Mastilica M, Chen M s
Department of Medical Sociology, Andrija Stampar School of Public Health, Zagreb University School of Medicine, 10000 Zagreb, Croatia.
Croat Med J. 1998 Sep;39(3):256-66.
Assessment of the Croatian health care system (under the reform) from the perspective of the users of health care services. We analyzed the consumers' satisfaction with health care system, health care expenses and access, and described the consumers' attitudes toward health reform, examining the differences among sociodemographic groups.
The study is based on a data set collected in 1994 through the interviews with randomly selected adults in two major cities of Croatia: Zagreb and Split.
A great proportion of respondents were dissatisfied with the current health care services, quality of health care facilities and equipment, and encountered difficulties in access. The elderly, women, and those with lower socioeconomic status were more likely to be dissatisfied and to consider out-of-pocket payments for health services as a problem. A great number of the respondents believed that the reform would either fail or would not achieve significant results. Compared to the younger and higher socio-economic group, the older and lower socioeconomic groups were more likely to evaluate the health care reform negatively.
Croatian government decided to rationalize the health care system without taking much account of the impact of health reform on the consumers. Revealed dissatisfaction with the health care services might be linked with the expressed doubts in health care reform and concern that changes could worsen the consumers' position as patients.
从医疗服务使用者的角度评估克罗地亚医疗体系（处于改革中）。我们分析了消费者对医疗体系、医疗费用和就医机会的满意度，并描述了消费者对医疗改革的态度，考察社会人口群体之间的差异。
该研究基于1994年通过对克罗地亚两个主要城市（萨格勒布和斯普利特）随机抽取的成年人进行访谈收集的数据集。
很大一部分受访者对当前的医疗服务、医疗设施和设备质量不满意，并且在就医方面遇到困难。老年人、女性以及社会经济地位较低的人更有可能不满意，并将自掏腰包支付医疗服务费用视为一个问题。大量受访者认为改革要么会失败，要么不会取得显著成效。与年轻和社会经济地位较高的群体相比，年长和社会经济地位较低的群体更有可能对医疗改革给予负面评价。
克罗地亚政府决定在不太考虑医疗改革对消费者影响的情况下对医疗体系进行合理化改革。所揭示的对医疗服务的不满可能与对医疗改革表达的怀疑以及担心改革会使消费者作为患者的处境恶化有关。
