacity Building Programmes Evaluated Through Self- Rated Knowledge and Efficiency in Family Medicine Tutors

Zelko

Selič

Malacic³

2017

Mater Sociomed

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Aim:Educational possibilities in palliative care have been overseen in this part of Europe and therefore this important issue should be addressed to implement current treatment palliative care in Slovenia. This study was the first in Slovenia dealing with the self-rated knowledge and self-efficacy associated with educational programmes attended about palliative medicine at primary health care level.Material and methods:Material for our work was general practitioner (GP) who work in education like tutors. A cross–sectional study was carried out from July to November 2015 with participation of them. For the purpose of the study (self-assessment of knowledge and efficacy), the validated questionnaire Palliative Kompetenztest (PKT) was applied with added some demographical data. 138 of the 250 invited GP answered the questionnaire.Results:Knowledge was averagely assessed with 23.0 ± 4.0 (out of 34) and self-efficacy achieved 38.5 ± 8.6 out of 54 points. Physicians who attended “Step by step” educational model, rated their knowledge (26.2 ± 3.4 (p < 0.001)) and self-efficacy higher (41.9 ± 7.7 (p < 0.010)) in comparison with those who attended conferences and other palliative care related capacity building programmes.Conclusion:When taking into account self-assessed knowledge and efficacy in palliative care, it was shown the capacity-building program “Step by step” to be an effective model for GPs. However, self-perceived efficiency due to past experience was also shown to be associated with the efficiency score, therefore we should be restrained in favouring specific capacity building programme at this time.

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Section: Discussionsupporting

confidence: 83%

“…Due to changing epidemiological situation ( 24 ) we will be soon confronted with more chronically and terminally ill patients, which could mean a challenge for the care–givers and health care providers. Some of the studies already pointed that out ( 21 , 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Palliative Care: a Cross Sectional Study Focused on Different Capacity Building Programmes Evaluated Through Self- Rated Knowledge and Efficiency in Family Medicine Tutors

Zelko

Selič

Malacic³

2017

Mater Sociomed

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“…Regional coordinators see their competencies in the light of their own professional experience, and in the understanding of the problems and the profession itself. The importance of good communication was stated also in other studies, including the use of modern technologies in communication and teaching skills [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 79%

Regional coordinators: a new teaching opportunity in family medicine training

Petek

Hudobivnik²,

Jančar³

et al. 2016

BMC Med Educ

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BackgroundA new project on education in family medicine training was implemented last year in Slovenia by establishing regional coordinators in the specialist training programme. They are responsible for conducting regular small-group meetings with family medicine trainees. This study wanted to explore the attitudes and opinions of regional coordinators and family medicine trainees concerning this new method.MethodsThis was a qualitative study based on focus groups. The participants were regional coordinators and family medicine specialist trainees. The data were analysed based on the principles of thematic content analysis with inductive technique.ResultsThe study revealed five themes which were the same for the analysis of transcripts of both regional coordinators and family medicine trainees: 1) Meetings with trainees; 2) Coordination; 3) Characteristics of regional coordinators; 4) Position of regional coordinators, and 5) Evaluation of regional coordinators.ConclusionParticipants of the study have many expectations for this new programme. They expect progress in trainees’ clinical knowledge through experience-based group learning and with the help of the tutorship role of regional coordinators. The role of regional coordinators represents a new possibility for solving problems in the training programme in their coordinating role. In future, they have the potential to develop into an expert body that supervises the quality of training. A close follow-up is necessary to see if the position of regional coordinators is adequate and if they meet the expectations of the trainees as well as their own goals. Administrative and financial support for the programme is necessary. The project is important also in enabling the adaptation of the training programme’s needs and the regional characteristics of medical care.

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“…A more recent Dutch study ( 26 ), which also employed the EQ-5D questionnaire, observed that MUS have a greater effect on the quality of life in a younger population (aged less than 65 years). A Slovenian study from 2014 ( 16 ) found that – considering the results of the EQ-5D questionnaire – the presence of psychological symptoms is associated with lower quality of life. Klemenc Ketiš et al ( 16 ) observed a correlation between factors identified using the EQ-5D questionnaire (the presence of chronic disease, pain, and anxiety and depression), which are independently associated with psychological symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…A PHQ-15 score of 15 or higher and positive answers to all three additional questions formed the criteria for the inclusion of patients with MUS. The patients were also asked to complete Questionnaire D, which included theEQ-5D-3L (EuroQoL 5D-3L) instrument rating quality of life ( 16 ), as well as the 4DSQ (Four-Dimensional Symptom Questionnaire) for assessing depression, anxiety, stress and somatisation ( 17 ), the WI (Whiteley Hypochondriasis Index) ( 18 ), the MISS-21 (Medical Interview Satisfaction Scale) for measuring patient satisfaction ( 19 ), and the PEI (Patient Enablement Instrument) for assessing the physician-patient relationship ( 20 ).…”

Section: Methodsmentioning

confidence: 99%

The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

Ivetić

Pašić²,

Selič

2017

Slovenian Journal of Public Health

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IntroductionMedically unexplained symptoms (MUS) are very common in family medicine, despite being a poorly-defined clinical entity. This study aimed to evaluate the effect of an educational intervention (EI) on self-rated quality of life, treatment satisfaction, and the family physician-patient relationship in patients with MUS.MethodsIn a multi-centre longitudinal intervention study, which was performed between 2012 and 2014, patients were asked to rate their quality of life, assess their depression, anxiety, stress and somatisation, complete the Hypochondriasis Index, the Medical Interview Satisfaction Scale and the Patient Enablement Instrument for assessing the physician-patient relationship, before and after the EI.ResultsThe mean values before and after the intervention showed that after the EI, patients with MUS gave a lower (total) mean rating of their health issues and a higher rating of their quality of life, and they also had a more positive opinion of their relationship with the physician (p<0.05). However, there were no differences in the (total) rating of treatment satisfaction before and after the EI (p=0.423). Significant differences in the symptoms in patients with MUS before and after the intervention were confirmed for stress, somatisation and hypochondriasis (p<0.05).ConclusionsIt could be beneficial to equip family physicians with the knowledge, skills and tools to reduce hypochondriasis and somatisation in MUS patients, which would improve patients’ self-rated health status.

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Self-assessment questionnaire for family doctors’ assessment of quality improvement competencies: a cross-cultural adaptation in Slovenia

Abstract: Aim: To perform a cross-cultural adaptation of the Quality Improvement Competency Self Assessment (QICS) questionnaire for family physicians into the Slovenian language and to validate it in a representative

Cited by 4 publications

References 28 publications

Palliative Care: a Cross Sectional Study Focused on Different Capacity Building Programmes Evaluated Through Self- Rated Knowledge and Efficiency in Family Medicine Tutors

Palliative Care: a Cross Sectional Study Focused on Different Capacity Building Programmes Evaluated Through Self- Rated Knowledge and Efficiency in Family Medicine Tutors

Regional coordinators: a new teaching opportunity in family medicine training

The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

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