Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians
Background. Gastrointestinal disorders account for 7-10% of all consultations in primary care. General practitioners’ management of digestive disorders in Central and Eastern European countries is largely unknown. Aims. To identify and compare variations in the self-perceived responsibilities of gen...
Published in: | Slovenian Journal of Public Health |
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2014
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ftjagiellonuniir:oai:ruj.uj.edu.pl:item/135475 2024-05-12T08:10:37+00:00 Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians Zdravljenje bolezni prebavil v Srednji in Vzhodni Evropi : podatki, ki jih zdravniki v primarni zdravstveni oskrbi sami sporočajo Palka, Małgorzata Krztoń-Królewiecka, Anna Tomasik, Tomasz Seifert, Bohumil Wójtowicz, Ewa Windak, Adam 2014 https://ruj.uj.edu.pl/xmlui/handle/item/135475 https://doi.org/10.2478/sjph-2014-0032 eng eng Zdravstveno Varstvo, T. 53, nr 4, s. 294-303 0351-0026 1854-2476 doi:10.2478/sjph-2014-0032 https://ruj.uj.edu.pl/xmlui/handle/item/135475 Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska http://creativecommons.org/licenses/by-nc-nd/3.0/legalcode general practice gastrointestinal diseases gastroesophageal reflux colorectal neoplasms irritable bowel syndrome splošna medicina bolezni prebavil gastroezofagealni refluks novotvorbe debelega črevesa in danke sindrom razdražljivega črevesja artykuł w czasopiśmie 2014 ftjagiellonuniir https://doi.org/10.2478/sjph-2014-0032 2024-04-18T23:57:13Z Background. Gastrointestinal disorders account for 7-10% of all consultations in primary care. General practitioners’ management of digestive disorders in Central and Eastern European countries is largely unknown. Aims. To identify and compare variations in the self-perceived responsibilities of general practitioners in the management of digestive disorders in Central and Eastern Europe. Methods. A cross-sectional survey of a randomized sample of primary care physicians from 9 countries was conducted. An anonymous questionnaire was sent via post to primary care doctors. Results. We received 867 responses; the response rate was 28.9%. Over 70% of respondents reported familiarity with available guidelines for gastrointestinal diseases. For uninvestigated dyspepsia in patients under 45 years, the "test and treat" strategy was twice as popular as "test and scope". The majority (59.8%) of family physicians would refer patients with rectal bleeding without alarm symptoms to a specialist (from 7.6% of doctors in Slovenia to 85.1% of doctors in Bulgaria; p<0.001). 93.4% of respondents declared their involvement in colorectal cancer screening. In the majority of countries, responding doctors most often reported that they order fecal occult blood tests. The exceptions were Estonia and Hungary, where the majority of family physicians referred patients to a specialist (p<0.001). Conclusions. Physicians from Central and Eastern European countries understood the need for the use of guidelines for the care of patients with gastrointestinal problems, but there is broad variation between countries in their management. Numerous efforts should be undertaken to establish and implement international standards for digestive disorders’ management in general practice. Uvod. 7-10 % vseh posvetov v primarni zdravstveni oskrbi se nanaša na bolezni prebavil. O zdravljenju bolezni prebavil s strani splošnih zdravnikov v Srednji in Vzhodni Evropi ni na razpolago veliko podatkov. Cilji. Ugotoviti in primerjati razlike v samozaznani ... Article in Journal/Newspaper sami Jagiellonian University Repository Slovenian Journal of Public Health 53 4 294 303 |
institution |
Open Polar |
collection |
Jagiellonian University Repository |
op_collection_id |
ftjagiellonuniir |
language |
English |
topic |
general practice gastrointestinal diseases gastroesophageal reflux colorectal neoplasms irritable bowel syndrome splošna medicina bolezni prebavil gastroezofagealni refluks novotvorbe debelega črevesa in danke sindrom razdražljivega črevesja |
spellingShingle |
