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Artikel ; Online: The key factors associated with public health workers' intention to leave a job

Tripković Katica / Šantrić-Milićević Milena

Medicinski Podmladak, Vol 73, Iss 3, Pp 1-

2022 Band 7

Abstract: A particularly important issue in healthcare settings is public health professionals' intention to leave their job, which may exacerbate both existing and forecasted public health workforce shortages and jeopardize the health system's performance. The ... ...

Abstract	A particularly important issue in healthcare settings is public health professionals' intention to leave their job, which may exacerbate both existing and forecasted public health workforce shortages and jeopardize the health system's performance. The rate of intention to leave a job varies across countries and among different profiles of health workers. It is well documented that job dissatisfaction facilitates the intention to leave. Organizational factors (such as job-related stress, interpersonal relationships with colleagues and supervisors, opportunities for professional development, nature of work, and organizational culture) are considered to have the most significant impact on public health workers' intention to leave a job. However, the relevance of individual factors (gender, age, marital status) and other factors (e.g., number of family members, community satisfaction, and family responsibilities) is less clear. It is of great importance that policymakers and managers in health facilities implement effective retention strategies in order to ensure continued delivery of both health care and public health services, and prepare for response to future crises. Retention strategies should be oriented towards ensuring public health workers' health and safety, increasing job satisfaction, recognizing their value and achievements, and creating supportive work environments.
Schlagwörter	health workers ; public health ; intention to leave a job ; Medicine ; R
Sprache	Englisch
Erscheinungsdatum	2022-01-01T00:00:00Z
Verlag	University of Belgrade, Medical Faculty
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Use of the WISN method to assess the health workforce requirements for the high-volume clinical biochemical laboratories.

Stankovic, Sanja / Santric Milicevic, Milena

Human resources for health

2022 Band 19, Heft Suppl 1, Seite(n) 143

Abstract: Background: The clinical laboratory services, as an essential part of health care, require appropriate staff capacity to assure satisfaction and improve outcomes for both patients and clinical staff. This study aimed to apply the Workload Indicators of ... ...

Abstract	Background: The clinical laboratory services, as an essential part of health care, require appropriate staff capacity to assure satisfaction and improve outcomes for both patients and clinical staff. This study aimed to apply the Workload Indicators of Staffing Need (WISN) method for estimating required laboratory staff requirements for the high-volume clinical biochemical laboratories. Methods: In 2019, we applied the WISN method in all 13 laboratories within the Center for Medical Biochemistry of the University Clinical Centre of Serbia (CMB UCCS). A review of annual routinely collected statistics, laboratory processes observations, and structured interviews with lab staff helped identify their health service and additional activities and duration of these activities. The study outcomes were WISN-based staff requirements, WISN ratio and difference, and a recommendation on the new staffing standards for two priority laboratory workers (medical biochemists and medical laboratory technicians). Results: Medical biochemists' and laboratory technicians' annual available working time in 2019 was 1508 and 1347 working hours, respectively, for the workload of 1,848,889 samples. In general, the staff has four health service, eight support, and 15 additional individual activities. Health service activities per sample can take from 1.2 to 12.6 min. Medical biochemists and medical laboratory technicians spend almost 70% and more than 80% of their available working time, undertaking health service activities. The WISN method revealed laboratory workforce shortages in the CMB (i.e. current 40 medical biochemists and 180 medical laboratory technicians as opposed to required 48 medical biochemists and 206 medical laboratory technicians). Workforce maldistribution regarding the laboratory workload contributes to a moderate-high workload pressure of medical biochemists in five and medical laboratory technicians in nine organizational units. Conclusions: The WISN method showed mainly a laboratory workforce shortages and workload pressure in the CMB UCCS. WISN is a simple, easy-to-use method that can help decision-makers and policymakers prioritize the recruitment and equitable allocation of laboratory workers, optimize their utilization, and develop normative guidelines in the field of clinical laboratory diagnostics. WISN estimates require periodic reviews.
Mesh-Begriff(e)	Health Services ; Health Workforce ; Humans ; Laboratories ; Personnel Staffing and Scheduling ; Workforce ; Workload
Sprache	Englisch
Erscheinungsdatum	2022-01-28
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2126923-3
ISSN	1478-4491 ; 1478-4491
ISSN (online)	1478-4491
ISSN	1478-4491
DOI	10.1186/s12960-021-00686-w
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The layered crisis of the primary care medical workforce in the European region: what evidence do we need to identify causes and solutions?

