Quality in a preaccreditation period as perceived by the healthcare professionals in hospitals in R. Macedonia

Background: Considerable amount of research has been done on the evaluation and improvement of the quality of health care delivery in the past 30 years. It seems likely that there will never be a solitary criterion by which to measure the quality of patient care One of the first steps to build quality in a healthcare organization is to evaluate the perceptions of the medical personell about quality issues. This would be the bases upon which interventions are to be made in order to reach the quality golas set by the organizations in accordance with the requirements of the healthcare sistem in which services are delivered. Objective: This study aims at evaluating the perceptions of the medical personel in healthcare organizations, concerning quality issues in a period just before starting national accreditation in hospitals in R. Makedonia and to interconnect certain variables regarding quality with the implementation of the accreditation process to be. Methods: A prospective cross-sectional study was conducted, performed in healthcare organizations in R. Makedonia. The study was conducted in 17 healthcare organizations and, 402 healthcare givers took part in the survey. The tool for the study was a questionnaire consisting of 4 questions of a closed type. Results: In our study the major percent of the respondants, agree that members of the staff are involved in designing, implementing and evaluating of quality improvement plans. Also, healthcare staff according to their answers (53,8% ) strongly agree that their organisation has set organizational improvement goals. The answers from the respondants regarding the question if individuals and teams that make significant contributions to quality improvement are effectivly rewarded are evenly distribted , that is unconclusive , between respondants that agree, do not agree and are without opinion Majority of the respondants, judging by their answers recognize and accept elements of quality as the basis for implementing accreditation Conclusion: These attitudes show the awareness of the healthcre professionals that quality and accreditation stand side by side on the road to achieving positive outcomes in terms of operating a healthcar

Qualitative Study of Attitudes of Healthcare Professionals Regarding Accreditation and Quality, in the Pre- accreditation Period in R. Macedonia

The healthcare system in the Republic of Macedonia has planned to commence accreditation of the healthcare organizations. The Government of Macedonia chose to establish its own hospital accreditation systems. The objective of this study is to understand the attitudes of healthcare professionals in hospitals in Macedonia, to gain understanding of the value of accreditation on quality of care as perceived by the staff members and the possible strategies to improve implementation of accreditation , in a pre-accreditation period in R. Macedonia. We chose a qualitative research method and study explorative in nature to see the perceptions and opinions of providers. We used purposive sampling and included health care providers from tertiary health care level. Semistructured interviews with open questions were used as research tools. A total of 30 themes emerged during the coding and were grouped in 6 main domains - Institutional, organizational and management settings; Financial issues; Education; Normative regulations; Professionalism,Quality of care and services- which jointly gave an insight to the perception about accreditation of health care organizations in Macedonia on a tertiary level. We can conclude that the healthcare providers in our study perceive accreditation as a tool, which can catalyze the process towards improving the overall performances in a healthcare organization towards achieving the end goal to deliver quality services to the patients. Keywords: pre-accreditation period; accreditation; quality; perceptions of healthcare professionals

Evaluating Perceptions of the Healthcare Providers Concerning Accreditation in Healthcare Organizations in the R. Macedonia

An important factor for successful implementation of accreditation is readiness of the healthcare organization for organizational changes. This study aims at assessing perceptions of the medical staff in healthcare organizations, regarding organizational changes related to accreditation, before starting the national accreditation in hospitals in R. Macedonia and to interconnect variables with the implementation of the process. A prospective cross-sectional study was conducted, performed in healthcare organizations throughout the R. Macedonia. Main tool for the study was a questionnaire consisting of seven questions of a closed type. Variables such as changes in line with law and regulations, introducing a new informational system, improving the working conditions, are perceived by the majority of the respondents as drivers toward successful implementation of the process. Conversely, high percent of the respondents find positive changes happen without introducing accreditation. Personnel is not certain who leads the changes and if resistance to change exists depending on not finding significance to answers yes, no, and the category without answer. For the majority of the respondents, accreditation is an effective tool for implementing changes that lead to quality in their organization. Keywords: accreditation, organizational changes, perceptions of healthcare staff, healthcare organization

