Radost Asenova

Radost Asenova
Medical University of Plovdiv · Department of Urology and General Medicine

MD, PhD

About

80
Publications
9,554
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
697
Citations
Citations since 2016
39 Research Items
549 Citations
2016201720182019202020212022020406080100
2016201720182019202020212022020406080100
2016201720182019202020212022020406080100
2016201720182019202020212022020406080100
Additional affiliations
July 2012 - present
Medical University of Plovdiv
Position
  • Professor (Associate)
February 2009 - June 2012
Medical University of Plovdiv
Position
  • Research Assistant
December 2005 - February 2009
Medical University of Plovdiv
Position
  • Research Assistant
Education
September 1991 - September 1997
Medical University of Plovdiv
Field of study
  • Medicine

Publications

Publications (80)
Article
Epidemiological studies show that erectile dysfunction (ED) is widespread worldwide and its prevalence tends to increase. ED influences quality of life, preceding or accompanying different diseases and it is a proven risk factor for cardiovascular disease. Different factors were found impeding patients to discuss the ED problem during the consultat...
Conference Paper
Full-text available
Background: Primary Care (PC) treated mild and moderate COVID-19 cases in Europe, guidelines included vaccinated cases after the rollout of the vaccination. Question: How was the medical care of SARS-CoV-2 vaccinated patients if patients presented COVID-19? Methods: Descriptive, cross-sectional, retrospective study with qualitative data acquired...
Conference Paper
Full-text available
COVID-19 patients were treated in primary care (PC) in Europe but how the carewas delivered in the different countries has not been described. Research questions: How was theacute clinical pathway by Europe countries in the diagnosis and follow-up for COVID-19pandemic in PC?
Article
Full-text available
Emerging literature is highlighting the huge toll of the COVID-19 pandemic on frontline health workers. However, prior to the crisis, the wellbeing of this group was already of concern. The aim of this paper is to describe the frequency of distress and wellbeing, measured by the expanded 9-item Mayo Clinic Wellbeing Index (eWBI), among general prac...
Article
Full-text available
Introduction Lung cancer is the leading cause of cancer death, with wide variations in national survival rates. This study compares primary care system factors and primary care practitioners’ (PCPs’) clinical decision-making for a vignette of a patient that could have lung cancer in five Balkan region countries (Slovenia, Croatia, Bulgaria, Greece,...
Article
Full-text available
Aims: Because evidence regarding risk stratification predicting prognosis of patients with heart failure (HF) decompensation attended in primary care is lacking, we developed and externally validated a model to forecast death/hospitalization during the first 30 days after an episode of decompensation. The predictive model is based on variables eas...
Article
Full-text available
Background General practitioners (GPs) should regularly review patients’ medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm patients’ health. However, deprescribing can be challenging for physicians. This study investigates GPs’ deprescribing decisions in 31 countries. Methods In this case vignette study, GPs were i...
Article
Full-text available
Objective To evaluate the precipitating factors for heart failure decompensation in primary care and associations with short-term prognosis. Design Prospective cohort study with a 30-d follow-up from an index consultation. Regression models to determine independent factors associated with hospitalisation or death. Setting Primary care in ten Europ...
Article
Full-text available
Objective To explore dementia management from a primary care physician perspective. Design One-page seven-item multiple choice questionnaire; free text space for every item; final narrative question of a dementia case story. Inductive explorative grounded theory analysis. Derived results in cluster analyses. Appropriateness of dementia drugs asses...
Article
Full-text available
Резюме: Цел: Целта на проучването е да се изследва обективно функцията на зрителния анализатор чрез симултанно извършване на патерни електроретинография (ПЕРГ) и зрителни предизвикани потенциали (ПЗЕП) при болни с новооткрит захарен диабет (ЗД). Материал и методика: Изследван е контингент от 81 човека, 162 очи, от които 47 здрави лица (контроли) –...
Article
Full-text available
Цел: Целта на проучването е да се направи съпоставка между показателите на патерните електроретинография (ПЕРГ) и зрителни предизвикани потенциали (ПЗЕП) при болни със захарен диабет (ЗД) и давността на ЗД. Материал и методика: Изследван е контингент от 135 диабетно болни (270 очи) на ср. възраст 51±13,72 г. От тях 57 мъже и 78 жени. С тип 1 ЗД са...
Article
Full-text available
SARS-COv-2 or a common COVID-19 infection caught all countries off guard. In just a few days, the lives of individuals and the functioning of all societies, starting at the smallest, have changed drastically, their health and lives have been seriously threatened. Many eyes have turned to family doctors who are at the forefront of the fight against...
Article
Full-text available
Background: Despite several studies focusing on the negative aspects of general medicine, the speciality seems attractive for students. Researchers from the European General Practice Research Network created a group to study job satisfaction in general practice. The aim of this eight-country European study was to determine which positive view stude...
Article
Full-text available
Background: General Practice (GP) seems to be perceived as less attractive throughout Europe. Most of the policies on the subject focused on negative factors. An EGPRN research team from eight participating countries was created in order to clarify the positive factors involved in appeals and retention in GP throughout Europe. The objective was to...
Article
Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers...
Article
Introduction: Several factors play the role of barriers to GP-s and most of them avoid discussing the erectile dysfunction (ED) problem with their patients, even though a part of the patients hope the doctor would initiate such a discussion. Taking into account the relationship of ED with a number of socially significant diseases, these barriers im...
