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Opis: Background: This study aimed to address research gap concerning the perception of the care pathway for knee osteoarthritis (KOA) patients, focusing on both the patient and health professional perspectives in countries with inefficient health systems, such as Slovenia, by examining patient satisfaction with conservative treatment, assessing the perceptions of both patients and health professionals regarding the latter's involvement, and justifying the chosen KOA treatment approaches. Methods: A mixed-methods approach was employed, combining quantitative surveys and qualitative interviews with KOA patients (n = 82) and healthcare professionals (n = 68). Results: The care pathway for conservative KOA treatment in Slovenia begins with general practitioners (GPs), who conduct initial examinations, prescribe analgesics, and refer patients to radiologists and orthopaedic surgeons. GPs received high satisfaction ratings (μ = 4.32). Orthopaedic surgeons, who confirm diagnoses and create treatment plans involving physiotherapy, medication, or joint injections, also received high satisfaction scores (μ = 4.47), despite long waiting times. Consultations with radiologists, mentioned less frequently, again received high satisfaction scores (μ = 4.67). Physiotherapists, consulted later, received high satisfaction scores (μ = 4.16) but long waiting times resurfaced. Referrals to rheumatologists occur for systemic diseases or ineffective conservative treatments. Psychologists, occupational therapists, and dieticians are rarely consulted, indicating limited integration into the treatment pathway. A comparison of health professionals' involvement showed that health professionals consider GP involvement less necessary (μ = 2.47) than patients do (μ = 2.82, p = 0.015). The same applies to radiologists (μ = 2.47 vs. μ = 2.87, p = 0.004), reflecting different views on diagnostic imaging. Our qualitative investigation revealed that, due to long waiting times, an alternative care pathway is developing with orthopaedic surgeons as the initial point of contact, bypassing GPs, and highlighted that patients and healthcare professionals differently perceive the latter's treatment roles. Conclusions: The current conservative KOA care pathway lacks initial lifestyle change advice from the GP, referrals for conservative treatments, and a multidisciplinary team engaged in regular treatment monitoring and adjustment. Our mixed-methods research approach highlighted significant differences in perceptions of the treatment process and the roles of health professionals; the knowledge supplied of those differences should support experts and policymakers to optimise care pathways in Slovenia.
Ključne besede: conservative treatment, health professional involvement, integrated care pathway, knee osteoarthritis, patient satisfaction, Slovenia
Objavljeno v ReVIS: 24.12.2024; Ogledov: 653; Prenosov: 6
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Ključne besede: sustainability, marketing, communication, consumers, attitudes, proenvironmental behaviour, Slovenia
Objavljeno v ReVIS: 04.09.2024; Ogledov: 789; Prenosov: 4
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Opis: In countries with a long tradition of folk herbal medicine that is not integrated into the health system, consumer interest in medicinal herbs has increased. Considering the lack of knowledge about the factors influencing the use of medicinal herbs, the aim of this study was to identify the most important factors of herbal use in Slovenia. Factors were assessed in June 2023 using a nationwide sample (N = 508). Results show that almost half of the respondents are not familiar with medicinal herbs, however, 86% use them at least a few times a year. The “familiarity with medicinal herbs” had the strongest direct effect on the use of medicinal herbs, followed by the “social impact of the herbalist” and the “perceived usefulness of medicinal herbs.” There is a need to create a new approach to integrative medicine policy and the use of medicinal herbs in Slovenia by developing educational programs, training professionals, establishing guidelines for the safe and effective use of herbs, and advocating for reimbursement by health insurance companies.
Ključne besede: uporaba zelišč, poznavanje, enostavnost uporabe, družbeni vpliv
Objavljeno v ReVIS: 27.03.2024; Ogledov: 1073; Prenosov: 13
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Opis: Purpose – The study aims to identify the needs, barriers, and measures relevant for the revitalization of the herbal market in Slovenia. Design/Methodology/Approach – A mixed-methods approach was used in the study, with a quantitative online survey of Slovenian herbalists (N = 217) and in-depth interviews conducted with key Slovenian stakeholders in the field of herbalism (N = 18). Findings and Implications – Most Slovenian herbalists grow herbs as a hobby or as a supplementary farm activity; they have little land for growing herbs and thus also generate a low income. Most of them sell their products directly to consumers, with only one tenth selling herbs to retailers. As many as three quarters of the respondents are not a part of any organization which, along with lower prices, is the main barrier to a market revitalization. The in-depth interviews revealed a lack of interest in collaboration among herbalists because they find the existing situation to be sufficient to a certain extent, as demand is greater than their supply. The results show no evidence of an herbal market as it existed before Slovenia’s independence. Limitations – Since there is no census of Slovenian herbalists, the sample is not representative. Originality – There is a lack of understanding of the barriers to and measures for revitalizing the herbal market, especially in developed countries whose market was well developed decades ago, such as Slovenia.
Ključne besede: herbs, market, Slovenia, barriers
Objavljeno v ReVIS: 08.01.2024; Ogledov: 1606; Prenosov: 31
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Opis: Staff turnover in long-term care (LTC) is considered one of the main causes of staff shortages and a key problem for LTC systems in the developed world. Factors affecting staff turnover in LTC facilities are poorly understood due to a fragmented approach. The aim of this study was to use multivariate analysis to identify the factors at the macro-, meso-, and micro-level that influence LTC workers’ turnover in Slovenia, a typical Central and Eastern European country. A correlational cross-sectional survey design with a self-reported online questionnaire was used among Slovenian LTC workers (N = 452). The results show that more than half of LTC workers intend to quit their jobs and leave the LTC sector. LTC workers who intend to leave are generally younger, have worked in the LTC sector for a shorter period, are mainly employed in the public sector, especially in nursing homes, and earn less. The connection between the intention to leave and the factors at the macro-, meso-, and micro-level is very high. Over 75% of the variance of intention to leave was explained by the linear influence of sociodemographic characteristics, social recognition, and work environment. Urgent measures for improving the work environment are needed.
Ključne besede: long-term care, elderly care, staff turnover, social recognition, working environment
Objavljeno v ReVIS: 01.09.2023; Ogledov: 1503; Prenosov: 27
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