general practice gastrointestinal diseases gastroesophageal reflux colorectal neoplasms irritable bowel syndrome splošna medicina bolezni prebavil gastroezofagealni refluks novotvorbe debelega črevesa in danke sindrom razdražljivega črevesja Palka, Małgorzata Krztoń-Królewiecka, Anna Tomasik, Tomasz Seifert, Bohumil Wójtowicz, Ewa Windak, Adam Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
topic_facet |
general practice gastrointestinal diseases gastroesophageal reflux colorectal neoplasms irritable bowel syndrome splošna medicina bolezni prebavil gastroezofagealni refluks novotvorbe debelega črevesa in danke sindrom razdražljivega črevesja |
description |
Background. Gastrointestinal disorders account for 7-10% of all consultations in primary care. General practitioners’ management of digestive disorders in Central and Eastern European countries is largely unknown. Aims. To identify and compare variations in the self-perceived responsibilities of general practitioners in the management of digestive disorders in Central and Eastern Europe. Methods. A cross-sectional survey of a randomized sample of primary care physicians from 9 countries was conducted. An anonymous questionnaire was sent via post to primary care doctors. Results. We received 867 responses; the response rate was 28.9%. Over 70% of respondents reported familiarity with available guidelines for gastrointestinal diseases. For uninvestigated dyspepsia in patients under 45 years, the "test and treat" strategy was twice as popular as "test and scope". The majority (59.8%) of family physicians would refer patients with rectal bleeding without alarm symptoms to a specialist (from 7.6% of doctors in Slovenia to 85.1% of doctors in Bulgaria; p<0.001). 93.4% of respondents declared their involvement in colorectal cancer screening. In the majority of countries, responding doctors most often reported that they order fecal occult blood tests. The exceptions were Estonia and Hungary, where the majority of family physicians referred patients to a specialist (p<0.001). Conclusions. Physicians from Central and Eastern European countries understood the need for the use of guidelines for the care of patients with gastrointestinal problems, but there is broad variation between countries in their management. Numerous efforts should be undertaken to establish and implement international standards for digestive disorders’ management in general practice. Uvod. 7-10 % vseh posvetov v primarni zdravstveni oskrbi se nanaša na bolezni prebavil. O zdravljenju bolezni prebavil s strani splošnih zdravnikov v Srednji in Vzhodni Evropi ni na razpolago veliko podatkov. Cilji. Ugotoviti in primerjati razlike v samozaznani ... |
format |
Article in Journal/Newspaper |
author |
Palka, Małgorzata Krztoń-Królewiecka, Anna Tomasik, Tomasz Seifert, Bohumil Wójtowicz, Ewa Windak, Adam |
author_facet |
Palka, Małgorzata Krztoń-Królewiecka, Anna Tomasik, Tomasz Seifert, Bohumil Wójtowicz, Ewa Windak, Adam |
author_sort |
Palka, Małgorzata |
title |
Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
title_short |
Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
title_full |
Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
title_fullStr |
Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
title_full_unstemmed |
Management of gastrointestinal disorders in Central and Eastern Europe : self-reported practice of primary care physicians |
title_sort |
management of gastrointestinal disorders in central and eastern europe : self-reported practice of primary care physicians |
publishDate |
2014 |
url |
https://ruj.uj.edu.pl/xmlui/handle/item/135475 https://doi.org/10.2478/sjph-2014-0032 |
genre |
sami |
genre_facet |
sami |
op_relation |
Zdravstveno Varstvo, T. 53, nr 4, s. 294-303 0351-0026 1854-2476 doi:10.2478/sjph-2014-0032 https://ruj.uj.edu.pl/xmlui/handle/item/135475 |
op_rights |
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska http://creativecommons.org/licenses/by-nc-nd/3.0/legalcode |
op_doi |
https://doi.org/10.2478/sjph-2014-0032 |
container_title |
Slovenian Journal of Public Health |
container_volume |
53 |
container_issue |
4 |
container_start_page |
294 |
op_container_end_page |
303 |
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1798854088053489664 |