- Type of paper
: Book
Title: THE CANCER PROBLEM IN PRIMARY HEALTH CARE
- Editors
- Budak, Antun (94945)
- Ebling, Zdravko
Publisher: Medicinski fakultet Sveučilišta u Zagrebu
Year: 1993
Number of pages: 318
Number of references: 164
Language: hrvatski
- Type of paper
: Book
Title: ORGANISATION OF THE HOME NURSING
- Authors:
- Blažeković-Milaković, Sanja (94866)
- Budak, Antun (94945)
- Katić, Milica (41222)
- Šućur, Mijo (94960)
- Vrcić-Keglević, Mladenka (34711)
- Editors
- Budak, Antun (94945)
Publisher: Škola narodnog zdravlja "Andrija Štampar"
Year: 1992
Number of pages: 155
Language: hrvatski
- Type of paper
: Book
Title: The European study of refferals from Primary to Secondary
Care
- Authors:
- Katić, Milica (41222)
- Editors
- Buckley, Graham
Publisher: The Royal College of General Practitioers
ISBN: 0 85084 167 4
Year: 1992
Number of pages: 3
Number of references: 2
Language: engleski
Summary: Data were collected on the age and sex structure of patient
consultations with general practitioners. In comparison with natinal
consulting patterns, the general practitioners in this survey probably
cared for a population which was biased towards older parsons since in the
towns especially, younger people are cared for by specialists in
occupational health or by paediatricians and scool doctors. This study has
shown that despite these administrative arrangements, general practitioners
were providing some primary health care for children in all areas. This is
a significant argument for the reorganization of primary health care
towards the family concept and for the re affirmation of general practice.
Data on consultation and aspects of the work in general practice provided
in this study are more complete than official statistic data. Data on
referrals, describing not only the quantitative but also the qualitative
characteristics of refferals, will be used in postgraduate and continual
education of general practitioners, notably to improve the quality of the
care provided.
- Type of paper
: Paper in book
Title: "ANDRIJA ŠTAMPAR" SCHOOL OF PUBLIC HEALTH - PAST AND
PRESENT
- Authors:
- Budak, Antun (94945)
- Editors
- Prebeg, Živka
Publisher: Imunološki zavod Zagreb
Year: 1993
Pages: from 69 to 97
Number of references: 17
Language: hrvatski
- Type of paper
: Paper in journal
Title: Family Medicine Today and in Future
- Authors:
- Budak, Antun (94945)
Journal: Medicina familiaris Croatica
Number: 1
ISSN: 1330-1527
Volume: 1
Year: 1993
Pages: from 5 to 6
Language: hrvatski
Summary: Our health service is at its turning point concerning
itsorganizational and educational activities. This is, on one
side,motivated by the creation of the new and independent state -Republic
of Croatia, and on the other by giving the family samerole it has in the
highly developed countries. Therefore theCroatian general practitioners
formed their Society for FamilyMedicine and started their journal. This
will be a tehnical basisfor the future development of family practice in
our country.Vocational education of general practitioners has so
farsatisfied the needs of family health. Therefore, there should beno
concern for the future of this profession or its quality. But,still laws
should be passed for its support.
Keywords: family medicine
- Type of paper
: Paper in journal
Title: Is there a demad for redefinition of the general practice?
- Authors:
- Budak, Antun (94945)
Journal: Praxis medici
Number: 1
ISSN: 0351-0700
Volume: 22
Year: 1991
Pages: from 51 to 57
Number of references: 15
Language: hrvatski
Summary: Many European countries are leading serious
scientificdiscussions about the place and role of general practitioner
indifferent health care systems. A significant contribution tothese
discussions is given by the New Leeuwenhorst group - theEuropean group for
the promotion of general practice throughlearning and teaching.
Most of the authors agree that it is easier to define the sphereof the
activity and scope of work of the GP than it is to assessthe quality of
this work and reasons for this work.
