Original scientific paper

Vital statistic in Velika Kopanica municipality in the 1952-2013 period as basis for primary health care planing

Josip Buljan ; Specijalistička ordinacija opće medicine, Velika Kopanica

Abstract

The article indicates changes in vital statistic parameters during the period from 1952 to 2013 in the municipality of Velika Kopanica. A health care centre in Velika Kopanica was established in 1929. In the mentioned period a team of general practitioners (two from 1991) with a dentist from the 70's of the past century and a pharmacy and home care service. Secondary health care was more accessible with the improvement of road connections.
Significant immigration followed World War II. The 1970's mark immigration to cities and abroad. In the aftermath of the Croatian War of Independence part of the refugees remained in Kopanica. With the beginning of the economic crisis in 2008, immigration started once more which was mainly to foreign countries.
During the demographic transition, natality rates dropped from 25‰ to 13‰ and mortality rates varied between 10‰ and 15‰. Since 2000, natality rates are lower than mortality. An average life expectancy of 45.5 years prolonged to 76.6 years; and death expectancy was bound to senior age groups. After the 1970's early deaths of newborns, preschool and school age children occurred sporadically.
The general development and health care attainability prolonged human life expectancy, with 85% of deceased aged 65 years or older which represents an economic contribution to the health care system.
The organisation of primary health care should be adjusted to the needs of the aging population (20% older than 65) characterized by morbid chronic states, a large number of elderly households living alone with reduced, often insufficient family care in longstanding unfavourable economic circumstances. Therefore, besides medical service in the surgery, there is a need for professional work of physicians and nurses in the patient's home as well as an intervention of community in solving non-medical needs of the patient.

Keywords

vital statistics; natality; mortality; primary health organisation

Hrčak ID:

152225

URI

https://hrcak.srce.hr/152225

Publication date:

29.1.2016.

Article data in other languages: croatian

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