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Maja Jakič and Danica Rotar Pavlič

vaccination rate (1 , 7) . It is also significant that they often do not know the healthcare regulations in their host country, which may lead to difficulties when arranging appointments and following registration procedures (1) . In order to ameliorate the situation, general practitioners (henceforth GPs) dealing with recently arrived immigrants are provided with certain guidelines. These guidelines advice caution in the first contact with immigrants and recommend treating high-priority conditions immediately. GPs should pay special attention to abuse or domestic

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Michael Dieter Egerer and Virve Marionneau

corridors (pp. 57-88). Rijeka: InTech. Douglas, M. (1986). How institutions think . new York: Syracuse university Press. Egerer, M. (2010). Gate keepers' images of addiction in Finland, France, and Germany. The film-clips in the group interviews . Helsinki: Helsingin yliopisto, sosiaalitieteiden laitos. Egerer, M. (2012). alcoholism, brief intervention and the institutional context: a focus-group study with French and Finnish general practitioners. Critical Public Health, 22 (3), 307-318. Egerer, M. (2013). Problem drinking, gambling and eating - three

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Michael Dieter Egerer and Virve Marionneau

experiment. In L. Naidoo (Ed.), An ethnography of global landscapes and corridors (pp. 57–88). Rijeka: InTech. Douglas, M. (1986). How institutions think . New York: Syracuse University Press. Egerer, M. (2010). Gate keepers’ images of addiction in Finland, France, and Germany. The film-clips in the group interviews . Helsinki: Helsingin yliopisto, sosiaalitieteiden laitos. Egerer, M. (2012). Alcoholism, brief intervention and the institutional context: A focus-group study with French and Finnish general practitioners. Critical Public Health, 22 (3), 307–318. 10

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Marcin Giaro, Mariusz Wyleżoł, Olaf Truszczyński and Tomasz Lewandowski

with a randomly selected population sample and long-term changes after conventional and surgical treatment: the SOS intervention study. Arch Intern Med 2002; 162(18): 2061-69. Thuan JF, Avignon A : Obesity management: attitudes and practices of French general practitioners in a region of France. Int J Obes (Lond) 2005; 29(9): 1100-06. Weiner R, Gutberlet H, Bockhorn H : Preparation of extremely obese patients for laparoscopic gastric banding by gastric-balloon therapy. Obes Surg 1999; 9(3): 261

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Nevena Ivanova and Lyubomir Kirov

. Мотивация и личност. С. 2010. 6. Пинк Д. Мотивацията. С. 2013. 7. Gosten T. Paying doctors by salary. A controlled study at general practitioners behavior in England. BJGP 2004; 3. 8. Evans G. Organizational behavior-the central role of motivation. Journal of management 1996; No 1. 9. Stephenson A. Textbook of general practice. London 2008

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Ewa Warchoł-Sławińska, Marzena Furtak-Niczyporuk, Marta Sławińska, Krzysztof Włoch, Marek Kos and Karolina Wójcik

Abstract

Introduction. General practitioner (GP) plays an important role in the health care system as he is the first person that a patient turns to with his health related problem. The crucial role of the primary health care system is to control risk factors contributing to civilization diseases such as cancer, diabetes or cardiovascular diseases.

Aim. The aim of the research was the assessment of the selected aspects of patients’ satisfaction with a GP’s care. Conducted study provided answers to questions about the level of patient’s satisfaction, his expectations and needs in the field of doctor’s care within the primary health care system.

Material and methods. Diagnostic poll was used as a method to study public opinion. The poll was based on the research technique in the form of the original questionnaire consisting of 23 closed-ended questions. Study group consisted of 99 primary health care patients from lubelskie voivodship.

Results. The majority of the studied group assessed the quality of general practitioners’ services both in cities and rural areas as high. Respondents declared their satisfaction with the availability of diagnostic tests (73%), quality of information about health condition and treatment provided by the doctor (80%), information about how the medicine should be taken and about further treatment (65%) and respect for privacy and dignity (82%). Minority of the researched group was dissatisfied with the quality of general practitioner’s services mainly because of the limited access to diagnostic tests (27%), low quality of information provided by the doctor about method of taking medicine (35%), short time of the doctor’s visit (38%), suggested method of treatment (36%), disrespect for privacy and dignity of a patient (18%) and limited access to medical documentation (24%).

Conclusions. There is a need to implement actions that will increase patients’ satisfaction with the medical services provided by general practitioners, especially in the following fields: length of the doctor’s visit, quality of information provided by the doctor, improvement in the patient – doctor relation, full access to medical documentation and promotion of health by doctors.

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Lisette Klok, Yvonne Engels, Carel Veldhoven and Danica Rotar Pavlič

1 Introduction During advanced stages of chronic life-limiting diseases, patients might benefit from palliative care (PC). Many patients in the Western world wish to remain at home during this palliative phase and to die there. Therefore, general practitioners (GPs) should play an important role in PC provision ( 1 , 2 , 3 , 4 ). In Slovenia, this is challenging since the average consultation time per patient is 7 minutes, and GPs do not receive extra payment for home visits ( 5 ). Other barriers in PC provision are the lack of knowledge, PC skills and

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Vineta Viktorija Vinogradova, Jeļena Vrubļevska and Elmārs Rancāns

in primary care: Current and future challenges. Can. J. Psychiatry , 58 (8), 442–448. Cuijpers, P., Vogelzangs, N., Twisk, J., Kleiboer, A., Li, J., Penninx, B. W. (2013). Differential mortality rates in major and subthreshold depression: Meta-analysis of studies that measured both. Brit. J. Psychiatry , 202 (1), 22–27. Dumesnil, H., Cortaredona, S., Verdoux, H., Sebbah, R., Paraponaris, A., Verger, P. (2012). General practitioners’ choices and their determinants when starting treatment for major depression: A cross sectional, randomized case

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Donka D. Dimitrova, Lubomir K. Kyrov and Nevena G. Ivanova

References 1. Ness GJ, House A, Ness AR. Aggression and violent behaviour in general practice: population based survey in the north of England. BMJ 2000;320:1447 doi:10.1136/bmj.320.7247.1447 (Published 27 May 2000) 2. Leanne Rowe AM, Bronwyn Morris-Donovan, Ian Watts. General practice - a safe place: tips and tools. The Royal Australian College of General Practitioners; 2011. (ISBN 9780 86906 293 7) 3. Bird S. Harassment of GPs. Australian Family Physician 2009;38(7):533. 4. Hobbs FDR

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Europe in Green

European Environmental Democracy

Giulia Parola