Article
Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the ne...
Article
Full-text available
Objective From a systematic literature review (SLR), it became clear that a consensually validated tool was needed by European General Practitioner (GP) researchers in order to allow multi-centred collaborative research, in daily practice, throughout Europe. Which diagnostic tool for depression, validated against psychiatric examination according t...
Article
Full-text available
Aim: The aim of the study was to compare the values of the components of pattern electroretinography (PERG) and visual evoked potentials (PVEPs) in patients with diabetes mellitus (DM) and the duration of DM. Material and methods: A group of 135 diabetic patients (270 eyes), were studied, with mean age 51 ± 13.72, 57 males and 78 females. Patients...
Article
Full-text available
Background Strategies for the involvement of primary care in the management of patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes of primary care physicians (PCPs) when managing dementia: (i) the most popular cognitive tests, (ii) who had the right to initiate or continue cholinesterase inhi...
Article
Drug regulation" is the internationally accepted term for the set of activities designed to provide the public with qualitative, efficient and safe medications. In Bulgaria, a number of laws and regulations are in place. The primary tool for providing the chronically ill with medications is the so called positive medication list. The aim of this st...
Article
Full-text available
The aim of the study is to explore objectively the function of the visual analyzer by simultaneously perfomning pattern electroretinography (PERG) and visual evoked potentials (PVEPs) in patients with newly-diagnosed diabetes mellitus (DM). A group of 81 people, 162 eyes, of whom 47 healthy controls - 94 eyes, were studied. Patients with DM are 34-...
Article
Full-text available
Background Due to the heterogeneous and systemic nature of the chronic obstructive pulmonary disease (COPD), the new guidelines are oriented toward individualized attention. Multidimensional scales could facilitate its proper clinical and prognostic assessment, but not all of them were validated in an international primary care cohort, different fr...
Article
Full-text available
Background Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. The European General Practice Research Network (EGPRN) created a research team (eight national groups) in order to clarify the factors involved in GP job satisfaction throughout Europe. The first ste...
Article
Full-text available
Background: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept a...
Article
Full-text available
The management of chronic diseases shall be considered a priority in the work of the global international institutions, which are related to health policies. In the search for effective and efficient solutions for the treatment of chronic diseases, scientists are developing different programs. In Bulgaria the continuous monitoring of chronically il...
Article
Full-text available
Background: Multimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the concept based on a systematic review of the literature which is closely linked to patient complexity and to the biopsychosocial model. This concept was identified by Europ...
Article
Full-text available
INTRODUCTION: Multimorbidity is a health issue with growing importance. During the last few decades the populations of most countries in the world have been ageing rapidly. Bulgaria is affected by the issue because of the high prevalence of ageing population in the country with multiple chronic conditions. The AIM of the present study was to valida...
Article
Full-text available
There is now compelling evidence that screening for colorectal cancer may result in significantly reduced mortality. Screening tests for colorectal cancer are not systematically performed in Bulgaria. Aim. This article explores the effect of an educational intervention on the willingness of patients to participate in the screening for colorectal ca...
Article
Full-text available
Background: Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM) and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN) designed a comprehensiv...
Article
Full-text available
The aim of this work is to present a demonstrative project for general practitioners (GPs) advanced training on the risky problems, related to air pollution and health. For the project implementation we chose the second largest city in Bulgaria - typical urban environment. To participate in the project we invited GPs from 10 practices, located in d...
Article
Full-text available
Patients coming to their family physician (FP) usually have more than one condition or problem. Multimorbidity as well as dealing with it, is challenging for FPs even as a mere concept. The World Health Organization (WHO) has simply defined multimorbidity as two or more chronic conditions existing in one patient. However, this definition seems inad...
Article
Full-text available
Chronic diseases are the main cause for 86% of deaths among people in the countries in the WHO European Region. In a study of quality of life in the chronic diseases, regardless of the objective results and the opinion of medical specialists, the subjective feeling of one’s own condition is essential. This is particularly important for the determin...
Article
Full-text available
In Bulgaria, the patient is entitled to palliative care in case of incurable disease with an unfavourable prognosis. Palliative care is provided by the family doctor/GP and institutions. Literature on palliative care providing is scarce. The objective of the study was to investigate the opinion of general practitioners, medical students, and other...
Article
Geriatric patients are a specific group of elderly people with many diseases, making them the most common attendants in general practice. Optimizing communication skills would improve the outcome of medical diagnostic and therapeutic procedures and bring satisfaction to physicians and patients. The aim of this study was to conduct a literature sear...
Article
