Health workforce issues in European countries in transition

6 June, 2019

My report relates to some European countries that are passing or have gone through the transition of the sociopolitical system, both those who joined the EU and those who are candidates for EU membership.

All of these goals are completely justified.

It is only important that in underdeveloped countries and in developmental areas there is someone to implement them.

This means that we should address the material position of health workers, working conditions, the existence of adequate equipment for work, free education ...

Some of the goals on paper have to be implemented in practice, otherwise the letters remain on paper.

In these countries the number of health workers is decreasing, especially the number of pediatricians in the Out Patient Clinics. The reason for this is the low salaries which cause the departure of doctors into developed countries.

There are the great daily burden of pediatricians with the number of patients (50-70 patient during 6,5 working hours); inadequate equipment of the clinic with the necessary medical equipment which prevents adequate and timely diagnosis of the disease.

Pediatricians have extensive administration. Some of them could be completed by paramedics or nurses.

As emergency cases are received, also children with developmental disorders and adolescents, pediatricians do not have enough time to consult with patients and & or with their parents.

It is difficult to schedule a patient's consultation or the necessary diagnostic method in Pediatric Clinics. Most parents are forced to use the services of private medical practice whose prices are not available to most citizens.

Necessary and quality education for pediatricians is expensive and often exceeds the monthly salary of pediatricians. Of course, if you are not in the deal with dairy milk producers. Even when you have an approved professional work for the European Pediatric Congress you do not have the opportunity to finance all the necessary expenses.

Where it takes time for preventative work? (systematic examinations of school children, immunization, group interactive counseling work, promotional actions in the community, protection children against violence&trafficking ...)

I responsibly claim that our enthusiasm and love for the profession and children keep us in these jobs.

And what will happen to us, what will be our existence when we retire?


Mirjana R.

HIFA profile: Mirjana Radovanovic is a Prim. Doctor specializing in Pediatrics and Public Health at the Stari Grad Health Centre and Red Cross of Serbia. She is a HIFA Country Representative