Having analysed the work, discussions, analyses and views ongeneral
practice in the last 6-7 years of the New Leewenhorstgroup, a conslusion
can be drawn that there exist two, sometimesopposite approaches in general
practice, and two views on it as ascientific disciline. One approach is
mostly present in countrieswhere GPs are owners of their own consulting
rooms (regardlesswhether health care in that country is privat, socialized
orcombined). In the centre of the interest is the relationshipbetween GP
and the patient and the problem of postgraduatetraining of GPs with the aim
to have a more qualitative generalpractice. This group includes Germany,
Switzerland, TheNetherlands, Scandinavian countries, Great Britain and
partlyAustria and France.
In the other group are countries where general practice, besidesthe
mentioned problems is trying to solve also problems relatedto the health
care of the populetion because health care isorganized on the comunal
level. This group includes Yugoslavia,Portugal, Spain, Czechoslovakia,
Hungary and partly some othercountries.
Analysing both approaches, the authors tried to summarize themost important
characteristics and views and give features ofgeneral practice in European
countries.
Keywords: general practice, theoretical basis, definition, Europe
- Type of paper
: Paper in journal
Title: Immunological reactions and ventilatory capacity in hemp
workers
- Authors:
- Žuškin, Eugenija
- Budak, Antun (94945)
Journal: Arhiv higijene rada i toksikologije
Number: 1
Volume: 43
Year: 1992
Pages: from 1 to 10
Number of references: 22
Language: hrvatski
Keywords: immunological test, experiments in vitro, hemp dust, occupational exposure, respiratory symptoms, textile workers, ventilatory capacity.
- Type of paper
: Paper in journal
Title: Follow-up study of respiratory function in hemp workers
- Authors:
- Žuškin, Eugenija
- Budak, Antun (94945)
Journal: Arhiv higijene rada i toksikologije
Number: 3
Volume: 43
Year: 1992
Pages: from 237 to 247
Number of references: 34
Language: hrvatski
Keywords: byssinosis, hemp dust, occupational exposure, respiratory symptoms, ventilatory capacity.
- Type of paper
: Paper in journal
Title: Immunological and respiratory reactions in workers exposed
to organic aerosols
- Authors:
- Žuškin, Eugenija
- Budak, Antun (94945)
Journal: Arhiv higijene rada i toksikologije
Number: 3
Volume: 44
Year: 1993
Pages: from 249 to 262
Number of references: 21
Language: engleski
Keywords: chronic respiratory symptoms, IgE, IgE immunoglobulin, occupational exposure, skin reactions, ventilatory capacity.
- Type of paper
: Paper in journal
Title: Health care system - primary health care
- Authors:
- Budak, Antun (94945)
Journal: Zdravstvo
Number: 2
ISSN: 0514-6186
Volume: 34
Year: 1992
Pages: from 182 to 185
Number of references: 7
Language: hrvatski
- Type of paper
: Paper in journal
Title: Primary health care development in Southern Europe and its
relevance to countries of Central and Eastern Europe
- Authors:
- Budak, Antun (94945)
Journal: WHO/EUR/ICP/PHC
Number: 5
Volume: 314
Year: 1993
Pages: from 0 to 0
Keywords: primary health care, delivery of the health care, congresses, CCEE
- Type of paper
: Paper in journal
Title: Correlation between subjectivelly estimated and measured
blood preasure in hypertensive patients
- Authors:
- Vrcić-Keglević, Mladenka (34711)
Journal: Medicina familiaris Croatica
Number: 1
ISSN: 1330-1527
Volume: 1
Year: 1993
Pages: from 11 to 15
Number of references: 19
Language: hrvatski
Keywords: hypertension, subjective blood preasure estimation.