Russo, Giuliano / Perelman, Julian / Zapata, Tomas / Šantrić-Milićević, Milena

Human resources for health

2023 Band 21, Heft 1, Seite(n) 55

Abstract: Primary care services are key to population health and for the efficient and equitable organisation of national health systems. This is why they are often financed through public funds. Primary care doctors are instrumental for the delivery of preventive ...

Abstract	Primary care services are key to population health and for the efficient and equitable organisation of national health systems. This is why they are often financed through public funds. Primary care doctors are instrumental for the delivery of preventive services, continuity of care, and for the referral of patients through the system. These cadres are also the single largest health expenditure at the core of such services. Although recruitment and retention of primary care doctors have always been challenging, shortages are now exacerbated by higher demand for services from aging populations, increased burden of chronic diseases, backlogs from the COVID-19 pandemic, and patient expectations. At the same time, the supply of primary care physicians is constrained by rising retirement rates, internal and external migration, worsening working conditions, budget cuts, and increased burnout. Misalignment between national education sectors and labour markets is becoming apparent, compounding staff shortages and maldistribution. With their predominantly publicly funded health systems and in the aftermath of COVID-19, countries of the European region appear to be now on the cusp of a multi-layered, slow-burning primary care crisis, with almost every country reporting long waiting lists for doctor appointments, shortages of physicians, unfilled vacancies, and consequently, added pressures on hospitals' Accident and Emergency services. This articles collection aims at pulling together the evidence from countries of the European Region on root causes of such workforce crisis, impacts, and effectiveness of existing policies to mitigate it. Original research is needed, offering analysis and fresh insights into the primary care medical workforce crisis in wider Europe. Ultimately, the aim of this articles collection is to provide an evidence basis for the identification of policy solutions to present and future primary health care crises in high as well as lower-income countries.
Mesh-Begriff(e)	Humans ; Pandemics ; COVID-19/epidemiology ; Health Personnel ; Workforce ; Primary Health Care
Sprache	Englisch
Erscheinungsdatum	2023-07-14
Erscheinungsland	England
Dokumenttyp	Editorial
ZDB-ID	2126923-3
ISSN	1478-4491 ; 1478-4491
ISSN (online)	1478-4491
ISSN	1478-4491
DOI	10.1186/s12960-023-00842-4
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Immediate and long-term effects of COVID-19 on antibiotic dispensing: increasing use of Watch antibiotics.

Tomic, Tanja / Henman, Martin / Tadic, Ivana / Antic Stankovic, Jelena / Santric Milicevic, Milena / Bukumiric, Zoran / Lakic, Dragana / Odalovic, Marina

Journal of infection in developing countries

2024 Band 18, Heft 4, Seite(n) 504–512

Abstract: Introduction: The coronavirus disease 2019 (COVID-19) pandemic affected antibiotic usage worldwide. However, there is limited data from Serbia. Dispensing of oral antibiotics in Serbian pharmacies was analyzed to calculate monthly and yearly changes ... ...

