Primary care in a post-communist country 10 years later : comparison of service profiles of Lithuanian primary care physicians in 1994 and GPs in 2004
LTReikšminiai žodžiai: Pirminė sveikatos priežiūra; Rytų Europos šalys (Eastern Europe states); Sveikatos apsaugos reforma; Sveikatos priežiūros reforma; Vertinimo studijos; Šeimos gydytojai; Šeimos praktika; Eastern Europe; Evaluation studies; Family practice; Health care reform; Primary health care.
ENObjectives: The study aimed, firstly, to assess changes in the service profile of primary care physicians between 1994, when features of the Soviet health system prevailed, and 2004, when retraining of GPs was completed. Secondly, to compare service profiles among current GPs, taking into account their positions before being retrained. Methods: A cross-sectional repeated measures study was conducted among district therapists and district pediatricians in 1994 and GPs in 2004. A questionnaire was used containing identical items on the physicians’ involvement in curative and preventive services. The response rates in both years were 87% and 73%, respectively. Results: In 2004, physicians had much more office contacts with patients than in 1994. Modest progress was made with the provision of technical procedures. Involvement in disease management was also stronger in 2004 than in 1994, particularly among former pediatricians. Involvement in screening activities remained stable among former therapists and increased among former pediatricians. At present, GPs who used to be therapists provide a broader range of services than ex pediatricians. GPs from the residency programme hold an intermediate position. Conclusions: Lithuanian GPs have taken up new tasks but variation can be reduced. The health care system is still in the midst of transition. [From the publication]
- Do family practitioners in Lithuania inform their patients about adverse effects of common medications? / I. Liseckiene, Z. Liubarskiene, R. Jacobsen, L. Valius, M. Norup. Journal of medical ethics 2008, Vol. 34, no. 3, p. 137-140.
- Nutrition and physical activity counselling by general practitioners in Lithuania, 2000-2014 / Vilma Kriaučionienė, Janina Petkevičienė, Asta Raskilienė. BMC family practice. 2019, 20, 125, pdf (9 p.).
