prikaz prve stranice dokumenta Health care needs, utilization and barriers in Croatia - regional and urban-rural differences
  Download
PDF 82.85 KB
Scientific paper - Original scientific paper
Health care needs, utilization and barriers in Croatia - regional and urban-rural differences
Collegium Antropologicum, 33 (2009), S. 1; 121-130. urn:nbn:hr:105:351216
Pristaš, Ivan; Bilić, Marinko; Pristaš, Irina; Vončina, Luka; Krčmar, Nevenka; Polašek, Ozren; Stevanović, Ranko

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Pristaš, I., Bilić, M., Pristaš, I., Vončina, L., Krčmar, N., Polašek, O. & Stevanović, R. (2009). Health care needs, utilization and barriers in Croatia - regional and urban-rural differences . Collegium Antropologicum, 33. (S. 1), 121-130. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:351216

Pristaš, Ivan, et al. "Health care needs, utilization and barriers in Croatia - regional and urban-rural differences ." Collegium Antropologicum, vol. 33, no. S. 1, 2009, pp. 121-130. https://urn.nsk.hr/urn:nbn:hr:105:351216

Pristaš, Ivan, Marinko Bilić, Irina Pristaš, Luka Vončina, Nevenka Krčmar, Ozren Polašek and Ranko Stevanović. "Health care needs, utilization and barriers in Croatia - regional and urban-rural differences ." Collegium Antropologicum 33, no. S. 1 (2009): 121-130. https://urn.nsk.hr/urn:nbn:hr:105:351216

Pristaš, I., et al. (2009) 'Health care needs, utilization and barriers in Croatia - regional and urban-rural differences ', Collegium Antropologicum, 33(S. 1), pp. 121-130. Available at: https://urn.nsk.hr/urn:nbn:hr:105:351216 (Accessed 23 November 2024)

Pristaš I, Bilić M, Pristaš I, Vončina L, Krčmar N, Polašek O, and sur.. Health care needs, utilization and barriers in Croatia - regional and urban-rural differences . Collegium Antropologicum [Internet]. 2009 April [cited 2024 November 23];33(S. 1):121-130. Available at: https://urn.nsk.hr/urn:nbn:hr:105:351216

I. Pristaš, et al., "Health care needs, utilization and barriers in Croatia - regional and urban-rural differences ", Collegium Antropologicum, vol. 33, no. S. 1, pp. 121-130, April 2009. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:351216. [Accessed: 23 November 2024]

Metadata
Title (english)Health care needs, utilization and barriers in Croatia - regional and urban-rural differences
Title (croatian)Zdravstvene potrebe, korištenje zdravstvene zaštite i zapreke pri korištenju zdravstvene zaštite u Hrvatskoj
AuthorIvan Pristaš
AuthorMarinko Bilić
AuthorIrina Pristaš
AuthorLuka Vončina
AuthorNevenka Krčmar
AuthorOzren Polašek
AuthorRanko Stevanović
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Abstract (english)
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.
Abstract (croatian)
Čak i najsolidarnije zemlje prema političkom ustroju su zbog problema ograničenja sredstava izdvojenih za zdravstvo primijetile porast procjepa u zdravlju između najsiromašnijih i najbogatijih populacijskih skupina. Cilj ove studije bio je utvrditi postojanje nepravičnosti i istražiti glavne zapreke pri korištenju zdravstvene zaštite kontrolirano zdravstvenim potrebama. Među ispitanicima s povećanim zdravstvenim potrebama, ispitanici natprosječnog imovinskog statusa u većem udjelu su bili u redovitom posjetu liječniku opće/obiteljske medicine i specijalistu nego ostali ispitanici. Međutim, visokofrekventni posjeti bili su zastupljeniji kod ispitanika ispodprosječnog imovinskog stanja. Svi posjeti izabranom stomatologu bez obzira na frekvenciju i bez obzira na zdravstvene potrebe bili su zastupljeniji kod imovinski natprosječnih ispitanika. Ispitanice ispodprosječnog imovinskog statusa bez obzira na zdravstvene potrebe u većem udjelu nisu koristile redoviti posjet izabranom ginekologu u odnosu na imućnije ispitanice. Među ispitanicima s povećanim zdravstvenim potrebama ispitanici ispodprosječnog imovinskog statusa u većem su udjelu bili hospitalizirani nego ispitanici natprosječnog imovinskog statusa. Dugo čekanje i udaljenost od ordinacije pokazale su se kao ukupno najzastupljenije barijere pri korištenju zdravstvene zaštite. Pri posjetu zubaru i pri hospitalizaciji troškovi su se pokazali kao jedna od glavnih barijera. Od svih istraživanih barijera univerzalno je najmanje bila zastupljena neljubaznost osoblja. Prigradsko i seosko naselje bili su opterećeniji udaljenošću od ordinacije i troškovima od gradskog naselja pri posjetima izabranom liječniku opće/obiteljske medicine (dodatno i dugim čekanjem), liječniku specijalistu, izabranom stomatologu, izabranom ginekologu te pri hospitalizaciji. Međutim, pri posjetu liječniku specijalistu dugim čekanjem i neljubaznim osobljem opterećeniji su bili ispitanici iz gradskog i prigradskog naselja u odnosu na seosko naselje.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 33, no. S. 1, pp. 121-130
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:351216
Publication2009-04
Document URLhttps://hrcak.srce.hr/39738
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:17:24