Care for health of foreign tourists in case of medical emergency

Područje Primorsko-goranske županije jedno je od turistički razvijenijih dijelova naše zemlje. Zbog zemljopisnog položaja i dobrih međudržavnih odnosa najbrojniji su gosti iz susjednih zemalja. Svrha rada bila je ispitati zdravstvenu zaštitu i morbiditet turista iz Austrije, Njemačke i Italije koji su na području Rijeke boravili u razdoblju od 1987. do 1990. godine, a medicinsku pomoć su zatražili na osnovi potvrde matičnog osiguranja - konvencije. Prilikom obrade koristili smo zdravstvenu i ostalu dokumentaciju na temelju koje Hrvatski zavod za zdravstveno osiguranje vrši nadoknadu troškova liječenja. U ispitivanom razdoblju liječeno je ukupno 3884 turista, iz Austrije 400 (10%), Njemačke 2796 (72%) i Italije 688 (18). Djece do devet godina života bilo je 9%, a osoba starijih od 60 godina 19%. U 519 slučajeva (13%) korišteno je bolničko liječenje, sa ukupno 5734 bolesnička dana. Veći dio bolesnika liječen je ambulantno 3365 (87%). U morbiditetu bolesnika najviše su zastupljene povrede 868 (22%). Medicinsku pomoć zbog kroničnih bolesti kardiovaskularnog, nervnog, lokomotomog i respiratornog sustava zatražilo je između 6-11% bolesnika. U razdoblju od 1990. do 1995. godine liječeno je 4509 turista. Rezultati ispitivanja biti će prezentirani po završenoj obradi i uspoređeni sa sličnim istraživanjima. Izvršena analiza egzaktno pokazuje da se među turistima na našem području nalazi značajan broj osoba oboljelih od kroničnih bolesti kojima pored iznimno blage mediteranske klime valja ponuditi i visokostručne medicinske usluge u okviru programa zdravstvenog turizma, a s ciljem prevencije, liječenja i rehabilitacije bolesti.The county of Primorje and Gorski kotar is one of the most developed tourist regions in Croatia. The majority of tourists come from the neighbouring countries because of the geographical position of this region and because of good relations that Republic of Croatia has with its neighbours. The objective of our research was to examine health care and morbidity of Austrian, German and Italian tourists who stayed in the Rijeka area from 1987 to 1990 and who asked-for medical help on the basis of insurance certificate-convention. Our research is based on the health and other documentation used by Croatian Institute of Health Insurance for the compensation of the expense of medical treatment. In the examined period the total of 3884 tourists were treated, out of which 400 from Austria (10%), 2796 from Germany (72%) and 688 from Italy (18%). There was 9% of children under the age of 9 and 19% of people over 60. In 519 cases (13%) hospital treatment was needed with the total of 5734 days spent in hospital. The majority of patients needed ambulatory treatment, 3365 (87%). As to morbidity of patients injuries were most represented 868 (22%). To patients who needed help because of chronic diseases of cardiovascular system, of nervous system,of locomotor system and respiratory system belongs 6- 11 %. During the period from 1990 to 1995, 4509 tourists were cured. The results of the research will be shown when the analysis is completed. The results will also be compared with the results of other similar researches. The performed analysis shows that among tourists in our region there is a considerable number of persons who suffer from chronic diseases, and who should be offered a highly professional medical treatment as a part of health - tourism programme, aimed at the prevention, treatment and rehabilitation of a disease