Author/Editor		Bardehle, Doris; Laaser, Ulrich; Zaletel-Kragelj, Lijana
Title		Selected indicators of health care resources, and health care utilization and costs in countries of the "Public health in south eastern Europe (PH-SEE)" network
Translated title		Primerjava izbranih kazalcev zmogljivosti ter porabe in stroškov zdravstvenega varstva med državami, sodelujočimi v mreži "Javno zdravje v jugovzhodni Evropi (PH-SEE)"
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 45, št. 2
Publication year		2006
Volume		str. 67-80
Language		eng
Abstract		Background: The Public Health Collaboration in the South Eastern Europe (PH-SEE) network, including ten countries, was established under the aegis of the Stability Pact Within the network a strong need was identified for monitoring several health and health care issues, including health care resources (HCR) and health care utilization and costs (HCUC). AimlPurpose: To assess the current situation and trends in the PH-SEE countries in the field of HCR and HCUC during the period 1994 -2003. Methods: The number of hospital beds, physicians, general practitioners, and dentists per 100,000 population, average length of hospital stay and total health expenditure as the percent of the gross domestic product were determined. A meta-database was established for the period 1994 - 2003. The ratios of indicator values of the PHSEE countries to the EU average at the beginning and at the end of the observation period were calculated,as well as the differences between the initial and final values. Results: During the study period, the most notable change occurred in the ratios of the PH-SEE countries values to the EU average: i. e. in the hospital bed number in Moldova (beginning: 1.78, end: 0.96); in number of physicians in Moldova (beginning: 1.12, end: 0.76), in numberofgeneral practitioners in Moldova (beginning: 0.34, end: 0.56), in number of dentists in Moldova (beginning: 0.76, end: 0.50), in average length of hospital stay in Serbia&Montenegro (beginning: 1.07, end: 1.37), and in total health expenditure in Moldova (beginning: 0.73, end: 0.40). Conclusion: Considerable differences in HCR and HCUC were found between the PH-SEE countries. Some of these countries (e.g. Croatia, Greece and Slovenia) are in many respects close to the EU average, while the others (e.g. Albania) are faced with the problem of low economic power. The most stable PH-SEE country during the study period was Slovenia, while Moldova experienced the most rapid changes.
Summary		Izhodišče: Pod okriljem Pakta za stabilnost je nastala mreža "Javno zdravje v Jugovzhodni Evropi (PH-SEE)", v kateri sodeluje deset držav. Med njimi se je pokazala potreba po stalnem sledenju pojavov, povezanih z zdravjem prebivalcev, med drugimi tudi na področju zmogljivosti ter porabe in stroškov zdravstvenega varstva (ZV). Namen: Oceniti sedanje stanje in gibanje kazalcev na področju zmogljivosti ter porabe in stroškov ZV v državah PH-SEE v obdobju 1994-2003. Metode: Za oceno so bili izbrani naslednji kazalci: število bolnišničnih postelj, zdravnikov, zdravnikov splošne prakse in zobozdravnikov na 100.000 prebivalcev, povprečno trajanje hospitalizacije ter odstotek bruto domačega proizvoda (BDP), ki se namenja za zdravje. Za obdobje 1994-2003 je bila vzpostavljena meta baza podatkov Izračunali smo razmerja med vrednostmi kazalcev v državah PH-SEE v primerjavi s povprečjem EU na začetku in na koncu opazovalnega obdobja ter razliko med njihovimi začetnimi in končimi vrednostmi. Rezultati: Analiza je pokazala največje spremembe med začetnimi in končimi vrednostmi razmerij med državami PH -SEE mreže in povprečjem EU: v številu bolnišničnih postelj v Moldaviji (začetek: 1,78; konec: 0,96); v številu zdravnikov v Moldaviji (začetek: 1,12; konec: 0,76); v številu splošnih zdravnikov v Moldaviji (začetek: 0,34; konec: 0,56); v številu zobozdravnikov v Moldaviji (začetek: 0,76; konec: 0,50), v povprečnem trajanju hospitalizacije v Srbiji in Črni gori (začetek: 1,07; konec: 1,37) in v odstotku BDP za zdravje ponovno v Moldaviji (začetek: 0,73; konec: 0,40). Zaključki: Razlike v zmogljivosti ter porabe in stroškov ZV so med državami mreže PH-SEE precejšnje. Nekatere od držav (npr. Grčija, Hrvaška in Slovenija) so v marsikaterem pogledu precej podobne povprečju EU, medtem ko se ostale države (npr. Albanija) soočajo s problemi nizke ekonomske moči. V obdobju 1994-2003 so se vrednosti kazalcev najmanj spreminjale v Sloveniji, najbolj pa v Moldaviji.
Descriptors		PUBLIC HEALTH HEALTH CARE COSTS HOSPITAL BED CAPACITY PHYSICIANS DENTISTS LENGTH OF STAY HEALTH EXPENDITURES EUROPE