Aim of the study: to evaluate competence of school health care specialists in Kaunas. Objectives: 1. to evaluate professional competence; 2. to evaluate personal and social competence; 3. to determine the factors related to competence evaluation. Methods: The object of the research – competence of school health care specialists. Three levels of competence – professional, personal and social – are evaluated. Methods – 1. review of scientific literature; 2. juridical paper analysis; 3. questionnaire survey; 4. statistical data analysis (Spearman correlation coefficient, t – test, descriptive statistics. Results: The analysis of professional knowledge self-assessment of separate functions showed that 10 functions out of 17 were evaluated by 4 points and over. Total evaluation of knowledge of all 17 functions was 67,9±8,8 points out of 85 points possible. The analysis of professional skills self-assessment showed that skills of 9 functions out of 17 were evaluated by 4 points and over. Total evaluation of professional skills was 64,6±10,2 points out of 85 points possible. The evaluation of personal competence showed that respondents gave 4 points and over to 3 personal features out of 8 features possible. Total evaluation of personal competence was 31,7±4,3 points out of 40 points possible. The analysis of social competence evaluation showed that 2 out of 5 social features were evaluated by 4 points and over. Total evaluation of social competence reached 19,5±2,7... [to full text]

SUMMARY With changing public attitude to health and health care, health indicators and health care priorities are changing too. This situation is increasing special demands for health care system and for schoolchildren health care in schools too. Health care situation in schools has changed, because become popular to think that school was responsible for schoolchildren health education but not for their treatment (Vienonen, Springett, 1998/1999). Health indicators of children and young people are going lower (Juskelienė, Kalibatas, 2003). We have to pay a big attention to children and youth health service. Aim of study – to analyze school nurses view of schoolchildren health care and it‘s developing possibilities. Objectives: 1. To reveal schoolchildren health problems in a view or school nurses. 2. To analyze school nurses problems in a process of their work. 3. To present schoolchildren health care developing possibilities/ways. Methods. This research methodology consists of theoretical analysis (scientific literature and documents) and written questionnaire with quantitative data analysis. The questionnaire was answered by 202 school nurses from the biggest Lithuania cities (Vilnius, Kaunas, Klaipeda, Siauliai, Panevezys) schools. The written questionnaire was analyzed using descriptive statistics methods, counting average of respondents opinion, discriminantive analysis. The SPSS 12.0 (Statistical Package for Social Sciences) was using for data analysis. Results... [to full text]

