Izvorni znanstveni članak
Preventive Health Care for Women in Croatia: Ongoing Trends from 1995 to 2012
Renata Pavlov
orcid.org/0000-0001-6509-4907
; Family Practice »Dr. Renata Pavlov«, Zagreb, Croatia
Ivana Babić
; Family Practice »Dr. Ivana Babi}«, Sveti Martin na Muri, Croatia
Vlatka Hajdinjak Trstenjak
; Family Practice »Dr. Vlatka Hajdinjak Trstenjak«, [enkovec, Croatia
Igor Srček
; Health Centre Sisak, Gynecological Practice, Hrvatska Kostajnica, Croatia
Zvonko Šošić
; University of Zagreb, School of Medicine, School of Public Health »Andrija [tampar«, Department of Social Medicine and Organization of Health Care, Zagreb, Croatia
Sažetak
The privatization of gynecological services and the introduction of additional reimbursements to capitation fees are
ongoing mini reforms in Croatia. In order to evaluate the outcomes of this, study was performed with the main aim of determining
trends in preventive activities carried out in public and private gynecological practices from 1995 to 2012. The
Croatian Health Service Yearbooks served as the basis for data collection. Data were collected on the number of general
check-ups, the number of targeted check-ups, and the number of follow-up check-ups. The results indicate a trend of continuous
decline in the number of general and follow-up check-ups, as well as breast examinations and Pap smears, in
public gynecological practices even after the introduction of contractual obligations and additional reimbursements and
fee-for-service payments. One important note is that many resources were invested in general checks-up interventions,
which proved to be ineffective, while fewer resources were invested in the more effective Pap smear interventions.
Ključne riječi
women’s health; prevention; gynecological service; Croatia
Hrčak ID:
147540
URI
Datum izdavanja:
29.12.2014.
Posjeta: 989 *