A5079781811- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Innovations in Medical Education
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Cardiac Health and Mental Health
- Clinical practice guidelines implementation
- Medical Education and Admissions
- Pharmaceutical industry and healthcare
- Empathy and Medical Education
- Cardiovascular Health and Disease Prevention
- Medication Adherence and Compliance
- Colorectal Cancer Screening and Detection
- Cardiac, Anesthesia and Surgical Outcomes
- Medical and Biological Sciences
- Healthcare professionals’ stress and burnout
- Heart Rate Variability and Autonomic Control
- Global Cancer Incidence and Screening
- Patient Satisfaction in Healthcare
- Antibiotic Use and Resistance
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Public Health
- Neuroscience of respiration and sleep
- Obstructive Sleep Apnea Research
University of Ljubljana
2015-2024
Community Health Centre Ljubljana
2021-2024
Ljubljana University Medical Centre
2013-2022
Zdravstveni dom dr. Adolfa Drolca Maribor
2021
Zdravstveni centar
2007-2021
Adapti (Slovenia)
2013
University of Maribor
2011
In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack knowledge has led to inconsistent guidelines, mainly based on systolic blood pressure (SBP), cardiovascular disease (CVD) but not frailty despite high prevalence in oldest-old. This may lead variation how General Practitioners (GPs) treat hypertension. Our aim was investigate treatment GPs oldest-olds across countries identify role that...
AimsTo examine the present state of health-related quality life (HRQOL) among elderly individuals with type 2 diabetes (T2D) receiving integrated care and identify risk factors associated low HRQOL.MethodsA multi-centre cross-sectional survey T2D, treated in Slovenian urban rural primary settings was performed. HRQOL investigated using EuroQol 5-dimension (EQ-5D) questionnaire Appraisal Diabetes Scale (ADS). Furthermore, socio-demographic, clinical, laboratory data were collected. Low...
Abstract Background General practitioners (GPs) should regularly review patients’ medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm health. However, deprescribing can be challenging for physicians. This study investigates GPs’ decisions in 31 countries. Methods In this case vignette study, GPs were invited to participate an online survey containing three clinical cases of oldest-old multimorbid patients with potentially polypharmacy. Patients differed terms...
Objective. Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation in general practice Slovenia yet been carried out. The aim the present was to measure time, identify factors influencing it, influence workload practitioners time. Design. A total 42 participated this cross-sectional study. Each physician collected data from 300 consecutive consultations measured length visit. Setting. Forty-two randomly selected practices...
Cancer survival and stage of disease at diagnosis treatment vary widely across Europe. These differences may be partly due to variations in access investigations specialists. However, evidence explain how different national health systems influence primary care practitioners' (PCPs') referral decisions is lacking.This study analyses system factors potentially influencing PCPs' decision-making when consulting with patients who have cancer, these between European countries.Based on a...
Introduction: Telemonitoring has been proposed as an effective method to support integrated care for older people with hypertension and type 2 diabetes. This paper examines acceptability of telemontioring, its role in supporting care, identifies scale-up barriers. Methods: A concurrent triangulation mixed-methods study, including in-depth interviews (n = 29) quantitative tool 55) was conducted among individuals who underwent a 12-month telemonitoring routine. The research guided by the...
AimTo determine the prevalence of psychotropic medication prescribing in elderly nursing home residents Slovenia and to explore residents', physicians', characteristics associated with prescribing.MethodsIn a cross-sectional study, we collected data for 2040 aged 65 years older 12 homes between September 25 November 30, 2006. Prescribed medications lists were retrieved from patients' medical records. Psychotropic coded according Anatomical Therapeutic Chemical Classification 2005, which...
Anticholinergic burden in older adults has been correlated with cognitive decline, delirium, dizziness and confusion, falls hospitalisations. Nevertheless, anticholinergic-acting medications remain commonly prescribed up to a third of primary care population. Our aim was study the anticholinergic Slovenian ambulatory setting explore most involved which could be avoided by physicians.A cross-sectional conducted 30 general practices Slovenia as part larger trial. Data on were collected for...
Women physicians face many challenges while balancing their roles: doctor, specialist trainee, mother and partner. The most opportune biological time for a woman to start family coincides with great deal of demands requirements at work. In this study we explored the options capabilities women GP trainees in coordinating career.This is phenomenological qualitative research. Ten from urban rural areas were chosen by purposive sampling technique, semi-structured in-depth interviews conducted,...
Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test acceptability, clinical effectiveness, cost-effectiveness of telemonitoring elderly AH T2D at primary care level.A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients ged ≥ 65 y ears will randomized 1:1 proportion mHealth intervention or standard group....
Abstract Introduction. Self-reported scales, such as the Jefferson Scale of Empathy - Student version (JSE-S), had been recognised to measure empathic disposition rather than behavioural expression. This study aimed re-validate JSE-S and its factor structure prior further research on empathy in medical students. Methods. A convenience sampling method was employed two consecutive academic years, 2012/13 2013/14, at Faculty Medicine Ljubljana, Slovenia; first final year students participated...
