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1.
J Nerv Ment Dis ; 188(7): 416-21, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10919699

ABSTRACT

The objective of this study was to profile trauma related psychiatric symptoms in a group of refugees not seeking mental health services and to consider the services implications. The study involved research assessments of two groups of Bosnian refugees: those who have not presented for mental health services and those who have. A total of 28 of 41 nonpresenters (70%) met symptom criteria for posttraumatic stress disorder (PTSD) diagnosis. All service presenters (N = 29) met symptom criteria for PTSD diagnosis. The group that did not present for services reported substantial but lower trauma exposure, PTSD symptom severity, and depression symptom severity. They had significant differences on all subscales of the MOS SF-36, indicating better health status. We concluded that those who do not seek services have substantial symptom levels, but their self-concept appears to be less oriented toward illness and help seeking. Innovative access, engagement, and preventive interventions are needed to address those who have symptoms but do not readily seek help for trauma mental health services.


Subject(s)
Mental Health Services/statistics & numerical data , Patient Acceptance of Health Care , Refugees/psychology , Stress Disorders, Post-Traumatic/diagnosis , Adult , Aged , Aged, 80 and over , Bosnia and Herzegovina , Chicago/epidemiology , Female , Health Status , Humans , Life Change Events , Male , Middle Aged , Politics , Severity of Illness Index , Stress Disorders, Post-Traumatic/epidemiology , Violence
2.
Med Arh ; 53(3 Suppl 3): 19-20, 1999.
Article in Croatian | MEDLINE | ID: mdl-10870617

ABSTRACT

The role of information technology in educational models of under-graduate and post-graduate medical education is growing in 1980's influenced by PC's break-in in medical practice and creating relevant data basis, and, particularly, in 1990's by integration of information technology on international level, development of international network, Internet, Telemedicin, etc. The development of new educational information technology is evident, proving that information in transfer of medical knowledge, medical informatics and communication systems represent the base of medical practice, medical education and research in medical sciences. In relation to the traditional approaches in concept, contents and techniques of medical education, new models of education in training of health professionals, using new information technology, offer a number of benefits, such as: decentralization and access to relevant data sources, collecting and updating of data, multidisciplinary approach in solving problems and effective decision-making, and affirmation of team work within medical and non-medical disciplines. Without regard to the dynamics of change and progressive reform orientation within health sector, the development of modern medical education is inevitable for all systems a in which information technology and available data basis, as a base of effective and scientifically based medical education of health care providers, give guarantees for efficient health care and improvement of health of population.


Subject(s)
Education, Medical , Medical Informatics/education , Bosnia and Herzegovina
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