Darbo tikslas - Ištirti mieto ir kaimo pirminės sveikatos priežiūros centrų teikiamų paslaugų prieinamumą pacientų požiūriu. Darbo uždaviniai:1) Ištirti pacientų pasitenkinimą teikiamomis pirminiuose sveikatos priežiūros centrų paslaugomis; 2) Nustatyti veiksnius, turėjusius įtakos nepakankamam sveikatos priežiūros paslaugų prieinamumui. 3) Palyginti kaimo ir miesto pirminių sveikatos priežiūros centrų paslaugų prieinamumą pacientų požiūriu. 4) Pateikti praktines rekomendacija šių centrų darbo kokybei pagerinti. Tyrimo metodika. 2007 metų sausio 3 – balandžio 15 dienomis Kauno Centro poliklinikoje ir Simno poliklinikoje Alytaus rajone vyko anoniminė anketinė apklausa. Jos metu apklausta 510 pacientų, kurie laukė eilė pas savo šeimos gydytoją. Statistinė duomenų analizė buvo atliekama naudojant kompiuterinį paketą SPSS 10, 0 versijos statistinį duomenų analizės paketą bei Excel duomenų analizės paketą. Skirtumai buvo laikomi statistikai patikimi kai apskaičiuotoji p reikšmė neviršijo 0,05. Rezultatai. 45 proc. respondentų buvo patenkinti gydytojo teikiama pagalba. Dažniausios nepasitenkinimo priežastys gydytojo darbu buvotos, jog reikėjo ilgai laukti, kol pateko pas gydytoją (58 proc.), nebuvo reikalingų gydytojų – specialistų PSP įstaigoje(57 proc.) bei nepakankamai suteikė informacijos apie gydymosi galimybes (56 proc.), sveikatos būklę bei gydymą (51 proc.). Dauguma tyrime dalyvavusių pacientų buvo nepatenkinti PSP teikiamomis paslaugomis. Juos vargino eilės prie... [toliau žr. visą tekstą] / Aim. To evaluate accessibility, satisfaction on patients’ quality of health services in primary health care centers in rural and urban settings in Lithuania. Research objectives were as following: 1) to establish patient’s satisfaction in primary health care centers; 2) to identify what factors affects the poor accessibility to health care; 3) to compare opinion, attitudes of patients on health care services in urban and rural settings. Methods. Two samples of respondents (patients of one primary health care center in small rural town Simnas and one in big city Kaunas) were selected. Anonymous questionnaire was filled in by 308 patients in Simnas (Primary Health care Centre) and 202 in Kaunas (Central Policlinic), response rate was 77% and 26%, respectively. Questionnaire form was developed by the authors has covered 31 question on different issues of quality of health care services: health status and reasons of visit to health care center; different issues on accessibility to health services (waiting time, registration for services, transportation and distance), satisfaction by competencies of physician, reasons of dissatisfaction, satisfaction by services provided by the health care institution. SPSS 10,0 and Excel statistical packages were used for making statistical data anlysis. Statistically significant difference was established when p<0,05. Results. 45 % of respondents were satisfied by the competencies of their family doctors. 58% of patients were not satisfied by... [to full text]

Darbo tikslas. Įvertinti šeimos gydytojų požiūrį į akušerinės – ginekologinės pagalbos paslaugas, teikiamas pirminėje sveikatos priežiūros grandyje. Uždaviniai. 1. Įvertinti šeimos gydytojų požiūrį į akušerinės – ginekologinės pagalbos organizavimo pokyčius. 2. Nustatyti šeimos gydytojų teikiamų akušerinės – ginekologinės pagalbos paslaugų apimtį pirminėje sveikatos priežiūros grandyje. 3. Nustatyti problemas, su kuriomis susiduria šeimos gydytojai, teikdami akušerinės – ginekologinės pagalbos paslaugas savo bendruomenės moterims. Tyrimo metodika. Tyrimo objektas: Kauno mieste dirbančių šeimos gydytojų požiūris į jų teikiamas akušerinės – ginekologinės pagalbos paslaugas. Tyrimo metodai: Anoniminė anketinė šeimos gydytojų apklausa. Anketa išplatinta visiems Kauno miesto šeimos gydytojams (n = 220). Atsakas – 90,9 proc. Statistinė duomenų analizė atlikta SPSS – 13 programa. Rezultatai. Moterų piktybinių navikų prevencijos vykdymo ir moterų raštingumo lytinės higienos ir šeimos planavimo klausimais priskyrimą šeimos medicinos institucijai teigiamai vertino 96 proc. visų respondentų, nėščiųjų stebėsenos - 58 proc., ginekologinių paslaugų - 64 proc. Privačiose pirminės sveikatos priežiūros įstaigose ( PSPĮ) dirbančių šeimos gydytojų teikiamų akušerinių – ginekologinių paslaugų apimtis (išskyrus klimakterinių simptomų diagnostiką) yra didesnė nei VŠĮ dirbančių šeimos gydytojų. Statistiškai reikšmingi skirtumai nustatyti teikiant šias paslaugas: tepinėlio iš gimdos kaklelio... [toliau žr. visą tekstą] / Aim of the study. To evaluate family physicians’ attitudes towards obstetric-gynecological services provided in primary health care settings. Objectives. 1. To evaluate family physicians’ attitudes towards changes in the organization of obstetric-gynecological servises. 2. To determine the extent of obstetric-gynecological services provided by family physicians in primary health care level. 3. To identify the problems family physicians encounter when providing obstetric-gynecological services . Methods. Anonymous questionnaire-based survey of family physicians was carried out in Kaunas city (n = 220). The response rate was 90.9%. Statistical data analysis was performed using SPSS v.13 software package. Results. The attribution of cancer prevention among women and women’s literacy in sexual hygiene- and family planning-related issues to the institution of family medicine was positively evaluated by 96% of respondents, the attribution of the monitoring of pregnant women – by 58% and the attribution of gynecological services – by 64% of respondents. The extent of obstetric-gynecological services (except for the diagnostics of menopausal symptoms) provided by family physicians working in private primary health care institutions (PHCI) exceeded that provided by family physicians working in public PHCI. Statistically significant differences were detected in the provision of the following services: cervical smear (a service provided by 82.2% of family physicians in private... [to full text]