Abstract	Introduction: The coronavirus disease 2019 (COVID-19) pandemic affected antibiotic usage worldwide. However, there is limited data from Serbia. Dispensing of oral antibiotics in Serbian pharmacies was analyzed to calculate monthly and yearly changes between 2018-2021, and to explore immediate and long-term effects of COVID-19 on antibiotic dispensing during this period. Methodology: The number of antibiotic packages dispensed from pharmacies during the study period was analyzed with a Chi-square test to assess the average change in annual dispensing, and an interrupted time-series analysis was used to evaluate the impact of the pandemic on antibiotic dispensing. The data from 2018-2021 were retrieved from the database of a large community pharmacy chain in Serbia. Results: The average number of antibiotic packages dispensed per day and per pharmacy was higher in 2021 compared to 2018 by one package. However, the dispensing of macrolides increased significantly; 17.7% (2018) vs. 22.5% (2021) (p < 0.05). In general, an increase in antibiotic dispensing was detected during COVID-19 for total antibiotics (16.4%), Watch antibiotics (44.8%), third-generation cephalosporins (80.4%), macrolides (45.5%) and azithromycin (83.7%). However, the immediate effect of COVID-19 was a decrease in the dispensing of Watch antibiotics, penicillin, and third-generation cephalosporins (p < 0.05); and a notable long-term COVID-19 effect was an increase in the dispensing of azithromycin (p < 0.05). Conclusions: In spite of a relatively stable trend of total antibiotic dispensing before and during COVID-19 pandemic, the use of Watch antibiotics, third-generation cephalosporins, and macrolides (particularly azithromycin) showed an increasing trend in dispensing that should be optimized.
Mesh-Begriff(e)	Humans ; Anti-Bacterial Agents/therapeutic use ; Anti-Bacterial Agents/administration & dosage ; COVID-19/epidemiology ; Serbia ; SARS-CoV-2 ; Interrupted Time Series Analysis ; Macrolides/therapeutic use ; Macrolides/administration & dosage ; COVID-19 Drug Treatment ; Pandemics
Chemische Substanzen	Anti-Bacterial Agents ; Macrolides
Sprache	Englisch
Erscheinungsdatum	2024-04-30
Erscheinungsland	Italy
Dokumenttyp	Journal Article
ZDB-ID	2394024-4
ISSN	1972-2680 ; 2036-6590
ISSN (online)	1972-2680
ISSN	2036-6590
DOI	10.3855/jidc.19255
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: miRNAs as a Potential Biomarker in the COVID-19 Infection and Complications Course, Severity, and Outcome.

Jankovic, Milena / Nikolic, Dejan / Novakovic, Ivana / Petrovic, Bojana / Lackovic, Milan / Santric-Milicevic, Milena

Diagnostics (Basel, Switzerland)

2023 Band 13, Heft 6

Abstract: During the last three years, since the emergence of the COVID-19 pandemic, a significant number of scientific publications have focused on resolving susceptibility to the infection, as well as the course of the disease and potential long-term ... ...

Abstract	During the last three years, since the emergence of the COVID-19 pandemic, a significant number of scientific publications have focused on resolving susceptibility to the infection, as well as the course of the disease and potential long-term complications. COVID-19 is widely considered as a multisystem disease and a variety of socioeconomic, medical, and genetic/epigenetic factors may contribute to the disease severity and outcome. Furthermore, the SARS-COV-2 infection may trigger pathological processes and accelerate underlying conditions to clinical entities. The development of specific and sensitive biomarkers that are easy to obtain will allow for patient stratification, prevention, prognosis, and more individualized treatments for COVID-19. miRNAs are proposed as promising biomarkers for different aspects of COVID-19 disease (susceptibility, severity, complication course, outcome, and therapeutic possibilities). This review summarizes the most relevant findings concerning miRNA involvement in COVID-19 pathology. Additionally, the role of miRNAs in wide range of complications due to accompanied and/or underlying health conditions is discussed. The importance of understanding the functional relationships between different conditions, such as pregnancy, obesity, or neurological diseases, with COVID-19 is also highlighted.
Sprache	Englisch
Erscheinungsdatum	2023-03-14
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Review
ZDB-ID	2662336-5
ISSN	2075-4418
ISSN	2075-4418
DOI	10.3390/diagnostics13061091
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Gender Differences in Predictors of Self-Medication with Tranquillizers and Sleeping Pills

Tripković Katica / Šantrić Milićević Milena / Odalović Marina

Slovenian Journal of Public Health, Vol 59, Iss 1, Pp 47-

Results of the Population-Based Study in Serbia

2019 Band 56

Abstract: Previous studies among the Serbian population concluded that the trend of self-medication with tranquillizers and sleeping pills requires deeper study. The objective is to identify gender differences in socio-demographic, health, and health service ... ...

Abstract	Previous studies among the Serbian population concluded that the trend of self-medication with tranquillizers and sleeping pills requires deeper study. The objective is to identify gender differences in socio-demographic, health, and health service predictors of self-medication with tranquillizers and sleeping pills in a Serbian population of 15 years old and above.
Schlagwörter	self-medication ; unmet needs ; tranquillizers and sleeping pills ; predictors ; prevalence ; gender ; samozdravljenje ; nepotešene potrebe ; pomirjevala in zdravila za spanje ; razširjenost ; spol ; Public aspects of medicine ; RA1-1270
Sprache	Englisch
Erscheinungsdatum	2019-12-01T00:00:00Z
Verlag	Sciendo
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Health workforce management in the context of the COVID-19 pandemic: A survey of physicians in Serbia.

