Uvod.
U europskim zemljama kao i u Hrvatskoj kućne posjete (KP) i liječenje su u djelokrugu obiteljske medicine (OM). Istraživanja pokazuju da
je broj KP relativno nizak, sustavno opada od 2004. i različit je između županija. Cilj je bio istražiti postoje li razlike u trendovima broja KP između ruralnih i urbanih sredina RH u razdoblju od 1995. do 2014. godine.
Metode.
Istraživanje je opservacijsko (povijesno – prospektivno), temeljeno na rutinski prikupljenim podatcima Hrvatskih zdravstveno-statističkih
ljetopisa od 1995. do 2014.: o broju liječnika OM (LOM), pacijenata koji su dolazili/koristili OM i KP u RH i po županijama. Grupirani su u 3
regije: pretežito ruralne, značajno ruralne i urbane. Izračunat je prosječan broj KP, broj posjeta po pacijentu i po LOM -u. Rezultati. Prosječan broj KP/pacijent bio je veći (0,16-0,12) u pretežito i značajno ruralnoj, nego u urbanoj regiji (0,11-0,06). U ruralnim regijama broj
KP/LOM kretao se od 136,6 do 181,6, znatno više nego u pretežno ruralnim (129,2-189,2) ili urbanim (88,0-144,5).
Zaključak.
LOM-i u ruralnim regijama obavljaju više KP od kolega u urbanim. Da bi se zadovoljile potrebe populacije i zadržalo liječnike, ovo treba imati na umu pri planiranju i financiranju tih područja.Introduction and aims:
Home visits are within the scope of family practice (FP) in Croatia as well as it is in other countries. The aim of the study was to determine the overall trends in home visits (HV) in Croatian FM. We investigated whether there were any differences in the trends of HV between
Croatian rural and urban regions.
Methods:
This was perspective study, from 1995 to 2014. Data were collected from the Croatian Health Service Yearbooks. The number of family doctors and the number of home visits were collected for each study year in relation to regions; Croatia was divided in three regions: rural, semi-rural and urban.
Results.
Significantly higher number of home visits was found in rural regions than in semi-rural and urban ones. In 2000 the average number of home visits was higher in rural - 0.16 per patient - than in semi-rural (0.14) and urban (0.10) regions. In the same year, each family doctor in rural areas performed 189 home visits, in comparison to
178 in semi-rural and 120 in urban regions. The differences in trends were not found, the number of home visits increased until the year 2000 and then decreased in all regions.
Conclusion.
A higher number of home visits was found in Croatian rural regions than in semi-rural and urban ones. These results should be taken in
consideration in FP delivery planning
