480 Availability and coverage of pediatric primary health care for preschool children in Croatia Article Swipe
Đurđa Španović
,
Andrea Kostinčer-Pojić
,
Urelija Rodin
,
Željka Draušnik
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1136/archdischild-2021-europaediatrics.480
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1136/archdischild-2021-europaediatrics.480
Objective To determine the changes in the availability and coverage of pediatric primary health care for preschool children. Methods Based on data from the Croatian Health Insurance Fund (HZZO) for 2012 and 2018, an analysis of the number and share of preschool children (0-6 years of age) in the care of pediatricians and family physicians (GP) and the number of contracted and the required pediatric teams in the primary health care was done. Results In 2012, there were 295,735 pre-school aged insured persons in Croatia. Of the overall number, 84.2% (248,989) of them were in the care of pediatrician and 15.8% (46,755) in the care of GP. In the meantime, there has been an increase in the number of pediatric teams from 267 in 2012 to 281 in 2018 and a decrease in the total number of children to 259,769, out of which 90.2% (234,414) were in the care of pediatrician and 9.8% (25,355) in the care of GP. The availability of pediatric care by counties in 2012 was above 90% in only 7/21 counties and above 80% in 4/21, while half of the counties had below 80% of children in pediatric care, ranging from 42-79%. In 2018, half of the counties achieved coverage of pediatric care above 90%, in 5/21 above 80% and another 5/21 with unsatisfactory coverage ranged from 52-77%. According to the health care network, another 49 pediatric teams are missing, of which 30 teams are needed for 10 counties with less than 90% coverage. Conclusion The Republic of Croatia is a signatory to international documents which are undertaken to provide all children with the maximum possible health care. For many years, it can be said traditionally, a model in which the pediatrician is the bearer of children's health care at the primary level has been nurtured and developed since such model ensures high quality health care for children. This analysis showed that the counties with the largest cities had a sufficient coverage and occupancy with pediatric teams, while Slavonia, northwestern counties and Istria had less occupancy. Unevenness in the distribution of pediatric teams gradually decreased in the observed period and increasing number of teams ensured better availability and coverage of children. In the same period, we recorded extremely unfavorable demographic trends with declining birth rates and the emigration of young people, which resulted in a significant reduction in the number of preschool children. Although the number of pediatrics teams has increased, there has been no continuous education of new primary pediatricians, the age of active doctors is high and their retirement will again lead to insufficient availability of pediatric care in the next ten years. In order to ensure optimal and quality primary health care for children, it is necessary to plan new specializations of primary pediatricians, taking into account the geographical and traffic specifics and the population of certain areas.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/archdischild-2021-europaediatrics.480
- https://adc.bmj.com/content/archdischild/106/Suppl_2/A201.3.full.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3206648021Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/archdischild-2021-europaediatrics.480Digital Object Identifier
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480 Availability and coverage of pediatric primary health care for preschool children in CroatiaWork title
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articleOpenAlex work type
- Language
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enPrimary language
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2021Year of publication
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2021-10-01Full publication date if available
- Authors
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Đurđa Španović, Andrea Kostinčer-Pojić, Urelija Rodin, Željka DraušnikList of authors in order
- Landing page
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https://doi.org/10.1136/archdischild-2021-europaediatrics.480Publisher landing page
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https://adc.bmj.com/content/archdischild/106/Suppl_2/A201.3.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://adc.bmj.com/content/archdischild/106/Suppl_2/A201.3.full.pdfDirect OA link when available
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Medicine, Family medicine, Pediatrics, Primary care, Health care, Primary health care, Environmental health, Population, Economics, Economic growthTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.will | 425 |
| abstract_inverted_index.with | 216, 243, 266, 318, 328, 375 |
| abstract_inverted_index.15.8% | 100 |
| abstract_inverted_index.2012, | 75 |
| abstract_inverted_index.2018, | 32, 197 |
| abstract_inverted_index.4/21, | 179 |
| abstract_inverted_index.84.2% | 89 |
| abstract_inverted_index.90.2% | 143 |
| abstract_inverted_index.Based | 19 |
| abstract_inverted_index.above | 169, 176, 207, 211 |
| abstract_inverted_index.again | 426 |
| abstract_inverted_index.below | 186 |
| abstract_inverted_index.birth | 377 |
| abstract_inverted_index.care, | 192 |
| abstract_inverted_index.care. | 271 |
| abstract_inverted_index.done. | 72 |
| abstract_inverted_index.level | 296 |
| abstract_inverted_index.model | 281, 304 |
| abstract_inverted_index.order | 440 |
| abstract_inverted_index.rates | 378 |
| abstract_inverted_index.share | 39 |
| abstract_inverted_index.since | 302 |
| abstract_inverted_index.teams | 65, 120, 231, 237, 346, 357, 402 |
| abstract_inverted_index.their | 423 |
| abstract_inverted_index.there | 76, 110, 405 |
| abstract_inverted_index.total | 134 |
