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\fs24\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {\f1\fs10\insrsid7623128 
\par }\pard \qj \li0\ri0\sl-441\slmult0\nowidctlpar\tx1771\phmrg\posx226\posy0\absw8356\faauto\rin0\lin0\itap0 {\b\fs26\insrsid7623128 \tab UJE\'c8ENJE }{\b\f2\fs36\insrsid7623128 U DOMU }{\b\f36\fs30\insrsid7623128 BOLESNIKA:
\par }\pard \qc \li369\ri321\sl-441\slmult0\nowidctlpar\phmrg\posx226\posy0\absw8356\faauto\rin321\lin369\itap0 {\b\f36\fs32\insrsid7623128 OPRAVDANA NASTOJANJA, }{\b\f1\fs30\insrsid7623128 (NE)OSTVARIV ZADATAK }{\b\f1\insrsid7623128 (Teze za Osje\'e8
ku inicijativu)
\par }\pard \qj \li0\ri0\sb81\sl-360\slmult0\nowidctlpar\tx0\phmrg\posx226\posy0\absw8356\faauto\rin0\lin0\itap0 {\b\i\insrsid7623128 \tab HEALTH CARE AND MEDICAL TREATMENT IN PATIENTS' HOMES:
\par }\pard \qc \li1545\ri1641\sl-360\slmult0\nowidctlpar\phmrg\posx226\posy0\absw8356\faauto\rin1641\lin1545\itap0 {\b\i\insrsid7623128 ]USTIFYED NEED, BUT DIFFICULT TASK (Proposal of an Osijek Initiative)
\par }\pard \qc \li0\ri0\sl-321\slmult0\nowidctlpar\phmrg\posx1262\posy2866\absw6283\faauto\rin0\lin0\itap0 {\f36\insrsid7623128 ZDRAVKO EBLING1, \'8eELIMIR JAK\'8aI\'c62, RUDIKA GMAJNI\'c63, MAJA PACOVSKI- ERHARD4
\par }\pard \qj \li0\ri0\sl-273\slmult0\nowidctlpar\phmrg\posx3955\posy4032\absw955\faauto\rin0\lin0\itap0 {\b\f1\insrsid7623128 Sa\'9eetak
\par }\pard \qj \fi672\li28\ri0\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin28\itap0\pararsid12009991 {\i\fs22\insrsid7623128 Cilj je rada oja\'e8ati uskla\'f0eno djelovanje lije\'e8nika obiteljske medicine na ku\'e6
nom lije\'e8enju kao slo\'9eenom obliku za\'9atite bolesnika i njegove obitelji u njihovu domu. Danas se u
\par }\pard \qj \fi-19\li19\ri0\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin19\itap0\pararsid12009991 {\i\fs22\insrsid7623128 program zdravstvene za\'9atite u domu uklju\'e8uje unapre\'f0
enje zdravlja i zdravstveni odgoj, obi\-teljski pristup suzbijanju bolesti, provo\'f0enje lije\'e8enja, rehabilitaciju i tenninalnu skrb. Suvre\-menu skrb i za\'9atitu bolesnika u vlastitom domu sve vi\'9ae podupire tehnolo\'9aki napredak medici\-ne, ali 
}{\fs22\insrsid7623128 s }{\i\fs22\insrsid7623128 druge strane uvjetuju vrlo razli\'e8ite stambene prilike, mnogostruko optere\'e6enje suvremene obitelji i konkretna razina financijske mo\'e6i. \'c8
lanovi obitelji koji preuzmu aktivnu skrb za oboljelog posebno su dodatno optere\'e6eni, pa im je neophodno potreban povremeni
\par }\pard \qr \li24\ri0\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin24\itap0\pararsid12009991 {\i\fs22\insrsid7623128 "odmor" i priznanje njihovih polu-profesionalnih napora.
\par }\pard \qr \fi705\li24\ri0\sb100\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin24\itap0\pararsid12009991 {\i\fs22\insrsid7623128 Va\'9eno pitanje je ko\'9atanje djelovanja u domu u usporedbi }{
\fs22\insrsid7623128 s }{\i\fs22\insrsid7623128 drugim vidovima lije\'e8enja. Pokazalo se da lije\'e8enje u domu izgleda jeftinije kad se gleda izolirano. Kad se promatra cje\-
\par }\pard \ql \li19\ri0\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin19\itap0\pararsid12009991 {\i\fs22\insrsid7623128 lokupna za\'9atita, ono postaje dodatni tro\'9a
ak jer rijetko bitno smanjuje razinu hospitalizacije. I u pojedina\'e8nom slu\'e8aju ku\'e6no lije\'e8enje je jeftinije samo onda kad je jasno indicirano i kad se
\par }\pard \ql \li0\ri0\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin0\itap0\pararsid12009991 {\i\fs22\insrsid7623128 povoljan rezultat mo\'9ee o\'e8ekivati nakon kra\'e6eg razdoblja od nekoliko tjedana.
\par }\pard \qj \fi700\li19\ri0\sb100\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin19\itap0\pararsid12009991 {\i\fs22\insrsid7623128 U ku\'e6nom lije\'e8enju se danas uz lije\'e8nika op\'e6
e medicine javljaju i drugi, kao: organi\-zacije ku\'e6ne njege i rehabilitacije (privatne, polu privatne i dr\'9eavne), tradicionalni staciona\-ri nikli uz domove zdravlja za akutne dijagnosti\'e8ke potrebe, a danas preusmjereni na skrb za starije, slu
\'9ebe tenninalne njege i posthospitalne za\'9atite, "bolnice. u ku\'e6i" koje organiziraju grupe specijalista, tako da one sve vi\'9ae su\'9eavaju utjecaj obiteljskih lije\'e8nika na tom podru\'e8ju }{\i\fs26\insrsid7623128 za\'9atite.
\par }\pard \ql \li0\ri0\widctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin0\itap0\pararsid12009991 {\f37\fs16\insrsid12009991 Ebling Z, Jaksic Z, Gmajnic R, Pacovski-Erhard M. Lije\'e8enje u
\par domu bolesnika: opravdana nastojanja, (ne)ostvariv zadatak (Teze
\par za Osje\'e8ku inicijativu). U: V. simpozij obiteljske medicine,
\par Osijek, 1998. Ku\'e6no lije\'e8enje u obiteljskoj medicini. Zbornik.
\par Osijek: Hrvatska udru\'9eba obiteljske medicine; 1988; Str. 25\endash 48.}{\f37\fs20\insrsid12009991 
\par }\pard \qj \fi700\li19\ri0\sb100\sl-302\slmult0\nowidctlpar\pvpg\phpg\posx741\posy5344\absh-7085\absw8902\faauto\rin0\lin19\itap0\pararsid12009991 {\i\fs26\insrsid12009991 
\par }\pard \ql \li0\ri0\sl-230\slmult0\nowidctlpar\pvpg\phpg\posx621\posy12664\absw8841\faauto\rin0\lin0\itap0\pararsid12009991 {\fs8\insrsid7623128 1 }{\fs18\insrsid7623128 Dom zdravlja u Osijeku i Katedra op\'e6
e/obiteljske medicine i primarne zdravstvene za\'9atite Medicinskog fakul\-teta Sveu\'e8ili\'9ata u Zagreb~ }{\fs22\insrsid7623128 - }{\fs20\insrsid7623128 Studij medicine u Osijeku / Health Centre Osijek and Chair of GeneraVFamily Practiee }{
\fs18\insrsid7623128 and Primary Health Care, Medical School, University of Zagreb, Medical Study in Osijek
\par }{\fs12\insrsid7623128 2 }{\fs22\insrsid7623128 \'8akola narodnog zdravlja "Andrija \'8atampar" / Andrija \'8atampar School of Publie Health
\par }{\fs10\insrsid7623128 .I. ; }{\fs16\insrsid7623128 Dom zdravlja u Osijeku / Health Centre Osijek
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid7623128 \sect }\sectd \linex0\sectdefaultcl\sftnbj \pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {
\f1\fs10\insrsid7623128 
\par }\pard \qj \fi700\li19\ri0\sl-307\slmult0\nowidctlpar\phmrg\posx0\posy0\absw8904\faauto\rin0\lin19\itap0 {\i\f36\fs20\insrsid7623128 Obiteljska }{\i\insrsid7623128 medicina za\'9atitu, }{\i\f36\fs22\insrsid7623128 skrb }{\i\f1\fs20\insrsid7623128 i lije
\'e8enje u domu smatra svojim bitnim podru\'e8jem djelovanja. Za uspje\'9aan daljnji razvoj lije\'e8enja u domu potrebno je rije\'9aiti mnoga stru\'e8na pi\-tanja. Treba odabrati stanja kod kojih je takvom za\'9atitom i lije\'e8enjem mogu\'e6
e suzbiti ili spri\-
\par }\pard \qj \li0\ri0\sl-307\slmult0\nowidctlpar\phmrg\posx0\posy0\absw8904\faauto\rin0\lin0\itap0 {\i\f1\fs20\insrsid7623128 je\'e8iti komplikacije kroni\'e8nog tijeka bolesti i u kratkom roku posti\'e6i pozitivan ishod ili dugo\-
trajni pozitivni utjecaj na kvalitetu \'9eivota.