- Type of paper
: Paper in journal
Title: Patterns of referring patients from general practitioners
to specialist outpatient clinics: international comparison
- Authors:
- Katić, Milica (41222)
- Budak, Antun (94945)
- Kern, Josipa
- Vuletić, Silvije
- Ivanković, Davor
ISSN: Lije-Vje
Volume: 116
Year: 1994
Pages: from 3 to 9
Number of references: 36
Language: hrvatski
Keywords: Family practice, specialities-medical, refferal and consultation
- Type of paper
: Paper in journal
Title:
- Type of paper
: Paper in journal
Title: Free chioce of a doctor in general practice
- Authors:
- Budak, Antun (94945)
- Katić, Milica (41222)
- Tiljak, Hrvoje
Journal: Liječnički vjesnik
Number: 7-8
ISSN: 0024-3477
Volume: 116
Year: 1994
Pages: from 205 to 209
Number of references: 26
Language: hrvatski
Keywords: family practice,physician-patient relation,patient satisfaction
- Type of paper
: Paper in journal
Title: Motivation for the choice of general
practitioner-attitudes of a practitioners and patients.
Journal: Acta Medica Croatica
ISSN: -
Year: 1994
Language: engleski
- Type of paper
: Paper in journal
Title: The time used by patient when he/she talks without being
interrupted
- Authors:
- Švab, Igor
- Katić, Milica (41222)
- Ćuk, Višeslav
Journal: Atencion Primaria
Number: 4
ISSN: 0212-6567
Volume: 11
Year: 1993
Pages: from 175 to 177
Number of references: 7
Language: španjolski
Summary: Objective: to measure the time used by a patient to explain
the reason for his/her visit to the General Practitioner, when he/ she is
permitted to talk freely and without interrruption. Design: A descriptive
stufy where only previous known patients, who had a new reason for a
consultation, were considered.
Setting: Visit to General Practitioner,s office in Slovenia and Croatia.
Participants: Six General Practitioner (two Slovenes and four Croatians)
who recorded the time spend on 480 consultations.
Measurements and main results: The period of time measured was that used by
the patients, at the begining of the consultation, to reply to the doctor,s
question: " What can I do for you today?"
Avarage time used by the patients was 28.6 seconds. There was a link
between the older age group and longer time period. There was no gender
differences.
Conclusions:Patients are able to explain calmly and without interuptions
the reason for visit. Interruptions by the doctor are probably unnnecessery
and do not save time.
- Type of paper
: Paper in journal
Title: Reasons for general practice office encuonters (Applicatio
of International classification of primary care)
- Authors:
- Katić, Milica (41222)
- Perinović, Rikard
- Žalac, Damir
- Jovanović, Aleksandar
Journal: Medicina familiaris Croatica
Number: 1-2
ISSN: 1330-1527
Volume: 2
Year: 1994
Pages: from 5 to 11
Number of references: 20
Language: hrvatski
Summary: The study investigeted the reasons for encounters (RFE) and
the use of International Classification of Primary Care (ICPC) which
describes RFE and the process of GP,s work. Data on 150 regular patients
were recorded by the GP and the GP specijalist during their daily work into
the questionnaires prepared for this study. Data on sex , age, social and
family status, RFE, diagnoses and actions taken to solve the patient,s
problems were collected. The following distribution of RFE was noticed in
our study group: complaints and symptoms in 50% of patients, diagnostic and
preventive component in 18%, tretment procedures and medication in 13.3%,
test results in 9.3%, administrative reasons in 2.7%, refferals in 6.% and
diagnosis or disease component in 0,7%. The analysis indicates that RFE are
primarly determined by patient,s characteristics and by general practice
itself. Statistically significant differences were observed between the
patterns of work of GP and GP specialist, both inRFE and in the applied
procedures. The differences are probably caused by different parsonal
attributes of a doctor, level of professinal education, professional
experience and the continuity and longitudinality of care for the same
population. This preliminary research on the use of ICPC has shown that it
can well desceribe the specific characteristics of general practice.
