Salaries of healthcare professionals in the Republic of Croatia are regulated by a series of laws and regulations. A series of regulations defining the salaries and substantive rights of healthcare professionals cannot provide a clear, uniform and complete approach to regulating the subject matter of the law. In addition to the aforementioned issues of employment status, healthcare professionals originate from a standard that is similar and common to all public servants. In doing so, the legislature does not differentiate between a healthcare professional and his profession from an activity that deals with the protection of fundamental human values: the life and health of the individual. It is these core values that should inform not only governmental regulation of salaries and wages but also all other substantive rights, as a pledge for the smooth performance of such a highly responsible service through a clear, unambiguous and norm to precise them.
Objective: Information in critical care environments is distributed across multiple sources, such as paper charts, electronic records, and support personnel. For decision-making tasks, physicians have to seek, gather, filter and organize information from various sources in a timely manner. The objective of this research is to characterize the nature of physicians' information seeking process, and the content and structure of clinical information retrieved during this process. Method: Eight medical intensive care unit physicians provided a verbal think-aloud as they performed a clinical diagnosis task. Verbal descriptions of physicians' activities, sources of information they used, time spent on each information source, and interactions with other clinicians were captured for analysis. The data were analyzed using qualitative and quantitative approaches. Results: We found that the information seeking process was exploratory and iterative and driven by the contextual organization of information. While there was no significant differences between the overall time spent paper or electronic records, there was marginally greater relative information gain (i.e., more unique information retrieved per unit time) from electronic records (t(6) = 1.89, p = 0.1). Additionally, information retrieved from electronic records was at a higher level (i.e., observations and findings) in the knowledge structure than paper records, reflecting differences in the nature of knowledge utilization across resources. Conclusion: A process of local optimization drove the information seeking process: physicians utilized information that maximized their information gain even though it required significantly more cognitive effort. Implications for the design of health information technology solutions that seamlessly integrate information seeking activities within the workflow, such as enriching the clinical information space and supporting efficient clinical reasoning and decision-making, are discussed.
Moje mestoNa severu te male domovine je mesto, kjer sem bil nekoč doma. Nad njim so vidne gozdnate planine in dobra volja vedrega neba. Ker, ko prebiram blažene spomine dekliških sanj in deškega srca, vem, da sem bil, da bom doma na severu te male domovine. Kajetan KovičZbornik posvečamo spominu na spoštovanega kolega, pobudnika in stalnega organizatorja tradicionalnih posvetov »Medicina in pravo » in iskrenemu ter dragemu prijatelju, spoštovanemu mag. Viktorju Planinšcu, univ. dipl. prav. DOI: https://doi.org/10.18690/978-961-286-021-9 ISBN 978-961-286-021-9 © 2017 Univerzitetna založba Univerze v Mariboru Dostopno na: http://press.um.si. © Univerzitetna založba Univerze v MariboruVse pravice pridržane. Brez pisnega dovoljenja založnika je prepovedano reproduciranje, distribuiranje, predelava ali druga uporaba tega dela ali njegovih delov v kakršnemkoli obsegu ali postopku, vključno s fotokopiranjem, tiskanjem ali shranjevanjem v elektronski obliki. Naslov:26. posvet Medicina, pravo in družba: Varnost pacienta in zdravstvenih delavcev (23. - © University of Maribor PressAll rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retriveal system, without permission in writing from the publisher. Povzetek Zdravniki šest let študiramo, da bi lahko začeli opravljati svoj poklic -zdravljenje bolnih ljudi in reševanje njihovih zdravstvenih ali duševnih težav. Kljub zaznanemu zmanjševanju zaupanja v naš poklic, število opravljenih storitev ne upada, naše obremenitve pa se povečujejo iz dneva v dan. S tem pa se povečuje tudi potreba, da tudi sami sprejmemo pomoč, ko se znajdemo v težavah. Ugotavljam, da obstoječe zdravniške organizacije ne pokrivajo vseh potreb po pomoči zdravnikov, zato predlagam ustanovitev zdravniškega ombudsmana. Ta bi zdravnikom nudil predvsem človeško oporo v situacijah, ko težav ne zmore reševati sam. Predstavljam izhodišča delovanja bodočega zdravniškega ombudsmana in jih dajem v razpravo. Abstract Physicians have to study six years to be able to begin to carry out their profession -treatment of sick people and solve their health or mental problems. Despite the perceived reduction of confidence in our profession, the number of patients is not declining and physician's workload is increasing day by day. With this increases the need that they also accept help when having difficulties. The existing medical organizations in Slovenia do not cover the needs for assistance of physicians. The idea for the establishment of the physician's ombudsman has been made to provide particular human and collegial support in situations where problems can not be solved without professional help. Proposals for the future operation of the physician's ombudsman will be presented and open to the discussion. Title Kaj je ombudsmanBeseda ombudsman izvira iz stare norveščine (umboðsmaðr) in v prevodu pomeni predstavnik, to je nek...
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