\par }\pard \qj \fi691\li19\ri0\sb86\sl-307\slmult0\nowidctlpar\phmrg\posx0\posy0\absw8904\faauto\rin0\lin19\itap0 {\i\f1\fs20\insrsid7623128 Pri razmatranju organizacije mogu se razmotriti sljede\'e6e alternative: a) slobodna pri\-vatna inicijativa i tr\'9ei
\'9ani odnosi, b) postavka posebnog programa u okviru postoje\'e6eg osigu\-ranja, }{\f1\fs20\insrsid7623128 c) }{\i\f1\fs20\insrsid7623128 dodatno osiguranje, d) kombinacija (a-c). Kod odlu\'e8ivanja neophodno je uva\'9e
iti kriterije postavljene sa strane zajednice i zdravstvenog sustava, te ocijeniti stru\'e8ne preduvjete za bavljenje tim poslom, provedivost, gospodarske i socijalne u\'e8inke, te mogu\'e6e prepreke. Za sada nema prihvatljivih rje\'9a
enja niti unutar postoje\'e6eg osiguranja, niti u okviru potpuno pri\-vatnog sustavom, ni dodatnog osiguranja.
\par }\pard \qj \fi715\li19\ri0\sb86\sl-307\slmult0\nowidctlpar\phmrg\posx0\posy0\absw8904\faauto\rin0\lin19\itap0 {\i\f1\fs20\insrsid7623128 Osje\'e8ka inicijativa predla\'9ee razmatranje modela koji bi razrije\'9aili sustavfinanciranja. \'c8
ini se da financiranje mora biti dvojako: }{\f1\fs20\insrsid7623128 (1) }{\i\f1\fs20\insrsid7623128 U kalkulaciji HZZO treba uvesti posebnu stavku za obvezne programe lije\'e8enja u domu bolesnika. To zna\'e8i da se moraju konkretno definirati sadr\'9e
aji, oblici, kvantiteta i kvaliteta ugovorenih postupaka lije\'e8enja u domu pacijenata. }{\f1\fs20\insrsid7623128 (2) }{\i\f1\fs20\insrsid7623128 Dodatni programi lije\'e8enja u domu bolesnika mogu se osigurati stimulacijom kroz sustav ci\-
jena puta usluga. Njihov obuhvat ovisio bi }{\f1\fs20\insrsid7623128 o }{\i\f1\fs20\insrsid7623128 mogu\'e6nostima obiteljskih lije\'e8nika da rade odredene programe, ovisio bi }{\f1\fs20\insrsid7623128 o }{\i\f1\fs20\insrsid7623128 '\'9eelji i mogu\'e6
nostima pacijenata da takve programe podr\'9ee, te }{\f1\fs20\insrsid7623128 o }{\i\f1\fs20\insrsid7623128 mogu\'e6nostima zajednica ili razli\'e8itih organizacija koje bi imale interesa ugovarati speci\-fi\'e8ne programe lije\'e8
enja u domu pacijenata. Sli\'e8nih poku\'9aaja ve\'e6 nalazimo u tzv. dopunskim osiguranjima.
\par }\pard \qj \li705\ri724\sl-393\slmult0\nowidctlpar\phmrg\posx0\posy0\absw8904\faauto\rin724\lin705\itap0 {\b\i\f1\fs20\insrsid7623128 Klju\'e8ne rije\'e8i: }{\i\f1\fs20\insrsid7623128 ku\'e6no lije\'e8enje, lije\'e8nik obiteljske medicine, programi za\'9a
tite.