General practice/Family medicine is an academic discipline having its own teaching and research content, based on evidence and clinical activities specifically oriented to primary health care. Person-centred care is one of the competences of the general practitioner (GP). According to it, the GP should take into consideration the patient's environm...
Article
Background: When identifying patients for palliative care, medical specialists find it necessary to disclose "hidden" patients: the patient's relatives. The issue has been discussed sporadically in Bulgaria; the present study was part of a larger investigation that examined the opinion of medical specialists, patients, and their relatives. Method...
Article
Introduction: Primary healthcare, provided by general practitioners (GPs), is the cornerstone of healthcare reforms in Bulgaria. It is difficult to study palliative care in the primary care setting because of limited numbers of patients and the tendency of severely ill patients not to participate in investigations. The aim of this study was to foll...
Article
Multimorbidity is a new concept encompassing all the medical conditions of an individual patient. The concept links into the European definition of family medicine and its core competencies. It may modify the health outcomes and lead to an increased disability or a decreased quality of life or frailty. The purposes of a standardized and reproducibl...
Article
Full-text available
Background: The vulnerability to burn out is determined by the specific interaction of the two domains – personality disposition and complementary anomalies in the psychological climate of the work place. Our basic hypotheses include inferences in 3 different, but strongly associated dimensions: specific personality traits as measured by the Temper...
Article
The changes in the health care system came along with the more establishing concept of permanent education. Management of the education is crucial for training's quality promotion and professional adaptation of general practitioners (GPs). MATERIALS AND METHODS: The sociological research is in the form of an anonymous questionnaire. It comprises 79...
Article
Full-text available
Background. GPs in Bulgaria provide basic care to people with advanced disease; there is no legislative framework for palliative care. The aim of the study was to investigate the activities of the GPs involving patients who need palliative care. Material and methods. The 42 GPs followed up a total of 211 patients, meeting the diagnostic criteria fo...
Article
Full-text available
Unlabelled: The European General Practice Research Network organized an international research conference on 'Children in General Practice' in Plovdiv, Bulgaria, in May 2010. Two of the authors were keynote speakers at the workshop, tasked with summarizing the theme research presentations on each of the two days of the meeting. The theme of the me...
Article
Obesity is a worldwide epidemic and is known to increase the risk of cardiovascular disease, type 2 diabetes, and certain forms of cancer. In addition, obesity is now recognized as an important risk factor in the development of several respiratory diseases. Clinical, laboratory and epidemiological observations have established links between obesity...
Article
GPs take care of patients regardless of the diagnosis and stage of the disease. They face gravely ill and dying patients and their families. Aim of the study was to investigate criteria and indicators used by GPs to identify patients for palliative care. Questionnaire survey was performed among 329 GPs. The collected data were processed with SPSS....
Article
General practitioner (GP) has an approved place in palliative care providing in a number of the European countries, Canada, Australia and the USA. The aim of the study was to investigate GP's view on the organization of palliative care providing. Thirty-three GPs participated in the survey, realized by an original questionnaire. The physicians over...
Article
General practice is a suitable and natural environment for educating children on the issues of nutrition and physical activity. The aim of the study is to research the main difficulties in prevention of overweight and obesity encountered in general practice. 34 general practitioners are encompassed in the study. Interviews with general practitioner...
Article
The specialization in General practice has its own specificity and characterizes with the possibility of the general practitioner to acquire knowledge in different areas of medicine. The aim of the study was to investigate general practitioner's opinion on control and assessment of his/her knowledge in the process of specialization in General pract...
Article
Healthcare for children requires a certain level of integration between general practitioners (GP) and specialists. Optimizing the referral process is a pre-condition for medical care effectiveness. The aim of the survey is to systematize the problems, related to referral process. Referrals are the GP's instrument for medical services continuity, c...
Article
Full-text available
INTRODUCTION: The aim of this study was to determine the prevalence of burnout, and of associated factors, amongst family doctors (FDs) in European countries. Methodology. A cross-sectional survey of FDs was conducted using a custom-designed and validated questionnaire which incorporated the Maslach Burnout Inventory Human Services Survey (MBI-HSS)...
Article
A significant part of rheumatic disease patients are ambulatorily diagnosed and treated. Rheumatic complaints and skeletal-motor disease cases comprise 15% of general practitioner's consultations. The results of an individual anonymous inquiry among general practitioners are presented. The data obtained are analyzed. The possibilities and specifici...
Article
Overweight is a major social problem. The aim of the study was to establish the quantity and type of the activities in the general practice concerning overweight children for a 2-year period. We examined 75 overweight children (Cole et al.) from first to third grade in the city of Plovdiv. We used content analyses of the GPs' records. The average n...
Article
The aim of the study is to establish the GPs' opinion concerning interprofessional collaboration with other specialists in solving patients' problems. A questionnaire survey was conducted among 51 GPs from Plovdiv. Results: 86.27% of the GPs have personal contact with the specialists whom their patients visit. 68.63% look for personal contact with...