| abstract_inverted_index.which | 142, 235, 259, 283, 385 |
| abstract_inverted_index.while | 180, 331 |
| abstract_inverted_index.years | 44 |
| abstract_inverted_index.young | 383 |
| abstract_inverted_index.(HZZO) | 28 |
| abstract_inverted_index.Health | 25 |
| abstract_inverted_index.Istria | 336 |
| abstract_inverted_index.active | 418 |
| abstract_inverted_index.areas. | 474 |
| abstract_inverted_index.bearer | 288 |
| abstract_inverted_index.better | 359 |
| abstract_inverted_index.cities | 321 |
| abstract_inverted_index.ensure | 442 |
| abstract_inverted_index.family | 53 |
| abstract_inverted_index.health | 13, 69, 225, 270, 291, 308, 447 |
| abstract_inverted_index.needed | 239 |
| abstract_inverted_index.number | 37, 58, 117, 135, 355, 393, 399 |
| abstract_inverted_index.period | 352 |
| abstract_inverted_index.ranged | 219 |
| abstract_inverted_index.showed | 314 |
| abstract_inverted_index.taking | 461 |
| abstract_inverted_index.teams, | 330 |
| abstract_inverted_index.trends | 374 |
| abstract_inverted_index.years, | 274 |
| abstract_inverted_index.years. | 438 |
| abstract_inverted_index.295,735 | 78 |
| abstract_inverted_index.42-79%. | 195 |
| abstract_inverted_index.52-77%. | 221 |
| abstract_inverted_index.Croatia | 252 |
| abstract_inverted_index.account | 463 |
| abstract_inverted_index.another | 214, 228 |
| abstract_inverted_index.certain | 473 |
| abstract_inverted_index.changes | 4 |
| abstract_inverted_index.doctors | 419 |
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| abstract_inverted_index.ensures | 305 |
| abstract_inverted_index.insured | 81 |
| abstract_inverted_index.largest | 320 |
| abstract_inverted_index.maximum | 268 |
| abstract_inverted_index.number, | 88 |
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| abstract_inverted_index.overall | 87 |
| abstract_inverted_index.people, | 384 |
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| abstract_inverted_index.persons | 82 |
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| abstract_inverted_index.provide | 263 |
| abstract_inverted_index.quality | 307, 445 |
| abstract_inverted_index.ranging | 193 |
| abstract_inverted_index.traffic | 467 |
| abstract_inverted_index.(25,355) | 153 |
| abstract_inverted_index.(46,755) | 101 |
| abstract_inverted_index.259,769, | 139 |
| abstract_inverted_index.Although | 397 |
| abstract_inverted_index.Croatia. | 84 |
| abstract_inverted_index.Croatian | 24 |
| abstract_inverted_index.Republic | 250 |
| abstract_inverted_index.achieved | 202 |
| abstract_inverted_index.analysis | 34, 313 |
| abstract_inverted_index.children | 42, 137, 189, 265 |
| abstract_inverted_index.counties | 165, 174, 184, 201, 242, 317, 334 |
| abstract_inverted_index.coverage | 9, 203, 218, 325, 362 |
| abstract_inverted_index.decrease | 131 |
| abstract_inverted_index.increase | 114 |
| abstract_inverted_index.missing, | 233 |
| abstract_inverted_index.network, | 227 |
| abstract_inverted_index.nurtured | 299 |
| abstract_inverted_index.observed | 351 |
| abstract_inverted_index.possible | 269 |
| abstract_inverted_index.recorded | 370 |
| abstract_inverted_index.required | 63 |
| abstract_inverted_index.resulted | 386 |
| abstract_inverted_index.(234,414) | 144 |
| abstract_inverted_index.(248,989) | 90 |
| abstract_inverted_index.According | 222 |
| abstract_inverted_index.Insurance | 26 |
| abstract_inverted_index.Slavonia, | 332 |
| abstract_inverted_index.children, | 450 |
| abstract_inverted_index.children. | 17, 311, 364, 396 |
| abstract_inverted_index.coverage. | 247 |
| abstract_inverted_index.declining | 376 |
| abstract_inverted_index.decreased | 348 |
| abstract_inverted_index.determine | 2 |
| abstract_inverted_index.developed | 301 |
| abstract_inverted_index.documents | 258 |
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| abstract_inverted_index.extremely | 371 |
| abstract_inverted_index.gradually | 347 |
| abstract_inverted_index.meantime, | 109 |
| abstract_inverted_index.necessary | 453 |
| abstract_inverted_index.occupancy | 327 |
| abstract_inverted_index.pediatric | 11, 64, 119, 162, 191, 205, 230, 329, 345, 432 |
| abstract_inverted_index.preschool | 16, 41, 395 |
| abstract_inverted_index.reduction | 390 |
| abstract_inverted_index.signatory | 255 |
| abstract_inverted_index.specifics | 468 |
| abstract_inverted_index.Unevenness | 340 |
| abstract_inverted_index.children's | 290 |
| abstract_inverted_index.continuous | 409 |
| abstract_inverted_index.contracted | 60 |
| abstract_inverted_index.emigration | 381 |
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| abstract_inverted_index.increasing | 354 |
| abstract_inverted_index.occupancy. | 339 |
| abstract_inverted_index.pediatrics | 401 |
| abstract_inverted_index.physicians | 54 |
| abstract_inverted_index.population | 471 |
| abstract_inverted_index.pre-school | 79 |
| abstract_inverted_index.retirement | 424 |
| abstract_inverted_index.sufficient | 324 |
| abstract_inverted_index.undertaken | 261 |
| abstract_inverted_index.demographic | 373 |
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| abstract_inverted_index.unfavorable | 372 |
| abstract_inverted_index.availability | 7, 160, 360, 430 |
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| abstract_inverted_index.geographical | 465 |
| abstract_inverted_index.insufficient | 429 |
| abstract_inverted_index.northwestern | 333 |
| abstract_inverted_index.pediatrician | 98, 150, 285 |
| abstract_inverted_index.international | 257 |
| abstract_inverted_index.pediatricians | 51 |
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| abstract_inverted_index.unsatisfactory | 217 |
| abstract_inverted_index.specializations | 457 |
| abstract_inverted_index.<h3>Methods</h3> | 18 |
| abstract_inverted_index.<h3>Results</h3> | 73 |
| abstract_inverted_index.<h3>Objective</h3> | 0 |
| abstract_inverted_index.<h3>Conclusion</h3> | 248 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
| citation_normalized_percentile.value | 0.26454814 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |