Trends in preventive activities for the adult population in family medicine in Croatia: 1995-2012

Scientific paper - Original scientific paper

• Title (croatian): Trend kretanja preventivnih aktivnosti za odraslu populaciju u obiteljskoj medicini u Hrvatskoj: 1995.-2012.
• Author: Darja Nelken-Bestvina
• Author: Alma Kurc-Bionda
• Author: Željko Vojvodić
• Author: Ivana Babić
• Author: Gordana Pavleković
• Author: Zvonko Šošić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care

Abstract (english)

A few preventive activities were recorded in Croatian family medicine (FM) from 1995 until 2003, and then in 2004, additional fee-for-service reimbursement for general check-ups for people aged 45 to 65 years was introduced. The aim of this study was to investigate the trends in preventive activities before and after the introduction of those measures by using the Croatian Health Service Yearbooks for 1995-2012 as the main database. Data on the number of preventive, general, and total number of check-ups were collected. The results showed that the total number of check-ups registered in FM was low, suggesting that the additional reimbursement did not bring any improvements. In fact, the trend in the number decreased after 2004. These results are not unexpected because of the ineffectiveness of general check-ups as indicated in the literature. General check-ups should be replaced by targeted preventive interventions with evidence-based effectiveness.

Abstract (croatian)

Broj preventivnih pregleda zabilježenih u hrvatskoj obiteljskoj medicini (OM) od 1995. do 2003. godine je sukladno
istraživanju bio malen, te su 2004. godine uvedene poticajne mjere, individualno plaćanje općih preventivnih pregleda
za osobe u dobi od 45 do 65 godina. Cilj je bio istražiti trendove u provođenju preventivnih pregleda prije i nakon
uvođenja tih mjera korištenjem Hrvatskih zdravstveno-statističkih ljetopisa od 1995. do 2012. godine kao osnovne baze
podataka. Prikupljeni su podaci o broju preventivnih, sistematskih, te ukupnom broju pregleda. Rezultati pokazuju da
je ukupan broj preventivnih pregleda zabilježenih u OM bio malen što upućuje na zaključak da dodatne poticajne mjere
nisu dovele do poboljšanja. Štoviše, broj pregleda opada nakon 2004. godine. Ovi rezultati nisu neočekivani jer se radi o
općim sistematskim pregledima koji su i, sukladno literaturi, dokazano neučinkoviti. Opći preventivni pregledi trebali
bi biti zamijenjeni sa ciljanim preventivnim aktivnostima znanstveno dokazane učinkovitosti.

• Keywords (english): Adult; Aged; Croatia/epidemiology; Family Practice/statistics & numerical data; Family Practice/trends; Humans; Longitudinal Studies; Middle Aged; Preventive Medicine/statistics & numerical data; Preventive Medicine/trends; Young Adult
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 38, no. S. 2, pp. 61-66
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:848912
• Publication: 2014-12
• Document URL: http://hrcak.srce.hr/file/217008
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 08:22:47