ID-5184 Wonca Abstracts supplement L-Z 13-10-23 - Flipbook - Page 39
WONCA 2023 Supplement 2: WONCA 2023 abstracts (L–Z)
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Increasing the GP competences: Closer to the patient, more
efficient to the healthcare system
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Dr Peter Lipovský2
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MEDILIP – Private GP Practice, 2Slovak Society of Primary Health Care – Vice President
Over the past 10 years, the competencies of Slovak general practitioners have increased significantly.
Their activity was limited to curative treatment, basic prevention with basal blood tests, vaccination.
Most chronic conditions were managed by the specialist to whom the patient was referred. Currently,
a Slovak general practitioner manages arterial hypertension, dyslipidaemia, prediabetes and obesity,
and performs preoperative examinations. The general practitioner is competent to perform and
evaluate ECG, ABI, FOB, INR, CRP, 24-h blood pressure monitoring and solve acute hypertensive
cases. A few GPs do abdominal ultrasonography. GPs perform cardiovascular risk stratification
according to the latest guidelines and set up adequate treatment. They apply and evaluate the
Montreal Cognitive Test in indicated patients, who are then referred to specialists. During the
COVID-19 pandemic, telemedicine procedures were added. From the patient’s point of view, such
comprehensive healthcare is welcome, because the GP can solve many of a patient’s problems
in one place. All the mentioned activities, including preventive examinations, are covered by public
health insurance beyond the capitation. This results in a higher medical and economic motivation
of the general practitioner. Conversely, it brings a much higher efficiency in the use of public funds,
since specialised care is much more expensive and difficult to access. Last but not least, a timely and
efficient GP service for the patient significantly reduces the number of preventable deaths.
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