Organizational Structure of the Croatian Family Practice: A Longitudinal Study Based on Routinely Collected Data

Abstract

This study was undertaken with the main aim of determining the trends in the number of family doctors’ (FD), gender and educational structure, working status and the number of patients per FD between 1995 and 2013. The main source of data collection were the Croatian Health Service Yearbooks and Croatian Health Insurance Fund (CHIF) databases on practices and FDs contracting in 2013. Obtained results indicated that the number of contracted FDs increased until 2007, then decreased, and again increased until 2350 in 2013. Avverage number of patients on FDs list was 1987 in 2012. Less than 50% FDs were spacialist in family medicine, 70.3% of them were self-employed with the CHIF contracta, and 81% were women. 123 practices planned by the Netwok did not have contracting FD in 2013. The lack of FDs, the huge number of patients over the standard number, and the location of the missing practices within the rural communities, together make Croatian FM practices less accessible.