Pub Date : 2019-03-13DOI: 10.31031/tteh.2019.01.000514
A. Bajaji
A common category of extra-nodal marginal zone lymphoma is cogitated by malignant transformation of the mucosa associated lymphoid tissue (MALT). MALT lymphomas enunciate an estimated 70% instances of marginal zone lymphoma per annum and nearly 5% of nonHodgkin’s lymphoma. Extra-nodal locations such as gastric and pulmonary tissue, breast, small intestine, salivary gland, thyroid and ocular adnexa are implicated. MALT lymphoma is further categorized into
{"title":"Mucosal Lymphoid Proliferation-Extra Nodal Marginal Zone Lymphoma","authors":"A. Bajaji","doi":"10.31031/tteh.2019.01.000514","DOIUrl":"https://doi.org/10.31031/tteh.2019.01.000514","url":null,"abstract":"A common category of extra-nodal marginal zone lymphoma is cogitated by malignant transformation of the mucosa associated lymphoid tissue (MALT). MALT lymphomas enunciate an estimated 70% instances of marginal zone lymphoma per annum and nearly 5% of nonHodgkin’s lymphoma. Extra-nodal locations such as gastric and pulmonary tissue, breast, small intestine, salivary gland, thyroid and ocular adnexa are implicated. MALT lymphoma is further categorized into","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134000868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-03DOI: 10.31031/tteh.2019.01.000513
Emmanuel Andres, L. Meyer, A. Zulfiqar, M. Hajjam, S. Talha, S. Ervé, J. Hajjam, T. Bahougne, J. Doucet, N. Jeandidier, A. Hassani
Background : This is a narrative review of remote monitoring (telemedicine) projects within the field of type 1 and type 2 diabetes, with special attention placed on telemedicine 2.0 projects and studies. Material and method : A literature search were performed using the PubMed database of US National Library of Medicine, along with Scholar Google. Textbooks on telemedicine and e-Health, from the American Diabetes Association (ADA) and the European Association for Study the Diabetes (EASD), as well as information from international meetings and commercial sites on the Web were used. Result : Since the beginning of the 1990’s, several telemedicine projects and studies focused on type 1 and type 2 diabetes have been developed. Mainly, these projects and studies show that telemonitoring diabetic result in: improved blood glucose control; a significant reduction in HbA1c; improved patient ownership of the disease; greater patient adherence to therapeutic and hygiene-dietary measures; positive impact on co-morbidities (hypertension, weight, dyslipidemia); improved quality of life for patients; and at least good patient receptivity and accountability. To date, the magnitude of its effects remains debatable, especially with the variation in patients’ characteristics (e.g. background, ability for self-management, medical condition), samples selection and approach for treatment of control groups. Over the last 5years, numerous telemedicine projects based on connected objects and new information and communication technologies (ICT) (elements defining telemedicine 2.0) have emerged or are still under development. Two examples are the DIABETe and Telesage telemonitoring project which perfectly fits within the telemedicine 2.0 framework, being the firsts to include artificial intelligence with MyPrediTM and DiabeoTM (AI).
