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Living Standards Measurements Study - Serbia 2002 - 2007

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7.5. Use of Health Care Services<br />

according to type and serviceownership<br />

In <strong>2007</strong>, 27 percent of the population used<br />

outpatient health services, 9 percent used dental<br />

services (use of outpatient and dental health services<br />

is for the month preceding the study) and 6 percent<br />

were hospitalized in the preceding 12 months. In<br />

<strong>2007</strong>, the population used outpatient and dental<br />

services more frequently than in 2003 (23 percent<br />

and 7 percent). Hospital treatment remained at more<br />

or less the same level (6 percent in <strong>2007</strong> and 5<br />

percent in 2003).<br />

In <strong>2007</strong>, 29 percent of the population of <strong>Serbia</strong><br />

used the services of state health institutions and 6<br />

percent of private health institutions. In comparison<br />

with 2003 (state institutions 27 percent and private<br />

health institutions 5 percent) there was an increase<br />

in the percentage of the population that used health<br />

services only in state institutions. Those living<br />

below the poverty line used state health services<br />

considerably less than those from the non-poor<br />

group (23 percent compared to 30 percent) and<br />

hardly any (0.7 percent) used private health<br />

services. The more prosperous population in the<br />

fifth quintile used private institutions health services<br />

more than twice as much as the overall population<br />

(14 percent compared to 6 percent) (Graph 4).<br />

Differences in the use of health services were<br />

more marked in outpatient health institutions (state<br />

institutions were used by 27 percent and private<br />

only by 1 percent) as well as with hospital treatment<br />

which was almost exclusively performed in state<br />

institutions (6 percent state and 0.1 percent private).<br />

A closer distribution of use was observed in dental<br />

health care services where 4 percent of the<br />

population used state services and 5 percent private<br />

dental services.<br />

Outpatient health care services. Women,<br />

respondents aged 45 and 59 years, 60+ used<br />

outpatient health services more than the overall<br />

population (27 percent). Residents of Belgrade and<br />

South East <strong>Serbia</strong> used these services more often (30<br />

percent and 29 percent) compared to those in West<br />

and East <strong>Serbia</strong> (23 percent and 24 percent).<br />

Households below the poverty line (21 percent) and<br />

the uninsured (21 percent) Roma (22 percent) used<br />

outpatient health services considerably less (Graph<br />

5).<br />

Health<br />

Graph 7.4. Health service use according to type<br />

of health institutions ownership (percent)<br />

% population<br />

Gender<br />

Age<br />

Type of<br />

settlement<br />

Poverty<br />

line<br />

Quantiles of consalla<br />

Insurance<br />

Total<br />

Male<br />

Female<br />

0 - 14<br />

15 - 29<br />

30 - 44<br />

45 - 59<br />

60+<br />

Urban<br />

Rural<br />

Non poor<br />

Poor<br />

Poorest<br />

2<br />

3<br />

4<br />

Richest<br />

Yes<br />

No<br />

Roma<br />

Refugees &<br />

IDPs<br />

Unemployed<br />

0 15 30 45 60<br />

6<br />

5<br />

6<br />

3<br />

8<br />

13<br />

7<br />

18<br />

4<br />

4<br />

1<br />

2<br />

3<br />

4<br />

4<br />

6<br />

6<br />

7<br />

6<br />

6<br />

14<br />

Dental health care services. Those in the<br />

youngest age group (0 to 14 years) visited dentists<br />

more frequently (13 percent compared to 9 percent<br />

of the overall population) and most frequently<br />

dentists in state health institutions. The data is very<br />

indicative since at this age it is of the utmost<br />

importance that state provides the best available<br />

service so that children can eliminate their problems<br />

on time, securing better dental health in the future.<br />

25<br />

23<br />

22<br />

26<br />

29<br />

30<br />

28<br />

30<br />

28<br />

27<br />

25<br />

34<br />

32<br />

32<br />

30<br />

31<br />

30<br />

25<br />

9<br />

18<br />

5<br />

State institutions<br />

Private institutions<br />

54<br />

87

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