Health personnel and the reform of primary health care in Montenegro

Introduction: Universal health coverage reform activities in primary care Montenegro were conducted the period between 2004 and 2012, with aim of increasing efficiency system by ensuring rational use availability resources. Aim: The purpose this study is to describe personnel during after Montenegro. Materials methods: We adapted four-dimensional World Health Organization framework examine availability, accessibility, acceptability quality public facilities, Montenegro, reform. Availability, examined using a defined set proxies. In addition, latest available data on density rates presented, order sustainability implemented reforms. used included information data, published Institute Public as well from number official expert reports relevant experts institutions. Results: total physicians employed was reduced 5%, while nurses decreased 35%. At same time, GPs (chosen doctors for adults) increased, which improved their (54.4 2015 vs. 36.3 2004, per 100,000). Accessibility showed great variations among municipalities. utilization services, at national level, increased 25% adult services. reduction tailored meet norms services adults, women, children. Reform professional competencies teams. Conclusion: Primary accessibility that quality. It recommended establish permanent body would continuously monitor functioning (PHC) system, changes occur PHC, thus results are maintained further improved.