Keywords: reason for encounters, general practice, International Classfication of Primary Care
- Type of paper
: Paper in journal
Title: " Who is your Physician?" - quolitative analysis how
patints comprehend the personal doctor concept
- Authors:
- Tiljak, Hrvoje
Journal: Medicina familiaris Croatica
Number: 2
ISSN: 1330-1527
Volume: 1
Year: 1993
Pages: from 101 to 105
Number of references: 9
Language: hrvatski
Summary: The study tries to evaluate the relatioship between the
physician and the patient in general/family practice. The survey lasted
tree months. During this period every new patient in general practice
office was interviewed by physician. The question was: " Who os your
physician?" while the answer were written down in their original form. The
results were analyzed by qualitative analysis method. A few groups of
answers were recognized. Almost 90% of patients understood the question and
55.9% named their general practitioner as their physician. One patient in
the four names their practice instead of the GP and one in the twenty their
specialist. One of the eight does not know the answer to the question. It
is statisticaly significant that the patient usually know the name of the
physician who spent 10 or more years with the same population while it is
not so when the period is shorter. The results indicated that the physician
personality is more important to the patient than the facility where he is
working. But it still remains to evaluate this phenomenon by further
studies.
Keywords: general/family practice, physician-patient relationship, personal care
- Type of paper
: Paper in journal
Title: Motivation for free choice ot a general
practitioner-attitudes of practitioners and the patients
- Authors:
- Budak, Antun (94945)
- Tiljak, Hrvoje
- Katić, Milica (41222)
Journal: Acta Medica Croatica
Number: 4-5
ISSN: 1330-0164
Volume: 48
Year: 1994
Pages: from 183 to 188
Number of references: 20
Language: engleski
Summary: The aim of this study was to find out if any significant
changes occured after introducing the free choice of general practitioner
(GP) into primary health care. The determination of patients, choice and
GP, attitude regarding this matter were tested. A survey was conducted in
1992 by distributing questionnaires to 71 GP,s and 292 patients who chose
these GPs.The questionnaires were composed selectively for GPs and the
patients, and they all answered them anonymously. The group of GPs
consisted of 37(52.1%) GPs with vocatinal training and of 31 ( 43.7%9 GPs
without vocational training..The patients evaluated the GPS characteristics
as very important in choosing a particular GP.Of medium importance were the
surgery characteristics ( where it was situated, work organisation,
equipment), and recommendation were the least important. most frequently,
the patients chose a particular GP because he was already the GP of one of
the family members. The GPs assessed the famoly to be the most important
determined for a patient to choose a particular GP. Surgery characteristics
(distance and work organisation) were evaluated as being of medium
importance. The recommandations of a friends were of medium importance, and
the recommandatins of medical staff were not important, according to the
opinion of the surveyed GPs. The only occurence detected in the survey was
that of a " return" phenomenon, in which patients returned of their old
GPs, which was direct consequence of the implementation of the free choice
principle into health care practice. The results of this study match the
results osf similar studies already published, and they are argumented
theoretically. These results contribute to the policy of the free chioce of
a GP in primary health care, and stimilate further investigations.
Keywords: free choice of a GP, general practice, family practice
- Type of paper
: Paper in journal
Title: Are there too much doctors in Croatia?
- Authors:
- Budak, Antun (94945)
- Božikov, Jadranka
Journal: Liječnički vjesnik
ISSN: 0024-3477
Volume: 115
Year: 1993
Pages: from 261 to 267
Number of references: 11
Language: hrvatski
Summary: Estimates of the needs for education of phzsicians in
Croatia must be based on analysis of population health condition and age
structure, on the country,s economics capacities on which the employment of
those specialist depends, and on estimates of realistic educational
capacities of the Croatian medical schools. Basic analysis of mentioned
parametars indicates that in the upcoming decade there are no possibilities
of more extensive employment. Thus, it is obvious that it is necessary to
educate only a certain number of physicians: those which will serve as
replacement for decreased, retired or physician leaving for other
positions. To keep in mind- presently the unemployed physician constitute a
number which usually satisfies two-year need for new employment. thus it is
recommended that the number of enrolled medical students in Croatia be
reduced to around 400 students yearly. Together with a proper selection of
candidates at admission, these would guarantee that about 320 studentswould
be graduating eventually. This number does not include students from
abroad, yat their number is almost inconsiderable according to the past few
years and their studies are financed from separate fund. Medical studies
should not be financed according to the number of enrolled students,
because it stimulates larger enrollment, but according to the actual cost
of theeducatinal programme. Financing the programme, and not the number of
stuidents would improve its quality and stimulate a larger number of highly
skilled and competent students. Medical studies are expensive not only
because of the lenght of the programme (6years) but also because of the
nature of these studies. During medical studies the student has to acquirea
number of skill and knowledge and adopt attitudes which require training in
a variety of, often, very expensive institutions.
