Uloga obiteljskog liječnika u sveobuhvatnoj skrbi za bolesnika kod kojeg se provodi onkološko liječenje

master's thesis

• Title (english): The role of a family physician in comprehensive care of patients during cancer treatment
• Author: Sara Stalman
• Mentor: Zlata Ožvačić Adžić (mentor)
• Committee member: Miroslav Hanževački (predsjednik povjerenstva)
• Committee member: Venija Cerovečki Nekić (član povjerenstva)
• Committee member: Zlata Ožvačić Adžić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Family Medicine); Zagreb
• Defense date and country: 2022-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Obzirom na značajan teret bolesti koji proizlazi iz prirode malignih bolesti, modaliteta liječenja te njihovog utjecaja na socijalno i radno funkcioniranje i kvalitetu života bolesnika, suvremeno zbrinjavanje malignih bolesti podrazumijeva model integrirane skrbi koji uključuje temeljnu skrb liječnika primarne zdravstvene zaštite uz primjereno upućivanje, liječenje i praćenje u specijalističko-konzilijarnoj skrbi. U ovome radu stavljen je naglasak na proces aktivnog onkološkog liječenja u okviru kojeg su prikazane temeljne terapijske opcije te osvrt na ulogu obiteljskog liječnika tijekom procesa liječenja, uključujući zbrinjavanje najčešćih nuspojava u obiteljskoj medicini prouzrokovanih pojedinim modalitetima onkološkog liječenja. Osim primarne i sekundarne prevencije malignih bolesti, koje se danas uspješno provode na razini primarne zdravstvene zaštite, bitna uloga obiteljskog liječnika jest i u tercijarnoj prevenciji koja uključuje zaustavljanje progresije bolesti i primjereno zbrinjavanje simptoma. Time optimalni oblik skrbi za onkološke pacijente predstavlja model integrirane skrbi koji uključuje dostupnu, kontinuiranu i sveobuhvatnu skrb u obiteljskoj medicini, uz primjerenu koordinaciju i suradnju sa specijalistima onkoloških struka, uz uvažavanje pacijentovih izbora i pružanje emocionalne potpore.

Abstract (english)

Given the significant burden of disease arising from the complexity of malignant diseases, treatment modalities and their impact on social functioning and quality of life of patients, modern care of malignant diseases implies a model of integrated care that includes basic care of primary care physicians with appropriate referral, treatment and monitoring in specialist-consultative care. This paper emphasizes the process of active oncology treatment and presents the basic therapeutic options and a review of the role of the primary care physicians during the treatment process, including the management of the most common side effects in family medicine caused by certain modalities of oncology treatment. In addition to primary and secondary prevention of malignant diseases, which are now successfully implemented at the level of primary health care, an important role of the primary care physicians is in tertiary prevention, which includes stopping the progression of the disease and appropriate symptoms management. Thus, the optimal form of care for oncology patients is a model of integrated care that includes accessible, continuous and comprehensive care in family medicine, with appropriate coordination and cooperation with oncology specialists while respecting the patient's choices and providing emotional support.

• Keywords: maligna bolest; onkološko liječenje; sveobuhvatna i trajna skrb; obiteljska medicina
• Keywords (english): malignant disease; cancer treatment; comprehensive and continuous care; family medicine
• Language: croatian
• URN:NBN: urn:nbn:hr:105:619706
• 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: 2023-02-24 13:18:50