Barriers and facilitators for implementation of family medicine–oriented model of primary care in <scp>B</scp>osnia and <scp>H</scp>erzegovina: <scp>A</scp> qualitative study

Račić, Maja; Pekez-Pavliško, Tanja; Joković, Sandra

doi:10.1002/hpm.2470

Cited by 13 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…COREQ guideline (Consolidated Criteria for Conducting and Reporting Qualitative Research), 32‐item checklist, was used for structuring and reporting the study . Interview Guide (Table ) was created by investigators based on previous research and was finalized after pilot FG with a group of six nurses, representing the baccalaureate nurses to be involved in the main study. Questions were open‐ended, semi‐structured, reflective, answerable, and nondirective.…”

Section: Methodsmentioning

confidence: 99%

Perceptions, attitudes, and expectation of baccalaureate nurses toward position of nursing in Bosnia and Herzegovina

Račić

Pavlović

Hadživuković

et al. 2019

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

Summary Introduction Numerous challenges and barriers have emerged since changing the minimum requirement for those interested in pursuing employment as a nurse in Europe to a baccalaureate degree. To analyze the perceptions of baccalaureate nurses regarding the current status of their profession and the issues involved in implementing the prerequisite of earning a baccalaureate degree in order to practice as nurses in Bosnia and Herzegovina. Methods A series of six focus groups were undertaken with 49 baccalaureate nurses employed in primary health care centers and regional hospitals. The focus groups were recorded and transcribed verbatim. Data collected were analyzed using conventional content analysis approach. Results Baccalaureate nurses report dissatisfaction with their level of autonomy and anxiety over their limited career opportunities. They expressed concern over difficult working conditions, inadequate financial compensation, and ongoing resistance by physicians as the primary barriers to implementing advanced nursing education and professional reform. The global image of the nursing profession is negative. Conclusion The perception is that revising the legal framework regarding nursing qualifications, duties, and standards will result in reform necessary to positively affect the during profession. Progress toward implementing reform of the nursing profession is negligible. Addressing barriers such as work environment, lack of job classification, fair payment, autonomy, and interdisciplinary collaboration toward the competences of baccalaureate nurse is essential if successful reform is to occur.

show abstract

Section: Methodsmentioning

confidence: 99%

Perceptions, attitudes, and expectation of baccalaureate nurses toward position of nursing in Bosnia and Herzegovina

Račić

Pavlović

Hadživuković

et al. 2019

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

show abstract

“…Similar findings were also reported by other authors; Arasu et al [9] reported on general practitioners' acknowledgment of the importance of weight and lifestyle management in PCOS, but their practices were influenced by various barriers (time constraints, lack of financial reimbursement, weight management being professionally unrewarding, perceived lack of patient motivation, costs of accessing allied health professionals and their unavailability in certain locations). While we did not examine such factors in our study, at least some of the above-mentioned barriers could easily be recognized as present in our health care system as well and were indeed reported in the recent study investigating factors influencing the implementation of family medicine in Bosnia and Herzegovina [39] . Three participants reported advising vitamin D supplements.…”

Section: Discussionmentioning

confidence: 85%

Lifestyle management of polycystic ovary syndrome: a single-center study in Bosnia and Herzegovina

et al. 2020

View full text Add to dashboard Cite

Background Polycystic ovary syndrome (PCOS) is a complex endocrinopathy affecting up to 20% of pre-menopausal women. The most recent international guidelines set lifestyle management as the cornerstone of the PCOS treatment. Still, there is a paucity of data on the implementation of lifestyle management in clinical practice. This cross-sectional study aimed to explore physicians-reported practices in PCOS lifestyle management in the Sarajevo Canton, Bosnia and Herzegovina (BiH). The profession of dietetics is not legally recognized in BiH. Nutritional interventions in health promotion and disease treatment are provided by medical professionals. Methods Data were collected by a paper-based questionnaire distributed during March-May 2018 in the Public Institution Health Centre of Sarajevo Canton. Results Forty-six physicians (response rate of 80.7%) completed the questionnaire. An initial treatment plan based solely on lifestyle measures (diet + physical activity), as recommended by current guidelines was reported by 34.8% of physicians. Although dietary interventions were rated as highly relevant in PCOS management by the vast majority of physicians, only one-half reported recording patients' adherence and 45.7% of physicians were unsure of the effectiveness of the lifestyle interventions in their patients. Conclusion PCOS lifestyle management in the study setting is sub-optimal. Additional education on effective PCOS lifestyle management strategies would be beneficial, especially for physicians with less than 15 years in practice. Possible obstacles to better physicians' engagement in PCOS lifestyle management should be further investigated.

show abstract

“…The scores in these domains may have been better in other countries in comparison to Bosnia and Herzegovina due to differences in primary health care system organization. First, primary care reform in Bosnia and Herzegovina is still not complete, and healthcare delivery calls for improvement ( 29 ). Following the trend in Western European countries, governmental institutions could transfer tasks from the medical to the nursing profession by employing a higher number of nurses with a bachelor’s degree, well-trained to provide chronic patient care.…”

Section: Discussionmentioning

confidence: 99%

Validation and the Reliability of the ACIC Questionnaire in the Primary Health Care Setting

Pilipović-Broćeta

Vasiljević

Todorović

et al. 2023

ama

Self Cite

View full text Add to dashboard Cite

Objective. The aim of this study was to carry out the cultural adaptation and validation of the Assessment of Chronic Illness Care questionnaire (ACIC) in the Republika Srpska, Bosnia and Herzegovina.Methods. A validation study was conducted in two randomly selected primary health care centers in the Republika Srpska, Bosnia and Herzegovina, during March and April 2016. The study participants were all physicians working in family medicine departments during the study. Translation of the ACIC questionnaire version 3.5 was performed following the guidelines of the World Health Organization. The validity and reliability of the questionnaire were tested with face validity, construct validity, and internal consistency.Results. The questionnaire was distributed to 66 family physicians. Missing values were negligible, therefore the criteria for factor analysis were met. Exploratory factor analysis confirmed that the questionnaire measured one factor. The Cronbach alpha coefficient (0.970) showed the excellent level of internal consistency of the questionnaire. The intraclass correlation coefficient (0.802) confirmed the good reliability of the questionnaire.Conclusion. The ACIC questionnaire can be used to assess the quality of chronic care in family medicine practice in Bosnia and Herzegovina. Further research is needed to explore how changes in healthcare care delivery impact changes in the Chronic Care Model domain.

show abstract

Barriers and facilitators for implementation of family medicine–oriented model of primary care in Bosnia and Herzegovina: A qualitative study

Cited by 13 publications

References 33 publications

Perceptions, attitudes, and expectation of baccalaureate nurses toward position of nursing in Bosnia and Herzegovina

Perceptions, attitudes, and expectation of baccalaureate nurses toward position of nursing in Bosnia and Herzegovina

Lifestyle management of polycystic ovary syndrome: a single-center study in Bosnia and Herzegovina

Validation and the Reliability of the ACIC Questionnaire in the Primary Health Care Setting

Contact Info

Product

Resources

About