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid7623128 \sect }\sectd \linex0\sectdefaultcl\sftnbj \pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {
\f1\fs10\insrsid7623128 
\par }\pard \qc \li0\ri0\sl-364\slmult0\nowidctlpar\phmrg\posx912\posy585\absw5702\faauto\rin0\lin0\itap0 {\b\fs28\insrsid7623128 DNEVNI PROTOK PACIJENATA I MULTIMORBIDNOST }{\fs28\insrsid7623128 DAILY PATIENT FLOW AND MULTIMORBIDITY
\par }\pard \qj \li0\ri0\sl-316\slmult0\nowidctlpar\phmrg\posx1354\posy2054\absw4814\faauto\rin0\lin0\itap0 {\fs26\insrsid7623128 Gmajni\'e6 Rudika, EblingZdravko, Prli\'e6 Lidija
\par }\pard \qj \li0\ri0\sl-312\slmult0\nowidctlpar\phmrg\posx3106\posy2664\absw1324\faauto\rin0\lin0\itap0 {\b\fs26\insrsid7623128 SA\'8eETAK
\par }\pard \qj \fi388\li0\ri0\sl-259\slmult0\nowidctlpar\phmrg\posx0\posy3168\absw7488\faauto\rin0\lin0\itap0 {\i\fs20\insrsid7623128 Usporedili smo rad }{\fs20\insrsid7623128 8 }{\i\fs20\insrsid7623128 timova primarne zdravstvene za\'9atite na podru\'e8
ju Osje\'e8ko\-baranjske \'9eupanije, koji su podijeljeni u dvije skupine: prvu, s prosje\'e8nim dnevnim protokom od 50 }{\fs20\insrsid7623128 i }{\i\fs20\insrsid7623128 manje pacijenata (grupa }{\fs20\insrsid7623128 1), i }{\i\fs20\insrsid7623128 
drugu, s dnevnim protokom iznad 70 pacijenata (grupa 11). Analizirani su pacijenti stari }{\fs20\insrsid7623128 65 i }{\i\fs20\insrsid7623128 vi\'9ae godina. Evidentirali smo broj posjeta lije\'e8niku primarne zdravstvene za\'9atite, te broj }{
\fs20\insrsid7623128 i }{\i\fs20\insrsid7623128 strukturu postavlje\-nih dijagnoza. Usporedbom sa statisti\'e8kim podacima na nivou \'9eupanije, u analizira\-nom uzorku smo opazili znatno ve\'e6i broj posjeta i ve\'e6
i broj evidentiranih dijagnoza. Komparacija ispitivan ih grupa pokazala je da timovi sa prosje\'e8no manjim brojem dnevno pregledanih osiguranika imaju }{\fs20\insrsid7623128 i }{\i\fs20\insrsid7623128 ve\'e6i broj evidentiranih dijagnoza te razno\-
vrsniji sustav dijagnosticiranja. I pored o\'e8itih problema u evidentiran ju i statisti\'e8koj obradi podataka, zaklju\'e8ili smo kako organiziraniji timovi uz vi\'9a
e vremena koje provode s pacijentom bolje prepoznaju raznovrsne bolesti te ih /..-valitetnije eviden\-tiraju.
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid7623128 \sect }\sectd \linex0\sectdefaultcl\sftnbj \pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {
\f1\fs10\insrsid7623128 
\par }\pard \qc \fi470\li0\ri0\sl-484\slmult0\nowidctlpar\phmrg\posx869\posy0\absw7022\faauto\rin0\lin0\itap0 {\b\f1\fs28\insrsid7623128 KU\'c6NE INTERVENCIJE U STOMATOLOGI]I }{\b\i\insrsid7623128 STOMATOLOGYC }{\b\i\f1\fs26\insrsid7623128 
INTERVENTIONS AT PATIENTS HOME
\par }\pard \qj \li0\ri0\sl-412\slmult0\nowidctlpar\phmrg\posx2132\posy1300\absw4497\faauto\rin0\lin0\itap0 {\fs22\insrsid7623128 KRE\'8aIMIR GUL]A\'8a,* RUDIKA GMA]NI\'c6 *
\par }\pard \qj \li0\ri0\sl-273\slmult0\nowidctlpar\phmrg\posx3936\posy2160\absw969\faauto\rin0\lin0\itap0 {\b\insrsid7623128 Sa\'9eetak
\par }\pard \qj \li0\ri0\sl-302\slmult0\nowidctlpar\tx648\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 \tab Autori na osnovi vlastitog iskustva analiziraju probleme ku\'e6nih intervencija kod sto\-
\par }\pard \ql \li0\ri0\sl-302\slmult0\nowidctlpar\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 matolos7Jih pacijenata.
