title: Preventive health care for women in Croatia: ongoing trends from 1995 to 2012.
abstract: The privatization of gynecological services and the introduction of additional reimbursements to capitation fees are ongoing mini reforms in Croatia. In order to evaluate the outcomes of this, study was performed with the main aim of determining trends in preventive activities carried out in public and private gynecological practices from 1995 to 2012. The Croatian Health Service Yearbooks served as the basis for data collection. Data were collected on the number of general check-ups, the number of targeted check-ups, and the number of follow-up check-ups. The results indicate a trend of continuous decline in the number of general and follow-up check-ups, as well as breast examinations and Pap smears, in public gynecological practices even after the introduction of contractual obligations and additional reimbursements and fee-for-service payments. One important note is that many resources were invested in general checks-up interventions, which proved to be ineffective, while fewer resources were invested in the more effective Pap smear interventions.
authors: Renata
authors: R
authors: Pavlov
authors: Ivana
authors: I
authors: Babič
authors: Vlatka Hajdinjak
authors: VH
authors: Trstenjak
authors: Igor
authors: I
authors: Srček
authors: Zvonko
authors: Z
authors: Sošić
mesh_terms: D000293:Adolescent; D000328:Adult; D017523:Croatia / Q000453:epidemiology; D005260:Female; D006176:Gynecology / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008137:Longitudinal Studies; D011314:Preventive Health Services / Q000706:statistics & numerical data / Q000639:trends*; D011320:Primary Health Care / Q000706:statistics & numerical data / Q000639:trends*; D014932:Women's Health Services / Q000706:statistics & numerical data / Q000639:trends*; D055815:Young Adult