Organization of health service in the Homeland war: experience and results at the Split clinical hospital.

Autori iznose svoja iskustva i rezultate postignute u Domovinskom ratu na području Splitsko- dalmatinske županije. U kratkim crtama prikazuju rad Sanitetskog stožera od njegovih početaka i prelazak civilnih zdravstvenih ustanova u ratne. Dobra organizacija zdravstvene službe je glavni preduvjet za uspješno funkcioniranje ovakvih ustanova u ratnim uvjetima, posebice za kvalitetan rad kirurških timova. Postignute rezultate smatraju više nego dobrima (izlječenje preko 70%, smrtnost 2,4%). U radu se iznose i podaci o četiri ratne bolnice, u kojima su najveći prilog dali, samostalno ili u zajednici s liječnicima iz drugi centara, djelatnici KB "Split".The authors present their experience in the treatment of casualties during the war in Croatia and Bosnia and Herzegovina. The functioning of the Military Medicine Headquarters and the formation of warfare health service institutions are outlined. Well organized c i v i l ian health service was necessary for adequate functioning of war surgical units. The results achieved were more than good (over 70% of cured patients, letality 2.4%). The work of 4 wartime hospitals, medically equipped by Split Clinical Hospital is described

Organization of health service in the Homeland war: experience and results at the Split clinical hospital.

Autori iznose svoja iskustva i rezultate postignute u Domovinskom ratu na području Splitsko- dalmatinske županije. U kratkim crtama prikazuju rad Sanitetskog stožera od njegovih početaka i prelazak civilnih zdravstvenih ustanova u ratne. Dobra organizacija zdravstvene službe je glavni preduvjet za uspješno funkcioniranje ovakvih ustanova u ratnim uvjetima, posebice za kvalitetan rad kirurških timova. Postignute rezultate smatraju više nego dobrima (izlječenje preko 70%, smrtnost 2,4%). U radu se iznose i podaci o četiri ratne bolnice, u kojima su najveći prilog dali, samostalno ili u zajednici s liječnicima iz drugi centara, djelatnici KB "Split".The authors present their experience in the treatment of casualties during the war in Croatia and Bosnia and Herzegovina. The functioning of the Military Medicine Headquarters and the formation of warfare health service institutions are outlined. Well organized c i v i l ian health service was necessary for adequate functioning of war surgical units. The results achieved were more than good (over 70% of cured patients, letality 2.4%). The work of 4 wartime hospitals, medically equipped by Split Clinical Hospital is described

ASSESSMENT OF PUBLIC HEALTH NEEDS FOR PALLIATIVE CARE IN SPLIT DALMATIA COUNTY

Palijativna skrb je pristup koji poboljšava kvalitetu života pacijenata i njihovih obitelji koji se suočavaju s problemima povezanima s progresivnim, neizlječivim bolestima. Dostupnost palijativne skrbi pacijentima oboljelima ili onima koji umiru od uznapredovalih neizlječivih bolesti važan je i neizostavan dio suvremenih zdravstvenih sustava. Stoga je cilj rada bio da s javnozdravstvenog gledišta, kao jednim od početnih koraka za planiranje i naprjeđenje/ poboljšanje palijativne skrbi na lokalnoj razini/županiji, procijeni potrebu za palijativnom skrbi u Splitsko-dalmatinskoj županiji. Procjena potreba provedena je korištenjem mortalitetnih podataka pacijenata prema odabranim dijagnozama koji su se, prema defi niranim kriterijima smatrali potrebitima palijativne skrbi. Palijativna skrb bila je potrebna za gotovo polovicu preminulih tijekom 2012. godine u Splitsko-dalmatinskoj županiji, a najviše u dobnim skupinama 65-79 (40,2 %) i ≥80 godina (36,0 %). Novotvorine su bile najčešći uzrok smrti (69,1 %), podjednako u kući (46,8 %) i u bolnici (46,0 %). Na udaljenosti ≥60 minuta od bolnice značajno ih je više umrlo kod kuće nego u bolnici (Palliative care is an approach that improves quality of life of patients and their families facing the problems associated with incurable life-threatening illness. The aim was to assess the needs for palliative care in Split-Dalmatia County. Assessment of the needs was conducted using mortality data on the Split-Dalmatia County population by selected diagnoses defined according to the criteria as necessitating palliative care. Almost half of the deceased in 2012 in Split-Dalmatia County needed palliative care. Among them there were significantly more males

ASSESSMENT OF PUBLIC HEALTH NEEDS FOR PALLIATIVE CARE IN SPLIT DALMATIA COUNTY

Palijativna skrb je pristup koji poboljšava kvalitetu života pacijenata i njihovih obitelji koji se suočavaju s problemima povezanima s progresivnim, neizlječivim bolestima. Dostupnost palijativne skrbi pacijentima oboljelima ili onima koji umiru od uznapredovalih neizlječivih bolesti važan je i neizostavan dio suvremenih zdravstvenih sustava. Stoga je cilj rada bio da s javnozdravstvenog gledišta, kao jednim od početnih koraka za planiranje i naprjeđenje/ poboljšanje palijativne skrbi na lokalnoj razini/županiji, procijeni potrebu za palijativnom skrbi u Splitsko-dalmatinskoj županiji. Procjena potreba provedena je korištenjem mortalitetnih podataka pacijenata prema odabranim dijagnozama koji su se, prema defi niranim kriterijima smatrali potrebitima palijativne skrbi. Palijativna skrb bila je potrebna za gotovo polovicu preminulih tijekom 2012. godine u Splitsko-dalmatinskoj županiji, a najviše u dobnim skupinama 65-79 (40,2 %) i ≥80 godina (36,0 %). Novotvorine su bile najčešći uzrok smrti (69,1 %), podjednako u kući (46,8 %) i u bolnici (46,0 %). Na udaljenosti ≥60 minuta od bolnice značajno ih je više umrlo kod kuće nego u bolnici (Palliative care is an approach that improves quality of life of patients and their families facing the problems associated with incurable life-threatening illness. The aim was to assess the needs for palliative care in Split-Dalmatia County. Assessment of the needs was conducted using mortality data on the Split-Dalmatia County population by selected diagnoses defined according to the criteria as necessitating palliative care. Almost half of the deceased in 2012 in Split-Dalmatia County needed palliative care. Among them there were significantly more males

In Search of a Croatian Model of Nursing Education

Aim To analyze the present status and ongoing reforms of nursing education in Europe, to compare it with the situation in Croatia, and to propose a new educational model that corresponds to the needs of the Croatian health care system. Methods The literature on contemporary nursing education in Europe and North America was reviewed, together with European Commission directives and regulations, as well as pertinent World Health Organization documents. In addition, 20 recent annual reports from 2003-2009, submitted by national nursing associations to the Workgroup of European Nurse Researchers (WERN), were studied. Results After appraisal of current trends, the Working Group on Reform of Nursing Education drafted The Croatian Model for Education in Nursing and developed a three-cycle curriculum with syllabus. The proposed curriculum is radically different from traditional ones. Responding to modern demands, it focuses on outcomes (developing competencies) and is evidence-based. Conclusions A new, Croatian concept of nursing education is presented that is concordant with reforms in nursing education in other European countries. It holds promise for making nursing education an integral part of a unified European system of higher education