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0 1991.

[Evaluation of citizen satisfaction with the organization of the primary health care system].

The state of organization and distribution of PHC networks in our Republic is not satisfactory. It is so mostly for the reason of absence of extramural PHC units in settlements, schools, and working collectives, i.e. unavailability of health care to the people and closeness of the health care system. A poll carried out among 1859 patients in the health centre waiting rooms in Bosnia and Herzegovina has shown that only 35.1% of the polled citizens--health care beneficiaries are satisfied with the work of doctors and nurses in PHC surgeries. The poll has also shown that about 65% of the patients of all age groups realize the health care protection only after long waiting and with some other difficulties. Then, 96% of the out-patients expressed their dissatisfaction with the organization of PHC, either owing to frequent changes of physicians, i.e. health personnel, or to inadequate working hours, waiting long etc. Only 6.5% of the polled patients said there were satisfied with the work of PHC service and did not ask for changes in the structure. The author in his paper quotes the principles on which a good PHC service should be based and proposes adequate measures for its promotion.


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