Screening and Registering Patients with Asthma and Copd in Slovenian Primary Care: First Results / Presejanje In Registriranje Bolnikov Z Astmo In Kopb V Referenčnih Ambulantah Družinske Medicine: Prvi Rezultati

• Published in: Zdravstveno varstvo 2015-09, Vol.54 (3), p.161-167
• Main Authors: Poplas-Susič, Tonka, Švab, Igor, Klančar, Darinka, Petek, Davorina, Vodopivec-Jamšek, Vlasta, Bulc, Mateja, Kersnik, Janko, Petrovski, Beáta Éva
• Format: Article
• Language: English
• Subjects: ambulanta družinske medicine; Asthma; astma; Chronic obstructive pulmonary disease; COPD; diplomirane medicinske sestre; family practice; KOPB; Medical screening; model practices; nurse practitioner; primarno zdravstveno varstvo; Primary care; primary health care; referenčne ambulante; Registration; Slovenia; Slovenija
• ISSN: 1854-2476; 0351-0026; 1854-2476
• DOI: 10.1515/sjph-2015-0023

Aim. This study aimed to evaluate a new project of the Slovene Ministry of Health - the Family Medicine Model Practices (MPs) Project in Slovenia, and to show its effectiveness in the management of asthma and COPD by family medicine practice teams, consisting of a family physician, a nurse practitioner and a practice nurse. Methods. A total of 107 family practices with 203122 patients joined the project during the first year of its initiation. The effectiveness of the program in disease management was analysed in two phases according to the registration of family practices. The number of patients registered and the number of asthma and COPD patients (existing and newly detected) by model practice teams were being reported. Descriptive analyses were used to describe the study populations. Prevalence by diseases and phases was established after the initial round of data collection. Chi square (χ ) test was used to analyse the difference between the phases. Results. The frequency of asthma was 2.12%, while the frequency of COPD was 1.15% throughout the study period. For both diseases, more than 30% of patients were newly diagnosed. Conclusions. The project of implementing Family Medicine MPs in the area of COPD has given first positive results and the project is still ongoing to its full implementation. Uvod. Namen študije je predstaviti projekt Ministrstva za zdravje, referenčne ambulante, ki poteka v Sloveniji, in prikazati rezultate obravnave bolnikov z astmo in KOPB s strani tima, ki je dopolnjen in ga sestavljajo zdravnik, diplomirana medicinska sestra in zdravstveni tehnik. Metode. V prvem letu je bilo v projekt vključenih 107 ambulant z 203.122 opredeljenimi pacienti (glavarina). Uspešnost programa obravnave pacientov je bila analizirana dvofazno, ob prvi in naslednji vključitvi ambulant v projekt. Vse referenčne ambulante so poročale o številu opredeljenih bolnikov (glavarina) in o številu bolnikov z astmo in KOPB (že obstoječih in med presejanjem novo odkritih bolnikov). Deskriptivna analiza je bila uporabljena za opis obravnavane populacije. Prevalenca po boleznih je bila prikazana ločeno v prvi in drugi fazi analize. Test hi-kvadrat je prikazal razlike med obema fazama raziskave. Rezultati. V opazovanem obdobju je bila pogostnost astme med opazovano populacijo 2,12%, pogostnost KOPB pa 1,15%. Tako med bolniki z astmo kot med bolniki s KOPB je bila bolezen novo odkrita pri več kot 30% bolnikov. Zaključek. Projekt implementacije referenčnih ambulant,