Magistro darbe nagrinėjama Europos Bendrijos teisės aktų teisėtumo priežiūros tema. Jos svarbą lemia ta aplinkybė, kad EB institucijos yra įpareigotos priimti tik teisėtus aktus ir negali išvengti savo priimtų teisės aktų teisėtumo priežiūros. EB teisės aktų teisėtumas yra tikrinamas trijose pagrindinėse procedūrose – ieškinyje dėl teisės akto panaikinimo (EB sutarties 230 str.), preliminariame nutarime dėl teisės akto galiojimo (234 str.) ir prašyme dėl teisės akto netaikymo (241 str.). Šių procedūrų skirtumai bei ypatybės ir sudaro šio darbo objektą. Magistro darbas susideda iš trijų dalių. Pirmojoje yra aptariama EB tiesės aktų teisėtumo priežiūros funkcijų svarba. Šios funkcijos yra patikėtos Europos Teisingumo Teismui ir Pirmosios instancijos teismui, kurie turi užtikrinti tiek EB institucijų kontrolę, tiek efektyvią privačių asmenų teisių apsaugą. Antrojoje darbo dalyje yra analizuojami atskiri teisėtumo priežiūros procedūrų skirtumai – kokios yra privačių asmenų, valstybių narių ir EB institucijų galimybės inicijuoti minėtas procedūras, kokių EB institucijų ir kurių rūšių teisės aktų teisėtumas gali būti tikrinamas, kokie yra senaties terminai procedūroms pradėti, kokie yra ETT ir PIT sprendimų, priimtų teisėtumo priežiūros procedūrose, teisinių pasekmių skirtumai. Ypatingas dėmesys nagrinėjant teisėtumo kontrolės procedūrų skirtumus yra skiriamas privačių asmenų teisėms. Trečiojoje magistro darbo dalyje yra aptariamas teisėtumo priežiūros procedūrų tarpusavio... [to full text] / This diploma work deals with the issues of the review of the legality of European Community acts. The importance of this theme is based on the grounds that all Community institutions are obliged to adopt only legal measures and cannot avoid the review of their acts. There are three main procedures in which the legality of EC acts may be challenged – an action for annulment (article 230 of EC Treaty), a plea of illegality (article 241) and a preliminary ruling on validity of a Community act (article 234). The differences and specific features of these procedures constitute an object of this work. The diploma work is diveded in three parts. The first part concerns the necessity of functions of review of the legality of EC measures. These functions are entrusted to Community judicature – the Court of Justice and the Court of First Instance – and must ensure the control of EC institutions and the effective protection of the rights of private parties as well. In the second part of this work it is analysed what are the possibilities of private parties, member states and EC institutions to initiate each of the mentioned procedure, what types of acts and of which institutions are susceptible to judicial review, what are the time limits to bring proceedings, what are the grounds of illegality of EC measures and what are the effects of decisions given by Community courts in the procedures of judicial review. The special attention in examining the differences between the procedures is... [to full text]