Dinić, Milan / Šantrić Milićević, Milena / Mandić-Rajčević, Stefan / Tripković, Katica

The International journal of health planning and management

2021 Band 36, Heft S1, Seite(n) 92–111

Abstract: Background & aim: The study describes the experiences and opinions of Serbian physicians regarding workforce management during the COVID-19 pandemic.: Materials & methods: A total of 1553 licensed physicians (65% males; average age 44.0 years) ... ...

Abstract	Background & aim: The study describes the experiences and opinions of Serbian physicians regarding workforce management during the COVID-19 pandemic. Materials & methods: A total of 1553 licensed physicians (65% males; average age 44.0 years) responded to an online survey in September 2020. Differences in the respondents' general data and attitudes regarding workforce management and outbreak preparedness in Serbia were analysed in relation to their engagement during the COVID-19 pandemic (Pearson χ2 and the independent samples t-test, p < 0.05). The logistic regression model explained the need for changing health workforce management. Results: The results reveal that the physicians engaged in the fight against the spread of COVID-19 (64.4% of the respondents) more often than their counterparts, were clinicians from the public sector, younger, with less work experience, influenced negatively by the pandemic, and reassigned to other positions (p < 0.001). Health workers dissatisfied with workplace preparedness and those reassigned due to COVID-19 were by 2.61 times and 1.38 times, respectively, more likely than their counterparts to consider changes in health workforce management. Discussion & conclusion: COVID-19 underlines the need for changes in health workforce management during public health emergencies. An internal incident management team and a panel of external experts may support health workforce management during the prolonged and rapidly changing crises.
Mesh-Begriff(e)	Adult ; COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Personnel Management ; Physicians/psychology ; SARS-CoV-2 ; Safety Management ; Serbia ; Staff Development ; Surveys and Questionnaires
Sprache	Englisch
Erscheinungsdatum	2021-04-04
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	632786-2
ISSN	1099-1751 ; 0749-6753
ISSN (online)	1099-1751
ISSN	0749-6753
DOI	10.1002/hpm.3141
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Knowledge and barriers to early detection of breast cancer among female primary care patients in Serbia.

Šantrić Milićević, Milena / Djurin, Ana / Terzić-Šupić, Zorica / Todorović, Jovana / Nikolić, Dejan / Soldatović, Ivan

Central European journal of public health

2022 Band 30, Heft 2, Seite(n) 119–130

Abstract: Objectives: Breast cancer is the leading cause of cancer mortality among women in Serbia and accounts for 22.8% of total cancer mortality in 2018. This study assessed the knowledge and barriers to early detection of breast cancer in women.: Methods: ... ...

Abstract	Objectives: Breast cancer is the leading cause of cancer mortality among women in Serbia and accounts for 22.8% of total cancer mortality in 2018. This study assessed the knowledge and barriers to early detection of breast cancer in women. Methods: In March 2019, at the Primary Healthcare Centre Kikinda, Serbia, a 22-item questionnaire was distributed to a series of patients (N = 403, response rate 91.8%) to assess the odds ratio (OR) and 95% confidence interval (CI) between variables explaining knowledge of breast cancer symptoms and risk factors and barriers to screening, and four types of early detection of breast cancer. Results: The majority of patients (85.4%) know that a lump in a breast is a common symptom of breast cancer and that a family history of breast cancer is a risk factor (80.1%); 63.8% of respondents aged ≥ 30 years self-examined their breasts in the past month, 39.1% of patients aged ≥ 40 years had clinical, while 34.4% had ultrasound breast examination in the past year, and 51.1% of patients aged ≥ 50 years had mammography once in the past two years. Patients aged ≥ 40 years retired and those with a positive family history were 84% and 63% less likely not to undergo a clinical breast examination in the past year. Participants over 40 years of age who reported a lack of funds were 2.46 times more likely to miss a clinical breast examination than those who did not have that barrier. Among participants aged 50-69 years, the likelihood of not receiving the mammography increases by 2.82 with an increase in wealth status and it was 65% lower for those who lack information about the available treatment. Conclusion: Women under the age of 50 rarely practice breast cancer screening. Study findings can be used to improve breast cancer screening at the primary level.
Mesh-Begriff(e)	Adult ; Breast Neoplasms/diagnosis ; Breast Self-Examination ; Early Detection of Cancer ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Mass Screening ; Middle Aged ; Primary Health Care ; Serbia/epidemiology
Sprache	Englisch
Erscheinungsdatum	2022-07-06
Erscheinungsland	Czech Republic
Dokumenttyp	Journal Article
ZDB-ID	1176053-9
ISSN	1803-1048 ; 1210-7778 ; 0022-1732
ISSN (online)	1803-1048
ISSN	1210-7778 ; 0022-1732
DOI	10.21101/cejph.a6305
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Artikel ; Online: Financial Burden of Medical Care, Dental Care, and Medicines among Older-Aged Population in Slovenia, Serbia, and Croatia.