Keywords: Physician, statistic and numerical data, needs and demands, Croatia
- Type of paper
: Paper in proceedings
Title: Education of physicians for family medicine
- Authors:
- Budak, Antun (94945)
- Vrcić-Keglević, Mladenka (34711)
- Katić, Milica (41222)
- Blažeković-Milaković, Sanja (94866)
- Tiljak, Hrvoje
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primarne zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 109 to 115
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: education, family medicine.
- Type of paper
: Paper in proceedings
Title: General practice education frame of references and is
applicability
- Authors:
- Tiljak, Hrvoje
- Vrcić-Keglević, Mladenka (34711)
- Budak, Antun (94945)
- Šućur, Mijo (94960)
- Katić, Milica (41222)
- Blažeković-Milaković, Sanja (94866)
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primarne zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 116 to 122
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: general practice, vocational training, frame of reference.
- Type of paper
: Paper in proceedings
Title: Organisation and financing of the Health Centre in future
- GPs' view
- Authors:
- Vrcić-Keglević, Mladenka (34711)
- Tiljak, Hrvoje
- Blažeković-Milaković, Sanja (94866)
- Budak, Antun (94945)
- Katić, Milica (41222)
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primarne zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 127 to 132
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: health centre, general practice, organisation, premises, manpower, financing, management.
- Type of paper
: Paper in proceedings
Title: Views of general practitioers on some preventive
activities
- Authors:
- Katić, Milica (41222)
- Blažeković-Milaković, Sanja (94866)
- Vrcić-Keglević, Mladenka (34711)
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primare zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 153 to 161
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: preventive activities, views of general practitioers, smoking
- Type of paper
: Paper in proceedings
Title: The quality of health care - model of reacreditation of
general/family practitioner
- Authors:
- Vrcić-Keglević, Mladenka (34711)
- Tiljak, Hrvoje
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primarne zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 178 to 182
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: general practice, family medicine, reacreditation, evaluation of the quality of work.
- Type of paper
: Paper in proceedings
Title: The use of diabetic patients register for programming and
taking care of diabetics in general practice
- Authors:
- Katić, Milica (41222)
- Editors
- Peršić, Lino
Proceedings title: Zbornik "Dani primarne zdravstvene zaštite, Labin 1993"
Language: hrvatski
Place: Labin
Year: 1993
Pages: from 183 to 190
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/93 to 11/05/93
Keywords: chronic diseases, register of diabetics, general practioner, programmed care of diabetics
- Type of paper
: Paper in proceedings
Title: Proposed contractual arrangements between Croatian health
insurance fund and general/family practitioners
- Authors:
- Tiljak, Hrvoje
- Vrcić-Keglević, Mladenka (34711)
- Blažeković-Milaković, Sanja (94866)
- Editors
- Materljan, Eris
- Peršić, Lino
Proceedings title: Zbornik Dani primarne zdravstvene zaštite
Language: hrvatski
Place: Labin
Year: 1994
ISBN/ISSN: 953-96258-0-7
Pages: from 105 to 112
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/94 to 11/05/94
Summary: The paper consists of suggested contractual arrangements
between general/family practitioners and Croatian Health Insurance Fund.
Suggested contract is inspired by specific work conditions in primarz
health care and is suitable for physician. The suggestion is commented and
compared by evaluation of European expiriences in health insurrance
contract arrangements.