{"title":"Current Research on Telemonitoring In Patients with Diabetes Mellitus: A Short Pragmatic Narrative Review","authors":"Emmanuel Andres, L. Meyer, A. Zulfiqar, M. Hajjam, S. Talha, S. Ervé, J. Hajjam, T. Bahougne, J. Doucet, N. Jeandidier, A. Hassani","doi":"10.31031/tteh.2019.01.000513","DOIUrl":"https://doi.org/10.31031/tteh.2019.01.000513","url":null,"abstract":"Background : This is a narrative review of remote monitoring (telemedicine) projects within the field of type 1 and type 2 diabetes, with special attention placed on telemedicine 2.0 projects and studies. Material and method : A literature search were performed using the PubMed database of US National Library of Medicine, along with Scholar Google. Textbooks on telemedicine and e-Health, from the American Diabetes Association (ADA) and the European Association for Study the Diabetes (EASD), as well as information from international meetings and commercial sites on the Web were used. Result : Since the beginning of the 1990’s, several telemedicine projects and studies focused on type 1 and type 2 diabetes have been developed. Mainly, these projects and studies show that telemonitoring diabetic result in: improved blood glucose control; a significant reduction in HbA1c; improved patient ownership of the disease; greater patient adherence to therapeutic and hygiene-dietary measures; positive impact on co-morbidities (hypertension, weight, dyslipidemia); improved quality of life for patients; and at least good patient receptivity and accountability. To date, the magnitude of its effects remains debatable, especially with the variation in patients’ characteristics (e.g. background, ability for self-management, medical condition), samples selection and approach for treatment of control groups. Over the last 5years, numerous telemedicine projects based on connected objects and new information and communication technologies (ICT) (elements defining telemedicine 2.0) have emerged or are still under development. Two examples are the DIABETe and Telesage telemonitoring project which perfectly fits within the telemedicine 2.0 framework, being the firsts to include artificial intelligence with MyPrediTM and DiabeoTM (AI).","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114369033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-04DOI: 10.31031/TTEH.2018.01.000512
A. Bajaji
The occurrence of two dissimilar categories of malignant lymphoma arising within an individual in a sequential manner or as a simultaneous event incriminating the aforementioned lymph node groups may be infrequently elucidated. The emergence of two distinct and well described categories of lymphoma appearing within a singular anatomic site or nodule may be designated as composite lymphoma [2,3]. The association of two divergent subtypes of lymphoma at concurrently emerging at several anatomic sites may be classified as discordant lymphoma (Figure 2). The concordant lymphomas may signify the appearance of two contradistinctive neoplasm either spontaneously or as a consequence of therapeutic intervention of a preceding malignancy. Majority of composite/ discordant lymphoma may signify the emergence of discrepant biologic and morphologic elucidation of the same lesion where the aggressive variant represents the histological manifestation of tumour progression. Composite lymphomas as an exceptional entity may account for an estimated 1%-4% of the de novo malignant lymphomas. Figure 2: CL: peripheral T cell lymphoma and a small lymphocytic lymphoma [14].
{"title":"Binary and Dimorphic: Composite and Discordant Lymphoma","authors":"A. Bajaji","doi":"10.31031/TTEH.2018.01.000512","DOIUrl":"https://doi.org/10.31031/TTEH.2018.01.000512","url":null,"abstract":"The occurrence of two dissimilar categories of malignant lymphoma arising within an individual in a sequential manner or as a simultaneous event incriminating the aforementioned lymph node groups may be infrequently elucidated. The emergence of two distinct and well described categories of lymphoma appearing within a singular anatomic site or nodule may be designated as composite lymphoma [2,3]. The association of two divergent subtypes of lymphoma at concurrently emerging at several anatomic sites may be classified as discordant lymphoma (Figure 2). The concordant lymphomas may signify the appearance of two contradistinctive neoplasm either spontaneously or as a consequence of therapeutic intervention of a preceding malignancy. Majority of composite/ discordant lymphoma may signify the emergence of discrepant biologic and morphologic elucidation of the same lesion where the aggressive variant represents the histological manifestation of tumour progression. Composite lymphomas as an exceptional entity may account for an estimated 1%-4% of the de novo malignant lymphomas. Figure 2: CL: peripheral T cell lymphoma and a small lymphocytic lymphoma [14].","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114846472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-15DOI: 10.31031/tteh.2018.01.000511
Aasia Am, Mirza Mb, H. Gh, M Farhaan
The use of mHealth applications (apps) are increasing as a result of the presence of low-medium-end hardware, various screen sizes, specifications and affordable pricing. Monitoring apps usually have three key capabilities: the ability to ‘view’ information, the ability to ‘do’ clinical tasks and the ability to ‘act’ (e.g. providing alerts and notification) [1-3]. Clinicians are increasingly considering the use of smartphone apps to monitor vital signs as they offer accuracy and the ability to apply clinical decision support layered on top of the new/existing vital signs data [2]. However, currently, there are few apps available that clinicians can use in hospitals to monitor a patient’s vital signs using integrated medical devices.
