Abstract
Objective: To assess knowledge, awareness and attitude among hospital physicians from Kosovo toward current situation of Health Care System (HCS) especially Secondary Health Care (SHC) in Kosovo.
 Methods: In this cross-sectional study, anonymous questionnaire were delivered to three regional hospitals in Kosovo. The main outcome measures were physician’s awareness of the management of secondary health care institutions, awareness and use of new technology for improving health care in second level and their suggestions for further improvement.
 Results: Results are divided into three main categories: I. Relevant information on the knowledge of the health care system, were respondents had valuable information and insight; II. Relevant information on suggested improvements, in which respondents gave their proposals regarding workplace and inter managerial relations and III. Relevant information on continues education possibilities for medical staff.
 Conclusions: In conclusion there is a need to prioritize proper cooperation between primary, secondary, and third level of health institutions, in terms of entire health management in order to increase the quality of health services delivery, in line with western standards.
 Bangladesh Journal of Medical Science Vol.18(2) 2019 p.288-293
Highlights
The health system includes all activities, which main purpose has the promotion, recovery and protection of health[1,2]
There are several types of settings or places in which patients can receive treatments: inpatients (or individuals who have been formally admitted to healthcare facility, are treated in acute care) and long term care facilities and outpatients care who have not been formally admitted to healthcare and usually have stays of 24
In Kosovo, healthcare system is organized in three levels: primary health care (PHC), secondary health care (SHC) and tertiary health care (THC)[1-10]
Summary
The health system includes all activities, which main purpose has the promotion, recovery and protection of health[1,2]. In Kosovo, healthcare system is organized in three levels: primary health care (PHC), secondary health care (SHC) and tertiary health care (THC)[1-10]. Tertiary health care level covered by the Kosovo University Clinical Center (UCC) within which operate many clinics and institutes and University Dental Clinical Center of Kosova (UDCCK). Tertiary health care level includes several important national institutions such as National Center for Blood Transfusion (NBTC) which manages the center of the blood collection, the National Institute of Occupational Medicine (IKMP) covering health care for employees, the Center medical Sports and Recreation (QMSR) and National Institute of Public health (NIPH) which offers programs for maintaining and improving health, reducing environmental risks, early detection and monitoring of diseases, conditions and problems and represents the main source for the collection and analysis of medical data[3-13]. The questionnaire was distributed to 140 physicians together with a short letter explaining the aim of the study and stating that participation in the study was voluntary and anonymous
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