Search Results

1 - 10 of 1,035 items :

Clear All
The Analysis of Slovenian Political Party Programs Regarding Doctors and Health Workers from 1992 to 2014

particular, the government was charged with the neglect of changed orientations in healthcare (e.g., changed demographic indicators, the changed workload of doctors and other health workers, and the absence of analyses (6) and a regulatory mechanism for making decisions regarding people’s needs) and problems arising from the system of financing primary healthcare (7) . Ever since the early stages of Slovenia’s independence, politicians who have been making healthcare decisions have not shown a proper desire for change, which their acting according to the principle of

Open access
Medical Doctors’ Attitudes towards Pay-For-Reporting in Macedonia: A Web-Based Cross-Sectional Survey


Objective: To determine medical doctors’ attitudes towards the implementation of the new pay-forreporting system in the public hospital sector.

Data Source: An electronic survey was conducted among 303 medical doctors in the Republic of Macedonia using the database of, an online provider of information for healthcare providers.

Principal Findings: Majority (61.9%) of all surveyed doctors are against the proposed pay-for-reporting (P4R) reform. Disapproval is much higher among the doctors employed at the public hospitals where 79% consider that pay-for-reporting project has to be abandoned. Doctors are against the proposed P4R system that only measures quantity of the work. According to majority of the doctors current model is subjective; it opens possibilities for bias and missconduct, and puts the clinical teamwork at jeopardy.

Conclusions: Massive support against the implemented P4R reform was expressed by the Macedonian doctors employed in the public sector. The model should integrate parameters such as quality and complexity of delivered services to patients. Better integration and engagement of doctors is essential to assure support and smooth implementation of P4R reform as sound policy in practice. The Ministry of Health should set key parameters to be monitored by hospitals to evaluate the success of the P4R system.

Open access
Violence towards doctors in Bulgaria – pilot results on general practitioners views


INTRODUCTION: Violent behaviour may be an appropriate response to a given set of environmental conditions in nature. Social organizations as power systems ensure stability through force or threat. However, there is a growing concern about the violence against health service staff in both hospitals and outpatient facilities.

AIM: To study the frequency, types and determinants of patient violence towards health professionals in primary care in Bulgaria and to fi nd the specifi c characteristics of violent behaviour in patient subgroups as well as the attitudes of providers.

MATERIAL AND METHODS: A sample of 165 doctors from primary care institutions in Bulgaria participated in a questionnaire study using a specially developed research tool.

RESULTS: Prevalence of violent patient behaviour has not been studied extensively in Bulgaria leaving a gap in research data. The participating physicians, however, reported that there is a serious increase in the frequency and diversity of aggressive behaviour towards medical profession by patients and negative attitude of the general public indicating serious issues in public health care.

CONCLUSION: Most often patients’ aggression was provoked by factors associated with the health system organization and effectiveness and the socio-economic status of the population.

Open access
Burnout syndrome among ICU personnel

the reduced burnout among primary health care doctors?. Libyan Journal Med. 2018; 13(1):1440123. 24. Bianchi R, Schonfeld I, Laurent E. Is it time to consider the “burnout syndrome” a distinct illness?. Frontiers in Public Health. 2015; 3:1-3. 25. Bianchi R, Schonfeld I, Laurent E. Burnout-depression overlap: A review. Clinical Psychology Review. 2015; 36:28-41. 26. Johnson J, Machowski S et al. Age, emotion regulation strategies, burnout, and engagement int he service sector: Advantages of older workers. Revista de Psicologia del Trabajo y de las

Open access
Tendencies of Future Doctors’ Ethical Competence Formation at Medical Universities in Europe and the USA


The materials presented in this article are the result of a documentary-bibliographic study, which is based on the use of methods of analysis, synthesis, comparison and generalization. The results of the study have shown that the problem of professional ethics and culture of health care professionals is of significant interest. Problems of ethics, culture and deontology are the subject of consideration by scholars from the countries of Europe and the United States. There have been defined the main modern tendencies of training doctors for their professional activity in the leading countries of the world in the context of the professional and ethical competence formation. It has been found out that the development of higher medical education is carried out on the basis of the Bologna process principles, which involves introduction of two degrees (Bachelor and Master of Science), implementation of the ECTS system, introduction of the single diploma supplement, etc. It has been estimated that the educational programs for future doctors' training are aimed at the development of the students’ analytical and critical thinking; behavioral and social sciences, medical ethics, bioethics, provide knowledge, skills and abilities in the field of communication, clinical decision making, application of ethical norms, work in the multi-staff teams etc. The integrated programs play an important role in the educational process. Over the last decades studying bioethics is a compulsory component of the medical education. However, not only bioethics is the basis for the formation of future doctors’ professional and ethical competence at medical Universities abroad. The Oath of Hippocrates is of great significance for the students who devote themselves to medicine. In various countries it has been transformed into codes, oaths, etc., and now it is carried out by the students (future physicians) during their studies at higher medical educational institutions.