{"title":"Mobile Health Application Framework for an Ideal User Experience: A User-Centered Design Approach for Clinicians","authors":"Aasia Am, Mirza Mb, H. Gh, M Farhaan","doi":"10.31031/tteh.2018.01.000511","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000511","url":null,"abstract":"The use of mHealth applications (apps) are increasing as a result of the presence of low-medium-end hardware, various screen sizes, specifications and affordable pricing. Monitoring apps usually have three key capabilities: the ability to ‘view’ information, the ability to ‘do’ clinical tasks and the ability to ‘act’ (e.g. providing alerts and notification) [1-3]. Clinicians are increasingly considering the use of smartphone apps to monitor vital signs as they offer accuracy and the ability to apply clinical decision support layered on top of the new/existing vital signs data [2]. However, currently, there are few apps available that clinicians can use in hospitals to monitor a patient’s vital signs using integrated medical devices.","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117184741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-17DOI: 10.31031/tteh.2018.01.000510
I. D. L. T. Díez, Sofiane Hamrioui, S. G. Alonso, M. López-Coronado, Aranzazu Berbey
e-Health is a fairly recent paradigm that leads to a health system new vision, for its improvement in cost reduction terms, decrease of inaccuracies and information quality [3,4]. The main objective of telemedicine [5,6] and its applications is to improve the availability of various medical and health care services despite geographical and economic barriers such as: control of home health [7] guaranteeing that elderly patients can lead an independent life [8] and reducing its direct and indirect costs. In developed countries-especially in European countries, such as Germany, France, United Kingdom, Norway, Sweden and othersthese information systems are remarkably solid in the medical field, hence most of the hospitals are electronically linked [9].
{"title":"What Is the Evolution of Telemedicine and e-Health in North Africa? A Systematic Review","authors":"I. D. L. T. Díez, Sofiane Hamrioui, S. G. Alonso, M. López-Coronado, Aranzazu Berbey","doi":"10.31031/tteh.2018.01.000510","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000510","url":null,"abstract":"e-Health is a fairly recent paradigm that leads to a health system new vision, for its improvement in cost reduction terms, decrease of inaccuracies and information quality [3,4]. The main objective of telemedicine [5,6] and its applications is to improve the availability of various medical and health care services despite geographical and economic barriers such as: control of home health [7] guaranteeing that elderly patients can lead an independent life [8] and reducing its direct and indirect costs. In developed countries-especially in European countries, such as Germany, France, United Kingdom, Norway, Sweden and othersthese information systems are remarkably solid in the medical field, hence most of the hospitals are electronically linked [9].","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124914150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-04DOI: 10.31031/tteh.2018.01.000508
Tiraporn Junda, Bualuang Sumdaengrit Rn
{"title":"Factors Predicting Sexual Dysfunction in Thai Cancer Patients after Treatment","authors":"Tiraporn Junda, Bualuang Sumdaengrit Rn","doi":"10.31031/tteh.2018.01.000508","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000508","url":null,"abstract":"","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116558909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-03DOI: 10.31031/tteh.2018.01.000507
M. Georgescu, Baumgartner Wd, Anca Modan, D. Vrinceanu
Hearing implants employing bone conduction (BC) stimulation have a long tradition (since 1977) and have become a standard care for patients suffering with conductiveor mixed hearing loss who cannot benefit from the conventional hearing aids. Since their development 40 years ago, there have been many improvements in both, the surgical approach, the technology itself and the way of fixation towards intact skin solutions of bone conduction hearing systems.