\par }\pard \qj \li0\ri0\sb96\sl-302\slmult0\nowidctlpar\tx648\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 \tab Opisuju se tri dominantna motri\'9ata: medicinsko-tehni\'e8ko, humanitarno-eti\'e8ko,
\par }\pard \ql \li0\ri0\sl-302\slmult0\nowidctlpar\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 ekonomsko-prakti\'e8no.
\par }\pard \qj \li0\ri0\sb96\sl-302\slmult0\nowidctlpar\tx648\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 \tab Nagla\'9aava se va\'9enost objedil1jenosti dvaju karakteristika pacijenata: hitnosti i ne\-
\par }\pard \ql \li0\ri0\sl-302\slmult0\nowidctlpar\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 pokretnosti.
\par }\pard \qj \li0\ri0\sb96\sl-302\slmult0\nowidctlpar\tx648\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 \tab Kod izvodenja ku\'e6ne intervencije smatra se da ih treba izvesti uz jasno razlikovanje
\par }\pard \ql \li0\ri0\sl-302\slmult0\nowidctlpar\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 tri faze: pripreme, intervencije, kontrole.
\par }\pard \ql \fi662\li0\ri0\sb96\sl-302\slmult0\nowidctlpar\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\i\fs22\insrsid7623128 Autori navode da su mogu\'e6i i \'9airi zahvati u lije\'e8enju stomatognatog sustava u ku\'e6
noj posjeti poput popravaka zubi i stomatoprotetske sanacije, ali je to pitanje financijske prirode od tehni\'e8kog opremanja do mogu\'e6nosti i potreba pacijenata.
\par }\pard \qj \li0\ri0\sl-398\slmult0\nowidctlpar\tx648\phmrg\posx0\posy2683\absw8870\faauto\rin0\lin0\itap0 {\b\i\fs22\insrsid7623128 \tab Klju\'e8na rije\'e8: }{\i\fs22\insrsid7623128 ku\'e6ne posjete, hitni slu\'e8ajevi.
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid7623128 \sect }\sectd \linex0\sectdefaultcl\sftnbj \pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {
\f1\fs10\insrsid7623128 
\par }\pard \qj \li0\ri0\sl-62\slmult0\nowidctlpar\tx148\tx720\tx916\phmrg\posx888\posy0\absw1084\faauto\rin0\lin0\itap0 {\fs8\insrsid7623128 "\tab ,-~~.\tab ',"\tab ,-"
\par }\pard \qj \li0\ri0\sl-739\slmult0\nowidctlpar\phmrg\posx0\posy15\absw451\faauto\rin0\lin0\itap0 {\fs30\insrsid7623128 r.
\par }\pard \qj \li0\ri0\sl-192\slmult0\nowidctlpar\phmrg\posx62\posy72\absw134\faauto\rin0\lin0\itap0 {\fs22\insrsid7623128 ;
\par }\pard \qj \li0\ri0\sl-4\slmult0\nowidctlpar\phmrg\posx86\posy331\absw38\faauto\rin0\lin0\itap0 {\fs4\insrsid7623128 .
