Trends in general practitioners/family doctors workload in Croatia in period 1995-2012 [Trend opterećenja poslom liječnika opće/obiteljske medicine u Hrvatskoj u periodu 1995-2012]

Smolković, Ljiljana and Kujundžić-Tiljak, Mirjana and Tiljak, Hrvoje (2014) Trends in general practitioners/family doctors workload in Croatia in period 1995-2012 [Trend opterećenja poslom liječnika opće/obiteljske medicine u Hrvatskoj u periodu 1995-2012]. Collegium Antropologicum, 38 (S2). pp. 19-24. ISSN 0350-6134

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Abstract

This research aimed to present public data describing the Croatian family doctors (FDs) workload, presented as the average number of patients on the lists, and annual and daily number of consultations per one FD team during the period 1995-2012. Croatian Health Service Yearbook for consecutive years was used as basis for data collection. Impressive increase number of persons on FD lists and significant increase of rate of persons per FD team were observed. Average number of contact to FD team also showed constant increase, starting at level of 5.9 per year in 1995 and reaching 9.6 per year in 2012. However, average number of direct consultation (including physical examination) to FD showed modest increase from level of 4.1 per year in 1995 till level of 5.8 per year in 2005. The number of referrals per one visit remain stable, but the number of referrals per one direct consultation decreased. The data stress problem of discrepancy of increasing number of persons on FD lists and stagnation trend of number of FD teams in Croatian primary health care. Results suggested problem of increasing workload of FD teams, but further research are needed for deeper amylases of the FDs workload.

Abstract in Croatian

Cilj istraživanja je bio ispitati opterećenost liječnika obiteljske medicine (LOM), iskazanom brojem pacijenata na listi liječnika te brojem posjeta i pregleda u periodu 1995.–2012. godine. Podaci su prikupljeni iz Hrvatskih zdravstveno-statističkih ljetopisa za te godine. Rezultati su pokazali, da prosječan broj pacijenata po jednom LOM raste i da se posljedično smanjuje postotak korištenja obiteljske medicine. Također pokazuju, skoro dvostruki, porast broja posjeta, tako da je dnevni broj posjeta porastao s prosječnih 34,1 posjetu na 53,9 posjeta. U isto vrijeme, broj pregleda nije značajno porastao: sa 23,6 na 26,6 pregleda. Također nije značajno porastao omjer upućivanja u odnosu na posjete. Prikupljeni podaci su bili dostatni za analizu trendova, međutim za dublju analizu dnevne opterećenosti LOM bi bila potrebna dodatna istraživanja.

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