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EN
The aim of this paper is to analyse whether the medical rehabilitation segment is an important part of the entire Polish healthcare system, and if the medical rehabilitation services are provided with adequate levels of financing and management. The study reviews published literature and legal acts, and undertakes an analysis of data acquired from international and national health data repositories. In Poland there exists no coordination between medical, vocational and social rehabilitation or between the rehabilitation delivered by the health resort facilities. There is an observed lack of coordination among public fund payers. The described lack of coordination influences not only patient treatments (it is difficult to measure outputs and outcomes), but also makes summarizing the total expenditures on curative rehabilitation more difficult. Even though numerous countries spend a smaller or comparable amount of money on rehabilitation (per patient), funds allocated to rehabilitation in Poland (expressed in PPS) are over seven times lower than in France, about five times lower than in Austria and Belgium, and three times lower than in the Netherlands.
EN
The smooth operation of the health care system largely depends on how it is financed. The analysis assumes that the Polish system is not enough financed and poorly adapted to the changing socio-economic trends. Results of the analysis confirm no sufficient polish health care financing. Therefore, changes are necessary in the financing of medical services and obtaining new sources and special funds. Meeting solutions used in functioning and the organization of the system of the health care in Germany can be used in the process of transformations of the system of the health care in Poland.
Oeconomia Copernicana
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2016
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vol. 7
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issue 2
169-185
EN
The role of the public and private sector in health care systems remains one of the crucial problems of these systems' operation. The purpose of this research is to identify the relationships between the performance of health systems in CEE and CIS (Central and Eastern Europe and Commonwealth of Independent State) countries, and the mix of public-private sector in the health care of these countries. The study uses a zero unitarization method to construct three measures of health system performance in the following areas: (1) resources; (2) services; and (3) health status. The values of these measures are correlated with the share of public financing that represents the public-private mix in the health systems. The data used is from World Health Organization’s Health for All Database for 23 CEE and CIS countries and comprises the year 2010. The results show that the performance of health systems in the countries investigated is positively associated with a higher proportion of public financing. The strongest relationship links public financing with performance in the area of services production. For policy makers, these results imply that health systems in post-communist transition economies could be susceptible to a decreasing role of the state and that growing reliance on the market mechanism in health care can deteriorate the operation of these systems.
EN
Medicine is the field of knowledge and set of clinical practices, characterized by the presence of politics and ethics on all the levels. Politics should be treated as a domain of power, which aims to make strategic decisions concerning health of the citizens leading to form socially accepted objectives of health care policy. Ethics sets axiological frames for morally just decisions both political and medical in the field of health care. The article analyzes the reasons of conflicts and moral dilemmas in the health care system. Decisions which are made within health care system should accomplish five criteria: medical, economical, social, legal and axiological. The term “moral panic” is used to illustrate situations concerning corruption and moral atrophy of doctors.
EN
Our society is on the brink of health care system reorganization and implementation of new medical technology. Hospitals have to be a core component of the medical revolution so they have to be prepared for the upcoming leap in their development. If Poland wants to be a pioneer in providing new medical solutions, the current ineffective system has to be changed. The necessary action should be taken to deal with the financial problems Polish hospitals have faced for over 20 years. The current structure of hospitals - SPZOZ, is old-fashioned and cannot adapt to a turbulent social and economic environment. The hospitals should be commercialized and restructured. Being capitalized companies will give incentives and new tools to deal with financial problems. The article presents an example of the commercialized hospital in Łańcut. We make the observations that commercialization increases: a hospital’s profitability, its employment productivity, its capital investment spending and leverage. The case proves that the transformation of hospitals to capital companies proposed by the Ministry of Health may be an appropriate approach and it does work once a reasonable management board is in charge. However, the legal structure alteration should be treated as the first step in the overall restructuring process. The article highlights the problem of managers of Polish hospitals who do not only struggle with financial shortages, but barely know which business model they should follow after commercialization to successfully run the restructuring process. Having examined the LMC the authors are crafting a prelude to the overall research on already commercialized hospitals to find an appropriate business model.
EN
The study presents activities of the government in health policy towards family in Poland, with particular emphasis on health policy objectives, funding of the healthcare system, medical personnel and access to healthcare services. The author pays special attention to the problems of financing healthcare, including underfunding of primary healthcare, low spending on long-term care, the deficit of doctors and nurses and limited access to medical services for the least affluent families.
Studia BAS
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2017
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issue 4(52)
121-142
EN
This article analyses issues related to the financing and effectiveness of health care systems. The first section reviews the new concept of sustainable development adopted by the United Nations – Agenda 2030. The next two sections present the process of health care transformation in Poland and the basic indicators of health financing in the European Union member states (total expenditure on health, general government expenditure, private expenditure, out-of-pocket expenditure). The final section assesses the selected health indicators for Poland versus the EU member states, with particular focus on the Euro Health Consumer Index produced by the Health Consumer Powerhouse.