\par }\pard \ql \li0\ri0\sl-326\slmult0\nowidctlpar\phmrg\posx0\posy15\absw7276\faauto\rin0\lin0\itap0\pararsid2910402 {\b\insrsid2910402 
\par 
\par 
\par }{\insrsid2910402\charrsid2910402 Mogu\'e6nost primarne zdravstvene za\'9atite}{\b\insrsid2910402  }{\insrsid2910402 podru\'e8ju  za petnaest tisu\'e6a korisnika 
\par Posibilities for primary health in an area of fifteen thousand people}{\b\insrsid7623128 
\par }\pard \qj \fi1737\li206\ri1675\sb124\sl-158\slmult0\nowidctlpar\phmrg\posx0\posy15\absw7276\faauto\rin1675\lin206\itap0 {\fs10\insrsid7623128 ~ }{\fs22\insrsid7623128 
\par }\pard \qj \fi1737\li206\ri1675\sb124\sl-100\slmult0\nowidctlpar\phmrg\posx0\posy15\absw7276\faauto\rin1675\lin206\itap0 {\fs14\insrsid7623128 
\par }\pard \qj \li0\ri0\sl-283\slmult0\nowidctlpar\tx307\phmrg\posx2476\posy2098\absw2539\faauto\rin0\lin0\itap0 {\fs20\insrsid7623128 \tab RUDIKA GMAJNIC
\par }\pard \qc \li0\ri0\sl-283\slmult0\nowidctlpar\phmrg\posx2476\posy2098\absw2539\faauto\rin0\lin0\itap0 {\i\fs20\insrsid7623128 Zdravstvena stanica \'c8epin Health Station \'c8epin
\par }\pard \qj \li0\ri0\sl-182\slmult0\nowidctlpar\phmrg\posx2822\posy3672\absw2236\faauto\rin0\lin0\itap0 {\fs18\insrsid7623128 S A \'8e ETA K
\par }\pard \qj \li297\ri201\sl-307\slmult0\nowidctlpar\phmrg\posx43\posy3999\absw7368\faauto\rin201\lin297\itap0 {\fs18\insrsid7623128 KLJU\'e8NE RIJE\'e8I: Primarna zdravstvena za\'9atita, Centar obiteljske medicine
\par }{\fs18\insrsid2910402 Primary health care, Center of GP teams 
\par }\pard \qj \fi633\li0\ri0\sb129\sl-177\slmult0\nowidctlpar\phmrg\posx43\posy3999\absw7368\faauto\rin0\lin0\itap0 {\fs18\insrsid2910402 Novi zakon }{\fs18\insrsid7623128 o zdravstvenoj za\'9atiti i zdravstvenom osiguranju, te nova stru\-
janja u socio-politi\'e8kom \'9eivotu na\'9ae dr\'9eave nala\'9eu i novi pristup organizaciji }{\fs16\insrsid7623128 i zdravstvene za\'9atite.
\par }\pard \qj \li0\ri0\sl-216\slmult0\nowidctlpar\phmrg\posx43\posy3999\absw7368\faauto\rin0\lin0\itap0\pararsid2910402 {\fs8\insrsid7623128 ~, }{\fs18\insrsid7623128 Rad donosi prikaz koncepta za\'9atite na razini lokalne zajednice od 15.000 ko\-}{
\fs20\insrsid7623128 risnika, odnosno \'9aire od 25.000 korisnika, u sada\'9anjem trenutku, te prijedlog za}{\fs20\insrsid2910402  }{\fs20\insrsid7623128 budu\'e6i rad.}{\fs20\insrsid2910402  Os}{\fs20\insrsid7623128 nova budu\'e6e koncepcije bil
a bi grupna praks}{\fs20\insrsid2910402 a  6-8 tim}{\fs20\insrsid7623128 ova obite}{\fs20\insrsid2910402 l}{\fs20\insrsid7623128 jske}{\fs20\insrsid2910402  }{\fs18\insrsid2910402\charrsid2910402 medicine s}{\fs18\insrsid7623128\charrsid2910402 
 adekvatnom opremom }{\fs18\insrsid2910402\charrsid2910402 i prostorom, i razli}{\fs18\insrsid2910402 \'e8}{\fs18\insrsid2910402\charrsid2910402 iti}{\fs18\insrsid2910402 m mogu\'e6}{\fs18\insrsid2910402\charrsid2910402 nosti}{
\fs18\insrsid7623128\charrsid2910402 ma finan\-ciranja.
\par }\pard \qj \li0\ri7195\sl-307\slmult0\nowidctlpar\phmrg\posx43\posy3999\absw7368\faauto\rin7195\lin0\itap0 {\f36\fs26\insrsid7623128 
\par }}