Keywords: general practice, health insurance, contractual arrangements
- Type of paper
: Paper in proceedings
Title:
- Type of paper
: Paper in proceedings
Title: Prescription in the general practice department
- Authors:
- Blažeković-Milaković, Sanja (94866)
- Vrcić-Keglević, Mladenka (34711)
- Bergman-Marković, Biserka
- Vuković, Hrvoje
- Editors
- Materljan, Eris
- Peršić, Lino
Proceedings title: Dani primarne zdravstvene zaštite
Language: hrvatski
Place: Labin
Year: 1994
ISBN/ISSN: 953-96258-0-7
Pages: from 217 to 223
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/94 to 11/05/94
Summary: A qualitative study was carried out related to those
patients only who came to their doctor requiring a drug prescription. It
was supposed that for the patients such a visit to their doctor was not
only a "blank" consultation, but it actually implied a hidden desire to
collaborate more deeply with their doctor. We tried to established how
doctors really fcomprehend such type of communications. Of 63 doctors,
90,5% refused the patient's demand for a prescription, and 9,5% prescribed
the demanded medicine. 63,7% of the patients agreed with the doctor's
refusal to prescribe, and this only proves that prescribing a drug was not
the basic motive for visiting the doctor. Analysis showed that not one
doctor had a through interview with his patient, and only 16,5% offered an
additional control check-up of patient. Other used the model
illness-diagnostics-medication, and while giving short advice to the
patient prescribed or refused to prescribe the medicine.
Keywords: general practice, prescription
- Type of paper
: Paper in proceedings
Title: Expirience of a free choice of a doctor- what are the
expectation of patient
- Authors:
- Budak, Antun (94945)
- Katić, Milica (41222)
- Tiljak, Hrvoje
- Vrcić-Keglević, Mladenka (34711)
- Blažeković-Milaković, Sanja (94866)
- Editors
- Peršić, Lino
- Materljan, Eris
Proceedings title: Dani primarne zdravstvene zaštite
Language: hrvatski
Place: Labin
Year: 1994
ISBN/ISSN: 953-96258-0-7
Pages: from 73 to 83
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/94 to 11/05/94
Summary: The purpose of this study is to anatyse the implementation
of free choice of doctor with special emphase on characteristics of the
process which could be important for the future privatisation in general
practice service in the Republic of Croatia. During 1992, 71 General
Practitioners and 292 of their patients have been interviewed. General
Practitioners were asked to fill in the prepared questionnaire: personal
information, location of practice, the personal list size, and the reasons
because of which thez were chosen bz the patients,according to their own
assessment of importance. The patients were asked torecord age, sex, the
reason which determined their choice of a doctor and the way in which they
choice the doctor.In a study group of GPs average list size was 2094 but
great difference in list size were noticed from 450 minimum to 5000
maxsimim. The portion of the whole families or two or more family member on
GPs list was estimated to have been 50% on the average. Family was the most
important factor both for GPs and the patients in choosuing a doctor. The
patients evaluated the specific characteristics of GPů,s work as very
important in choosing a particular GP. During 1992 only 7% of patient did
not choose their former GPs; the phenomenon of inertia of patients in
choosing a doctor is well known and described. According to results of this
study we can expect that the majority of the registered patients on the GPs
list will choose the same GPs, no matter whether GPs work in private or
pablic service. In the implementation of the private practice in the
general practice servise the prerequisite for getting the licence should be
reconsidered. The most important prerequisite is the adecquate education
and capability of the physician of private practice to provide
comprehensive, family orented and continuous health care for patient and
his family.
Keywords: free choice of a doctor
- Type of paper
: Paper in proceedings
Title: Rationalizing health service: home health treatment, care
and rehabilitation in primary health care
- Authors:
- Budak, Antun (94945)
- Tomek - Roksandić, Spomenka
- Editors
- Peršić, Lino
- Materljan, Eris
Proceedings title: Dani primarne zdravstvene zaštite, Zbornik
Language: hrvatski
Place: Labin
Year: 1994
ISBN/ISSN: 953-96258-0-7
Pages: from 35 to 41
Meeting: Dani primarne zdravstvene zaštite, Labin 1993.
Held: from 11/04/94 to 11/05/94
Summary: There is no doubt that home health tretment, care and
rehabilitation constitute the program of activity of a good team of family
doctors in the primary health care. Paying attention to a family,
plurigenerational support to a patient, such a team could evaluate in the
most appropriete way the successfulness of home health treatment, care and
rehabilitation of a patient, due to her-his phase of illness, functional
status and the social medical security of the patient, as well as of the
family itself. While realiying home health treatment, care and
rehabilitation of patient at his-her home, it is also possible to
maximalize the participation of patient in the process, which makes
activities of primary health care more rational and effective.
