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  • Primary Health Care

    Quarterly edited by the Greek Association of General Practitioners

    12, 2, - 2000, Volume 12, Number 2, April - June 2000

    . 451/91

    20, 115 28

    ISSN 1105-7432

    . , . , . , . , . : : ............................................................................................................................................... 57

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    4 -, 17 2000 ................................................................................................................ 99

    ... ........................................................... 101

    ` -

  • 12, 2, - 2000

    PRIMARY HEALTH CARE

    Quarterly edited by the GreekAssociation

    of General Practitioners

    Volume 12, Number 2,April - June 2000

    .. 1393,

    : +30 81 39 46 21Fax: +30 81 39 46 06E-mail: lionis@med.uoc.gr

    -

    -

    Executive Boardof the Greek Association of

    General Practitioner

    PresidentBodosakis-ProdromosMerkouris

    Vice-President AKostas Moraitis

    Vice-President BAntonis Karotsis

    General SecretaryTreasurerAthanasios Symeonidis

    MembersMarios ChatziarsenisPigi PerdikakiStathis Skliros

    E . , . , . , . , . : : ............................................. 57

    . , . , . , . : , ...................... 62

    : ......................................................................... 68

    . , . , . , . , . , . : ..................... 78

    . : : ........................................................................................................................................... 88

    -4 -, 17 2000 ............................................................................................................................................ 99

    "" ... .................................................................................. 101

    CONTENTSriginal PapersK. Nikolakis, Ch. Economou, E. Georgousi, G. Tsakos, J. Kyriopoulos:Regional distribution of medical manpwer in primary health care: The paradigm of IKA ............................ 57

    A. Charalampopoulos, D. Giannopoulos, S. Voulioti, S. Zamtrakis: Morbidity markers in traffic-relatedinjury hospitalizations, risk factors for traffic accidents and the possibility of prevention. ........................... 62

    ReviewsCh. Georgakakou: Quality Assurance in Health Centres .................................................................................................. 68

    A. Nikolidakis, A. Pagalos, T. Chimona, G. Velegralus, J. izaikis, E. Chelidonis:Review of diagnosis and therapeutic management in acute sinusitis ....................................................................... 78

    K. Paschos: Leptospirosis: The zoonosis with probably the highest incidence among humanbeings nowadays ..................................................................................................................................................................................... 88

    Conferences-MeetingsThe 4th Meeting of General Practice in Crete ....................................................................................................................... 99

    Continuing Education in General PracticeLecture given to GPs trainees at the "Ippocration" General Hospital of Athens ............................................. 101

    :-

    ISSN 1105-7432

    Chief EditorChristos Lionis

    Faculty of MedicineUniversity of Crete

    P.O. Box 1393, HeraklionTel: +30 81 39 46 21Fax: +30 81 39 46 06

    E-mail: lionis@med.uoc.grAssistants to the Editors

    leftherios ThireosKornilia Makri

    Editorial BoardStella ArgyriadouVaggelis DrossosDimitris HellinasPigi Perdikaki

    Athanasios Symeonidis

  • 57

    . . 12, 2, 2000

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    RIGINAL PAPERPrimary Heatlh Care, Volume 12, Number 2, 57-61, 2000 , 12, 2, 57-61, 2000

    , , - . 1992, 1996 1999. , Gini Lorenz . : ) - . ) - , , . ) . ) (1992- 1999) - .

    Regional distribution of medical manpwer in primary health care: Theparadigm of IKAK. Nikolakis, Ch. Economou, E. Georgousi, G. Tsakos, J. Kyriopoulos

    SUMMARYThe aim of this paper is to examine regional and prefectural inequalities in thedistribution of medical manpower in primary health services of the health sectorof IKA (Social Security Organization), in relation to the number of the insuredpopulation. Data from the official published time series of IKA, referring to 1992,1996 and 1999, were used. Gini coefficient was calculated and Lorenz curvewas portrayed for each of the three above mentioned years. The main findingsof the study are the following: a) There are differences in the ratio of insuredpopulation per doctor among the regions of the country. b) Regions exceedingthe national average are Western Greece, Attiki and Thessalia, while regionsthat fall short of the national average are South Aegaio, Crete and WesternMacedonia. c) The prefectural distribution of IKA medical manpower in relationto insured population, is highly unequal. d) The observed unequal distributionshowed only a marginal improvement during the period 1992-1999.Key words: IKA, primary health care, health inequalities, regional distribution ofmedical manpower

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  • 58

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    Lorenz. Gini

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    Lorenz Gini. - , - . -, - Loreriz 0 0,58.

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    (1999) 8.349. - , , (15,1%) - (12,56%), (7,91%) (7,55%).

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  • 59

    . . 12, 2, 2000

    -38,6% -32,1% ( ). -

    , , Gini Lorenz. .

    Gini 1992 (G:0,7147). 1992-1996 , 2,6% - (G:0,6961). - 1,6% (G:0,6847). Lorenz ( 1).

    -

    . (1999)

    %

    & 418 271.953 651 +0,8 1.428 1.056.988 740 -12,8 131 113.544 867 -32,1 156 106.333 682 -3,9 384 226.966 591 +0,9 113 80.695 714 -8,1 432 252.718 585 +10,8 272 229.605 844 -28,7 4.275 2.513.411 588 +10,4 232 155.857 672 -2,4 98 75.517 771 -17,5 147 157.873 1.074 -63,7 263 238.996 909 -38,6 8.349 5.480.454 656

    . (1999)

    %

    1.261 15,1% 1.049 12,6% 660 7,9% 630 7,6% 598 7,2% 481 5,8% 428 5,1% 403 4,8% 349 4,2%/... 342 4,1% 2.148 25,6% 8.349 100,0%

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    . - - Gini Lorenz

    1992 1996 1999

    Gini 0,7147 0,6961 0,6847 Lorenz 0,3573 0,3480 0,3423

  • 60

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  • 61

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  • 62

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    ORIGINAL PAPERPrimary Heatlh Care, Volume 12, Number 2, 62-67, 2000 , 12, 2, 62-67, 2000

    , . 124 (94 , 30 , 32 , 13-78 ) - . , 44 - (44/124, 35,4%) , 14 (14/124,11,3%) . . 40 92 (40/92, 43,5%) . 4 - 56 (4/56, 7%). 82 (82/124, 66,1%), . . . , - - .

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