The Frequency and Form of Controls by HIIS over Primary Health Care Physicians in Slovenia

Zafirovski, Aleksandar; Zafirovska, Marija; Rotar-Pavlič, Danica; Sukriev, Ljubin; Zajc, Nino

doi:10.5644/ama2006-124.350

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…GPs in particular complained of excessive control and sanction by the Health Insurance Institute. This is consistent with the studies in which about half of family medicine specialists in Slovenia [ 27 ] and other countries of the former Yugoslavia [ 28 ] reported excessive control and sanction by financing insurance agency.…”

Section: Discussionsupporting

confidence: 91%

Barriers to Inter-Organi<sub>sational Collaboration</sub> in the Preoperative Management of Patients with Osteoarthritis of the Hip or Knee

Hussein¹,

Velikonja²,

Erjavec³

2023

Int J Integr Care

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Introduction: Integrated clinical pathways should provide the best and most efficient treatment. As no study on barriers to inter-organisational collaboration has investigated the barriers to unimplemented integrated clinical care in a country with less efficiently organised health system, the study aimed to identify these barriers in the preoperative management of patients with hip or knee osteoarthritis in Slovenia. Methods:A cross-sectional study was conducted using multiple methods, including a quantitative survey with participants involved in target patient groups, and in-depth interviews with involved key actors at micro, meso and macro levels in Slovenia. Results:Respondents predominantly expressed a lack of inter-organisational collaboration. The exposed barriers are individualistic culture, the level of development of the health system, financing, administration, and regulatory frame at the macro level, shortage of staff at the meso level, and the lack of technological standards, trust, communication, and perception of pressures at the micro level. Discussion and conclusion:In addition to the barriers identified in previous studies, our study shows that individualistic culture and the level of development of the health system at the macro level, manifested as a pressure on health professionals and other actors at the micro level, are important barriers to inter-organisational collaboration.

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Section: Discussionsupporting

confidence: 91%