Aim of the study – to assess the implementation of the right to health information of pregnant women and to analyze the differences of its practice between services of general practitioners and obstetricians - gynecologists. Methods. The anonymous survey of women within the third trimester of pregnancy performed since August to December 2004. A sample included 120 pregnant women who were consulted by the general practitioners in the Family Clinics of Kaunas University of Medicine and 124 pregnant women within the consultations with obstetricians - gynecologists in maternity clinic of Dainava health center. Respectively, the response rate was 80% (N=96) in Family Clinics and 82.3% (N=102) in Dainava health center. The right to health information of the pregnant women was evaluated accordingly to actual Lithuanian laws. Results. Less than half of respondents (48.5%) acknowledged the Law on Patients’ Rights and the Reimbursement of Harm. The half of respondents were familiar with ability to copy their medical documents, nearly half of respondents were in part familiar about available services and opportunities to use it. One of four respondents indicated as unsatisfied with medical information during the consultations, while feeling the lack of proper information provided by physicians and rare negotiations about health examination and procedures. One of three respondents stated that physician presented them only the most important aspects of their pregnancy and health status... [to full text]

SUMMARY Management of Public Health THE PATIENTS’ ACCESSIBILITY AND SATISFACTION WITH PRIMARY HEALTH CARE SERVICE IN PANEVEZYS RURAL DISTRICT Violeta Grigiene Supervisor Jadvyga Petrauskienė, Dr. Sc., Prof., Department of Social medicine, Faculty of Public Health, Kaunas University of Medicine, - Kaunas, 2005. P.64. The aim. To evaluate the patients’ accessibility and satisfaction with primary health care service in Panevezys rural district. Methods. The anonymous questionnaire study was performed among the patients in Panevezys rural district’s outpatient clinic and its departments (office of Paistrys general practitioner and Smilgiai dispansary). 400 patients participated in the study, 359 answered the questionnaire (response rate 89%). Statistical analysis was performed using MS EXCEL 2000 standard statistical programming packets. Results. The results indicated that waiting times in dispensary were shorter to compare with the patients from outpatient clinic, at the registration room (70.2%), at the physician room (61.7%), 71.8% waist less time to access health care institution. But the patients in outpatient clinic have better access to necessary drugs as compared to dispensary (40.4% and 20.2%, respectively). The majority of the respondents (76.0% in dispensary and 80.7% in outpatient clinic) preferred the physician would live and work more close to the living place. The registrations by telephone rates were as twice higher among the outpatient clinic patients as... [to full text]

SUMMARY Management of Public Health PATIENTS‘ SATISFACTION WITH IN-PATIENT HEALTH CARE SERVICES IN TAURAGĖ COUNTY HOSPITAL Saulius Jančys Supervisor Jurgita Vladičkienė, Department of Social Medicine. Faculty of Public Health, Kaunas University of Medicine. - Kaunas, 2005.- P.53 Aim of the study. To evaluate patients’ satisfaction with in-patient health care services. Methods. 20 questions anonymous questionnaire have been used in the study. 179 patients aged 18 and older have been surveyed. Statistic data analysis has been made, using SPSS 10.0 version. Results. Response rate of the surveyed patients was 85%. 70.4% of the participants were woman aged 18 and older. Most of the respondents had basic (40.8%) and secondary (29.6%) education. 82% of the patients were informed about their treatment, results of investigations and diagnose by medical personnel and 93.3% were interested in such information. More than one third of the patients (35.6%) assumed that responsibility for the treatment lies on doctor, and 5.6% maintained that patient is responsible for the treatment. 83.8% of the respondents trust in their doctors’ completely. 68% of the patients suggests that only doctor make decision on his treatment. Communication of staff members was acceptable for 97.2% of the patients. 88.3% of the patients were satisfied with in-patient health care services. 33.5% of the respondents evaluated health care services as very good, 59.2% - as good. 90.5% of the respondents would... [to full text]

