A5082486755- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare professionals’ stress and burnout
- COVID-19 and healthcare impacts
- Patient Dignity and Privacy
- COVID-19 and Mental Health
- COVID-19 Pandemic Impacts
- Palliative and Oncologic Care
- Child and Adolescent Health
- Healthcare Systems and Public Health
- Pharmaceutical Practices and Patient Outcomes
- Pharmaceutical studies and practices
- Dementia and Cognitive Impairment Research
- Childhood Cancer Survivors' Quality of Life
- Stress and Burnout Research
- Pain Management and Placebo Effect
- Psychological Treatments and Assessments
- Sexual function and dysfunction studies
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Challenges
- Workplace Violence and Bullying
- Healthcare Quality and Management
- Clinical Reasoning and Diagnostic Skills
Medical University Plovdiv
2014-2025
Plovdiv University
2017-2024
Institut Universitari d'Investigació en Atenció Primària Jordi Gol
2017
Government of Western Australia Department of Health
2016
Medical University of Sofia
2013
The aim of this study was to determine the prevalence burnout, and associated factors, amongst family doctors (FDs) in European countries. Methodology. A cross-sectional survey FDs conducted using a custom-designed validated questionnaire which incorporated Maslach Burnout Inventory Human Services Survey (MBI-HSS) as well questions about demographic working experience, health, lifestyle job satisfaction. MBI-HSS scores were analysed three dimensions emotional exhaustion (EE),...
Importance Better understanding of patients’ attitudes toward deprescribing specific medications will inform future interventions. Objective To investigate older adults’ by investigating which they would like to have deprescribed, the reasons why, and patient factors associated with interest in deprescribing. Design, Setting, Participants This survey study was conducted from May 2022 December 2023 primary care settings 14 countries. Patients aged 65 years or taking 5 more were consecutively...
Emerging literature is highlighting the huge toll of COVID-19 pandemic on frontline health workers. However, prior to crisis, wellbeing this group was already concern. The aim paper describe frequency distress and wellbeing, measured by expanded 9-item Mayo Clinic Wellbeing Index (eWBI), among general practitioners/family physicians during identify levers mitigate risk distress. Data were collected means an online self-reported questionnaire GP practices. Statistical analysis performed using...
Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, practitioners (GPs) face obstacles effectively implementing it, with associated factors remaining unclear. The PACE GP/FP study aims explore GPs' attitudes towards PCC facilitating or hindering its implementation daily practice across European countries. This paper outlines protocol. cross-sectional...
<title>Abstract</title> <bold>Background</bold> The COVID-19 pandemic accelerated the use of telemedicine, specifically video consultations as they provide healthcare access in challenging situations where face-to-face encounters are not possible. Nevertheless, it remains largely unknown to what extent organisation general practice and national digital infrastructures have impacted uptake consultations. <bold>Objective</bold> This study examined variation across Europe during explored...
Strategies for the involvement of primary care in management patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes physicians (PCPs) when managing dementia: (i) most popular cognitive tests, (ii) who had right initiate continue cholinesterase inhibitor memantine treatment, and (iii) relationship between permissiveness these rules/guidelines PCP's approach investigations assessment.Key informant survey.Primary practices 25 European...
This paper explores the differences between rural and urban practices in response to COVID-19 pandemic, emphasizing aspects such as management of patient flow, infection prevention control, information processing, communication collaboration. Using a cross-sectional design, data were collected through online PRICOV-19 questionnaire sent general 38 countries. Rural our sample smaller than urban-based practices. They reported an above-average number old multimorbid patients below-average with...
Violence against physicians is not a newly emerged but an increasingly serious problem. Various studies have reported prevalence of up to 90%. If prevented, it only causes physical and mental harm who are dedicated serving humanity also affects the entire healthcare system and, consequently, whole community with its direct indirect effects. Some interventions positive outcome when effectively managed. However, for these be permanent effective, they need multidisciplinary, legally backed...
The COVID-19 vaccination campaign in several European countries involved collaboration between public health and Primary Health Care (PHC).
Background: The vulnerability to burn out is determined by the specific interaction of two domains – personality disposition and complementary anomalies in psychological climate work place. Our basic hypotheses include inferences 3 different, but strongly associated dimensions: traits as measured Temperament Character Inventory (TCI-R) will reveal profiles vs. resilience out; dimensions elicit relevant precipitating factors determining where significant relations between structure, are...