EN
The health care system in Poland or any other country should ensure an equal and unrestricted availability of the health service to its population. This idea, though being noble and harmonious with the country’s constitution, seems to differentiate small administrative regions of the Silesian voivodeship. Therefore the presented paper is an attempt to estimate and analyse conditions of the health care system activity in this region. Those regions were systematized based on a structure of health care system. Also, a homogeneous groups of regions were created. The analysis is based on the cluster analysis.
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EN
The article reviews the reaction of selected Latin American countries to the pandemic of Covid-19. The authors examine the situation in which the countries where touched by the pandemic and the initial reactions toward the unusual situation in which the world has been found at the beginning of 2020. The authors analyse the data that are fundamental for the analysis of the situation of selected countries in the period of pandemic. In the article readers can find the analysis of the health sector condition when it was hit by the pandemic. It also goes further to check if the reactions of particular countries brought positivie or negative efects. In the end, the authors analize the politics of vaccination in particular countries of Latin America and are debating if it could be called a vaccine geopolitics.
EN
The paper presents basic issues related to the health care system and the main regulations for the health care of children and adolescents in Poland. The author discusses the health care system resources and services provided to this group with special emphasis placed on preventive health care. The article concludes with the evaluation of the Polish health care system for children and adolescents. The author argues that some changes are needed in this area.
EN
The Supreme Audit Office of Poland has been more and more often elaborating comprehensive analyses, which are commonly referred to as mega-pronouncements. The latest of them, related to the health services, comprises the results of over 70 audits conducted over the last years, as a result of which a comprehensive picture of the problems related to the health protection system has been presented. Moreover, important recommendations have been formulated in the five following areas: System’s Organisation and Resources, Financing of the System, Availability of Services, Rights and Safety of Patients, and System’s Information Resources. Once implemented, these recommendations should largely contribute to the development of the health protection system that will be organised and financed in a more efficient way, more transparent and based on innovative IT solutions.
EN
Decentralization is often presented as a ‘magic bullet’ that can address a wide variety of different problems in health systems. The article explores the main driving forces behind the decentralization and centralization processes and the pro and cons often presented in this respect. The paper goal focuses on the analysis of the potential incentives (driving forces) initiating the processes of decentralization/centralization with the use of the arguments concerning the sphere of sciences in regard to the public administration, political sciences and management theories. The theoretical perspective offers the three concepts of the driving forces useful for the explanation of relationships between health systems and the realized decentralization strategy: (1) concerning the system’s performance issues; (2) the legitimacy questions, and (3) the self–interests of the given subject. The first category reflects the influence of vision of health systems functioning as organisms that can be adjusted to the new circumstances by the strategists and decision makers. The second perspective concentrates on the legitimacy. It concerns the vision of the organisations representing a particular social culture. Legitimacy and cultural adequacy are the important factors from the decision- makers perspective at all the organisational levels, enabling support and change. Self-interest (the third perspective) focuses on the personal and institutional engagement and real (material) interests as a driving forces for decentralization. It creates the image of health care organisations as politically related systems characte4rized by the conflict situation rather than unification of goals, plans and strategies
13
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Content available

Rynek usług medycznych w Polsce

75%
EN
The subject of the article concerns selected elements of the medical services market in Poland. The main aim of the publication is to present the current situation on the medical services market in Poland. The article presents the availability of medical personnel. Secondary data on medical services (private and public sector perspective) was also analyzed. The publication was completed with a summary and conclusions.
PL
Problematyka artykułu dotyczy wybranych elementów rynku usług medycznych w Polsce. Celem głównym publikacji jest ukazanie aktualnej sytuacji na rynku usług medycznych w Polsce. W artykule przedstawiono dostępność personelu medycznego. Dokonano także analizy danych wtórnych dotyczących usług medycznych (perspektywa sektora prywatnego i publicznego). Publikację zakończono podsumowaniem oraz wnioskami.
EN
The health care system is one of the most important areas of the state’s functioning, its main task is to organize citizens’ access to free guaranteed medical care. Medical activity is subject to specific regulations, which define the formal, technical and resource conditions of its conduct, and the financing of health care services is regulated – systemic institutions are responsible for their valuation and setting tariffs Ensuring the stability of the system requires monitoring its effectiveness. One of the elements of the system should be an objective and systematic assessment of the economic and financial condition of service providers, determining the continuity and availability of services. The aim of this article is to assess the tools used in the health care system to control the economic and financial situation of medical entities in the context of their usefulness. The measures of assessing the financial condition of these entities, specified in the applicable legal regulations, were analyzed in terms of various forms of medical activity and the terms of financing services. The obtained conclusions from the critical analysis should be used to verify system solutions in this area.
