Biomedical subjects

H Tiljak

Publications and source records attributed to H Tiljak.

6 recordsLinked to original sources

PubMed2001

Genealogical structuring of a population.

The study observed population of 484 generation restrictive genealogies collected in four Croatian regions during 1970/71 within "The study of fat and carbohydrate metabolism indicators correlated with the occurrence of diabetes in animal fat and oil consuming population groups". The genealogies were collected on two islands (Brac and Hvar) and in two continental regions (Sinjska Krajina and Srijem). Genealogy Structure Index (GSI) was defined as quantitative indicator of genealogy structure. GSI was continuos variable which, by its extreme, describes vertical and horizontal type of genealogy structure, independently of the way genealogies were collected. Genealogy structure of surveyed population was described on the basis of participation of different genealogy types. Populations of the island Hvar and Brac showed to have horizontal genealogy type, continental population of Sinjska Krajina showed to have mixed type and continental population of Srijem showed to have vertical type of genealogy structure.

Adult↗

PubMed2000

[Specifics of health services utilization in an affiliated ambulatory general medicine practice].

Rationalisation in primary health care includes solutions such as affiliated practices. This study tries to detect specific utilisation of affiliated practices. The survey was done in general practice setting Bukovlje and affiliated practice Klokocevik, both near Slavonski Brod. A three-month prospective study using the International Classification of Primary Care was done. The results showed no difference in morbidity. The number of visits per patient was 1.29 in the main practice and 1.06 in the affiliated practice. The average number of reasons for encounter per one visit was 1.6 in the affiliated practice and 1.37 in the main practice. Symptoms and complaints, as well as referrals were more frequent reasons for encounter in the main practice (28% vs. 20%, and 15% vs. 10%). In spite of a similar morbidity, users of the affiliated practice less frequently utilised health care, inclined to postpone their visit to the doctor and refused referrals. The observed type of health care utilisation could present a health risk.

Adolescent↗

PubMed1998

[Use of methadone in the treatment of narcotic addiction].

In spite of the 30-year experience in the use of methadone in heroin addicts, there is no consensus about the value of that method. In view of the opinion that resistance to methadone treatment is partly caused by ignorance, the aim of this paper is to improve the knowledge about the method. The paper offers explanation of: (1) metabolic basis of heroin addiction, (2) methadone pharmacology, (3) psychosocial aspects of the addiction, (4) methadone treatment procedure, (5) aims and (6) results of the treatment. A demand for designing the treatment program on the basis of expert knowledge rather than on political and moral judgments is stressed. Topics in program organization are described: indications, daily dosage and its administration, treatment duration, professional job-sharing and control of the treatment. A review of medical goals--individual-oriented and social-oriented goals of the treatment is made. "Therapeutic milieu", as well as treatment dose and treatment duration have been recognized as the main determinants of the outcome. Evaluation criteria and treatment have been elaborated as potential basis for further research.

Heroin Dependence↗

PubMed1996

Outpatient morbidity in Slavonski Brod during 1991/1992 war in Croatia.

Indirect effects of war on the health status of population in Slavonski Brod, Croatia, were assessed. The study was based on registered outpatient morbidity data in General Practice Service of Slavonski Brod Medical Centre. Data from a pre-war period (January-June 1991) were compared to the war data (July-December 1991). Health care utilization and morbidity rates significantly differed in the two time periods. The most prominent were decreased consultations rates (40%) and increased rates of intestinal infections (80%), skin infections (20%) and injuries (50%). Numerous other changes were found, but all could not be related to the war. Although the indirect war effects on health were minimal at the time of investigation, the process was visible and must be continuously observed.

Croatia↗

PubMed1994

Motivation for the choice of a general practitioner--attitudes of practitioners and patients.

The aim of this study was to find out if any significant changes occurred after introducing, the free choice of a general practitioner (GP) into primary health care. The determinants of patients' choice and GP's attitudes regarding this matter were tested. A survey was conducted in 1992 by distributing questionnaires to 71 GP's and 292 patients who chose these GPs. The questionnaires were composed selectively for GPs and patients, and they all answered them anonymously. The group of GPs consisted of 37 (52.1%) GPs with vocational training and of 31 (43.7%) GPs without vocational training. The patients evaluated the GPs' characteristics as very important in choosing a particular GP. Of medium importance were the surgery characteristics (where it was situated, work organization, equipment), and recommendations were the least important. Most frequently, the patients chose a particular GP because he was already the GP of one of the family members. The GPs assessed the family to be the most important determinant for a patient to choose a particular GP. Surgery characteristics (distance and work organization) were evaluated as being of medium importance. The recommendations of a friend were of medium importance, and the recommendations of medical staff were not important, according to the opinion of the surveyed GPs. The only occurrence detected in the survey was that of a "return" phenomenon, in which patients returned to their old GPs, which was a direct consequence of the implementation of the free choice principle into health care practice. The results of this study match the results of similar studies already published, and they are argumented theoretically.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMedDate not supplied

[Free choice of a physician in general medicine].

The purpose of this paper was to study the implementation of a free choice of a physician in general practice (GP) in 1992, as well as to study how it was influenced by the characteristics of GPs, population that made this choice, and health system. The study group of 71 GPs consisted of 37 (52.1%) specialists of general practice, 50 (70.4%) female GPs, 42 (59.2%) who worked in town and 52 (73.3%) who had their practices situated close to the place of residence of the majority of their patients. There were significant differences in the number (range, 450-5000 patients) and structure of patients on the lists of the studied GPs. The proportion of partial and whole families on the lists of the examined GPs was somewhat over 50%, and the same proportion of 50% had preschool children in care. No statistically significant differences were found in the size and structure of population on the lists between the studied GPs according to their age, sex or level of professional education. However, the site of outpatient clinic in a village and suburban area of a town or a town had a significant influence on the size and structure of the population in care of GPs. GPs who worked in the rural or outlying residential district of a town had a statistically significantly higher portion of families and preschool children on their lists than GPs who worked in towns. For the implementation of a free choice of a physician, it is mandatory to anticipate the period for adjustment and reconstruction of the primary health care (PHC) system.(ABSTRACT TRUNCATED AT 250 WORDS)

Croatia↗