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  • Andrija Štampar – moj uzor ...
    Kocić, Dragoljub

    Studia lexicographica, 12/2023, Volume: 17, Issue: 33
    Journal Article, Conference Proceeding

    Cilj izlaganja jest iz osobne perspektive autora, kao medicinskoga djelatnika, ali i njegovih kontakata s Andrijom Štamparom, kao profesorom i dekanom Medicinskoga fakulteta, dati usporedbu javnoga zdravstva prema Štamparovih postulatima, kojih se i sam autor držao tijekom radnoga vijeka, i onoga što je od Štamparove vizije javnoga zdravstva (pre)ostalo u suvremeno doba. Referirajući se na pandemiju bolesti COVID-19, sprečavanju koje je pridonijela i Štamparova metodologija, poziva se na Štamparovu ideju da patologija u pučanstvu mora nametati organizaciju zdravstva u državi, ujedno se prisjećajući studentskih dana i Štamparovih predavanja o epidemijama i higijenskim navikama. Također se ističe kako je već Štampar na svojim predavanjima postavljao pitanja o potrebi privatizacije medicine, odnosno o »zarađivanju na bolestima ljudi«. U skladu s navedenim, autor se fokusirao na sve veću tendenciju privatizacije u medicini, postavljajući pitanje jesu li time narušeni principi javnoga zdravstva i domova »narodnoga« zdravlja te mora li o zdravlju naroda brinuti država ili zavodi zdravstvenoga osiguranja, naglašavajući kako je danas ugovorni liječnik opće prakse primoran primarno se brinuti o svojoj i egzistenciji medicinske sestre, a tek onda o upisanim pacijentima, čime su nezadovoljni i liječnici i njihovi pacijenti te se odnos liječnik–pacijent svodi na dehumanizaciju i depersonalizaciju, što u konačnici rezultira sve većim odljevom mladih medicinskih kadrova iz Hrvatske, a pacijenti su »prisiljeni« okrenuti se privatnim zdravstvenim ustanovama. Iako je Vlada Republike Hrvatske donijela Odluku o proglašenju prestanka epidemije bolesti COVID-19, autor stvarnom hrvatskom epidemijom i realitetom drži povećanje nezaraznih bolesti te činjenicu da je Hrvatska na drugom mjestu po broju malignih bolesti u Europskoj uniji, smatrajući kako organizacija zdravstva i pristup moraju biti drugačiji od sadašnjega, vjerujući kako bi Štampar, suočen s takvim izazovom, tražio osnivanje ustanova sličnih dispanzerima, odnosno centara za maligne bolesti, gdje bi bolesnici dobivali sve potrebito – podršku, pregled i terapiju. The aim of this presentation is to provide a personal perspective from the author, a medical professional, and his interactions with Andrija Štampar, as a professor and dean of the School of Medicine. It offers a comparison of public health based on Štampar’s principles, which the author himself followed throughout his career, and what remains of Štampar’s vision of public health in the modern era. In reference to the COVID-19 pandemic, which was mitigated in part by Štampar’s methodology, the paper emphasises Štampar’s idea that the pathology of the population should dictate the organisation of healthcare in the state. It also recalls the author’s student days and Štampar’s lectures on epidemics and hygiene. The paper highlights that Štampar raised questions about the need for medical privatisation, or ‘profiting from people’s illnesses,’ in his lectures. In line with this, the author focuses on the increasing trend of privatisation in medicine and raises questions about whether this compromises the principles of public health and ‘national’ healthcare facilities. It also addresses the issue of whether the state or health insurance institutions should be responsible for the people’s health, pointing out that, today, contracted general practitioners are primarily concerned with their own livelihoods and the job security of their medical assistants before considering their registered patients. This situation has left both doctors and their patients dissatisfied and has resulted in the dehumanisation and depersonalisation of the doctor-patient relationship, ultimately leading to a significant brain drain of young medical professionals from Croatia, while patients are ‘forced’ to turn to private healthcare institutions. Although the Government of the Republic of Croatia has declared the end of the COVID-19 epidemic, the author believes that the real epidemic in Croatia is the increase in non-communicable diseases and the fact that Croatia ranks second in the European Union according to the number of malignant diseases. The author suggests that the organisation of and access to healthcare need to be different from the current system. He believes that if Štampar were faced with such a challenge, he would advocate for the establishment of institutions similar to dispensaries or cancer centres, where patients would receive all the necessary support, examinations, and therapy.