Abstract Background Health-related quality of life (HRQoL) is measuring a patient’s experience his health status and represents an outcome medical interventions. Existing data proves that healthy lifestyle positively associated with HRQoL in all age groups. Patients high risk for cardiovascular disease typically led unhealthy combined diseases. We aimed to analyse these characteristics their reflection HRQoL. Methods A cross-sectional study 36 family practices, stratified by location size....
Background: Due to the importance of family medicine and a relative shortage doctors in this discipline, it is important know how decision choose career field made.Objective: Since closely linked students’ attitudes towards medicine, we were interested identifying those that predict intended choice medicine.Methods: A cross-sectional study was performed among 316 final-year medical students Ljubljana Medical Faculty Slovenia. The filled out 164-item questionnaire, developed based on European...
Research has repeatedly shown that family physicians fail to diagnose up 70% of patients with common mental disorders. Objective the study is investigate associations between persons' gender, age and educational level detection depression anxiety by their physicians. We compared results two independent observational studies were performed at same time on a representative sample medicine practice attendees in Slovenia. 10710 participated Slovenian Cross-sectional survey 1118 first round...
Objectives: We previously found large variations in general practitioner (GP) hypertension treatment probability oldest-old (>80 years) between countries. wanted to explore whether differences country-specific cardiovascular disease (CVD) burden and life expectancy could explain the differences.Design: This is a survey study using case-vignettes of patients with different comorbidities blood pressure levels. An ecological multilevel model analysis was performed.Setting: GP respondents from...
Family medicine teachers require specific educational skills. A framework for their professional development is essential future of the discipline in Europe. EURACT developed a on expertise, and subsequently applied it curriculum teaching-skills courses various levels. The aim this article to describe teaching framework, an international three-level course programme 'teaching-the-teachers'. Furthermore, we our experiences lessons learned, particular with regard level-three proficient...
Statins are widely used to prevent cardiovascular disease (CVD). With advancing age, the risks of statins might outweigh potential benefits. It is unclear which factors influence general practitioners’ (GPs) advice stop in oldest-old patients. To investigate a history CVD, statin-related side effects, frailty and short life expectancy, on GPs’ We invited GPs participate this case-based survey. were presented with 8 case vignettes describing patients > 80 years using statin, asked whether...
Background. Patients use self-care to relieve symptoms of common colds, yet little is known about the prevalence and patterns across Europe. Methods/Design. In a cross-sectional study 27 primary care practices from 14 countries distributed 120 questionnaires consecutive patients (≥18 years, any reason for consultation). A 27-item questionnaire asked patients' their last cold. Results. 3,074 European sites participated. Their mean age was 46.7 62.5% were females. 99% participants used ≥1...
Cancer survival rates vary widely between European countries, with differences in timeliness of diagnosis thought to be one key reason. There is little evidence on the way which different healthcare systems influence primary care practitioners' (PCPs) referral decisions patients who could have cancer.This study aimed explore PCPs' diagnostic actions (whether or not they perform a test and/or refer specialist) symptoms that due cancer and how across countries.A survey. PCPs were given...
In 1994, as a result of curriculum reform, the Ljubljana medical school established its first department family medicine and introduced medicine. The new subject was well accepted by students school. Nevertheless, there no comprehensive analysis during this period.Our aims were to assess quality teaching based on fulfilled expectations, pre-defined learning objectives satisfaction in 10-year period, measure changes career preference towards medicine.An two sets questionnaires, routinely...
Residents in long-term care are at high risk of infections because their old age and many related health problems that lead to frequent antibiotic prescribing. The aim the study was assess use Slovenian facilities (LTCFs). point-prevalence conducted between April June 2016. Online questionnaires were sent all LTCFs. Eighty (68.4%) 117 LTCFs contacted, caring for 13,032 residents (70.6% LTCF residents), responded survey. On day study, mean prevalence per 2.4% (95% confidence interval:...
AMA Mihevc M, Potočnik T, Zavrnik Č, Petek Šter Klemenc-Ketiš Z, Susič A. Health after the pandemic: investigating risk factors for poorly controlled arterial hypertension and type 2 diabetes among elderly patients in primary care Slovenia. Family Medicine & Primary Care Review. 2024;26(1):67-73. doi:10.5114/fmpcr.2024.134705. APA Mihevc, M., Potočnik, T., Zavrnik, Č., Šter, Klemenc-Ketiš, Z., Susič, (2024). Review, 26(1), 67-73. https://doi.org/10.5114/fmpcr.2024.134705 Chicago Matic, Tina...
Managing type 2 diabetes (T2D) effectively is a considerable challenge. The Appraisal of Diabetes Scale (ADS) has proven valuable in understanding how individuals perceive and cope with their condition. This study aimed to evaluate the psychometric properties Slovenian version ADS (ADS-S). We recruited sample 400 adult T2D from three primary healthcare centers Slovenia, ensuring an average 57 cases per individual item. evaluation included internal consistency, test-retest reliability,...