Organization and functioning of primary care for women in Croatia: in relation to the health care reforms introduced between 1995 and 2012 [Organizacija i funkcioniranje primarne zdravstvene zaštite žena u Hrvatskoj u odnosu na promjene u zdravstvenom sustavu u periodu 1995-2012]

Topolovec Nižetić, Vlatka and Srček, Igor and Rodin, Urelija and Tiljak, Hrvoje (2014) Organization and functioning of primary care for women in Croatia: in relation to the health care reforms introduced between 1995 and 2012 [Organizacija i funkcioniranje primarne zdravstvene zaštite žena u Hrvatskoj u odnosu na promjene u zdravstvenom sustavu u periodu 1995-2012]. Collegium Antropologicum, 38 (S2). pp. 125-130. ISSN 0350-6134

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Abstract

The main aim of this study was to investigate trends in the organization and functioning of the HC service. The Croatian Health Service Yearbooks, from 1995 to 2012, served as the basis for the data. The results showed that the HC reforms aimed at the organization and functioning of primary care for women somehow compromised their accessibility. A general lack of around 100 gynecologists, the huge number of women on the lists, from 4, 350 to 8,061 women, and excessively heavy daily consultations, between 23.8 and 28.4, were all observed. The location of the majority of gynecological practices in the big cities also makes the service inaccessible to women from the rural areas. A flow of service away from the public to the private providers was also observed. Since, the results of this study can be viewed only in terms of trends and more detailed research will be needed in future.

Abstract in Croatian

U periodu od 1995. do 2012. godine je uvedeno nekoliko promjena u sustav primarne zdravstvene zaštite, uključujući i zaštite žena (PZZŽ), bez znanstvene evaluacije. Cilj studije je bio istražiti trendove kretanja nekih elemenata organizacije i funkcioniranja PZZŽ. Studija je temeljena na rutinski prikupljenim podaci, Hrvatskih zdravstveno-statističkog godišnjaka, za razdoblje od 1995–2012. godine. Rezultati su pokazali da promjene u sustavu zdravstva nisu dovele do povećane dostupnosti te djelatnosti. Nedostatak ginekologa, prosječno veći broj žena na listi ginekologa od standarda i velik broj posjeta i pregleda ukazuju na smanjenu dostupnost. Osim toga, ginekološke ordinacije su uglavnom smještene u većim gradovima, što djelatnost čini nedostupnijom seoskim ženama. Također je uočena pojava »bijega« žena iz javne u privatnu ginekološku djelatnost. Rezultati studije se mogu promatrati samo s aspekta trendova, pa su, za detaljnu analizu, potrebna dodatna istraživanja.

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