302 General Practice Services In The Transformation Of The Health Care System In Poland

Author(s): 
Krzysztof Buczkowski, Marcin Zi├│lkowski, Katarzyna Klucz
The Ludwik Rydygier Medical Academy in Bydgoszcz
Text: 
Introduction:
The health care system transformation started in Poland in 1999 and caused general practice development. This study examines the range of services given by family physicians.
Method: The data of 408 randomly selected patients who visited their family physician during 2001 were analysed. The sample was selected from a typical family practice. The analysed group consisted of 248(61%) female and 160(39%) male patients in a mean age of 44 years.
Results: The average patient visited a family physician 3,8+/-3,0 times a year. There were 179 different problems diagnosed according to ICD-10. The average patient showed 2,5+/-1,5 problems. The most common were respiratory tract infections, osteoarthritis and hypertension. Women showed more problems than men. 133(33%)persons were referred to a specialist and 23(6%)to the hospital. The most common reason of consultation was musculoskeletal diseases and the reason of hospitalisation cardiovascular diseases. People in the age of 19-65 needed the lowest number of GP consultations, in the age of 66 and more were hospitalised most often. The sick leave was given to 46(11%)patients.
Conclusion:
The range of general practice services in Poland is similar to that of EU countries and it suggests a proper development of family medicine in Poland.
Literature: 
302 GENERAL PRACTICE SERVICES IN THE TRANSFORMATION OF THE HEALTH CARE SYSTEM IN POLAND