Keywords: home, health tretment, family medicine, elderly
- Type of paper
: Paper in proceedings
Title: Generation gap among european family practitioners: what
does it mean for future of family practice?
- Authors:
- Tiljak, Hrvoje
- Budak, Antun (94945)
- Katić, Milica (41222)
- Vrcić-Keglević, Mladenka (34711)
- Blažeković-Milaković, Sanja (94866)
Proceedings title: 14 th WONCA world conference , "Family medicine-meeting new challenges"
Language: engleski
Place: Hong Kong, Hong Kong
Summary: In general, two concept in European countries differs
according to tradition and current status of family practice.In general,
two concepts dominate and they have their representatives in two
generations of family practitioners. The generations are less linked to the
age of family practitioners, but more to the age of family practice as
recognised medical discipline. The first generation consists of those who
do not fit into anything that already exists in medical world and they do
not have opther choice but to create something else. They spend their
lives in cutting out something new and struggle all the way with suspicion
whether family practice worth is that much. They are still seeking final
confirmation for the great job they have done and they look for it at
goverment level. All these characteristics remain on " Cristofer Columbus
life story"- they can be called COLUMBUS generation. The second generation
finds themselves in already developed medical discipline that fits their
taste.They do not search for place under the sun in existing medical
world,they create an entire new enviroment and leave the others to accept
their innovations. Their confirmation will be general public acceptance of
criteria they have launched. Therefore, they could be called NOBELS
generation, according to ALfred Nobel. IF COLUMBUS efforts give fruit
family practitioners can find themeselves as goverment employed clercs. As
paretns often do, they can earn the legacy that inheritors do notwant:they
can make NOBELS become a part of establishment.
- Type of paper
: Paper in proceedings
Title: Does the free chioce of a doctor contribute to the
acceptance of afamily approach in general medicine
- Authors:
- Budak, Antun (94945)
- Katić, Milica (41222)
- Tiljak, Hrvoje
- Vrcić-Keglević, Mladenka (34711)
- Blažeković-Milaković, Sanja (94866)
Proceedings title: S.I.M.G. Spring Meeting, Abstract book
Language: engleski
Place: Estorial, Portugal
Year: 1994
ISBN/ISSN: 972-96039-0-1
Pages: from 22 to 22
Meeting: S.I.M.G. Spring Meeting
Held: from 05/25/94 to 11/28/94
Summary: In according with the great social, economic and political
changrs in the Republic of Croatia after 1990 significant changes have been
in the organisation and functioning of health system. Before 1990 primary
health care was divided into four main parts. It was delivered by
occupatianal medicine to employees, by school medicine to school children
and students, by pediatricians to preschool children and by general
practice to retired people, elderly and unemployed. In spite of this
administrative regulation GPs in rural areas and in some towns (such as in
Health Centre Novi Zagreb) cared for population of all age groups and
worked as family practitioners. Approximaly 30% of all GPs cared also for
preschool children. In 1990 the free chioce of a doctor in primary health
care has been introduced. In this paper the analysis of the implementation
of the free chioce of a doctor in the general practice in the Republic of
Croatia has been made. The special emphasis has bbe put on the influence of
the free choice of a doctor on reorientation of general practitioners to
family practitioners. During 1992, 71 GPs and 292 of their patients have
been interviewed. Out of 71 GPs interviewed, 50 (70.4%) were females, 37
(52.1%) were specialists ofgeneral practice, and 52 (73.3%) of them had
their practice situated close to place of living of their patients. Great
differences in the size between the GPs examined were noticed from 450
(minimum) to 5000 (maximum) patients. Average list siye according to
regulation of Croatian Institute for Health Insurance is 1500 (minimum) to
2100 (maximum) patients. All of GPs examined had whole families on their
list and 50 % of them cared for preschool children. The portion of whole
families or two or more members on the GP,s list was estimated to have
been 50% in average. Out of 292 patients,165 (56.5%) chose their GP because
he cared for patient,s family. The family was identified as the most
important factor which determined the choice of a doctor both by patients
and GPs. The observed changes in the structure of the list of patients -
increasd number of GPswho cared for preschool children and increased
portion of families on GP,s list - confirmed the acceptance, implementation
and development of family approach in general practice in Republic of
Croatia..
