Avtor/Urednik		Kirar-Fazarinc, Irena; Rener, Irma; Rudolf, Andreja
Naslov		Zdravstveno varstvo žensk
Prevedeni naslov		Women's health care
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 40, št. Suppl 1
Leto izdaje		2001
Obseg		str. 99-121
Jezik		slo
Abstrakt		Data on primary health care of women for the year 2000 should be interpreted with caution. The changed service paying (introduction of a combined system of capitation and a new method of data acquisition) in the second half of the year brought about changes in the recording of reasons for preventive health visits of women. As a result, two different methodologies were used in the same year and hence a comparison of the acquired data with figures for the past years may be misleading. Because of the great speed at which the changes were introduced into practice, building up the system of computerized data collection was continued throughout the second half of the year. This resulted in inaccurate recording of data for some women's health services (hospitals) and for some geographical areas. A 2.2% decrease in the total number of attendances was reported in 2000, yet because of the altered data acquisition methods the figure is of little significance. The analysis of semi-annual statistics showed that data acquired for the first half of 2000 were comparable with the data for the same period in 1999. The data indicate that the number of preventive visits fell by 1.7?l. This figure too was influenced by changes in data acquisition and by the fact that several services (examination, consultation) were provided within the framework of one visit. This change was taken into consideration in statistical surveys of the type of visit, but for health care providers the services were considered separately to allow for a more complex and methodologically more accurate analysis of health care providers. The altered methodology had no impact on figures for curative visits, therefore the recorded 2.7?l decrease in the number of visits made for curative purposes was considered accurate. (Abstract truncated at 2000 characters)
Izvleček		Podatke za dejavnost osnovnega zdravstvenega varstva žensk za leto 2000 je potrebno ocenjevati s previdnostjo. Zaradi spremenjenega načina plačevanja (uvedba kombiniranega glavarinskega sistema, ki je uvedel tudi vsebinsko nov način statističnega evidentiranja) so se v drugi polovici leta vsebinsko spremenile možnosti za beleženje vzrokov za preventivne obiske v zdravstvenem varsNu žensk, kar je povzročilo, da je potrebno v enem letu primerjati podatke po dveh metodoloških konceptih. Primerjave podatkov z minulimi leti za področje te dejavnosti bi lahko premalo pozomega uporabnika teh podatkov zavedle v napačne sklepe. Hkrati se je zaradi naglice uvajanja sprememb sistem računalniško podprtega sistema zajemanja podatkov dograjeval še v drugi polovici leta, kar je privedlo do nepopolnosti beleženja na nekaterih področjih dejavnosti znotraj zdravstvenega varstva žensk (bolnišnice) in nekaterih geografskih območjih. Celokupno število obiskov se je v letu 2000 zmanjšalo za 2,2%, vendar je to znižanje nepomembno, ker je zagotovo posledica sprememb statističnega evidentiranja. Tudi analiza polletnih podatkov je dokazala, da so podatki v prvi polovici leta 2000 primerljivi s polletnimi podatki v letu 1999. Primerjava podatkov o številu preventivnih obiskov kaže, da se je število preventivnih obiskov zmanjšalo za 1,7%, vendar tudi te spremembe razlagamo s spremembami, ki so posegle tudi v vsebinske opredelitve posameznih statističnih evidentiranj kot tudi dejstvo, da so ob enem obisku lahko opravili več storitev (pregled, svetovanje itd). To novost smo sicer upoštevali le pri prikazu vrst obiskov na ženske, medtem ko smo jih pri izvajalcih pustili ločene, ker gre za kompleksnejšo obravnavo in je s stališča analize dejavnosti izvajalcev metodološko pravilneje. Na področje kurativnih pregledov vsebinsko spremenjen sistem ni posegal, zato realno beležimo nižje število kurativnih obiskov za 2,7%. (Izvleček skrajšan pri 2000 znakih)
Deskriptorji		WOMEN'S HEALTH SERVICES HEALTH SURVEYS PRENATAL CARE CONTRACEPTION BREAST NEOPLASMS CONTRACEPTIVES, ORAL, HORMONAL INTRAUTERINE DEVICES FETAL DEATH ABORTION, INDUCED SLOVENIA