Specifics in the review of health documentation.

OBJECTIVES: The objective of the work was to identify if health documentation management is depending of actually current legislation. Also to review range and consistency records. The work described forms and content of documentation, relating to treat wounds and decubitus. METHODS: A content analysis of 139 health documentation of insurer of General Health Insurance Company, which were treated by 28 home care agencies (hereinafter "HCA") and in the HCA was done directly audit in 2012 and 2014. We set 29 assessment items, with criteria separation according structure, process and outcome. Documentation, we analyzed three ways: through 5 grade rating scale, by choosing a clear answer to the question: yes, no and evaluation of specific items of documentation. RESULTS: The research confirm dependence keeping medical records in home nursing care agencies from legislation. On the other hand, it was found that the form of the recording method of health care in many cases are varied and fragmented. Deficiencies were found in the area of criteria such as structure, process and outcomes and transparency in the management of documentation pressure ulcers and chronic wounds. Only 62.9 % of the documentations was written nursing care and sent to Health Insurance Company in full compliance or with minor shortcomings. CONCLUSION: Research has shown that in the legislation defined by standard forms was recorded the lowest number of deficiencies. This fact needs to be used for the development of new legislation, which directed to setting documentation with clearly defined, structured information's. WHO adopted the International Classification for Nursing Practice (ICNP) as essential and complementary part of professional health services (Tab. 2, Fig. 2, Ref. 22).

Health status of the Slovakia population at its entry to the European Union.

The health status of the Slovak Republic (SR) population on the eve of its entry to the European Union (EU) was generally worse than the EU average. Life expectancy at birth was in SR for males 70 years, in EU 75.5 years and for females 78 in SR and 82 in EU. Premature mortality for the age interval 0-64 years (standardized death rates--SDR per 100,000) was mostly higher in SR; male mortality being almost twice as high as in EU. The reason was a significantly higher mortality caused by cardiovascular diseases, malignant neoplasms and mortality from external causes. Also mortality caused by diseases of respiratory and digestive system, by cirrhosis and diabetes is higher in SR both in male and female populations. However, there were some positive aspects in SR. Mortality caused by infectious and parasitic diseases was lower in SR for both males and females. The prevalence of HIV/AIDS in EU was five times higher than in SR. SR has one of the lowest concentrations of newly registered AIDS cases in all Europe. Immunization coverage in SR is higher than in many EU countries. The health status of children population in SR is not significantly worse than in EU. However, the global health status image seems worse due to values of the Gypsy minority. Trends of premature mortality are favourable in SR. Mortality from cardiovascular diseases, external causes of injury and poison and from diseases of respiratory system is falling. Infant mortality is falling while the average life expectancy of both men and women is rising. However, with health care improving constantly in EU countries in all these areas, it will not be easy for SR to catch up with EU. We estimate that this process might possibly take up to 20 years. (Tab. 5, Fig. 11, Ref. 26.)