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Browsing Article by Author "Dangadze, Beka"
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Item Factors that influence tobacco use in Georgian youth(Malta Medical Journal, 2020-11-13) Verulava, Tengiz; Nemsadze, Davit; Jorbenadze, Revaz; Dangadze, BekaObjective: Social environment, especially education, levels of awareness, friends and parental behavior greatly affects the use of tobacco among teenagers. The research aims to identify various factors that promote tobacco use in youth. Method: Qualitative and analytic cross-sectional descriptive research method was carried in among students from Tbilisi State University. Results: Most respondents have started tobacco consumption at juvenile age. The community played a decisive role in starting tobacco use. Respondents started using tobacco with their classmates and close friends. The survey has shown that tobacco consumption was perceived as a positive social behavior among teenagers. Introducing the tobacco control laws that prohibit tobacco consumption and advertising in public places, particularly near schools are of paramount importance. Conclusion: Interventions that focus particularly on multiple risk factors may have an impact on the use of tobacco by adolescents. Where possible, such programs should be personalized to ensure that they address the specific set of risk factors that has a bearing on each individual's tobacco use.Item The Gatekeeper Model: patient’s view on the role of the family physician(Family Medicine & Primary Care Review, 2020) Verulava, Tengiz; Dangadze, Beka; Jorbenadze, Revaz; Lordkipanidze, Ana; Karimi, Leila; Eliava, Ekaterine; Maglakelidze, TamarBackground. An adequate primary healthcare system substantially determines quality of population health and effective spending of healthcare resources. The family physician serving as a ‘gatekeeper’ can make judicious decisions about the appropriate use of medical services. Objectives. The goal of this study was to find out patients’ characteristics, preferences and behavior in regards to the role of the family physician as the gatekeeper in The Republic of Georgia. Materials and Methods. As part of a cross-sectional quantitative study, respondents were interviewed using a structured questionnaire. Results. Majority of the respondents (53.7%, n=245) had a permanent family physician, but were not satisfied with a level of family physician’s professionalism (56.6%, n=258) and preferred self-referral to specialists (55%, n=253). Only 19.5% (n=89) referred to specialists upon family physician’s advice who would coordinate all services and 23% (n=103) have used both family physicians and self-referral. Private health insurance companies were more interested in implementing cost reducing mechanisms rather than the Social Service Agency (which is responsible for Universal Health Care Program). Conclusions. It is appropriate to share private health insurance experiences for developing a model of gatekeeper in the UHCP. In order to improve a family physician institute and increase confidence in it, it is recommended to raise the level of family physicians’ skills of relations with patients as it has a significant effect on the patient preferences. It is advisable to develop a flexible and voluntary gatekeeper model which will better suit the needs of both patients and physicians.Item The Role of Social Workers in Pediatric Oncology(Archives of the Balkan Medical Union, 2019) Verulava, Tengiz; Asatiani, Tinatin; Jorbenadze, Revaz; Dangadze, BekaIntroduction. In the past years, the role of social workers in the oncological disease treatment processes has significantly increased. The role implies supporting patient’s psychosocial conditions. This study aims at studying psycho-social challenges of oncological children and their families and defining a role of social work in this area. Methods. As part of a qualitative study, five interviews were conducted with pediatric oncologists, also 15 in-depth interviews with family members of oncological patients and a focus group with 8 members. For the quantitative study, 62 beneficiaries and 12 medical specialists were interviewed. Results. The children with oncology conditions and their families faced psycho-social challenges and were in need of social workers’ support in overcoming those challenges. The study demonstrated a low level of public awareness. There is a lack of information among both doctors and beneficiaries. Both psychologists and social workers are involved in re-socialization of oncological children and they care for the improvement of children’s quality of life and support their families. However, there are only a few of such organizations. Therefore, many people who need their support have no chance to take such services. Conclusion. Implementing the social work in the pediatric oncology will be a major step toward the medical quality standards.Item Socialization among the rural-to-urban migrant students in Georgia(Youth Voice Journal, 2019) Verulava, Tengiz; Kapanadze, Nino; Chilingarashvili, Sophiko; Panchulidze, Tamar; Kachkachishvili, Iago; Jorbenadze, Revaz; Dangadze, BekaPurpose. Difficulties and stress associated with cultural adjustment are significant issues affecting the life experience of the rural-to-urban migrant students. They may experience problems such as culture shock, psycho-social difficulties and interpersonal conflicts, which may negatively affect migrant students’ socialization. The goal of this research was to identify socialization and adaptation related problems that migrant students encounter. Design/methodology/approach. In the framework of qualitative research method, the focus groups were identified and studied. Findings. Majority of students had difficulties adapting to the urban environment. They felt uncomfortable in urban noise, traffic jams and crowded streets. For the majority of students living conditions worsened after arriving to the capital city. Because of the lack of free time, most of the migrant students could visit their families only on holidays. Some of them felt discriminated because of their language accent, taste and style. Most students plan to return to their home region and use experience and knowledge gained in urban places. However, some students do not plan to return because they don’t see any career prospects back home. Recommendations. It is recommended to develop specific types of interventions that will target the unique needs of rural-to-urban migrant students. Training and educational programs can be done to increase students’ awareness of available services. In addition, creating a more flexible and tailored environment, where students can actively engage in various activities in order to increase the quality of their socialization, will be beneficial.