Nurses – Secondary school
education 130
TOTAL NUMBER OF HEALTH STAFF EMPLOYED IN NURSING CARE AND REHABILITATION SERVICES, CROATIA 2007
Health staff – Junior college
education 336
Health staff – Secondary school
education 1930
Health institutions No. of institutions
Community health centre 50
Clinical teaching hospital 3
Clinical hospital 4
Clinic 7
General hospital 22
Special hospital 31
Sanatorium 7
Institute of public health 22
Other state institutes: 3
♦ Transfusion Medicine Institute 1
♦ Occupational Health and Safety Institute 1
♦ Toxicology Institute 1
Emergency assistance facility 4
Polyclinic 321
Occupational health and safety institution 13
Company providing health services 91
Total 578
* Regardless of the type of ownership
Pharmacies 1,110
Nursing care and rehabilitation institutions 156
Home care private practice 112
According to figures from the Croatian National Institute of Public Health, in 2005 there were 1,088 pharmacies, and at the end of 2006 there were 1,104 pharmacies, or 0.25 pharmacies/1,000 population. A total of 2,720 pharmacy graduates were employed in state and private health institutions and private practice (2,659 in 2005). There was an average of 1,699 population per one pharmacist.
In 2005 in the work of primary health care in the narrowest sense, consisting of the health care of infants and small children and general/family medicine, a total of 2,605 teams were at work in the Republic of Croatia, with 2,605 medical doctors. Of these, there were 1,230 specialists (715 general/family medicine, 254 paediatricians, 134 occupational medicine, 106 school doctors and 21 specialists in other branches). Of the other health workers, 85 had junior college and 2,522 secondary qualifications. In comparison to 2004 the number of teams did not change significantly in 2005, there were 2.6% fewer specialist doctors and 2.3% fewer paediatricians.
In 2006 in the work of primary health care in the narrowest sense, consisting of the health care of infants and small children and general/family medicine, a total of 2,677 teams were at work in the Republic of Croatia, with 2,577 medical doctors. Of these, there were 1,280 specialists (778 general/family medicine, 259 paediatricians, 121 occupational medicine, 99 school doctors and 23 specialists in other branches). Of the other health workers, 87 had junior college education and 2,491 secondary qualifications. In comparison to 2005 the number of teams did not change significantly in 2006, there were 4% more specialist doctors and 2% more paediatricians.
In 2007 in the work of primary health care in the narrowest sense, consisting of the health care of infants and small children and general/family medicine, a total of 2,552 teams were at work in the Republic of Croatia. Of 2,552 medical doctors, there were 1,393 specialists in various branches (897 general/family medicine, 261 paediatricians, 121 occupational medicine, 94 school doctors and 20 specialists in other branches). Of the other health workers, 73 had junior college education and 2,482 secondary qualifications. In comparison to 2006, the number of teams decreased and the number of specialist doctors increased: there were 9% more specialist doctors in the primary health care system (15% more family medicine specialists, 1% more paediatricians and 3.3% fewer specialists in other branches).
In the work of dental health care, there were a total of 1,983 contracted teams at work full time in 2005 and 20 working part time. In 2005 there was a total of 4,822,811 visits to contracted teams (1.3% more than in 2004), 652,958 regular check-ups were performed (a reduction of 13.5% in comparison to 2004), 2,217,700 fillings were given (4% fewer than in 2004), and 702,816 teeth were extracted (a reduction of 2% in comparison to 2004). Dental prosthetic work was done in 296,931 cases (an increase of 21.6%) and 613,306 cases in which soft tissue treatment was performed (an increase of 10.1% in comparison to 2004). The most common diagnoses recorded in this field are dental caries, diseases of the pulp and periapical tissue, other disorders of the teeth and the supporting structure and dental and facial irregularities.
In the work of dental health care, there were a total of 1,905 contracted teams at work full time in 2006 and 47 working part time. In 2006 there was a total of 4,814,629 visits to contracted teams (similar to 2005), 611,381 regular check-ups were performed (a reduction of 6.4% in comparison to 2005), 2,216,381 fillings were given (similar to 2005), and 680,828 teeth were extracted (a reduction of 3.1% in comparison to 2005). Dental prosthetic work was done in 259,188 cases (a reduction of 12.7%) and 655,047 cases in which soft tissue treatment was performed (an increase of 6.6% in comparison to 2005). The most common diagnoses recorded in this field are dental caries, diseases of the pulp and periapical tissue, other disorders of the teeth and the supporting structure and dental and facial irregularities.
In the work of dental health care, there were a total of 2,001 contracted teams at work full time in 2007, of which there were 1,714 dental teams, 96 preventive paediatric dentistry teams and 191 teams specialised in other branches. These teams cared for 3,786,436 insurees (2.3% fewer than in 2006), of whom 1,672,530 used health care services (a 2.3% reduction in comparison to 2006). In addition to these teams, dental services were also provided by teams without contracts with the Croatian Institute for Health Insurance: of the total of 635 dental health care teams without contracts with the CIHI, there were 569 dental teams, 12 preventive paediatric dentistry teams and 54 teams specialised in other branches. According to reports received, in 2007 there was a total of 4,552,196 visits to contracted teams (a reduction of 5.5% in comparison to 2006) and 545,581 visits to teams without contract with the CIHI (a 19.8% increase in comparison to 2006). All teams, regardless of their status in terms of contract with the CIHI, performed 627,303 regular check-ups (an increase of 2.6% in comparison to 2006). A total of 2,165,395 fillings were given (a reduction of 2.3% in comparison to 2006), and 653,869 teeth were extracted (a reduction of 4.0% in comparison to 2006). In 2007, dental prosthetic work was done in 277,567 cases (an increase of 7.1% in comparison to 2006) and there were 663,825 cases in which soft tissue treatment was performed (an increase of 1.3% in comparison to 2006).
Home care and rehabilitation of patients under the guidance of medical doctors is performed by registered and authorised institutions for home health care. According to the 2005 report by the Croatian National Institution of Public Health, 108 senior nurses and 1,012 nurses with secondary school education worked in home health care. On average, there was one nurse per 3,793 insurees in the home care services. The average number of visits per nurse was 2,160 a year (an increase of 4.4% in comparison to 2004).
According to the 2006 report by the Croatian National Institution of Public Health, 119 senior nurses and 949 nurses with secondary school education worked in home health care. On average, there was one nurse per 3,982 insurees in the home care services. The average number of visits per nurse was 2,017 a year (a reduction of 7.1% in comparison to 2005). According to the 2007 report by the Croatian National Institution of Public Health, 117 senior nurses and 970 nurses with secondary school education worked in home health care. The figures relating to the number of insurees in the primary health care system show that one nurse providing home care services was in charge of 3,984 insurees on average. The average number of visits per nurse was 2,283 a year (an increase of 13.2% in comparison to 2006). Health visiting services are performed by nurses trained in this field. The standard is one nurse per 5,100 of the population, pursuant to the Ordinance on the standards and norms of the rights under the basic health insurance scheme (OG 2/03). The Croatian Institute for Health Insurance ensures the obligatory minimum – the right to 2 visits by a health visitor (during pregnancy, after the birth of a child and during the first year of its life and to risk groups). The total number of health visits in 2005 was 1,315,052, which was 3.1% less than in 2004. The total number of health visits in 2006 was 1,296,498, which was 1.4% less than in 2005. The total number of health visits in 2007 was 1,398,229, which was 7.8% more than in 2006.