Family Medicine

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World Book of Family Medicine – European Edition 2015 Knowledge in MRKC participants was statistically significantly less on the pre-test when compared to a university faculty and resident cohort confirming that the participants, almost exclusively referred to the course for disciplinary reasons, had a pre-course deficient knowledge base in medical record keeping. Original Abstract http://www.woncaeurope.org/content/4305-competency-medical-record-keeping-development-scale-and-assessing-cme-impact References Greene J. Risk management becoming crucial focus of CME study. American Medical News. July 2, 2001;Professional Issues. McCready LA. Guidebook to the Laws Governing the Practice of Medicine. Sacramento, CA: Medical Board of California, Department of Consumer Affairs; 1998. Minkin MJ. Protect yourself from malpractice suits. Fertil Steril. Mar 2004;81 Suppl 2:41-44. Sullivan GH. Does your charting measure up? RN. Mar 2004;67(3):61-65. Roberts RG. Seven reasons family doctors get sued and how to reduce your risk. Fam Pract Manag. Mar 2003;10(3):29- 34. Allen J, Burkin A. How plaintiffs' lawyers pick their targets. Med Econ. Apr 24 2000;77(8):94-96, 99, 103-104 passim. Stange KC, Zyzanski SJ, Smith TF, et al. How valid are medical records and patient questionnaires for physician profiling and health services research? A comparison with direct observation of patients visits. Med Care. Jun 1998;36(6):851-867. Soto CM, Kleinman KP, Simon SR. Quality and correlates of medical record documentation in the ambulatory care setting. BMC Health Serv Res. Dec 10 2002;2(1):22. 134
World Book of Family Medicine – European Edition 2015 Erika ZelkoMD, MSc erikazelko@gmail.com Enough? 44 – The Health Needs of Hard to Reach Groups: Do We Know Erika Zelko, MD, MSc University of Maribor, Medical Faculty, Department of Family Medicine, Maribor, Slovenia One of the most representative minority groups in almost every country in Europe are the Roma. The Roma (Gypsies) are a special ethnic community with multiple homelands, abundant cultural heritage, and a certain way of life. They are a special ethnic group of people who predominantly live in Central or Eastern Europe (CEE) (approximately 5.2 million of Roma live in CEE countries). It is estimated that about 10,000 Roma live in Slovenia, of which 3,000 live in Prekmurje. In Slovenia, the Roma are legally considered to be a minority at risk, and their status is partly regulated by the Slovenian Constitution. Their integration into the community primarily involves jobs and schooling (Roma children attend the same schools as non-Roma). The Majority of Roma in Prekmurje have built good relations with the non-Roma population. They are also very active in protecting and developing their cultural and ethnic specificity. They have their own radio and TV programme, publications in the Roma language, and they take part in investigating the needs and specificity of the Roma population. Due to the problems researchers face when carrying out studies in Roma settlements, there is a lack of data on how public healthcare measures should be appropriately developed and implemented for this minority group. These problems arise because of the mistrust the Roma hold for the non-Roma researchers; they are afraid of being discriminated against and exploited, they have problems talking to researchers, and they are afraid of any consequences they might face within and outside their community if they participate or do not participate in these studies. Time-related and financial obstacles represent an additional burden in carrying out such studies. The Roma have their specific material and spiritual culture, including health culture which determines their attitudes towards health, diseases and death. In the past, their strong superstitious beliefs led them to prefer visiting domestic healers rather than doctors and conventional medicine. The decision by Roma to seek medical care is affected by their culture. They equate health with happiness. They believed that certain diseases were outside the realm of their perception of health so they visited special Romani practitioners, and used herbal home-made medicines. However, most of those Roma beliefs have been abandoned over the past few decades. They have developed an increased trust in conventional medical methods but a lack of confidence in health-care workers and institutions. Since they are mostly poorly educated, and sometimes do not trust the non-Roma population, this often results in communication difficulties with healthcare workers. In addition, their low education level, poor mastery of the language of the non-Roma population, and cultural and ethnic differences contribute to poor health literacy. They often do not understand medical protocols, and have problems comprehending information material they are given in health centres. Due to the poor health literacy of the Roma, their difficulties understanding medical terminology or misinterpreting it, few publications deal with 135
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Family Medicine

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