Professional paper
The leading health problems of persons age 50 and older undergoing preventive medical examination in the Osijek-baranja county 2007-2010
Nikola Kraljik
; Public Health Institute of Osijek-Baranja County, Osijek
Rudika Gmajnić
; Faculty of Medicine, Osijek, Department of Family Medicine
Sanda Pribić
; Faculty of Medicine, Osijek, Department of Family Medicine
Tibor Santo
; Public Health Institute of Osijek-Baranja County, Osijek
Abstract
Medical-preventive examinations allow early determination of synergistic effects of risk factors for development of chronic
diseases and their timely detection among a defined population. In today's health care system a model of preventive
examinations of insured persons above 50 years of age who were not examined by a family physician for at least two years is a
good way to promote prevention activities in Croatia. The results obtained by analyzing the individual form 2431 "The preventive
examinations of insured persons aged 50 years report" that were sent by 135 contracted doctors of general and family medicine
practice in the area of Osijek-Baranja County, in the period 2007-2010 indicate the existence of numerous risk factors found
among the population that was considered to be in good health before the examinations. In relation to the gender of the
examined, 53.43% consisted of women, and 46.57% men. Analysis of the suspected diseases by the presence of newly
diagnosed group (ICD - audit) indicates the greatest representation of a group of endocrine diseases (E00-E90) with a share of
44.25% and circulatory diseases (I00-I99) with a share of 23.50% in total of 2515 diagnoses that were suspected of during
preventive examination. Palpatory examinations done on the 1144 insured discovered suspicious lumps in 3.32% of the tested. Of
the total 2376 insured with the measured systolic pressure, 48.3% had values above 140 mmHg, and 36.2% had a diastolic
pressure above 90 mmHg. From the laboratory findings hyperglycemia was found in 13.9% of the total of 2294 persons examined
preventively, and in relation to gender, damaged glucose metabolism was detected in 16.5% (173) men and 11.8% (147) women. Within the frame of the preventive examinations, obesity was diagnosed in the 27.47% of the 2415 insured with calculated body mass index (BMI), 367 (28.43%) females and 296 (26.33%) males. Of the total of 1299 insured female patients present on the
preventive examination, 511 (39.34%) did pap smear in the last three years, while 788 (60.66%) of them did not. As far as the mammographic examination in the last three years is concerned, 628 (48.53%) of them were examined and 666 (51.47%) were
not. Based on data on smoking obtained from a total of the 2403 examined (for which the data were available), 24.68% of them
smoke, 36.31% men and 14.55% women. After a systematic review of the preventive examinations, doctors of general practice
have taken a total of 2101 health measures. Of the total number of medical interventions, advice was given in 81.29% cases,
additional tests were made in 17.52% cases, and a referral to a specialist makes 20.51%. Systematic analysis, monitoring and
evaluation of results of preventive systematic examinations of adults over 50 years of age allows the development and
implementation of professional guidelines and algorithms in the prevention of public health priorities, with an appropriate
intervention. Implementation of the preventive medical examinations for persons over 50 years of age allows timely identification
of risk factors for development of chronic diseases and their early detection, which significantly affects the prolongation of life and
its quality.
Keywords
preventive medical examination, 50 and older, insured person, family medicine, Osijek-baranja County
Hrčak ID:
297221
URI
Publication date:
7.10.2011.
Visits: 162 *