COVID-19 clinic as a basis of quality primary health care in the light of the pandemic – an observational study

Aim The COVID-19 pandemic has had a major impact on societies and has required adjustments of health systems and changes in work processes, especially in the light of an aging population with increased morbidity and mortality. The primary health care level has a key role in maintaining access to healthcare and in addressing the largest proportion of patients with COVID - 19 and should therefore take steps to manage the condition. The aim is to determine the adequacy of COVID-19 clinic model for patients, who are suspected or have a confirmed infection with COVID-19. Methods In Health Centre Sevnica we have formed a model of the COVID Outpatient Clinic with unlimited access to safe and efficient health care. The introduction of COVID-19 disease diagnostic protocols, regular monitoring of patients, early detection of severe course of the disease and complications have made it possible to treat most patients at the primary health care level without the need for hospitalization. Results In our COVID clinic in the period 12 March 2020 - 31 January 2021 a total of 22,259 examinations were performed, of which only 284 patients were referred to the hospital level. As expected, the largest share of referrals was in the age group of 65 and over. Conclusion We believe that the established organization of work represents an optimal solution for managing the COVID-19 pandemic and is also a model with which we can manage future threats

The satisfaction with communication in a medical facility

V diplomskem delu sem raziskovala zadovoljstvo uporabnikov zdravstvenih storitev s komunikacijo v zdravstvenem zavodu. Zdravstveno osebje pri svojem delu z pacienti kot eno od glavnih orodij pri zdravljenju in preventivni dejavnosti uporabljajo verbalno in neverbalno komunikacijo. Opisala sem teoretične osnove komunikacije in značilnosti komuniciranja v zdravstvu. Z raziskavo sem želela ugotoviti: • ali daje obstoječe komuniciranje v zavodu pacientu občutek varnosti• kakšno je komuniciranje z zdravnikom• kakšno je komuniciranje ob sami izvedbi storitve z osebjem• kakšno je komuniciranje ob naročanju na zdravstveno storitev• kaj je v zavodu dobro na področju komuniciranja• kaj je v zavodu slabo na področju komuniciranjaIz podatkov, pridobljenih z raziskavo, ugotavljam, da se pacienti v procesu zdravstvene obravnave počutijo varne. Ugotovila sem, da so pacienti v večini zadovoljni s komunikacijo v zavodu in da zdravstveno osebje pozna pomen dobre komunikacije, vendar jim v praksi pogosto manjka veščin in motivacije za izvedbo. Nezadovoljstvo so pacienti izrazili s komunikacijo preko telefona in s prekoračenim časom čakanja v čakalnici.In the thesis I’ve researched how satisfied are the clients of health services with communication in a medical facility. Medical personnel uses verbal and nonverbal communication as one of the main tools in the medical treatment. I described the theoretical basis of communication and the characteristics of communication in healthcare. The goals of my research are to figure out: • if the existing communication gives the patient a sense of security• what is communication with your doctor• what is the communication during the very performance with the service staff like• what is the communication with the stuff while signing up for a health service• which are the good features in the field of communication in the medical institution• which are the demerits in the field of communication in the medical institutions. The data obtained through a research show that patients feel safe in the process of medical treatment. I found that most patients are satisfied with the communication in the institution and the medical staff knows the importance of good communication, but in practice they often lack the skills and motivation to carry out. Patients are expressing dissatisfaction with communication via phone and waiting time overruns in the lobby