Open access
The controversial discourse on beer in Iceland

medical doctors)], 30-31 Morgunblaðið, 30 January 1988: [Áfengismálaumræða á villigötum (Alcohol issues discussions led astray)], 11 Morgunblaðið, 26 March 1988. [138 læknar mótmæla frumvarpi um sölu á sterku öli (138 medical doctors object to a bill on the sale of strong beer)], 57 Mäkelä, P. & Mustonen, H. & Österberg, E. (2007): Does beverage type matter? Nordic Studies on Alcohol and Drugs 24 (6): 617-631 Mäkelä, P. & Rossow, I. & Tryggvesson, K. (2002): Who

Open access
Narrative Medicine – the methodology of doctor-patient communication analysis

., Samuel M. Putnam, and Aaron Lazare 3-19. New York: Springer. doi:10.1007/978-1-4612-2488-4. McDonald, Andrew. 2016. “What doctors say and what patients hear”. BMJ (Clinical research ed.) 354: i4453. doi:10.1136/bmj.i4453. Nussbaum, Abraham M. 2016. The Finest Traditions of My Calling: One Physician’s Search for the Renewal of Medicine . New Haven: Yale University Press. Ofri, Danielle. 2017. What patients say, what doctors hear . Audiobook. Boston: Beacon Press. Ofri, Danielle. 2006. “The practice of medicine: neither science nor art”. The

Open access
Trust in the doctor-patient relationship in the light of the latest research

-27. 15. Banerjee A, Sanyal D. Dynamics of doctor–patient relationship: A cross-sectional study on concordance, trust, and patient enablement. J Family Community Med. 2012; 19(1): 12-9. 16. Lodr K, Ibrahim K, Kumar S, et al. Measuring trust in healthcare professionals - a study of ethnically diverse UK cancer patients. Clin Oncol (R Coll Radiol). 2012; 24(1): 13-21. 17. Garg R, Shen C, Sambamoorthi N, et al. Type of Multimorbidity and Patient-Doctor Communication and Trust among Elderly Medicare Beneficiaries. Int J Family Med. 2016, doi: 10

Open access
Lecturers from Macedonia Elected for the First Time to the Faculty of Medicine in Skopje in the Period 1961-63

Medicine in Skopje 1947-1953. Faculty of Medicine, Ss Cyril and Methodius University, Skopje. Skopje, 1997: 11-19. 3. Polenaković M. Forty Years since the Establishment of the Association of Societies of Doctors in Macedonia. [In Macedonian]. Macedonian Medical Review 1985; 39(3-4): 77-86. 4. Polenakovic M, Donev D. Contributions of the doctors from Croatia in establishing and initial development of the Faculty of Medicine in Skopje, Republic of Macedonia. Prilozi-Contributions, Sec. Biol. Med. Sci., MASA 2011; 32(2): 331-58 Available from: http

Open access
Dominance Relations in the Light of Repairmechanisms in Family-doctor-Patient and Hospital Teacher-Student Encounters

-2011. A szaknyelvi kompetenciafejlesztestől a munkaerőpiacig. SZOKOE, Debrecen, 2011:181-186. 6. Ivanyi Zs. A nyelveszeti konverzacioelemzes. Magyar Nyelvőr. 2001;125(1):74-93. 7. Byrne PS, Long B. Doctors talking to patients: A study of the verbal behaviours of doctors in the consultation. London: Her Majesty’s Stationary Office, 1976 8. Kranicz R, Szanto-Csongor A, Hamar Savay J, Rebek-Nagy G. Other initiated Repairs during Hospital Teachers’ Tutorials. Acta Medica Marisiensis. 2011;56(6):597-600. 9

Open access