{"title":"The First Active Transcutaneous Bone Conduction Implant in Romania-Case Report of Permanent Conductive Hearing Loss Due to Cleft Palate","authors":"M. Georgescu, Baumgartner Wd, Anca Modan, D. Vrinceanu","doi":"10.31031/tteh.2018.01.000507","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000507","url":null,"abstract":"Hearing implants employing bone conduction (BC) stimulation have a long tradition (since 1977) and have become a standard care for patients suffering with conductiveor mixed hearing loss who cannot benefit from the conventional hearing aids. Since their development 40 years ago, there have been many improvements in both, the surgical approach, the technology itself and the way of fixation towards intact skin solutions of bone conduction hearing systems.","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132299279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-27DOI: 10.31031/tteh.2018.01.000506
B. Sumdaengrit, Katekaew Jengprasert, Narumon Sriintravanit
Cervical cancer is the second most common cancer in Thai women, as much as it is in other South East Asian counties [1]. The new cervical cancer incidence reported by the Thai National Cancer Institute has been varied from 12.15-15.14% in the period from 2012-2016 [2-6]. During the past five years, the number of women who survived from cervical cancer has increased significantly as a result of advanced and effective treatments [2-6]. These women have to invest so much effort on coping with the disease and treatment side effects, since diagnosis until treatment is completed. However, there will be remaining symptoms in these women such as fatigue, problems with urination, vaginal dysfunction, anorexia and anxiety [7,8]. These are symptom distress [9] that may have an impact on the quality of life in these cancer survivors. In contrast, during the period-from when these women were diagnosed with cervical cancer until they received treatment-these women normally received a lot of social support [10]. This is because in the Thai culture, cervical cancer patients usually receive emotional and informational supports from their family members and health care providers. In addition, peer support from their friends, and financial support from their family members [7,8] are received as well. These supports may improve patients’ quality of life. However, after the cervical cancer treatment is over, these social support starts fading. Even though, they still have the remaining symptoms from the cancer and its treatment. If these patients with cervical cancer receive adequate social support such as emotional, informational, peers, and financial support from their family, these may promote a better quality of life for the cervical cancer patients [9-11]. However, receiving overly, unnecessary support from family members, friends or health care providers could result in negative support, which instead decreases the quality of life of patients.
{"title":"Evaluating the Quality of Life and Social Support in Patients with Cervical Cancer after Treatment","authors":"B. Sumdaengrit, Katekaew Jengprasert, Narumon Sriintravanit","doi":"10.31031/tteh.2018.01.000506","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000506","url":null,"abstract":"Cervical cancer is the second most common cancer in Thai women, as much as it is in other South East Asian counties [1]. The new cervical cancer incidence reported by the Thai National Cancer Institute has been varied from 12.15-15.14% in the period from 2012-2016 [2-6]. During the past five years, the number of women who survived from cervical cancer has increased significantly as a result of advanced and effective treatments [2-6]. These women have to invest so much effort on coping with the disease and treatment side effects, since diagnosis until treatment is completed. However, there will be remaining symptoms in these women such as fatigue, problems with urination, vaginal dysfunction, anorexia and anxiety [7,8]. These are symptom distress [9] that may have an impact on the quality of life in these cancer survivors. In contrast, during the period-from when these women were diagnosed with cervical cancer until they received treatment-these women normally received a lot of social support [10]. This is because in the Thai culture, cervical cancer patients usually receive emotional and informational supports from their family members and health care providers. In addition, peer support from their friends, and financial support from their family members [7,8] are received as well. These supports may improve patients’ quality of life. However, after the cervical cancer treatment is over, these social support starts fading. Even though, they still have the remaining symptoms from the cancer and its treatment. If these patients with cervical cancer receive adequate social support such as emotional, informational, peers, and financial support from their family, these may promote a better quality of life for the cervical cancer patients [9-11]. However, receiving overly, unnecessary support from family members, friends or health care providers could result in negative support, which instead decreases the quality of life of patients.","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130829805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-24DOI: 10.31031/tteh.2018.01.000505
Anu Bajaj
Primary effusion lymphoma (formerly known as body cavity lymphoma), is an infrequent, aggressive B cell non-Hodgkin’s lymphoma. The human herpes virus 8 (HHV8) or the Kaposi’s sarcoma associated herpes virus (KSHV) may be the potential determinant of the malignancy [1]. The viral genesis was determined in conjunction with the Kaposi’s sarcoma secondary to the human immune deficiency (HIV) virus and autoimmune deficiency syndrome (AIDS) in 1994 and to the non-Hodgkin’s lymphoma in 1995 [1,2]. Subsequently, the world health organization designated the primary effusion lymphoma as a singular, independent neoplasm in 2001 [3]. An estimated 4% of the HIV related non-Hodgkin’s lymphoma and 1% of the non-viralHIV related non-Hodgkin’s lymphoma may be constituted by PEL [4].