Objective To explore dementia management from a primary care physician perspective.Design One-page seven-item multiple choice questionnaire; free text space for every item; final narrative question of case story. Inductive explorative grounded theory analysis. Derived results in cluster analyses. Appropriateness drugs assessed by tertiary specialist.Setting Twenty-five European General Practice Research Network member countries.Subjects Four hundred and forty-five key informant respondents...
Background While primary care physicians (PCPs) play a key role in cancer detection, they can find diagnosis challenging, and some patients have considerable delays between presentation onward referral. Aim To explore European PCPs’ experiences views on cases where considered that had been slow to think of, or act on, possible diagnosis. Design & setting A multicentre qualitative study, based an online survey with open-ended questions, asking PCPs for their narratives about when missed...
The COVID-19 pandemic posed severe challenges to delivery of services at Primary Care level and for achieving follow-up patients with chronic diseases.
Objectives. General practitioners (GPs) sometimes initiate a treatment despite not expecting it will improve patients’ symptoms by any known physiological mechanism. The frequency, risks, and ethics of these essentially placebo treatments are topic discussion. We aimed to estimate the frequency prescribing across within multiple countries determine whether they related GPs' background characteristics.Design. Observational questionnaire study. Setting. An online distributed GPs in 21...
The adoption of healthy self-care practices has proven necessary for professional life, as they often serve a shield against stressors in the workplace. COVID-19 pandemic created high strain on general practitioners (GPs), contributing to increased workload, burnout, and anxiety. present study aimed identify adopted by GPs amid pandemic; explore relationships between risk distress. current utilized an online questionnaire arriving from PRICOV-19 study, which was distributed among GP across...
IntroductionPrimary healthcare, provided by general practitioners (GPs), is the cornerstone of healthcare reforms in Bulgaria. It difficult to study palliative care primary setting because limited numbers patients and tendency severely ill not participate investigations. The aim this was follow-up consultations order gather information about scope content practice setting.MethodsSpecial observation card developed, which consisted questions related patient's socio-demographic data, duration...
The European General Practice Research Network organized an international research conference on 'Children in Practice' Plovdiv, Bulgaria, May 2010. Two of the authors were keynote speakers at workshop, tasked with summarizing theme presentations each two days meeting. meeting refers to primary aim for timely and high quality health care every child related general practitioners' activities. was important event, especially young doctors investigators from different countries, because they...
SARS-COv-2 or a common COVID-19 infection caught all countries off guard. In just few days, the lives of individuals and functioning societies, starting at smallest, have changed drastically, their health been seriously threatened. Many eyes turned to family doctors who are forefront fight against virus. recent weeks, made highest sacrifice in fight. this extraordinary situation, WONCA Europe many calls managers World Health Organization offices, including our country, wishing that academic...
Abstract Background: Some symptoms are recognised as red flags for cancer, causing the General Practitioner (GP) to refer patient investigation without delay. However, many early of cancer vague and unspecific, in these cases, a delay referral risks diagnosis that is too late. Empowering GPs their management patients may have likely lead more timely diagnoses. Aim: To identify factors affect European GPs’ empowerment making an cancer. Methods: This was Delphi study involving 20 countries. We...
In Bulgaria, the patient is entitled to palliative care in case of incurable disease with an unfavourable prognosis. Palliative provided by family doctor/GP and institutions. Literature on providing scarce. The objective study was investigate opinion general practitioners, medical students, other specialists working institutions care. Method. We have developed a structured questionnaire. Descriptive statistics been calculated for all items. Differences between groups compared using<mml:math...
The management of chronic diseases shall be considered a priority in the work global international institutions, which are related to health policies. In search for effective and efficient solutions treatment diseases, scientists developing different programs. Bulgaria continuous monitoring chronically ill people is defined with term dispensarization. objective research analyze place role patients their how concept quality life relates this process.Method focus groups planned within project...
Objective: With increasing life expectancy increases and chronic morbidity. Health authorities are making efforts to put into effect initiatives for organizing of effective medical monitoring chronically ill patients. In Bulgaria, the tracked according rules on a national level. The goal that we had set in this study was understand disease management process, emphasizing involvement patient, as well quality life. addition studied experience other countries undergoing reforms strategies...