Projekt referencnih ambulant druzinske medicine v Sloveniji

Background: Primary health care has undergone great changes as a consequence of demographic changes, growing patients awareness and organizational changes in the healthcare system. Declining interest in family medicine specialization further worsens the situation. In the period of lack of GPs and their overloading, it is necessary to include a diploma graduate nurse in the team of GPs and to dene competencies and activities in such a way that encourage more active approach to the patients, meeting the indicators of quality. The purpose of the article is to describe the project of model practice in Slovenia and to present some results. Methods: A model practice introduces a new concept in the areas of human resource standards (to existing team, a diploma graduate nurse is included on a part-time basis); work competences (use of protocols for the treatment of chronic patients, extended and well-dened preventive screenings, establishing registers of chronic patients and assessing quality by means of quality indicators) and work management (redistribution of workload ). Results: Due to great interest of general practitioners, a total of 271 model practices were introduced in 2011 and 2012. MPs have been distributed evenly through dierent regions in Slovenia. Registers of patients with chronic diseases (COPD, asthma and diabetes) have been established and during the preventive screening, on average 2 patients with a chronic disease and 15 patients with risk factors have been detected. Patients are treated actively according to their needs rather than their preferences. Conclusions: The project of MPs enables a high quality and cost eectiveness of patients treatment in family medicine. With a gradual introducing of new MPs, a well planed and monitored patients care will be implemented in the practice. In a long run, disburdening of a secondary care level and more rational consumption of drugs are expected. [PUBLICATION ABSTRACT]