Factors Underlying Perceptions of Quality of Life Among Acne Patients in R. N. Macedonia

Introduction: Acne vulgaris is a disorder of the pilosebaceous units. It is a chronic inflammatory dermatosis notable for open/closed comedones, papules, pustules, nodules. It is characterized by open comedones, closed comedones and pustular nodules. Aim of study: To examine factors underlying the quality of life of people with acne. Materials and method: A total of 576 respondents were included in the study. Acne specific Quality of Life questionnaire was used for this purpose. A prospective cross-sectional study was conducted, performed in private dermatological clinic as well as on-line. All analyses were conducted by using the SPSS.26 for Windows. Results and Discussion: 5.7 % were males and 94.3 percent were females. About 69.4% were aged between 15-25; 16.7 % between 26 to 30; 8.8% between 31 to 35 years old. Quality of life and emotional perception towards the social environment is demonstrated by the three components (self-perception of discomfort, functionality, and social factor). The reliability levels for the three components were .858 for self-perception of discomfort, .779 for functionality and .745 for the social factor. The factor analysis discovered three underlying factors: self-perception of discomfort, social factor and functionality in daily life. Conclusion: The findings confirm the general notion that people with acne have problems in quality of life and therefore special attention to psychological intervention should be given in the treatment of acne

Factors Underlying Perceptions of Quality of Life Among Acne Patients in R. N. Macedonia

Introduction: Acne vulgaris is a disorder of the pilosebaceous units. It is a chronic inflammatory dermatosis notable for open/closed comedones, papules, pustules, nodules. It is characterized by open comedones, closed comedones and pustular nodules. Aim of study: To examine factors underlying the quality of life of people with acne. Materials and method: A total of 576 respondents were included in the study. Acne specific Quality of Life questionnaire was used for this purpose. A prospective cross-sectional study was conducted, performed in private dermatological clinic as well as on-line. All analyses were conducted by using the SPSS.26 for Windows. Results and Discussion: 5.7 % were males and 94.3 percent were females. About 69.4% were aged between 15-25; 16.7 % between 26 to 30; 8.8% between 31 to 35 years old. Quality of life and emotional perception towards the social environment is demonstrated by the three components (self-perception of discomfort, functionality, and social factor). The reliability levels for the three components were .858 for self-perception of discomfort, .779 for functionality and .745 for the social factor. The factor analysis discovered three underlying factors: self-perception of discomfort, social factor and functionality in daily life. Conclusion: The findings confirm the general notion that people with acne have problems in quality of life and therefore special attention to psychological intervention should be given in the treatment of acne

Opredeluvawe selen vo pomosni lekoviti sredstva so primena na AAS

Opredeluvanjeto selen vo pomosni lekoviti sredstva bese izvrseno so atomska apsorpciona spektrometrija so primena na grafitna pecka i hidriden sistem.Podgotovkata na primerocite bese napravena so mikrobranovo razoruvanje. Za grafitna tehnika e koristena smesa od modifikatori sto sodrzi rastvori na Pd(NO3)2 so masena koncentracija 1,5 g/l i Mg(NO3)2 so masena koncentracija 1g/l vo rastvor na HNO3 so koncentracija 2,3 mol/l. Za hidridniot sistem koristen e rastvor na NaBH4 so masen udel 1,5% vo rastvor od NaOH so masen udel 0,5%. Metodot be{e validiran preku opredeluvawe: linearnost (vo koncentraciono podracje od 15 do 75 µg/l za grafitna tehnika i 5 do 25 µg/l za hidriden sistem), tocnost, preciznost, limit na detekcija (4 µg/l za grafitna tehnika i 1 µg/l za hidriden sistem) i kvantifikacija (13 µg/l za grafitna tehnika i 3 µg/l za hidriden sistem). Metodot bese primenet za opredeluvanje selen vo tri preparati vo koi selenot e vo kombinacija so: cink, bakar i vitaminite A, S i E. Dobienite rezultati pokazuvaat deka predlozenite metodi za opredeluvanje selen vo farmacevtski preparati se osetlivi, precizni, tocni i reproducibiln