Postoje li razlike u organizaciji i funkcioniranju obiteljske medicine u Krapinsko-zagorskoj županiji u odnosu na Republiku Hrvatsku?
| Autor: | Helena Jurina, Gordana Prljević |
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| Jazyk: | chorvatština |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Medicina familiaris Croatica : Journal of the Croatian Association of Family medicine Volume 24 Issue 2 |
| ISSN: | 2459-5497 1330-1527 |
| Popis: | Cilj: utvrditi postoje li i kakve su razlike u organiziranju i funkcioniranju obiteljske medicine (OM) u Krapinsko-zagorskoj županiji (KZŽ) prema RH i moguće razloge tih razlika. Metode. Korišteni su podaci hrvatskih zdravstvenostatističkih ljetopisa od 1995. do 2014., mreža planiranih i ugovorenih ordinacija OM te popis stanovništva 2011. godine. Rezultati: u KZŽ ne nedostaje timova OM, a u RH ih nedostaje 123. Udio specijalista OM u KZŽ je cijelim praćenim razdobljem manji od prosjeka RH s najvećom razlikom 2014.godine: u KZŽ samo 30,3%, a u RH 48,9%. Prosječan broj pacijenta po timu u KZŽ je smanjen s 1818,9 u 1995. na 1665 u 2014. godini a u RH je iznosio 1808,3 odnosno 1832,3. Prosječan broj posjeta po pacijentu je u KZŽ porastao za 134.5%, a u RH za 84,7%. Prosječan broj posjeta po timu je u KZŽ porastao za 98,1%, a u RH za 84,6%. Prosječan broj pregleda u OM prema broju posjeta je pao za 28,1% u KZŽ i za 42,2% u RH. Udio upućivanja je u KZŽ smanjen za 24,0%, a u RH za 34,0%. Zaključak. U promatranom razdoblju prosječan broj pacijenata po timu je manji, a stupanj korištenja OM veći u KZŽ nego u RH. No, timovi OM u KZŽ su neravnomjerno raspoređeni, s manjim udjelom specijalista OM u odnosu na RH. Rješenje se nalazi u kontinuiranom specijalističkom usavršavanju većeg broja liječnika OM te planiranju mreže OM u skladu s potrebama. Aim. To determine the differences in family medicine (FM) organization in Krapinskozagorska County (KZC) compared to Croatia and the possible reasons. Methods. The data were collected from the Croatian Health Service Yearbooks 1995-2014, the Croatian network of planned and contracted family practices (FP), and national census 2011. Results. There is no lack of FPs in KZC while in Croatia missing are 123 FPs. Percentage of FM specialists in KZC was always below the Croatian average; the difference was highest in 2014 when there were 30.3% FM specialists in KZC and 48.9% in Croatia. The average number of patients per FP is less in KZC than in Croatia. The number of visits per patient increased by 134.5% in KZC and by 84.7% in Croatia, and the number of visits per FP increased by 98.1% and 84.6%, respectively. The average number of check-ups in FP decreased by 28.1% in KZC and by 42.2% in Croatia, and the referral rate decreased by 24.0% vs. 34.0%. Conclusion. During the study period the average patients’ number per FP decreased while the FM usage was higher in KZC than in Croatia. There were more primary care doctors per 10.000 inhabitants and no lack of FPs in KZC. However, these physicians are not properly distributed in KZC and the share of FM specialists is below the Croatian mean. The solution lies in comprehensive, continuous specialist training in FM and in planning of FM network according to the needs. |
| Databáze: | OpenAIRE |
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