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LOWER ADHERENCE TO CLOTTING FACTOR REPLACEMENT THERAPY IN PATIENTS WITH HAEMOPHILIA ASSOCIATED WITH MORE DEPRESSIVE SYMPTOMS: TWO CENTERS CROSS-SECTIONAL STUDY

100%

Butković A. , Bago Martina (0000-0001-7957-2076 M. , Preloznik Zupan I. , Faganel Kotnik B. , Prga Borojević I. , Bačić Vrca V. , Zupančić Šalek S.

Studia Psychologica

2022

tom 64

nr 1

64 – 75

The aim of this study was to examine the association of depressive symptoms with medication adherence levels in a combined sample from Croatia and Slovenia. Participants in the study were adult patients with haemophilia receiving prophylaxis or on-demand treatment (N = 109). Their age was between 18 and 73 years (M = 43.86, SD = 14.89). Self-reported medication adherence (implementation phase) was measured with The Validated Haemophilia Regimen Treatment Adherence Scale, while depressive symptoms were measured with Beck Depression Inventory II. Comparison of adherence scores using t-test indicated that participants using prophylaxis were more adherent than participants using on-demand treatment on total scale and time and plan subscales. In hierarchical regression analyses depressive symptoms were a significant predictor for the total score and time subscale after controlling for sociodemographic and clinical variables. Screening for depressive symptoms and improving medication adherence of patients using on-demand treatment is recommended.

QUALITY OF LIFE ASSESSMENT IN THE CLINICAL CARE OF DIABETES AND OTHER CHRONIC DISEASES: AN OVERVIEW OF CROATIAN EXPERIENCES

100%

Szabo S. , Pibernik-Okanovic M. , Metelko Z.

Studia Psychologica

2010

tom 52

nr 2

147-154

Patient reported outcomes are important in understanding the impact of medical conditions on the affected individuals, and in determining the effects of medical treatments. Since quality of life has been recognized as an important health outcome in chronic diseases, this paper aims to give an overview of studies that were carried out in Croatia in the health care field, and analyze them with respect to the contribution that quality of life indicators may have in treating chronic conditions. We searched Medline and Scopus (2004 to the present) for studies on quality of life issues carried out in Croatia in the field of health sciences. The published articles were analyzed with respect to 1) the quality of life concept used in the published studies, 2) the medical conditions studied, and 3) the type of studies including quality of life measures. Results of some studies have been presented in order to demonstrate how quality of life assessments have contributed to patient outcomes. The search findings are discussed in relation to methodological issues that might improve quality of life assessments in clinical care of people with chronic diseases.

Organizational power structures in hospitals and health centers

84%

Javor I.

Szociologiai Szemle (Sociological Review)

2005

tom 15

nr 2

3-39

The author deals with organizational power structure. Research on organizational behaviour mainly tends to focus on companies and bureaucracy; other types of organizations get much less attention. One of the neglected topics is the sociology of organizations, which deals with the main differences in the organizational power structure of different kinds of organizations. For example: power structure of companies, bureaucracies for clients, and political bureaucracies, different sorts of supervisory authorities, hospitals, police departments, courts, prisons, prosecutor's offices, schools, etc. The previous article of the author ('Irresponsible organizations') dealt with special types of organizations and their power structures. This study analyses another type of organization - hospitals - and its specialities of power structure and power games. To understand their different power structures helps better understand how they function and behave and also their role in the inter-organizational power-networks and plays..