The aim of the study: To evaluate accessibility and quality of health care services in urban and countryside areas. Objectives of the study: · Review of juridical acts that determine services of primary health care and their quality; · Analysis of health care sector of Marijampolė Municipality; · Comparison of accessibility and quality of health care services provided by health care institutions in urban and countryside areas from patients point of view. Investigation methods: Systemic analysis of scientific literature and periodical editions; review of juridical acts and juridical documents; analysis of a sociological survey – anonymous inquiry by a questionnaire. The patients were questionared by Marijampolė Municipality PHC institutions in urban and countryside areas. 300 questionnaires were delivered, 300 respondents answered the questions (response rate 100%). Statistical data analysis was carried out on the basis of program package SPSS 10. Correlation between peculiarities was estimated according to the Chi square criterion test (χ2). As the basis for hypotheses checking was chosen significance level equal to 0,05 or less. Results. The majority of respondents evaluated primary health care from the communication point of view and organization as satisfactory. The bigger part of respondents did not face any problems in: arrival to PHC institution (76,9%), 74,4% of the respondents had to spend not long at the receptionists, spent less time in the waiting hall (57,9%). 8... [to full text]

Darbo tikslas: Įvertinti sveikatos priežiūros paslaugas Jurbarko rajono mokyklose mokytojų ir visuomenės sveikatos specialistų požiūriu. Uždaviniai.1.Įvertinti mokytojų požiūrį į moksleivių sveikatą ir teikiamas sveikatos priežiūros paslaugas mokykloje. 2. Įvertinti mokyklų visuomenės sveikatos specialistų nuomonę apie sveikatos priežiūros paslaugų organizavimo problemas. 3. Palyginti sveikatos priežiūros paslaugų organizavimą Jurbarko rajono miesto ir kaimo vietovių bendrojo lavinimo mokyklose. Metodika. Jurbarko rajono bendrojo lavinimo mokyklose atlikta anketinė mokytojų apklausa. Išdalinta 600 anketų. Anketas grąžino 360 respondentų (60,0 proc.). Buvo vertinamas mokytojų požiūris į sveikatos priežiūros paslaugų poreikį mokykloje ir visuomenės sveikatos priežiūros specialisto veiklą. Visuomenės sveikatos priežiūros specialistų nuomonės tyrimui panaudotas kokybinis tikslinių grupių apklausos metodas. Kiekybinio tyrimo duomenys apdoroti panaudojant specializuotą duomenų tvarkymo ir statistinės analizės paketą SPSS 16.0. Rezultatai. 70,2 proc. miesto ir 47,0 proc. kaimo mokytojų mokinių sveikatą vertino patenkinamai. Atitinkamai 78,1 ir 56,9 proc. mokytojų mano, kad mokinių sveikata blogėja. Tik šiek tiek visuomenės sveikatos specialisto funkcijas žino 55,3 proc. miesto ir 65,3 proc. kaimo mokytojų. 9,0 proc. mokytojų nežino specialisto funkcijų. 42,6 proc. kaimo mokytojų vertina sveikatos priežiūros paslaugų prieinamumą mokykloje kaip nepakankamą. 89,0 proc.mokytojų visas... [toliau žr. visą tekstą] / Aim of the study: to conduct survey among teachers and medical staff of school health services and to evaluate provision of health care services in public schools of Jurbarkas district. Objectives: 1. To evaluate the attitudes of teachers on provision of health care services in schools. 2. To evaluate the opinion of schools’ public health specialists about the problems of provision of health care services at schools. 3. To compare the health care services organization between the general education schools in urban and rural areas in the Jurbarkas district. Methods. Questionnaire survey of teachers was conducted in the general schools of Jurbarkas district. 600 questionnaires were distributed. 360 respondents filled in and returned questionnaires (response rate - 60.0%). Teachers’ opinions on health care needs in school and public functions of health care specialist of school was evaluated by conducting questionnaire survey. Also qualitative research method – focus group discussion - was applied in order to get deeper insight into the issues of provision of health cares services at school. The quantitative survey data was processed through a specialized data management and statistical analysis package SPSS-16.0. Results. 70.2% urban and 47.0% rural teachers assessed the students' health satisfactory. Respectively, 78.1% and 56.9% teachers believe that students' health is deteriorating. 60.0% of teachers indicated pupils’ health care as an important problem. Only some... [to full text]