Unapređenje zaštite mentalnog zdravlja osoba u skrbi obiteljskog liječnika

master's thesis

• Title (english): Improvement of mental health protection in family medicine
• Author: Ivana Maričević
• Mentor: Miroslav Hanževački (mentor)
• Committee member: Hrvoje Tiljak (predsjednik povjerenstva)
• Committee member: Venija Cerovečki Nekić (član povjerenstva)
• Committee member: Miroslav Hanževački (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Family Medicine); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Mentalno zdravlje sve je važnija i češća tema suvremene znanosti i prakse. Svjetska zdravstvena organizacija (engl. WHO) definirala ga je kao stanje dobrobiti u kojemu pojedinac ostvaruje svoje potencijale, može se nositi s normalnim životnim stresom, raditi produktivno i plodno te je sposoban pridonositi zajednici. Liječenje mentalnih poremećaja na razini primarne zdravstvene zaštite je financijski isplativo, a samo ulaganje u taj dio medicine može donijeti, osim financijske i druge značajne prednosti. Glavni pružatelji usluga zaštite mentalnoga zdravlja za većinu pacijenata zbog svoje dostupnosti jesu specijalisti opće - obiteljske medicine. Pacijenti će posjetiti specijalista opće - obiteljske medicine koji im kao čuvar zdravstvenoga sustava omogućava daljnju obradu i liječenje. U radu prikazani su dogovoreni teorijski ciljevi uklapanja zaštite mentalnoga zdravlja u primarnu zdravstvenu zaštitu te primjeri država koje su većinom uspješno provele proces integracije. Prikazane su sve dogovorene i poduzete mjere integracije u Republici Hrvatskoj. Zaključila sam da većina države ne uspiju u potpunosti provesti integraciju radi nedostatka političke potpore, neadekvatnoga upravljanja, preopterećenja zdravstvenoga sustava i otpora zdravstvenih radnika te da svaka država ima mjesta za napredak. RH treba napraviti nacionalni plan za zaštitu mentalnoga zdrava te više ulagati u edukaciju zdravstvenih radnika. Trebalo bi osvijestiti liječnike o njihovim mogućnostima i poziciji u pružanju zdravstvene zaštite i poraditi na promociji očuvanja mentalnoga zdravlja jer se često zanemaruje činjenica da je mentalno zdravlje sastavni element cjelokupnog zdravlja pojedinca.

Abstract (english)

Mental health is a very important topic in modern science and in clinical practice. The World Health Organization (or WHO for short) defines mental health as a state of well-being in which an individual is capable of reaching their full potential, as well as able to cope with everyday stress, be productive and capable of contributing to their community. Treating mental disorders at the level of primary care translates into cost-effectiveness, and investing in psychiatric care has other significant advantages, not just financial ones. Family physicians are the main providers of this kind of health care for most patients. Patients pay visits to their family physicians, and their family physicians, functioning as gatekeepers, organize their workup. This thesis highlights the agreed-upon therapeutic objectives regarding the integration of the protection of mental health into primary care and lists examples of countries that have done so successfully. It also highlights the agreed-upon measures taken to do so in the Republic of Croatia. The conclusion I have reached is that, due to a lack of political support, organizational difficulties, burdens on their health care systems, and the reticence of their medical staff, most countries are unable to accomplish this kind of integration. The Republic of Croatia should formulate a plan regarding mental health protection at a national level and invest more money in educating its healthcare workers. It should also promote mental health maintenance because of the very fact that we often forget that mental health is one of the key elements that make up the health of an individual as a whole.

• Keywords: mentalno zdravlje; specijalist opće - obiteljske medicine; čuvar zdravstvenoga sustava; promocija; zdravlje
• Keywords (english): mental health; general practitioner; gatekeeper; promotion; health
• Language: croatian
• URN:NBN: urn:nbn:hr:105:765018
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-05-10 09:06:09