Health care realization in health-houses

Abstract

Health care is realized in health institutions and other forms of health care. In health-house primary health care is realized. The aim of the study is to comprehend amount of health care realization in health-houses related to territorial parts of Serbia, type of settlement, sex, age, education and wealthy state of population. Data of extensive inquiry held by Institute for public health of Serbia were analyzed. The results show that Serbian population often use health-house services. Physicians were visited by 60.4% of school children, that was averagely two visits per child. Dentists were visited by 63.7% of school children, that was 2.1 visits per child. The adults in 54.2% visited their physician, that was three visits per inhabitant, and with 30.7% visited their dentist, that was one visit per inhabitant. All these services were more often in urban population, women, older and richer inhabitants. Related to sex, remarkably greater number of health services was used by women, in the last year, as well as in past years. The biggest number of services was used in Vojvodina and Belgrade by old population. Services of specialists used 29.7% of Serbian population, with one service per inhabitant. Services of the ambulance used about 5% of inhabitants, with average waiting for 25 minutes. Patients most often waited 15 30 minutes, and only 6.5% waited more than 60 minutes. For specialists' examinations, laboratory, X-rays and electrocardiogram patients didn't wait, or waited up to seven days. Patients waited the longest time for examination of rheumatologist, physiater and urologist.

Zdravstvena zaštita se ostvaruje u zdravstvenim ustanovama i drugim oblicima zdravstvene zaštite. U domu zdravlja pruža se uglavnom primarna zdravstvena zaštita, a domovi zdravlja su i najodgovorniji za ostvarivanje primarne zdravstvene zaštite. Cilj rada jeste da se izuči i sagleda obim ostvarivanja zdravstvene zaštite u domu zdravlja, i to po teritorijalnim delovima Srbije, tipu naselja, polu, uzrastu, obrazovanju i imućnom stanju stanovnika. U ostvarivanju tog cilja analizirani su podaci ekstenzivnog anketnog istraživanja koje je sproveo Institut za javno zdravlje Srbije. Rezultati su pokazali da stanovništvo Srbije često koristi usluge doma zdravlja. Tako su školska deca u 60,4% slučajeva bila kod lekara i učinila prosečno dve posete po detetu. Kod stomatologa je bilo 63,7% dece, učinivši 2,1 posete po detetu. Odraslo stanovništvo Srbije je u 54,2% slučajeva bilo kod lekara opšte medicine, sa prosečno tri posete po stanovniku, a kod stomatologa je bilo 30,7%, i učinilo prosečno jednu posetu po stanovniku. Sve ove usluge češće su kod gradskog stanovništva, žena, starijih i imućnijih stanovnika. Posmatrano po polu, znatno veći broj usluga koristile su žene, kako u poslednjoj, tako i u prethodnim godinama. Najveći broj usluga korišćen je u Vojvodini i Beogradu, i od strane starijeg stanovništva. Usluge specijalističke službe doma zdravlja koristilo je 29,7% stanovnika Srbije, sa prosečno jednom uslugom po stanovniku. Usluge, pak, hitne medicinske pomoći koristilo je oko 5% stanovnika, sa prosečnim čekanjem od 25 minuta. Najčešće čekanje bilo je 15 do 30 minuta, a više od 60 minuta čekalo je samo 6,5% stanovnika. Specijalističke preglede i usluge laboratorije, rendgena i EKG-a najčešće se nisu čekale, ili su se čekale do sedam dana. Najduže se čekalo na pregled kod reumatologa, fizijatra i urologa.