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Odabrani Pokazatelji Rada Specijalističko-Konzilijarne Djelatnosti U Splitsko-Dalmatinskoj Županiji U 2018

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Odabrani Pokazatelji Rada Specijalističko-Konzilijarne Djelatnosti U Splitsko-Dalmatinskoj Županiji U 2018 Nastavni zavod za javno zdravstvo Splitsko-dalmatinske županije Služba za javno zdravstvo i promicanje zdravlja Odjel za ocjenu zdravstvenog stanja stanovništva, organizaciju, rad zdravstva i medicinsku demografiju Odabrani pokazatelji rada specijalističko-konzilijarne djelatnosti u Splitsko-dalmatinskoj županiji u 2018. godini Autor: Dr. sc. Ivana Marasović Šušnjara, dr. med., spec. javnog zdravstva Suradnici: Lidija Bikić, zdrav. tehničar Ivana Marasović, referent Dr. sc. Marijana Mijaković, prof. fizike Split, 2020. SPECIJALISTIČKO-KONZILIJARNA DJELATNOST Specijalističko-konzilijarna djelatnost u odnosu na zdravstvenu djelatnost na primarnoj razini obuhvaća složenije mjere i postupke u pogledu prevencije, dijagnosticiranja te liječenja bolesti i ozljeda, provođenja ambulantne rehabilitacije i medicinske rehabilitacije u kući korisnika odnosno korisnika u ustanovama za socijalnu skrb te zdravstvene njege. Specijalističko-konzilijarna djelatnost može se obavljati u dnevnoj bolnici i domu zdravlja. Specijalističko-konzilijarna djelatnost obavlja se uz osiguranu laboratorijsku i drugu dijagnostičku djelatnost (Zakon o zdravstvenoj zaštiti, NN 100/18). Provode je liječnici specijalisti raznih specijalnosti. Oni, u pravilu, u okviru ugovornih ustanova s HZZO-om, na zahtjev liječnika primarne zdravstvene zaštite obavljaju tražene specijalističko - konzilijarne preglede: - djeluju kao kozultanti liječnicima primarne zdravstvene zaštite u nedovoljno jasnim dijagnostičkim i terapijskim slučajevima; dajući stručna mišljenja, njihovi su savjetnici i pomagači, - obavljaju diferenciranije dijagnostičke postupke, - posreduju u komunikaciji između djelatnosti primarne i stacionarne zdravstvene zaštite, - preuzimaju u privremeni ciljani tretman bolesnika, ili provode traženi dijagnostički, terapijski ili rehabilitacijski zahvat. U pravilu, liječnik primarne zdravstvene zaštite upućuje osiguranika na specijalističko-konzilijarni pregled nakon obrade, a na uputnicu upisuje razlog upućivanja, odnosno kakvo konzilijarno mišljenje ili zahvat traži. Konzilijarni liječnik daje mišljenje i nalaz iz provedenog dijagnostičkog postupka, mišljenje o terapijskom ili rehabilitacijskom postupku, te mišljenje o prognozi bolesti i stanja. U Splitsko-dalmatinskoj županiji specijalističko-konzilijarna djelatnost (ugovor s HZZO) najvećim dijelom se obavljala u KBC Split, no određene djelatnosti obavljale su se i u drugim gradovima i općinama Županije kao i u samom gradu Splitu: - fizikalna medicina i rehabilitacija – Dugi Rat, Hvar, Imotski, Jelsa, Komiža, Makarska, Omiš, Sinj, Trogir, Vis, Vrgorac; - hemodijaliza – Hvar, Imotski, Makarska, Sinj, Supetar, Trogir; - interna - Hvar, Imotski, Makarska, Split, Trogir; - kardiologija – Split; - neurologija – Split:; - oftalmologija – Imotski, Omiš, Sinj, Split, Trogir; - ortopedija – Omiš; - parodontologija – Split; - pneumoftiziologija – Split; - rentgenologija/radiologija – Split; - psihijatrija – Omiš, Sinj; - urologija - Split. Od specijalističkih ordinacija koje nemaju ugovor s HZZO zaprimili smo izvješća: - dermatovenerologija – Imotski, Sinj; - fizikalna medicina i rehabilitacija – Split; - interna – Split, Dugopolje; - kardiologija – Split; - neurologija – Sinj, Split; - nuklearna medicina – Split; - oftalmologija – Split; - pedijatrija – Split; - psihijatrija – Split; - pulmologija – Split; - rentgenologija/radiologija – Split; - urologija – Sinj, Split. U Splitsko-dalmatinskoj županiji je tijekom 2018. godine ukupno zabilježeno 897.442 specijalističko- konzilijarna pregleda. Od toga je 865.225 specijalističko-konzilijarnih pregleda bilo u ordinacijama s ugovorom s HZZO (Tablica 1), dok je u ordinacijama bez ugovora s HZZO zabilježeno 32.217 specijalističko-konzilijarnih pregleda (Tablica 2). Tablica 1. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA S UGOVOROM S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI Ukupno: ANESTEZIO DERMATO- DIJABETO- DJEČJA FIZIKALNA GINEKO- HEMO- -LOGIJA VENEROLOGIJA LOGIJA KIRURGIJA MEDICINA I LOGIJA DIJALIZA REHABILITA- CIJA Hrvatska 9.953.550 215.743 481.561 64.366 98.513 1.098.841 513.734 2.471 Splitsko- 865.225 16.042 36.652 4.001 22.043 64.135 22.120 262 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEURO- NEUROLOGIJA NUKLEARNA KIRURG. KIRURGIJA MED. 147.209 1.086.319 524.585 969.827 50.957 62.523 438.897 242.855 8.712 67.829 33.790 80.043 6.769 11.174 35.184 91.688 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 955.191 258.817 593.486 347.340 518.533 575.531 307.508 398.743 95.507 40.916 51.918 28.014 41.360 59.554 22.008 27.504 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. Tablica 1a. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA S UGOVOROM S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI – MUŠKARCI Ukupno: ANESTEZIO DERMATO- DIJABETO- DJEČJA FIZIKALNA HEMODIJALIZA -LOGIJA VENEROLOGIJA LOGIJA KIRURGIJA MEDICINA I REHABILITACIJA Hrvatska 4.345.056 82.785 202.526 27.838 65.682 420.275 1.864 Splitsko- 392.217 7.290 15.121 1.886 15.325 25.156 179 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEUROKIRURGIJA NEUROLOGIJA NUKLEARNA KIRURG. MED. 73.348 451.830 262.255 487.067 25.622 28.465 175.624 48.045 4.767 28.931 17.488 41.512 3.729 5.707 13.997 17.496 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 403.657 102.422 284.486 153.143 274.628 306.780 143.502 323.212 41.204 19.717 25.865 11.023 21.948 39.069 11.514 23.293 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. Tablica 1b. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA S UGOVOROM S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI – ŽENE Ukupno: ANESTEZIO DERMATOVE- DIJABETO- DJEČJA FIZIKALNA GINEKO- HEMO- -LOGIJA NEROLOGIJA LOGIJA KIRURGIJA MEDICINA I LOGIJA DIJALIZA REHABILITA- CIJA Hrvatska 5.520.856 132.424 275.253 36.528 32.828 663.996 506.266 607 Splitsko- 464.717 8.752 19.531 2.115 6.718 38.979 20.470 83 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEUROKIRURGIJA NEUROLOGIJA NUKLEARNA KIRURG. MED. 73.859 624.702 262.285 473.935 25.335 34.054 260.804 194.756 3.945 38.898 16.302 38.531 3.040 5.467 21.187 74.192 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 534.327 156.381 304.081 185.928 241.291 264.245 163.999 72.972 51.367 21.199 26.053 13.286 19.412 20.485 10.494 4.211 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. Tablica 2. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA BEZ UGOVORA S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI* Ukupno: ANESTEZIO DERMATOVE- DIJABETO- DJEČJA FIZIKALNA GINEKO- HEMO- -LOGIJA NEROLOGIJA LOGIJA KIRURGIJA MEDICINA I LOGIJA DIJALIZA REHABILITA- CIJA Hrvatska 732.042 3.975 68.014 0 0 56.348 121.340 792 Splitsko- 32.217 0 3.680 0 0 4.738 1.226 0 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEUROKIRURGIJA NEUROLOGIJA NUKLEARNA KIRURG. MED. 107 164.101 28.799 21.192 2.811 2.867 19.805 2.514 0 12.140 0 0 0 0 0 1.291 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 120.190 4.915 17.599 23.146 19.799 29.047 973 23.718 4.397 0 0 0 2.332 2.413 0 0 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. Tablica 2a. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA BEZ UGOVORA S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI – MUŠKARCI Ukupno: ANESTEZIO DERMATOVE- DIJABETO- DJEČJA FIZIKALNA HEMODIJALIZA -LOGIJA NEROLOGIJA LOGIJA KIRURGIJA MEDICINA I REHABILITACIJA Hrvatska 260.701 2.008 28.020 0 0 21.452 484 Splitsko- 9.541 0 1.509 0 0 1.573 0 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEUROKIRURGIJA NEUROLOGIJA NUKLEARNA KIRURG. MED. 52 71.042 9.931 9.136 1.449 1.474 7.757 936 0 3.636 0 0 0 0 0 717 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 41.983 1.787 8.095 11.873 9.888 12.237 557 20.540 483 0 0 0 1.138 485 0 0 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. Tablica 2b. BROJ PREGLEDA U STALNIM I POVREMENIM SPECIJALISTIČKIM ORDINACIJAMA BEZ UGOVORA S HZZO PO SPECIJALNOSTIMA U SPLITSKO-DALMATINSKOJ ŽUPANIJI I HRVATSKOJ U 2018. GODINI – ŽENE Ukupno: ANESTEZIO DERMATO- DIJABETO- DJEČJA FIZIKALNA GINEKO HEMO- -LOGIJA VENEROLOGIJA LOGIJA KIRURGIJA MEDICINA I -LOGIJA DIJALIZA REHABILITACIJA Hrvatska 382.366 1.967 37.924 0 0 28.068 98.506 308 Splitsko- 12.970 0 2.171 0 0 3.165 0 0 dalmatinska županija INFEKTOLOGIJA INTERNA KARDIOLOGIJA KIRURGIJA MAX. FAC. NEUROKIRURGIJA NEUROLOGIJA NUKLEARNA KIRURG. MED. 55 76.634 11.246 11.821 1.362 1.393 8.879 1.578 0 4.141 0 0 0 0 0 574 OFTAMOLOGIJA ONKOLOG. I ORL ORTOPEDIJA PEDIJATRIJA PSIHIJATRIJA PULOMOLOGIJA UROLOGIJA RADIOTERAP. 53.290 3.128 8.698 9.530 9.911 14.474 416 3.178 840 0 0 0 1.194 885 0 0 Izvor: Hrvatski zdravstveno statistički ljetopis za 2018. godinu. HZJZ, Zagreb, 2019. .
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    NEWSLETTER Zagreb l Smičiklasova 21 doi: 10.3326/nle.2017.112 [email protected] l www.ijf.hr l tel: +385(0)1 4886 444 No. 112 l July 2017 l ISSN 1848-4662 Budget transparency in Croatian counties, cities and municipalities (November 2016-March 2017)1 KATARINA OTT, MIHAELA BRONIĆ, MIROSLAV PETRUŠIĆ, BRANKO STANIĆ The overall average level of budget transparency in Croatian local government units, measured by the number of budget documents published on their respective official websites, has improved year by year. In the current research cycle, it averages 3.1 (the maximum rank is 5), with counties already being very transparent (4.6 on average), cities fairly good (3.7 on average), but municipalities still inadequately transparent (2.8 on average). Despite the relatively solid averages, there are too many extremely non-transparent local government units. Four cities (Gospić, Imotski, Valpovo and Vrgorac) and as many as 39 municipalities have not published a single budget document that we were searching for, and another seven cities and 50 municipalities have published only one such document each. As in previous years, the most transparent local government units include very sparsely populated ones, such as Ribnik and Dekanovec, and local government units with low per capita income (e.g. Jarmina and Đelekovec). On the other hand, among the least transparent local government units there are units with very high total and per capita budget revenues (e.g. Sutivan, Šolta, Dugopolje and Bol). Detailed results for all counties, cities and municipalities are given later in the text and are also available on the interactive map and in the Excel table.
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