-mortem organ donation in society, researchers commonly observe a substantial gap between the claimed willingness to donate post-mortem and joining the register of potential organ donors ( 2 , 3 ). The analysis of indicators available in three nationwide surveys – two conducted at the European level and one at the Slovenian level ( 4 ) – revealed the existence of such a gap in Slovenia as well. The proportions of respondents who claimed to be willing to donate their organs after death was 61%, 55% and 75% in two Eurobarometer surveys (2009 and 2014) and in the 2013 Slovenian
Educational strategies often derive from ideas of eminent founders. They convey traditional conceptions of good practice and professional identity. However, the environment changes dramatically. Megatrends such as multimorbidity, staff shortage, claims for outcome proofs, expectations of the Millennials, and also digitalization produce slow but steady efects. Yet, the question if education adequately tackles the challenges is avoided. Strategy papers show that arrangements and instruments have been adapted, but not contents.
Deficits are visible primarily in facing the digital transformation which goes along with the implementation of industrial management models. Staf shortage and rising demands ease the introduction of digital assistants and robots also in Europe. Those entering a health profession shall have androids as colleagues. One should, therefore, not expect that conventional concepts about caregiving as exclusive human relation building will persist. In addition, professional may experience a hurtful transition from evidence-based to algorithm-based practice.
Discussions about digital transformation are strikingly lopsided. Efficiency, cost containment and safety are prominent arguments, some also promise more time for patients. Besides the aspect of being replaced, it is not asked what happens to the individuals and professionals. One could e. g. ask in which way artificial intelligence shapes human interaction and professional practice, participation, self-determination, patient orientation, therapeutic strategies and adherence. Instead of improving skills for tablets and tools, education should ask how professions and professionals can adequately be prepared to co-work with machines which may take decisions and conduct processes, and which may be considered more reliable colleagues by employers.
Marjorie C Weiss, Jo Platt, Ruth Riley and Susan Horrocks
-social strategies’ that GPs used to accommodate prescribing by other health care professionals that also acted to maintain medical hegemony. These micro-social strategies included patients’ and supplementary prescribers’ perception of doctors as being hierarchically superior and doctors’ denigration of most routine prescribing.
However, while medical hegemony may still pervade, this does not mean that change has not occurred, particularly in primary care. Abbott (1988) argued that occupations compete by making jurisdictional claims for areas of work. These jurisdictional
Erna Schönthaler, Petra Schwab, Monika Zettel-Tomenendal and Valentin Ritschl
interested in reading brief summaries of evidence or clinical guidelines than in searching and appraising literature themselves. Also, Lin et al. (2010 , p. 164) claimed that ‘clinicians must have readily available, relevant, and concisely summarized evidence’ to embrace EBP.
The participating therapists seemed to be very eager for knowledge, but one can expect that they would not have produced so many CATs on their own. Therefore, the CAT service might be seen as an efficient use of resources, as someone who is trained in searching and appraising will take much less
Olga Padała, Anna Taracha, Adrianna Krupa, Małgorzata Drwal, Katarzyna Głaszcz and Ryszard Maciejewski
. New birth control label counters lawsuit claim: European authorities found that a drug line Plan B One-Step cannot prevent fertilized eggs from implanting in the womb. The New York Times. 2013;27:A17.
4. Cleland K, Zhu H, Goldstruck N, et al. The efficacy of intrauterine devices for emergency contraception: a systematic review of 35 years of experience. Hum Reproduc. 2012;27(7):1994-2000.
5. European Medicines Agency. Summary of Product Characteristics: ellaOne 30 mg tablet [http
Valentina Prevolnik Rupel, Renata Erker and Marko Divjak
. Similarly, surprising results regarding the gender differences have also been found in previous large-scale studies ( 8 , 9 ). The authors of these studies claim that observed gender disparities could not be attributable to different heart failure prevalence across gender, different proportions of male and female subgroups in study samples, or to any other similar contextual factors, which might indicate that cardiologists adhere to different standards and/or guidelines while treating either male or female patients. Unfortunately, the present study cannot provide a solid
possible, patients chose those healthcare providers they perceive as valuable ( 16 ). Numerous researchers ( 23 , 24 , 25 ) have claimed that the perceived service value set by a patient represents an overall assessment of a health service, which is based on patients’ perceptions of what was gained and what was invested. As the consequences of perceived service value for patients, various authors have listed ( 26 , 27 , 28 ) patients’ satisfaction and loyalty.
In general, perceived service quality is one of the most important benefits for the customer. In
Igor Spiroski, Dragan Gjorgjev, Jasna Milosevic, Vladimir Kendrovski, Daniela Naunova-Spiroska and Dominique Barjolle
. Eur Heart J. 2012; 33(4):538-45.
4. Hu FB. Do functional foods have a role in the prevention of cardiovascular disease? Circulation. 2011; 124(5):538-40.
5. Jones B. Prepared Foods Exclusive: No Functional Fad. http://www.preparedfoods.com/articles/prepared-foodsexclusive-no-functional-fad. Accessed September 6, 2010.
6. Binns N, Howlett J. Functional foods in Europe - international developments in science and health claims. Brussels: ILSI, 2008.
7. Korzen-Bohr S, O'Doherty Jensen K. Heart disease among
Elina S. Petkova-Gueorguieva, Ilko N. Getov, Kalin V. Ivanov, Stanislava D. Ivanova, Stanislav R. Gueorguiev, Violeta I. Getova, Anna A. Mihaylova, Vasil G. Madzharov and Radiana A. Staynova
. Corrigendum to Regulation (EC) No 1924/2006 of the European Parliament and of the Council of 20 December 2006 on nutrition and health claims made on foods. Official Journal of the European Union. 18.1.2007, p. 1-16
15. Asp NG, Bryngelsson S. Health claims in Europe: new legislation and PASSCLAIM for substantiation. J Nutr 2008;138(6):1210S-5S.
16. Getov I, Grigorov E, Lebanova H. Food supplements-marketing and health claims analysis. Archives of the Balkan Medical Union 2011; 46(4, Suppl.1):26-29.
17. Natural Health Products Directorate. Compendium of