{"title":"Aqueous, Glutinous, Cavitary: Primary Effusion Lymphoma","authors":"Anu Bajaj","doi":"10.31031/tteh.2018.01.000505","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000505","url":null,"abstract":"Primary effusion lymphoma (formerly known as body cavity lymphoma), is an infrequent, aggressive B cell non-Hodgkin’s lymphoma. The human herpes virus 8 (HHV8) or the Kaposi’s sarcoma associated herpes virus (KSHV) may be the potential determinant of the malignancy [1]. The viral genesis was determined in conjunction with the Kaposi’s sarcoma secondary to the human immune deficiency (HIV) virus and autoimmune deficiency syndrome (AIDS) in 1994 and to the non-Hodgkin’s lymphoma in 1995 [1,2]. Subsequently, the world health organization designated the primary effusion lymphoma as a singular, independent neoplasm in 2001 [3]. An estimated 4% of the HIV related non-Hodgkin’s lymphoma and 1% of the non-viralHIV related non-Hodgkin’s lymphoma may be constituted by PEL [4].","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122031678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-17DOI: 10.31031/tteh.2018.01.000504
T. Valentinova
The organizational reform of the health care system in Bulgaria was started in 2000. As a result, the primary health care in the country was organized in a new way -based on individual and group practices of general medicine. The new conditions and organization of work, the new requirements and the new organization of training have become a challenge for general practitioners working in these practices. The work in difficult conditions can become a factor that seriously reduces job satisfaction as well as motivation for work. In Bulgaria for recent years there is an unfavorable tendency to reduce the number of GPs working in the country, which is probably related to their satisfaction with the working conditions (Figure 1). The job satisfaction of the primary care physician is an important factor for quality of health, because the primary care level is responsible for providing medical care to a greater proportion of the population than any other care level. Abstract
{"title":"Job Satisfaction of the Bulgarian Primary Care Physicians","authors":"T. Valentinova","doi":"10.31031/tteh.2018.01.000504","DOIUrl":"https://doi.org/10.31031/tteh.2018.01.000504","url":null,"abstract":"The organizational reform of the health care system in Bulgaria was started in 2000. As a result, the primary health care in the country was organized in a new way -based on individual and group practices of general medicine. The new conditions and organization of work, the new requirements and the new organization of training have become a challenge for general practitioners working in these practices. The work in difficult conditions can become a factor that seriously reduces job satisfaction as well as motivation for work. In Bulgaria for recent years there is an unfavorable tendency to reduce the number of GPs working in the country, which is probably related to their satisfaction with the working conditions (Figure 1). The job satisfaction of the primary care physician is an important factor for quality of health, because the primary care level is responsible for providing medical care to a greater proportion of the population than any other care level. Abstract","PeriodicalId":375686,"journal":{"name":"Trends in Telemedicine & E-health","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127323317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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