Elderly people health care utilization in health centers

Abstract

Health care is exercised in health care facilities and other forms of health care. Primary care center is type of health care facilities that implement measures, mostly of primary care for population of all ages. The aim of this paper is to analyze health care of the elderly in primary care centers by the territorial parts of Serbia, settlement type, gender, age, education and wealthy state. The goal was the data analysis of the results of the extensive research survey conducted by the Institute of Public Health of Serbia. Results showed that older people often use primary health care services, and commonly used services are blood pressure measurement, the determination of sugar, fat and hemoglobin in blood and urine analysis. In relation to the territorial parts of Serbia the largest number of services provides health centers in Belgrade and Vojvodina, and the lowest in central Serbia. At the doctor's never been only 1.6% of the elderly, significantly higher in urban settlements, and the poorest men. Medical general practitioners visited 54.2%, and the dentists 16%. A large number of elderly in the last year used specialty services in the primary health center (41%), and much more from urban settlements, women and wealthy elderly. At the specialist have never been only about 11% of elderly patients. These examinations are usually undertaken without waiting or queuing up to seven days. So the internist done about 56% examination without waiting. Emergency medical assistance has never used 72.55 elderly, and last year was used by 8.6%. The arrival of the teams most often waited up to ten minutes, and just over 30 minutes in 8% of cases. Old people are less frequently used services of private doctors, and are mostly used services dentists and doctors of general medicine, because there is no waiting and they are considered to provide better services.

Zdravstvena zaštita se ostvaruje u zdravstvenim ustanovama i drugim oblicima zdravstvene zaštite. Dom zdravlja je vrsta zdravstvene ustanove koja sprovodi mere uglavnom primarne zdravstvene zaštite stanovništva svih uzrasta. Cilj rada jeste da se sagleda ostvarivanje zdravstvene zaštite starih lica u domu zdravlja i to po teritorijalnim delovima Srbije, tipu naselja, polu, uzrastu, obrazovanju i imućnom stanju. Ostvarujući cilj rada izvršena je analiza podataka obimnog anketnog istraživanja koje je sproveo Institut za javno zdravlje Srbije. Rezultati su pokazali da stare osobe veoma često koriste usluge doma zdravlja, a najčešće korišćene usluge su merenje krvnog pritiska, određivanje šećera, masnoće i hemoglobina u krvi i analiza mokraće. U odnosu na teritorijalne delove Srbije, najveći broj usluga pružaju domovi zdravlja Beograda i Vojvodine, a najmanji centralne Srbije. Kod lekara nije nikad bilo samo 1,6% starih lica, znatno više iz gradskih naselja, muškaraca i najsiromašnijih. Kod lekara opšte medicine je bilo 54,2%, a kod stomatologa do 16%. Veliki broj starih osoba je u zadnjoj godini koristio specijalističku službu doma zdravlja (41%), i to znatno više iz gradskih naselja, ženskih i imućnijih starijih osoba. Kod specijaliste nije nikad bilo samo 11% starih osoba. Ovi pregledi su najčešće obavljani bez čekanja ili sa čekanjem do sedam dana. Tako je kod interniste obavljeno oko 56% pregleda bez čekanja. Hitnu medicinsku pomoć nije nikad koristilo 72,55 starih osoba, a u zadnjoj godini je koristilo 8,6%. Na dolazak ekipe najčešće se čekalo do deset minuta, a preko 30 minuta samo u 8% slučajeva. Stare osobe su ređe koristile usluge privatnih lekara, a uglavnom su koristile usluge stomatologa i lekara opšte medicine i to zbog toga što nema čekanja i što smatraju da pružaju kvalitetnije usluge.