3 research outputs found
Ambulatory Care Sensitive Conditions at Out-of-hospital Emergence Services in Croatia: A Longitudinal Study Based on Routinely Collected Data
Conditions for which a hospital and emergency utilization can be considered avoidable are often referred as ambulatory
care sensitive conditions (ACSCs). Until now, there has been no published research related to ACSCs in Croatia.
This study was undertaken with the aim of determining the trends relating to ACSCs in out-of-hospital ES from 1995–
2012. The study is based on data from the Croatian Health Service Yearbooks. Five chronic and three acute conditions
were chosen: diabetes, hypertension, congestive heart failure, angina pectoris, asthma and COPD, bacterial pneumonia,
urinary tract infections and skin infections. The results indicate that the ES in Croatia is overused, and consequently
ACSCs are over-represented; 23.3% Croatian citizens visited the ES and around 15% of all diagnoses belonged to the
ACSCs, with decreased trend. The leading diagnosis is hypertension, followed by asthma and COPD. For a better understanding
of the importance of ACSC within the Croatian context, further research is needed
Getting some Insight into the Home Care Nursing Service in Croatia
Croatia, as the other Western societies are facing with the increasing share of the population over 65 years and consequently
with more care-dependant people. Community living and care, including home care, is stimulating not just because
of efficiency of care but also because of the people`s preferences that home is a place of emotional and physical associations,
memories and comfort. The aim of the study was to see if there is lack or surplus of Home care nursing services
within the health care system. Data from the Croatian Health Insurance Fond Data base were analysed. The results of
this research indicated that the number of inhabitants per one home nurse and physiotherapist contracted by the Croatian
Health Insurance Fond was below the defined Standard. The average number of inhabitants per one home care
nurse contracted by the CHIF for 2013 was 3373.9 compared to 3500 defined by the Standard. There was found also the
huge regional differences in their distributions. The average number of contracted home physiotherapists for the same
year was 9805.2 in comparison to the Standard, which was setup at the level of 15000 inhabitants per one physiotherapist