Psihosocialne perspektive dela zdravnika družinske medicine Wonca Dunaj
QUALITY EVALUATION OF PSYCHOSOCIAL DIMENSION IN FAMILY MEDICINE REVIEW University of Ljubljana, Medical Faculty, Family Medicine Department, Slovenia Irena Makivic, Janko Kersnik Method Results Our aim was to make a systematic overview of Some of articles were measuring quality of health published literature on psychosocial dimensions of (care) or outcomes, quality of life, patient centered family practice. care, holistic or (bio)psychosocial approach and From all 743 hits from Pubmed, Google Scholar, some papers were focusing on preventive aspects of EBSCOHost, JSTORE, Cochrane Library, OVID primary care (health promotion, avoiding MEDLINE, Embase, All EMB Reviews and PSYCInfo, hospitalization, prevention or physical activity). according to inclusion criteria 68 articles were selected. Detailed reading of those articles gave us 36 final hits for the purpose of this review. Findings have shown that adult respondents who reported a primary care physician rather than a While searching online with bulling operators, specialist as their regular source of care had lower selecting criteria was, that article contains mortality and lower health care costs. The themes something on: holistic medicine, quality indicators, on patient-centered, behavioural or psychosocial family medicine, patient-centered care and/or bio- medicine are rather good presented in several psycho-social model of the treatment. We did not papers. But there has been little evidence about the include articles, which were not related to family quality of these approaches. medicine or did not measure quality indicators. We also excluded papers about education and educational programs. Although the psychosocial Type of studies N % model is so broad, we excluded papers relating to palliative nursing and articles on alternative Randomised controlled trial 10 27,8 medicine. Included papers concerning the Meta-analysis 1 2,8 prevention methods, communication between the Cross-sectional studies 12 33,3 doctors and the patients, holistic approach and Case-control 3 8,3 holistic healing, chronic disease management and Qualitative study 10 27,8 evidence based medicine. Total number od studies 36 100Conclusions→Little evidence about the quality of those approaches to patient and family medicine.→The problem on one hand is because of poor definition of psychosocial approach.→On the other hand the problem lies within quality indicators.→Little evidence about quality of psychosocial approach available in the literature, so further studies areneeded.→It would be necessary to research the field of doctors’ holistic approach or doctors’ psychosociallyorientation that influences the cooperation between the doctor and the patient, and quality outcomes of thetreatment and the healing process as well.