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Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences

Ivan Pristaš ; Croatian National Institute of Public Health, Zagreb, Croatia
Marinko Bilić ; General Hospital Šibenik, Šibenik, Croatia
Irina Pristaš ; University Hospital for Infectious Diseases »Fran Mihaljević«, Zagreb, Croatia
Luka Vončina ; »Andrija Štampar« School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Nevenka Krčmar ; Private General Practice Physician, Čakovec, Croatia
Ozren Polašek ; »Andrija Štampar« School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Ranko Stevanović ; Croatian National Institute of Public Health, Zagreb, Croatia

Puni tekst: engleski, pdf (83 KB) str. 121-130 preuzimanja: 381* citiraj
APA 6th Edition
Pristaš, I., Bilić, M., Pristaš, I., Vončina, L., Krčmar, N., Polašek, O. i Stevanović, R. (2009). Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences. Collegium antropologicum, 33 Supplement 1 (1), 121-130. Preuzeto s https://hrcak.srce.hr/39738
MLA 8th Edition
Pristaš, Ivan, et al. "Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences." Collegium antropologicum, vol. 33 Supplement 1, br. 1, 2009, str. 121-130. https://hrcak.srce.hr/39738. Citirano 24.02.2020.
Chicago 17th Edition
Pristaš, Ivan, Marinko Bilić, Irina Pristaš, Luka Vončina, Nevenka Krčmar, Ozren Polašek i Ranko Stevanović. "Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences." Collegium antropologicum 33 Supplement 1, br. 1 (2009): 121-130. https://hrcak.srce.hr/39738
Harvard
Pristaš, I., et al. (2009). 'Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences', Collegium antropologicum, 33 Supplement 1(1), str. 121-130. Preuzeto s: https://hrcak.srce.hr/39738 (Datum pristupa: 24.02.2020.)
Vancouver
Pristaš I, Bilić M, Pristaš I, Vončina L, Krčmar N, Polašek O i sur. Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences. Collegium antropologicum [Internet]. 2009 [pristupljeno 24.02.2020.];33 Supplement 1(1):121-130. Dostupno na: https://hrcak.srce.hr/39738
IEEE
I. Pristaš, et al., "Health Care Needs, Utilization and Barriers in Croatia – Regional and Urban-Rural Differences", Collegium antropologicum, vol.33 Supplement 1, br. 1, str. 121-130, 2009. [Online]. Dostupno na: https://hrcak.srce.hr/39738. [Citirano: 24.02.2020.]

Sažetak
Even the most socially aware countries in the World have noticed the gap increase between the poorest and the richest population groups. The purpose of this study was to investigate the presence of inequity and to identify main barriers for equitable health care utilization by economic status, region and area of living, controlled for health needs in the Croatian adult population. The data from the Croatian Adult Health Survey 2003 were used in this study. The results show that among the respondents with higher health needs, those with economic status above average had higher proportion of regular annual general practitioner and medical specialist visits. In contrast, highly frequent visits to physician were more common in respondents who were below average economic status. Economically worse-off women, regardless on their health care needs reported gynecologist visits less regularly than the better-off women. Long waiting and the large distance from the health care facilities were the most commonly reported barriers in health care utilization. High expenses were present as the main barrier at dentist and inpatient health services utilization. Suburban and rural settlements were more burdened with long distance from the health care facilities and high expenses for all health services, aggravated by the long waiting time for visits to GP. Respondents from the urban settings reported long waiting time and unkindness of the health personnel as the main barriers. The results of this study clearly show the main barriers in the equitable health care delivery to Croatia population from the health care users perspective.

Ključne riječi
health care needs; health services utilization; barriers to health care; inequity; economic status; regional differences; urban-rural differences

Hrčak ID: 39738

URI
https://hrcak.srce.hr/39738

Posjeta: 737 *