Troselj Mario, Mayer Vladimir, Kuzman Marina, Tomić Branimir
Hrvatski zavod za javno zdravstvo, Sluzba za socijalnu medicinu, Zagreb.
Lijec Vjesn. 2002 Nov-Dec;124(11-12):341-6.
The structure of 10,146 physicians working in Croatia's health system in 1990 and that of 11,103 working in 1999 are compared in terms of age, sex and level of training (intern, unspecialized doctor, resident, and specialist). Comparison of the same 5-year groups with reference to 1990 uncovered a reduction in the share of the two youngest 5-year physician groups (ages 25-29 and 30-34 years) in the total physician population working in 1999. Between 1990 and 1999, the average age of working physicians increased from 44.2 to 46.5 years and from 39.2 to 42.4 years in male and female doctors, respectively. In the same period the lady doctors' share of the physician total increased from 50.8 to 55.6%. By the criterion of the number of physicians per 100,000 population in 1980-99, Croatia was below selected group averages of the European countries. From 1991 to 1995 the generally rising trend of the number of physicians was interrupted due to the war in Croatia. Because of unequal numbers of physicians at individual years of age, we emphasized the need for demographic approach both in the planning of physician employment and advanced medical training. This necessity was reinforced by the fact that in 1999, at 35-44 years of age 1,147 (29%) physicians neither possessed a specialty degree nor started on any such course.
对1990年在克罗地亚卫生系统工作的10146名医生的结构与1999年工作的11103名医生的结构,就年龄、性别和培训水平(实习医生、非专科医生、住院医生和专科医生)进行了比较。将1999年的同一5年组与1990年进行比较发现,在1999年工作的医生总数中,两个最年轻的5年医生组(25 - 29岁和30 - 34岁)的比例有所下降。1990年至1999年期间,在职医生的平均年龄从44.2岁增至46.5岁,男性医生从39.2岁增至42.4岁,女性医生从39.2岁增至42.4岁。同期,女医生在医生总数中的比例从50.8%增至55.6%。按照1980 - 1999年每10万人口中医生数量的标准,克罗地亚低于欧洲国家选定组的平均水平。1991年至1995年,由于克罗地亚的战争,医生数量总体上升的趋势被打断。由于各年龄段医生数量不均衡,我们强调在规划医生就业和高级医学培训时都需要采用人口统计学方法。1999年,35 - 44岁的医生中有1147人(29%)既没有专业学位也没有开始任何此类课程,这一事实强化了这种必要性。