20.500.12556/DiRROS-29817 Patient safety in family medicine through the eyes of people with chronic conditions in Slovenia Varnost bolnikov v družinski medicini - pogled bolnika Introduction Patient safety is a key dimension of healthcare quality, although most research has focused on hospital settings. This study analysed patient-reported experiences related to safety in Slovenian family medicine using data from the OECD PaRIS survey. Methods A cross-sectional study was conducted in 2023 among 70 family medicine practices in Slovenia. Data were collected using two validated questionnaires: the PaRIS Primary Care Patient Questionnaire (PaRIS-PQ) and the Primary Care Practice Questionnaire (PaRIS-PCPQ). Items Q69–Q75 of the PaRIS-PQ were analysed to assess experiences related to the use of medicines, medication review, repetition of information, adverse events, encouragement to express concerns, and barriers to care. Descriptive statistics, chi-square tests, correlation analysis, and binary logistic regression were used in data analysis. Results Respondents with chronic conditions totalled 2,133 (mean age 63.1 ± 10.9 years; 62.7% female). Polypharmacy (≥ 3 medications) occurred in 27% of respondents; only 19.7% had received a medication review in the previous 12 months. Seventeen percent reported experiencing at least one adverse event. Significant predictors of reported adverse events included repeated requests for personal medical information (p < 0.001), lack of encouragement to express concerns (p = 0.008), and transport barriers to accessing care (p = 0.024). The regression model explained a small proportion of the variance (Nagelkerke R² = 0.02). Conclusions Patient safety in Slovenian family medicine shows both strengths and areas requiring improvement. Communication processes, access barriers, and coordination of information appear to play an important role in perceived safety. Strengthening medication review practices and improving digital interoperability across healthcare settings may contribute to safer care in family medicine. Patient-reported measures such as PaRIS provide valuable insights for monitoring and improving patient safety in family medicine. Uvod Varnost bolnikov je ključna razsežnost kakovosti zdravstvene oskrbe, vendar se je večina dosedanjih raziskav osredotočala predvsem na bolnišnično okolje. Ta raziskava analizira izkušnje bolnikov, povezane z varnostjo v slovenski družinski medicini, na podlagi podatkov raziskave OECD PaRIS. Metode Leta 2023 je bila izvedena presečna raziskava v 70 ambulantah družinske medicine v Sloveniji. Podatki so bili zbrani z dvema validiranima vprašalnikoma: PaRIS vprašalnikom za bolnike v primarnem zdravstvu (PaRIS-PQ) in vprašalnikom za ambulante primarnega zdravstva (PaRIS-PCPQ). Za analizo so bila uporabljena vprašanja Q69–Q75 iz vprašalnika PaRIS-PQ, ki obravnavajo uporabo zdravil, pregled terapije, ponavljanje zdravstvenih informacij, neželene dogodke, spodbujanje bolnikov k izražanju skrbi ter ovire pri dostopu do zdravstvene oskrbe. Podatki so bili analizirani z deskriptivno statistiko, hi-kvadrat testom, korelacijsko analizo in binarno logistično regresijo. Rezultati V raziskavo je bilo vključenih 2133 pacientov s kroničnimi boleznimi (povprečna starost 63,1 ± 10,9 let; 62,7 % žensk). Polifarmacija (≥ 3 zdravila) je bila prisotna pri 27 % anketirancev, medtem ko je le 19,7 % bolnikov poročalo o opravljenem pregledu terapije v zadnjih 12 mesecih. Sedemnajst odstotkov bolnikov je poročalo o vsaj enem neželenem dogodku. Pomembni napovedniki poročanih neželenih dogodkov so bili ponavljajoče zahteve po posredovanju osebnih zdravstvenih informacij (p < 0,001), pomanjkanje spodbujanja bolnikov k izražanju skrbi (p = 0,008) ter transportne ovire pri dostopu do zdravstvene oskrbe (p = 0,024). Regresijski model je pojasnil majhen delež variance (Nagelkerke R² = 0,02). Zaključki Varnost bolnikov v slovenski družinski medicini kaže tako prednosti kot tudi področja, ki zahtevajo izboljšave. Komunikacijski procesi, ovire pri dostopu do zdravstvene oskrbe ter usklajevanje informacij imajo pomembno vlogo pri zaznani varnosti. Krepitev sistematičnega pregleda terapije in izboljšanje digitalne interoperabilnosti med zdravstvenimi sistemi bi lahko prispevala k večji varnosti v primarnem zdravstvu. Bolnikom poročani kazalniki, kot je raziskava PaRIS, ponujajo pomemben vpogled v spremljanje in izboljševanje kakovosti in varnosti v družinski medicini. patient safety family medicine primary care polypharmacy communication PaRIS Slovenia varnost bolnikov družinska medicina primarno zdravstveno varstvo polifarmacija komunikacija Slovenija true false true Angleški jezik Slovenski jezik Neznano 2026-06-07 03:44:11 2026-06-11 20:39:35 2026-06-12 03:54:40 0000-00-00 00:00:00 2026 0 0 Besedilo v angl.; str. 94-103 št. 2 Letn. 65 2026 0000-00-00 Zaloznikova NiDoloceno NiDoloceno 0000-00-00 2025-10-17 2026-04-14 614 0351-0026 10.2478/sjph-2026-0012 279965187 https://reference-global.com/article/10.2478/sjph-2026-0012 1 629725cf-6212-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44832 Patient_Safety_in_Family_Medicine_through_the_Eyes_of_People_with_Chronic_Conditions_in_Slovenia.pdf Patient_Safety_in_Family_Medicine_through_the_Eyes_of_People_with_Chronic_Conditions_in_Slovenia.pdf 1 9745029C21807CAC816F773C876F9815 892746093ad21711622add21dfecbe67a6cf3b5b1dbc470907057c6efd8bf32f d18b89fe-65c4-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=45267 Patient_Safety_in_Family_Medicine_through_the_Eyes_of_People_with_Chronic_Conditions_in_Slovenia.pdf Patient_Safety_in_Family_Medicine_through_the_Eyes_of_People_with_Chronic_Conditions_in_Slovenia.pdf 1 23D3D7021575F87CCE4C75EC098FE9F2 a89422201264453e0554018799913307608bc35e21894f3d46da199aec710de4 f9e8f21f-65c4-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=45268 Nacionalni inštitut za javno zdravje 0 0 0