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Wpływ wydatków typu out-of-pocket na sprawiedliwość w finansowaniu ochrony zdrowia

100%
Hermanowski T., Szafraniec-Buryło S. I., Cegłowska U.
Zdrowie Publiczne i Zarządzanie
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2013
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vol. 11
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issue 1
PL
Out-of-pocket expenditures versus equity in health care financingHealth care systems in OECD countries are financed by a mix of taxes, social or private insurance contributions and out-of-pocket payments. The various funding sources may have different impact on equity and redistributive effect in health care financing. The co-payments for certain medical services exist in all OECD countries, the most common are co-payments for the reimbursement drugs. This paper presents preliminary results of literature review of studies on equity in financing of health care, conducted in the framework of InterQuality Project. Recent studies on equity in the financing of reimbursement drugs in Poland and Hungary were identified, as well as earlier study, measuring horizontal inequity in utilization of prescription drugs in Denmark. The results show that inequity in financing and utilization of reimbursement drugs remained, and even increased in Hungary and Poland after implementation of health care reforms, which led to higher out-of-pocket expenditures on reimbursed drugs.
2
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Availability and quality of data on drug policy and management of access to reimbursed medicinal products in the United Kingdom, Denmark, Germany, Italy and Poland

88%
Hermanowski T., Szafraniec-Buryło S. I., Krancberg A. N., Dulęba D., Cegłowska U.
Zdrowie Publiczne i Zarządzanie
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2013
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vol. 11
|
issue 1
PL
Objectives: To perform a systematic review, and to verify and define deficiencies in literature data on drug policy and management of access to reimbursed medicinal products in the United Kingdom, Denmark, Germany, Italy and Poland as a source of information intended to be used by government authorities in the decision-making process. Methods: A systematic review was conducted through database search of Medline, SCOPUS, Embase and Cochrane Library, supplemented by nonsystematic review. The quality of the identified literature was critically appraised. Results: Information necessary to develop a knowledge base was outline from 121 papers identified through database search. 0.83% of all publications were rated high in all of the assessed categories, i.e. were identified to represent high levels of consistency, coherence, strength and methodological quality. Conclusions: In the policy decision-making process, concise recommendations based on validated data are more than needed. It is vital to rely on scientific evidence and avoid reports based on simple exchange of information or presenting single-source or unconfirmed data, including expert’s opinion.
3
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NIERÓWNOŚĆ W DOSTEPIE DO ŚWIADCZEŃ ZDROWOTNYCH W POLSCE W PORÓWNANIU Z DANIĄ I NIEMCAMI. ANALIZA NA PODSTAWIE DANYCH Z BADANIA SHARE

76%
Hermanowski T., Kolasa K., Zawada A., Rybnik T., Rabczenko D., Cegłowska U.
Polityka Społeczna
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2015
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vol. 42
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issue 2(491)
22-27
EN
The objective of the study was to compare horizontal inequity and incidence of catastrophic healthcare payments in Poland vs Denmark and Germany. The research was conducted as a part of Interquality project. It was based on SHARE wave 2006–2007. SHARE is a questionnaire study based on 85 000 responders aged above 50 across 19 European countries and Israel. After the omitting of missing data, 1562, 1290 and 1560 observations were included from Denmark, Germany and Poland respectively. The results for the Polish cohort differ from others in two ways. Firstly, the incidence of private out of pocket payments was much higher among affluent responders in Poland compared to Germany and Denmark. Secondly, there were more households with catastrophic healthcare payments compared to other two countries. Our research drives the attention towards the role of private healthcare sector as well as the constitutional rule of equal access to public healthcare sector in Poland.
PL
Celem artykułu jest analiza porównawcza zjawiska nierówności horyzontalnej oraz wydatków katastroficznych w Polsce, Dani i Niemczech. Badanie wykonano w ramach projektu Interquality na podstawie bazy SHARE (2006-2007). SHARE to badanie kwestionariuszowe prowadzone na populacji 85 tys. osób w wieku powyżej 50 lat w 19 krajach europejskich oraz w Izraelu. Po wykluczeniu braków danych do analizy włączono 1562 obserwacji z Danii, 1290 z Niemiec oraz 1560 z Polski. Rezultaty dla tego ostatniego wyróżniały się na tle badanych populacji dwojako. Po pierwsze, konsumpcja odpłatnych usług medycznych rozkładała się na korzyść najbardziej zamożnych respondentów. Po drugie, w polskiej populacji zaobserwowano największy odsetek gospodarstw domowych z wydatkami katastroficznymi. Niniejsze badanie kieruje uwagę na znaczenie prywatnego sektora ochrony zdrowia oraz braku regulacji poprawiających egzekwowanie konstytucyjnego prawa równości dostępu do publicznej opieki zdrowotnej w Polsce.
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