Przeglądanie według Autor "Hubert-Lutecka, Agnieszka"

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Analiza wybranych działań prozdrowotnych w codziennej praktyce lekarzy podstawowej opieki zdrowotnej na terenie województwa podkarpackiego
(Uniwersytet Rzeszowski, 2024-10-03) Hubert-Lutecka, Agnieszka
Głównym celem pracy była ocena częstości udzielanego przez lekarzy POZ poradnictwa z zakresu sposobu odżywiania się, aktywności fizycznej i kontroli masy ciała u dorosłych pacjentów, z perspektywy lekarzy i pacjentów. Badanie przeprowadzono metodą sondażu diagnostycznego z wykorzystaniem techniki wywiadu i ankiety, przy użyciu narzędzi badawczych stanowiących dwa anonimowe kwestionariusze ankiety: standaryzowany kwestionariusz ankiety przeznaczony dla lekarzy POZ oraz autorski kwestionariusz ankiety przeznaczony dla pacjentów. Badaną próbę stanowili lekarze POZ i świadczeniobiorcy usług zdrowotnych z zakresu podstawowej opieki zdrowotnej, mieszkańcy obszaru województwa podkarpackiego podzielonego na 25 powiatów. W badaniu wzięło udział 309 lekarzy POZ oraz 1023 pacjentów korzystających z porad lekarza POZ praktykującego w wylosowanej placówce. Prawie wszyscy lekarze POZ objęci badaniem, deklarowali dokonywanie oceny sposobu odżywiania, aktywności fizycznej i wskaźnika BMI oraz udzielanie poradnictwa w tym zakresie. Wiek, płeć i BMI lekarza POZ miały wpływ na częstość oceny diety, aktywności fizycznej i kontroli masy pacjentów oraz na częstość udzielanego przez nich poradnictwa (p<0,05). Większość pacjentów objętych badaniem wskazała, że lekarz POZ nigdy nie oceniał ich diety/sposobu odżywiania, poziomu aktywności fizycznej, ani wskaźnika BMI. Lekarze POZ istotnie częściej deklarowali, że oceniają dietę i aktywność fizyczną pacjentów oraz udzielają porad z tego zakresu, niż pacjenci potwierdzali dokonywanie takiej oceny i udzielanie wspomnianego poradnictwa.
Behaviors, attitudes and opinions of medical students in the field of smoking and anti-smoking counseling in two countries of Central and Eastern Europe
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Hejda, Paulina; Hubert-Lutecka, Agnieszka; Chmiel, Zdzisława; Sidor, Adam; Iwanowicz-Palus, Grażyna; Żal, Marcin; Koryl, Agnieszka; Binkowska-Bury, Monika
Introduction. Europe is the region with the greatest proportion of deaths (16%) attributable to tobacco smoking worldwide. Medical students and physicians should set an example of tobacco-smoking abstinence for their patients. Aim. The aim of the study was to compare opinions on behaviors and attitudes of Czech and Polish medical students about tobacco smoking and the position of a physician in anti-smoking counseling. Material and methods. The Global Health Professions Student Survey (GHPSS) was conducted among 707 medical students in Czech Republic in 2011 and among 1164 medical students in Poland. Results. Twety percent of polish and 25,7% of Czech medical students declared current tobacco smoking. Eighty-one percent in Poland and 60% in Czech Republic felt that physicians should be trained in smoking cessation techniques but only 27% of the medical students in Poland and 2,8% in Czech Republic , declared that such a course had been realized during the course of their education. Conclusion. Over a fifth of Polish students and a quarter of Czech students declared themselves as active smokers. It is worrying that about half of Polish students were exposed to environmental tobacco smoke, while only one-fifth of Czech students declared such exposure. Polish and Czech students agreed that the doctor will play an important role in the patient’s smoking cessation process and that physicians should give advice on quitting smoking.
Physician Survey of Practices on Diet, Physical Activity and Weight Control: Questionnaire on Adult Care – validation of the Polish language version of the questionnaire
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Hubert-Lutecka, Agnieszka; Bartusik-Aebisher, Dorota; Żal, Marcin; Binkowska-Bury, Monika
Introduction. According to the World Health Organization, non-infectious chronic diseases will become the leading cause of disability by 2020 and can be the most expensive health problem. Type 2 diabetes, hypertension, smoking, poor eating habits, insufficient physical activity and the resulting overweight and obesity are among the main modifiable factors of non-infectious chronic diseases. The results of epidemiological studies indicate that the prevalence of these factors in the Polish population is constantly growing, which is associated with the dissemination of unfavorable eating habits and sedentary lifestyle. Their combating and preventive and educational activities of patients in the scope of modifiable lifestyle behaviors related to lifestyle should be implemented primarily through primary care physicians. Aim. To validate the Polish language version of Physician Survey of Practices on Diet, Physical Activity and Weight Control: Questionnaire on Adult Care. Material and methods. A Polish version of the questionnaire “Physician Survey of Practices on Diet, Physical Activity and Weight Control: Questionnaire on Adult Care” was created. Validation was carried out on a group of 30 primary care physicians. Results. Very good results in terms of internal coherence of the questionnaire were obtained - the Alpha-Crombach coefficient was 0.82. The level of reproducibility was established with an ICC factor, which was 0.81. Conclusions. The tested Polish version of the questionnaire can be used to conduct research among primary care physicians in Poland.
Provincial Commission for Adjudication of Medical Events as an alternative choice of indemnization of medical damage – functional and system analysis
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Porada, Sławomir; Hejda, Paulina; Hubert-Lutecka, Agnieszka; Binkowska-Bury, Monika
Introduction. Since January 1, 2012 a patient who suffered so-called medical damage has the right to choose between two alternative routes to compensate for medical damages, i.e. legal or extrajudicial. Aim. To present the consequences of the out-of-court compensation for medical damages for patients on the basis of existing legal acts and the literature. Materials and methods. The analysis of legal acts and literature regarding extrajudicial compensation. Conclusions. The provisions regulating the out-of-court medical compensation for patients are inconsistent and unclear. As a result of the application of the regulations in force by Provincial Commission for Adjudication of Medical Events, there are difficulties for the injured patients to receive compensation or redress. The analysis of legal acts and literature shows that only court proceedings are the most effective way to assert their rights for patients who have suffered so-called medical damage.