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REGIONAL DIFFERENCES IN COMMUNITY HEALTH SERVICE IN THE REPUBLIC OF CROATIA FROM 1995 TO 2012
Zvonimir Bendeković
; Dom zdravlja Varaždinske županije
Dobrislav Šimić
; Specijalisti
Mladenka Vrcić Keglević
; Zaklada za razvoj obiteljske medicine
Sažetak
Changes that were going on in the total healthcare system included community health service as well but only a few studies on its evaluation were published. The aim of this study was to explore
whether regional differences in the number of community health nurses and the number of their visits from 1995 to 2012 existed. Data from the Croatian Health Service Yearbooks were used for the study. The results showed that the number of community health nurses was slowly increasing until 2010 and decreasing afterwards. The average
number of visits per one community health nurse was showing continued increase during the whole studied period. However there were big differences noticed among the counties. In some counties those differences were rather small while in the other they were high. The biggest changes occurred in Splitsko-dalmatinska, Šibensko-kninska, Ličkosenjska, and Brodsko-posavska counties and the smallest in Varaždin, Primorsko-goranska, and Krapinsko-zagorska counties. This could be explained by increasing or decreasing number of population in the care of one community health nurse. Significant increase of the average number of visits per one community health nurse in Splitsko-dlmatinska county is probably the result of their shortage. In the Zadar county the smallest number of inhabitants and visits was recorded.
However in some counties changes in the average number of visits occurred regardless the number of inhabitants in care. It is especially evident in Brodsko-posavska county where together with the increased number of community health nurses the number of visits increased as well. The results of this study could be used by planners and health services’ negotiators in order to try to solve the problem of unequal distribution of community health services in the Republic of Croatia.
Ključne riječi
Hrčak ID:
136098
URI
Datum izdavanja:
11.3.2015.
Posjeta: 1.413 *