Title (croatian) Distribucija specijalista kardiologije po županijama u Republici Hrvatskoj Title (english) Distribution of cardiology specialists by counties in the Republic of Croatia Author Zrinka Biloglav Author Dominic Vidović Author Petar Medaković Author Joško Bulum Author Marija Brestovac Author Blanka Glavaš Author Ivan Padjen Author's institution University of Zagreb Author's institution University of Zagreb Scientific / art field, BIOMEDICINE AND HEALTHCARE Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract (croatian) Kardiovaskularne bolesti predstavljaju vodeći javnozdravstveni problem kod nas i u svijetu. Starenje stanovništva povećava opterećenost bolešću, a dinamiku ponude i potražnje za kardiološkim uslugama, uz starenje populacije, određuju brojni drugi čimbenici. Svrha ovoga istraživanja jest analiza ljudskih resursa u kardiologiji temeljem odabranih indikatora, što uključuje broj, dob i stope kardiologa na nacionalnoj i županijskoj razini. Broj kardiologa dobiven je od Nacionalnog registra pružatelja zdravstvene zaštite pri Hrvatskom zavodu za javno zdravstvo za 2020. godinu, a ostali podatci dobiveni su od Državnog zavoda za statistiku, Hrvatske gospodarske komore i Hrvatskog zavoda za javno zdravstvo. U Hrvatskoj je 2020. godine ukupno bilo 334 kardiologa, njih 291 (87,12%) u javnom sektoru, od čega su 123 (42,26%) bile žene i 168 (57,73%) muškarci. U privatnom sektoru bilo je zaposleno 43 kardiologa, od toga 13 (30,23%) žena i 30 (69,76%) muškaraca. U polovici županija više od 50% specijalista bilo je starije od 50 godina. U privatnom sektoru kardiolozi su bili statistički značajno stariji, 55 naspram 46 godina (p < 0,001). Prosječna stopa kardiologa u javnom sektoru iznosila je 60 na milijun stanovnika, a ukupno u javnom i privatnom sektoru 69. Županije s višim indeksom gospodarske snage imaju više kardiologa, međutim razlike nisu značajne, dok županije s četiri velika grada i medicinskim fakultetima, Zagreb, Split, Rijeka i Osijek imaju gotovo dvostruko veće prosječne stope kardiologa na milijun stanovnika od ostalih županija. Udio kardiologinja, računajući oba sektora, jest 40,72%, a županije s velikim gradovima i medicinskim fakultetima imaju nešto veći udio – 41,87%. Ovim su istraživanjem prikazane određene specifičnosti ljudskih potencijala u kardiologiji u Hrvatskoj, prvenstveno nejednaka distribucija stopa kardiologa na županijskoj razini, kao i razlike po dobi i spolu u javnom i privatnom sektoru.
Abstract (english) Cardiovascular diseases are the leading public health problem in Croatia and the world. Population
aging increases the burden of the disease, and the dynamics of supply and demand for cardiac services, along
with the aging population, is determined by several factors. The aim of this research was to analyse human
resources in cardiology based on selected indicators that include the number, age, and rates of cardiologists at the
national and county levels. The number of cardiologists was obtained from the National Register of Health Care
Providers at the Croatian Institute of Public Health for 2020. Other data were obtained from the Institute, the
Central Bureau of Statistics, and the Croatian Chamber of Economy. In 2020, there were 334 cardiologists in Croatia, 291 in the public sector, of which 123 (42.26%) were women, and 168 (57.73%) were men. The private
sector employed 43 cardiologists, 13 (30.23%) women, and 30 (69.76%) men. In half of the counties, more than
50% of specialists were older than 50 years. In the private sector, cardiologists were significantly older, 55 vs. 46
years (p < 0.001). The average rate of cardiologists in the public sector was 60 per million inhabitants, and a total
of 69 in the public and private sectors. Counties with a higher index of economic strength have more cardiologists,
but the differences are not significant. Counties with four major cities and medical schools, Zagreb, Split, Rijeka,
and Osijek have almost twice the average rates of cardiologists per million inhabitants than other counties. The
average share of women in both sectors is 40.72%, but counties with large cities and medical schools have
slightly an above average percentage of women cardiologists – 41.87%. This research presented certain specifics
of human resources in cardiology in Croatia such as unequal distribution of cardiologist rates at the county level,
differences by age and gender in the public and private sectors.
Keywords (croatian)
Deskriptori KARDIOLOGIJA – statistički podatci
LJUDSKI RESURSI – statistički podatci
KARDIOVASKULARNE BOLESTI – epidemiologija
ISHEMIJSKA BOLEST SRCA – smrtnost
LIJEČNICI – dostupnost i distribucija
LIJEČNICE – statistički podatci
JAVNI SEKTOR – statistički podatci
PRIVATNI SEKTOR – statistički podatci
HRVATSKA
Keywords (english)
CARDIOLOGY – statistics and numerical data
WORKFORCE – statistics and numerical data
CARDIOVASCULAR DISEASES – epidemiology
MYOCARDIAL ISCHEMIA – mortality
PHYSICIANS – supply and distribution
PHYSICIANS, WOMEN – statistics and numerical data
PUBLIC SECTOR – statistics and numerical data
PRIVATE SECTOR – statistics and numerical data
CROATIA
Language croatian Publication type Scientific paper - Original scientific paper Publication status Published Peer review Peer review Publication version Published version Journal title Liječnički vjesnik Numbering vol. 144, no. 7-8, pp. 217-226 p-ISSN 0024-3477 e-ISSN 1849-2177 DOI https://doi.org/10.26800/LV-144-7-8-3 URN:NBN urn:nbn:hr:105:360337 Publication 2022 Document URL https://hrcak.srce.hr/281217 Type of resource Text Access conditions Open access Terms of use Created on 2023-01-24 12:18:39
