5 research outputs found

    COMPARISON OF TWO DIFFERENT METHODS (PATIENT QUESTIONNAIRE AND MEDICATION POSSESSION RATIO - MPR) FOR MEASURING THE CHRONIC PATIENTā€™S BEHAVIOR

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    Background: Medication adherence is the extent to which patients take medications as prescribed by their health care providers. There are a number of approaches to study medication-taking behavior. The aim was to compare two most common methods for measuring adherence: Patient Adherence Questionnaire and Medication Possession Ratio (MPR). They belong to the indirect methods. Methods: In this article four adherence studies were analysed and the results were compared, two wherein the patient questionnaire was applied and other two with medication possession ratio applied. Results: The obtained results reveal that more than half of respondents (58.9%) experienced constant nonadherence behavior according to the prescribed therapy. The main reason of nonadherence is oblivion, suggesting that it is necessary to pay more attention to this problem. Conclusions: Nonadherence with therapy has negative consequences on the health of the individual, and an adverse impact on the community health and wealth. Patients should be informed of the importance of regularly taking prescribed therapy. The main problem of long-term therapy is significantly decreased of adherence to medication in a very short time. It is important to stress that almost all the interventions effective for improving patient adherence in long-term care are complex and should be repeated after a while

    Klinička etika u hrvatskoj: pregled izobrazbe, konzultacija i istraživanja (apel za promjene)

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    The aim of this paper is to delineate current position of clinical ethics in the Croatian healthcare system by analyzing the following: representation of clinical ethics contents in the curricula of medical and associated schools; composition and role of clinical ethics consultations; and establishment of an ethical/legal framework for the conduct of research. Curriculum investigation, literature review, and analysis of the Croatian Act on the Protection of Patientsā€™ Rights were performed. The contents of clinical ethics are offered through 63 obligatory and elective subjects at 12 institutions. It is wrongly placed either too early or too late within the curriculum. Continuity at all levels of health professional education is needed. Croatian experience with clinical ethics consultations is shaped only by ethics committees. Problematic is the review of research protocols indicated as their main activity. Inclusion of team and individual consultations would increase the availability and facilitate the usage of ethics support services. The Act on the Protection of Patientsā€™ Rights is based on the principles of humanity and availability, ensuring the right to protection when participating in clinical trials. Unfortunately, the outdated paradigm of paternalistic medicine aggravates the respect for patientsā€™ rights in cure, care and research. A shift towards the patient/person-centered healthcare system would put the Act into everyday practice. Although clinical ethics has entered the Croatian healthcare system in a formal and practical way, the authors wish to emphasize the need to approach the European and other international standards regarding the recent Croatian accession to the European Union.Cilj je ovoga rada utvrditi sadaÅ”nji položaj kliničke etike unutar hrvatskog zdravstvenog sustava analizirajući sadržaj iz kliničke etike u kurikulumima medicinskih fakulteta i srodnih institucija, sastav i ulogu kliničkih etičkih konzultacija, te uspostavu etičko/pravnog okvira za provođenje istraživanja. KoriÅ”tene su metode pretraživanje kurikuluma, pregled literature, analiza Zakona o zaÅ”titi prava pacijenata. Sadržaj iz kliničke etike poučava se kroz 63 obvezna i izborna kolegija na 12 institucija. PogreÅ”no je pozicioniran na početku ili na kraju kurikuluma. Potreban je kontinuitet na svim razinama izobrazbe zdravstvenih djelatnika. Hrvatska iskustva u kliničkim etičkim konzultacijama oblikovana su isključivo kroz etička povjerenstva. Problematična je činjenica Å”to je analiza znanstveno-istraživačkih protokola identificirana kao njihova glavna aktivnost. Uključivanje timskih i individualnih konzultacija povećalo bi raspoloživost i olakÅ”alo koriÅ”tenje sustava etičke potpore. Zakon o zaÅ”titi prava pacijenata Republike Hrvatske temelji se na načelima humanosti i dostupnosti, osiguravajući poÅ”tivanje prava na zaÅ”titu pacijenta nad kojim se obavlja znanstveno istraživanje. Nažalost, zastarjela paradigma paternalističke medicine otežava poÅ”tivanje prava pacijenata pri njezi, liječenju i istraživanju. Pomak ka zdravstvenom sustavu usmjerenom na pacijenta/osobu aktivirao bi Zakon u svakodnevnoj praksi. Premda je klinička etika i formalno i sadržajno uÅ”la u hrvatski zdravstveni sustav, autori naglaÅ”avaju potrebu za približavanjem europskim i drugim međunarodnim standardima povodom ulaska Hrvatske u Europsku Uniju

