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Wpływ struktury zatrudnienia personelu i wybranych czynników organizacyjnych szpitala na wskaźnik zgonów pacjentów hospitalizowanych w szpitalach polskich uczestniczących w projekcie RN4CAST

100%
Gajda K., Kózka M., Brzyski P., Gabryś T., Przewoźniak L., Cisek M., Ogarek M., Ksykiewicz-Dorota A., Brzostek T.
Zdrowie Publiczne i Zarządzanie
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2012
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vol. 10
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issue 4
297–305
EN
Introduction. Adequate hospital staff employment and assorted organisational circumstances influence outcomes of hospitalised patients. Aim. To analyse influence of hospital staff employment structure and selected organisational circumstances on the death rate of patients hospitalised in acute hospitals. Material and method. Anonymous data of hospitalised patients (fragment of the NHF* report) and of hospital organisational questionnaire were used. The hospital death rate (proportion of hospital deaths to patient admissions) was defined as the dependent variable. The study included 25 hospitals, which provided all the required data. Statistical analysis was conducted in IBM SPSS Statistics 20, using rho Spearman’s rank correlation coefficient for quantitative variables and eta correlation ratio for qualitative variables. Results. The death rate value was adversely correlated with the number of employed physicians, nurses and other not-nursing staff who provided direct patient care. The global number of hospital intensive care units and allocation of separate medical and surgical intensive care units positively influenced the hospital death rate. Conclusions. The number of employed personnel (physician, nurses, and other staff) involved in direct patient care and organization of intensive care in a hospital structure influence the death rate of patients treated in Polish acute hospitals.
2
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Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014

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Choręza P., Filipecki A., Kowalska M., Owczarek A. J.
International Journal of Occupational Medicine and Environmental Health
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2020
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vol. 34
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issue 3
363-372
EN
ObjectivesAccording to the Organization for Economic Cooperation and Development (OECD) data, 13% of deaths recorded in the European Union in 2010 were related to coronary heart disease. The Polish Central Statistical Office data show that cardiovascular mortality in 2014 was at the level of 100.1/100 000 general population. The aim of the study was to assess the current burden of deaths due to acute myocardial infarction (AMI) with the assessment of temporal and spatial variability in the Silesian Voivodeship, Poland.Material and MethodsDepersonalized data obtained from the Silesian Voivodeship Branch of the National Health Fund of Poland, based in Katowice, were used as the study material. The death rate due to acute or subsequent myocardial infarction in each of the subregions of the Silesian Voivodeship was standardized to the European Standard Population 2013. The analyses of the annual AMI death rate for 2009–2014 were performed and assigned to all the subregions of the Silesian Voivodeship, according to the patients’ domicile. ResultsIn this study, 37.7% of the patients (N = 20 806) were females, and 30 142 healthcare services were granted to them, accounting for 36.64% of all services provided to all patients. The average patient’s age during the service provision was 66±12 years, with women being about 6.5 years older than men (70±12 years vs. 64±11 years, respectively). The standardized death rate (SDR) values in each of the 8 subregions of the Silesian Voivodeship were analyzed. In 2009–2014, a substantial decrease in the SDR was noted in 7 of them, except for the Sosnowiec subregion in which an increase in the average annual SDR value was observed. Moreover, its values were the highest in the whole Silesian Voivodeship.ConclusionsThe obtained results confirmed the spatial variability of mortality due to AMI in the study region. The worst situation was observed in the Sosnowiec subregion in which the number of specific deaths continuously increased, probably due to the limited availability of cardiological and invasive cardiology treatments or adverse health conditions.
3
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Migrant crisis in the EU and its demographic context. Directions of Poland’s migration policy after 2018

84%
Zbińkowski G.
Przegląd Zachodni
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2019
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issue 4 (373)
91-106
EN
The objectives of this paper are: (i) presentation of theoretical aspects of migration and migrant crisis in the EU in 2015 (its causes, the Vysehrad Group’s position on the issue and the status of the relocation process, including the arrangements on strengthening the role and enhancing operating capacity of Frontex); (ii) comparative analysis of selected demographic indicators for individual EU countries (including Poland) / EU-28 in the context of the migrant crisis: fertility rate, mother’s mean age at first birth, death rate and population in 1998-2018 together with the population forecast until 2049; (iii) discussion of the following data for Poland: emigration-immigration migration balance in 2006-2017 and labour deficit; (iv) presentation of Poland’s migration policy (its formal aspects, threats and opportunities, directions). The research objective is an answer to the question of what the causes were of the 2015 migrant crisis and steps taken by the EU in this scope; and what directions Poland’s migration policy should take. The analysis assumes the following research hypothesis: “a failure to introduce and implement a deliberate, multiyear migration policy, addressing the existing and future challenges will result in Poland’s population decreasing by 3.44 million in 2019-2049”. The hypothesis was verified through presenting Eurostat’s forecasts with the simultaneous definition of required directions of Poland’s migration policy after 2018, that is: (i) deceleration of the decrease rate for Poland’s population through: increase in the replacement rate, reduction of the death rate (to at most the EU-28 average) and decrease in mother’s mean age at first birth; (ii) striving to obtain a positive migration balance (with emigration reduction prioritised); (iii) support for remigration; (iv) preventing illegal immigration; (v) implementation of simple mechanisms and procedures for employing foreigners in Poland, with resulting reduction of labour deficit; (vi) integration of foreigners. The hypothesis has been verified to be true. The following research methods were applied: the historical method (origin, progress, meaning), content analysis (research into documents), as well as the quantitative and qualitative method (numeric data analysis).
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