Vojvodic, Katarina / Terzic-Supic, Zorica / Todorovic, Jovana / Gagliardi, Cristina / Santric-Milicevic, Milena / Popovic, Marina

International journal of environmental research and public health

2022 Band 19, Heft 6

Abstract: The aim was to explore the factors associated with the financial burden (FB) of medical care, dental care, and medicines among older-aged people in Slovenia, Serbia, and Croatia using EU-SILC 2017. The highest frequency of FB of medical care and ... ...

Abstract	The aim was to explore the factors associated with the financial burden (FB) of medical care, dental care, and medicines among older-aged people in Slovenia, Serbia, and Croatia using EU-SILC 2017. The highest frequency of FB of medical care and medicines was in Croatia (50% and 69.1%, respectively) and of dental care in Slovenia (48.5%). The multivariate logistic regression analysis with FB as an outcome variable showed that the FB of medical care was associated with being married (OR: 1.54), reporting not severe (OR: 1.51) and severe limitations in daily activities (OR: 2.05), having higher education (OR: 2.03), and heavy burden of housing costs (OR: 0.51) in Slovenia, with very bad self-perceived health (OR: 5.23), having the slight (OR: 0.69) or heavy (OR: 0.47) burden of housing costs, making ends meet fairly easily or with some difficulty (OR: 3.58) or with difficulty or great difficulty (OR: 6.80) in Serbia, and with being married (OR: 1.43), having heavy burden of housing costs (OR: 0.62), and making ends meet fairly easily or with some difficulty (OR: 2.08) or with difficulty or great difficulty (OR: 2.52) in Croatia. The older-aged have the FB of healthcare, especially the poorest or those with health problems.
Mesh-Begriff(e)	Aged ; Croatia/epidemiology ; Dental Care ; Financial Stress ; Humans ; Middle Aged ; Serbia/epidemiology ; Slovenia
Sprache	Englisch
Erscheinungsdatum	2022-03-11
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19063325
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The role of gender and comorbidity on function and movement in elderly population

Kostadinović Milena / Nikolić Dejan / Šantrić-Milićević Milena

Medicinski Podmladak, Vol 69, Iss 2, Pp 16-

Importance of physical activity

2018 Band 22

Abstract: Aging is physiological process that includes numerous variables, among them: genetics, chronic diseases, lifestyle factors, and socioeconomic factors that interact with one another and thus affecting the person's functional and physical dimensions. ... ...

Abstract	Aging is physiological process that includes numerous variables, among them: genetics, chronic diseases, lifestyle factors, and socioeconomic factors that interact with one another and thus affecting the person's functional and physical dimensions. Mobility difficulties are usually among the first signs of functional decline and thus affecting the quality of life in aged population. Chronic diseases including: diabetes, cardiovascular, musculoskeletal and neurological is shown to have important impact on disability in elderly. The fundamental dimension of mobility is walking as complex neuromotor activity that integrates sensory and motor functions. With regards to the individual's needs, adopted physical activity is recommended, in order to take into consideration differences in physical abilities, meaning that such activity was adjusted and modified to the elderly with disabilities needs. Despite the fact that females have lower rates of certain chronic diseases and mortality, they have more functional limitations and are more physically disabled versus males. Most age-dependent disorders arise from the disability for which long-term care costs outweigh health expenditure. Technological and medical development, health promotion and redistribution of health and social care services will be important for modifying ageing processes so that people will be living longer without severe disability. Further, on individual level, exercises, walking, cycling, and plays in free time are highly recommended for persons 60 years and older.
Schlagwörter	elderly ; mobility ; physical activity ; gender ; comorbidity ; Medicine ; R
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2018-01-01T00:00:00Z
Verlag	University of Belgrade, Medical Faculty
Dokumenttyp	Artikel ; Online
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