    Klinička etika u hrvatskoj: pregled izobrazbe, konzultacija i istraživanja (apel za promjene)

    Get PDF
    The aim of this paper is to delineate current position of clinical ethics in the Croatian healthcare system by analyzing the following: representation of clinical ethics contents in the curricula of medical and associated schools; composition and role of clinical ethics consultations; and establishment of an ethical/legal framework for the conduct of research. Curriculum investigation, literature review, and analysis of the Croatian Act on the Protection of Patientsā€™ Rights were performed. The contents of clinical ethics are offered through 63 obligatory and elective subjects at 12 institutions. It is wrongly placed either too early or too late within the curriculum. Continuity at all levels of health professional education is needed. Croatian experience with clinical ethics consultations is shaped only by ethics committees. Problematic is the review of research protocols indicated as their main activity. Inclusion of team and individual consultations would increase the availability and facilitate the usage of ethics support services. The Act on the Protection of Patientsā€™ Rights is based on the principles of humanity and availability, ensuring the right to protection when participating in clinical trials. Unfortunately, the outdated paradigm of paternalistic medicine aggravates the respect for patientsā€™ rights in cure, care and research. A shift towards the patient/person-centered healthcare system would put the Act into everyday practice. Although clinical ethics has entered the Croatian healthcare system in a formal and practical way, the authors wish to emphasize the need to approach the European and other international standards regarding the recent Croatian accession to the European Union.Cilj je ovoga rada utvrditi sadaÅ”nji položaj kliničke etike unutar hrvatskog zdravstvenog sustava analizirajući sadržaj iz kliničke etike u kurikulumima medicinskih fakulteta i srodnih institucija, sastav i ulogu kliničkih etičkih konzultacija, te uspostavu etičko/pravnog okvira za provođenje istraživanja. KoriÅ”tene su metode pretraživanje kurikuluma, pregled literature, analiza Zakona o zaÅ”titi prava pacijenata. Sadržaj iz kliničke etike poučava se kroz 63 obvezna i izborna kolegija na 12 institucija. PogreÅ”no je pozicioniran na početku ili na kraju kurikuluma. Potreban je kontinuitet na svim razinama izobrazbe zdravstvenih djelatnika. Hrvatska iskustva u kliničkim etičkim konzultacijama oblikovana su isključivo kroz etička povjerenstva. Problematična je činjenica Å”to je analiza znanstveno-istraživačkih protokola identificirana kao njihova glavna aktivnost. Uključivanje timskih i individualnih konzultacija povećalo bi raspoloživost i olakÅ”alo koriÅ”tenje sustava etičke potpore. Zakon o zaÅ”titi prava pacijenata Republike Hrvatske temelji se na načelima humanosti i dostupnosti, osiguravajući poÅ”tivanje prava na zaÅ”titu pacijenta nad kojim se obavlja znanstveno istraživanje. Nažalost, zastarjela paradigma paternalističke medicine otežava poÅ”tivanje prava pacijenata pri njezi, liječenju i istraživanju. Pomak ka zdravstvenom sustavu usmjerenom na pacijenta/osobu aktivirao bi Zakon u svakodnevnoj praksi. Premda je klinička etika i formalno i sadržajno uÅ”la u hrvatski zdravstveni sustav, autori naglaÅ”avaju potrebu za približavanjem europskim i drugim međunarodnim standardima povodom ulaska Hrvatske u Europsku Uniju

    COMPARISON OF TWO DIFFERENT METHODS (PATIENT QUESTIONNAIRE AND MEDICATION POSSESSION RATIO - MPR) FOR MEASURING THE CHRONIC PATIENTā€™S BEHAVIOR

    Get PDF
    Background: Medication adherence is the extent to which patients take medications as prescribed by their health care providers. There are a number of approaches to study medication-taking behavior. The aim was to compare two most common methods for measuring adherence: Patient Adherence Questionnaire and Medication Possession Ratio (MPR). They belong to the indirect methods. Methods: In this article four adherence studies were analysed and the results were compared, two wherein the patient questionnaire was applied and other two with medication possession ratio applied. Results: The obtained results reveal that more than half of respondents (58.9%) experienced constant nonadherence behavior according to the prescribed therapy. The main reason of nonadherence is oblivion, suggesting that it is necessary to pay more attention to this problem. Conclusions: Nonadherence with therapy has negative consequences on the health of the individual, and an adverse impact on the community health and wealth. Patients should be informed of the importance of regularly taking prescribed therapy. The main problem of long-term therapy is significantly decreased of adherence to medication in a very short time. It is important to stress that almost all the interventions effective for improving patient adherence in long-term care are complex and should be repeated after a while
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