- Type of paper
: Paper in proceedings
Title: Primary health care versus family practice (Croatian
expirience)
- Authors:
- Tiljak, Hrvoje
- Budak, Antun (94945)
- Katić, Milica (41222)
- Vrcić-Keglević, Mladenka (34711)
- Blažeković-Milaković, Sanja (94866)
Proceedings title: S.I.M.G., Spring meeting, Abstrct book
Language: engleski
Place: Estorial, Portugal
Year: 1994
ISBN/ISSN: 972-96039-0-1
Pages: from 49 to 49
Meeting: S.I.M.G. Spring Meeting
Held: from 05/25/94 to 05/28/94
Summary: In the last decade primary health care become the most
prominent strategy in restoring the link between hospital-oriented and
disease-oriented medicine and realistic health needs of the population.
However, the reorganisation of health care system by introducing the
primary health careconcept appears to be a very difficult task. Such a
conceptinterferes with huge hospital systems, but also with already defined
outpatient/first line doctors,facilities and manpower. In1980 the new
Health law (influenced by Declaration from Alma-Ata in 1978) introduced
PHC into the healthsystem in Croatia. At that time being general practice
was already recognised as medical speciality in Croatia and vocatinal
training for GP had been organised for 20 years. GP s were trained
todeliver family medicine care developed in the way that the number of GPs
increased from 1597 in 1980 to 2296 in 1990 (rate 1.43) and the number of
specialists who worked in primary care increased from 522 in 1980 to 1047
in 1990 (rate 2.0). Beside other specialists, the number of occupational
health doctors alone increased alone in the rate of 1.63 (545 doctors in
1980 and 893 doctors in 1990). The number of gynecologists, practices
changed in the rate of 1.43 (108 practices in 1980 and 155 practices in
1990), the number of pediatricians, practices changed in the rate of 2.43
(122 practices in 1980 and 297 practices in 1990) while the number of GPs,
practices changed in the rate of only 1.19 (792 practices in 1980 and 947
practices in 1990). These figures show how inclusion of medical specialists
in primary care slows down the development of GP service. Numerous
gynecologists and pediatricians diminish the role of family physician in
outpatient care. Apart from these figures othjer experience show how the
introduction of PHC jeopardizes " personal touch" of family doctor in
relation with patient ( what is essential for the family medicine.)
Expiriences from Croatia raise the question whether or not the PHC concept
goes along with family medicine concept.
- Type of paper
: Paper in proceedings
Title: Family practice today and in the future
- Authors:
- Budak, Antun (94945)
- Editors
- Vrca-Botica, Marija
Proceedings title: Prvi simpozij obiteljske medicine, Zbornik
Language: hrvatski
Place: Varaždin
Year: 1994
ISBN/ISSN: 953-96260-0-5
Pages: from 7 to 11
Meeting: Prvi simpozij obiteljske medicine
Held: from 10/06/94 to 10/08/94
Summary: We analyzed the roleof family health service in the health
care system . its advantages are emphasized. Whether this kind of health
care will be accepted and realized does not depend on uor readiness but on
the legislator as wll. He must accept our suggestions, from them into the
law and persist upon them.
Criticism that this system will influence in any way the primary health
care does not have any qualified or scientific basis.
In this report we did not use our or foreign literature to support our
views. We added it at the end our work in order to convince those who
strictly belive in experimental works. in order to avoid any responsibility
for the failure of another law, what happened a lot in our history, we
organized this Symposium to have a possibility to express our reflections
and views openly and clearly. we belive that many will respond to this call
and that the adequate action will be taken in which we shall all be
included. At the end everything will be professionally evaluated.
- Type of paper
: Paper in proceedings
Title:
