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Abstract

The authors will try to introduce the subject and provide arguments that will show the differences and similarities between psychiatric health care center and nursing home, as Polish society often wrongly use those two different types of institutional support interchangeably.

Both, health care center and nursing home offer round-the-clock services, but they differ in scope of activity. The knowledge of the profile of institutional units should be an essential argument when choosing the type of institution. The basic criterion for admission to the health care center (psychiatric or somatic) are medical condition, the presence of the disease and the need for continued treatment. While the cause of referring to the nursing home is, or in many cases should be, the life incapability, the lack of support of the home environment or homelessness.

Awareness to the highest quality of care and support should be an overarching value of all institutions, both health care and social welfare and the standards of care and support should contribute to changing society’s attitude to this type of institutions.

2014. 16. Mitić B. Health Care Centre in Ćuprija - from the first physicians to nowadays. Ćuprija: Health Care Centre in Ćuprija 2005. 17. Marinković G. Opening of Regional Dental Office in Jagodina [article in Serbian]. Novi put. 1947 29. mart;22:4. 18. Nikolić M. The first results: Health Care Centre in Svetozarevo [article in Serbian]. Novi put. 1953 May 23th;4:5. 19. Savić L. The need for psychologic counselling dispenasary. Novi put. 1954;7(28):5. 20. Jevtić M. Actions of Dental Section in Svetozarevo [article in Serbian]. Novi put. 1954;7(44):6. 21. 21

Innovation management in the primary health care centers is one of the important debates among the governments and academic forums. Although the number of studies in the field of innovation in health care sectors has increased over the last 10 years, little is known about the conditions for the successful implementation of innovations in the health care centers. In this paper, we review and assess the situation of Finnish health care centers from innovation management viewpoint. We try to answer one of the important questions designed by policy makers: “How can Finnish health care centers move toward systems that continuously improve their innovation and creativity?” The presented framework describes the main characters and dimensions of diffusion of ideation and innovation in the health care centers.

Abstract

Objective:

The aim of this work is to review the role of mental health care center and treatment center specialized in psychiatry in the Polish system of mental health care as a whole.

Review:

For many years in Poland, the process of transformation of psychiatric care model from the institutional (inpatient setting, most expensive) to community care model (personalized, much cheaper), has been taking place. The effective - coordinated system of community care should significantly improve cooperation in the treatment, while the community forms of health care should ensure full availability, complexity, and continuity of care provision. In many cases, the community support is inadequate and cannot provide patient with care at his home environment. For mentally ill, there may be a need for the use of the long term health care centers specialized in psychiatry.

Conclusions:

A long term mental health care center specialised in mental health plays an important role in long-term care for the mentally ill. As far as a mental health service user’s perspective is concerned, the continuity of care and treatment in the long term health care center (as a health care unit) appears to be more useful and satisfying compared to a residential home for people with chronic mental illnesses. There is a need for broad discussion on the special place of the long term health care center specialized in psychiatry in the present Polish system of mental health care and on the improving of care pathways between inpatient-, day care-and, community care package.

Abstract

It is very important to achieve client satisfaction in the health care sector, which is why the issue of motivation of health care professionals is always an interesting topic to explore. Having in mind the current situation in the private health care sector in Serbia, we have decided to examine the differences in satisfaction of motivational needs in health care professionals, with an emphasis on differences between health care professionals working in public and private health care centres. We have used Maslow and Herzbergs motivation theories when designing the appropriate questionnaire. The results obtained have revealed differences between subsamples. Health care professionals working in the private sector are more satisfied with their salaries, working conditions, job certainty and opportunities for professional development.

Iran [ 18 ], the aim of the present study was to examine the factors influencing physical activity in women with hypertension living there. Materials and methods Participants The present observational study was conducted in a cross-section of 215 women with hypertension. Sampling was achieved through census from August to September 2016, and the subjects were all women diagnosed with hypertension who had health records in health care centers in Kiashahr. The study protocols were approved by the ethics committee of the Alborz University of Medical Sciences on June 6

as other risk factors (hypertension, hyperlipidemia, obesity, duration of the disease) in T2DM patients. All the procedures in the study were conducted according to the rules of the Helsinki Declaration, approved by the Ethical Committee of the Health Care Center »Dr. Milorad-Mika Pavlović« in Indjija, Serbia. All patients signed an Informed Consent to participate voluntarily in the study. Patient data are protected and used only for the purpose of the research. Study Population The study included a total of 178 patients with type 2 diabetes (T2DM), of both gender

Abstract

Chronic nicotinism has negative effects, both local and systemic. Its local effects are related to both the immediate thermal influence, as well as the toxic action of the substances contained in the smoke. In addition, the microflora colonizing dental plague is changed. The damage and the inflammatory processes that are incurred, affect the bone tissue of the alveolar processes, the mucosa, gums, and the tooth enamel. In this study, the tobacco smoking-related profile of patients being treated by way of implants was determined. Moreover, the relationship between cigarette smoking and pain sensation was assessed in patients undergoing surgical and prosthetic procedures in the oral cavity. The questionnaire survey covered 464 patients receiving prosthetic treatment at the “Dental” Non-Public Health Care Centre in Tomaszow Mazowiecki. The patients answered questions concerning their sex, age, the period of smoking, number of cigarettes smoked per day and the sensation of pain during bone reconstruction, implant placement and prosthetic procedures. The most numerous group of patients treated with implants were women: either non-smoking or smoking for less than 20 years at a level of less than 20 cigarettes a day, and men aged 40-60 years who have been smoking for over 20 years, at more than 20 cigarettes a day. The results of the survey reveal that non-smoking patients felt pain during bone reconstruction, implant placement and prosthetic procedures more frequently.

Abstract

Non-pharmacological treatment including diet, body weight reduction, smoking cessation and physical activity, is very important part of hypertension treatment. The objective of this study was to investigate the adherence to healthy lifestyle behavior in the representative sample of the older hypertensive patients, and to investigate factors associated with adherence in the studied older population. The study was conducted on random sample of 362 long term hypertensive (> five years) patients older than 65 years of age, at Health Care Center of Kragujevac. Adherence was assessed using the structured questionnaire for the analysis of the implementation of both hypertension and diabetes guidelines in the primary care. Both bivariate and multivariate analyses were conducted. Nearly 35% of examined patients were highly adherent; they exercised regularly, avoided smoking for at least five years and consumed special healthy diet prescribed for hypertension. Another 35.6% of the cases reported exercising regularly, 39.5% followed the recommended diet for the hypertension, while 23.4% of the patients have still consumed cigarettes. Multivariate logistic regression demonstrated that received counseling on healthy lifestyle behaviors by physicians and lack of education predicted high adherence to healthy lifestyle behavior. In order to improve adherence of elderly hypertensive patients to healthy lifestyle, strengthening patient-physician relationships through efforts to enhance communication may be a promising strategy to enhance patients’ engagement in healthy lifestyle behaviors for hypertension. Such an improvement could be achieved through the education of both the physicians and patients.

Abstract

Aim. The aim of the study was to assess the subjective quality of life of patients after cataract surgery.

Material and methods. The study included 101 patients of the Non-Public Health Care Center “VISUS” in Bychawa - One Day Surgery Department after a cataract surgery. They were women and men aged 26 to 92 years. About 86% of respondents were also diagnosed with other comorbidities. For the purpose of the study, a tool was constructed based on the WHOQOL-Bref questionnaire in the Polish adaptation, correlated with the personal questionnaire.

Results. The analysis of the studies showed that over 52% of the patients after cataract surgery considered the overall assessment of their quality of life as good. Among them, 39% were satisfied with their health. The worst assessed was the psychological field, preferably social and environmental. Women rated their quality of life and health slightly better. There is a strong correlation between the decline in quality of life with age and the number of comorbidities.

Conclusions. The quality of life decreases with age. Most of the patients who have undergone cataract surgery are satisfied with the quality of life. Cataract surgery improves the quality of life of patients.