PL
System opieki zdrowotnej to jeden z najważniejszych obszarów funkcjonowania państwa. Jego podstawowym zadaniem jest organizacja dostępu obywateli do bezpłatnych świadczeń medycznych. Działalność lecznicza podlega szczególnym regulacjom, określającym warunki formalne, techniczne i zasobowe jej prowadzenia. Finansowanie świadczeń opieki zdrowotnej ma charakter regulowany – instytucje systemowe odpowiadają za ich wycenę i ustalanie taryf. Zapewnienie stabilności systemu wymaga monitorowania jego efektywności. Jednym z elementów systemu powinna być obiektywna i systematyczna ocena sytuacji ekonomiczno-finansowej świadczeniodawców, determinująca ciągłość i dostępność świadczeń. Celem niniejszego artykułu jest ocena narzędzi kontroli sytuacji ekonomiczno-finansowej podmiotów leczniczych w kontekście ich użyteczności z perspektywy nadzoru systemowego. Analizie poddano mierniki oceny sytuacji finansowej dotyczącej prowadzenia działalności leczniczej oraz warunków finansowania świadczeń. Wnioski z analizy krytycznej powinny posłużyć weryfikacji systemowych rozwiązań.
EN
The health care system is an important vector of effective management in the current conditions of the Ukrainian health care system. The article deals with the analysis of the main factors influencing which is the development of effective interaction between public administration and the health care system of Ukraine. In the article we analyzed activity by a qualitative method of SWOT-analysis.
EN
In light of OECD and Health Consumer Powerhouse data, Poland is at one of the last places in Europe in terms of organization, funding and health care services. The purpose of the article is to identify the causes of the problem in the light of European comparative data and to identify the place of private health insurance in Poland in the context of solving problems of public health system failure. To this end, the health care system in Poland has been discussed in comparison with other European countries, the causes of the shortcomings of the Polish health care system, private health insurance as a health supplement in Poland, and a summary of the solution to the problem through the public-private partnership model between the NFZ and the insurers.
PL
W świetle danych raportów OECD i Health Consumer Powerhouse Polska jest na jednym z ostatnich miejsc w Europie pod względem organizacji, finansowania oraz świadczeń opieki zdrowotnej. Celem artykułu jest identyfikacja przyczyn problemu w świetle europejskich danych porównawczych oraz określenie miejsca prywatnych ubezpieczeń zdrowotnych w Polsce w kontekście rozwiązania problemów niewydolności publicznego systemu ochrony zdrowia. W tym celu omówiono system opieki zdrowotnej w Polsce na tle krajów Europy, przyczyny mankamentów polskiego systemu opieki zdrowotnej, a także scharakteryzowano prywatne ubezpieczenia zdrowotne jako suplement ochrony zdrowia w Polsce oraz nakreślono w podsumowaniu propozycję rozwiązania problemu przez model partnerstwa publiczno-prywatnego między NFZ a ubezpieczycielami.
PL
Wspólnym celem organizacji pozarządowych i jednostek samorządu terytorialnego jest zaspokajanie potrzeb mieszkańców, w tym również w zakresie ochrony zdrowia. Forma i głębokość wzajemnych relacji, zwłaszcza na poziomie lokalnym, jest terytorialnie zróżnicowana. Materiał badawczy zebrano przy użyciu techniki ankiety internetowej (CAWI) oraz wywiadu telefonicznego (CATI). W ogólnopolskim badaniu wzięły udział: 207 gminy, 204 starostwa powiatowe oraz 14 urzędów marszałkowskich. Do najczęściej wymienianych korzyści wynikających ze współpracy z organizacjami trzeciego sektora należy zaliczyć: działania z zakresu promocji zdrowia i profilaktyki chorób, skuteczność realizacji powierzonych zadań oraz szeroki dostęp do grupy docelowej. Trudności zaobserwowano w zakresie: ograniczonych środków finansowych, niewystarczającej liczby organizacji chętnych do kooperacji oraz braku wykwalifikowanej kadry.
EN
The common aim of non-governmental organisations and local governments is to satisfy the needs of inhabitants, also in the area of the health care system. The form and depth of the mutual relations, especially on a local level, is territorially diversified. The data were obtained by means of a nationwide survey, using the Computer-Assisted Web Interview (CAWI) method and the Computer-Assisted Telephone Interview (CATI) method. The study sample comprised 207 communities, 204 district towns, and 14 regional self-governments. Activities in health promotion and disease prevention, greater efficiency of activity, and broad access to target groups were the most frequently mentioned benefits of cooperation with nongovernmental organisations. On the other hand, limited financial assets, insufficient number of organisations eager for cooperation, and lack of qualified staff were the greatest difficulties in the respondents’ opinion.
Studia BAS
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2014
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issue 2(38)
113-138
EN
The article provides an overview of mental health problems among children and adolescents in Poland. It begins with a review of Polish and international documents and action plans concerning mental health. In the next two sections the author presents the actual data about epidemiology of mental health disorders and characteristics of the most frequent mental health problems. As the analysis shows, in the last few years in Poland the prevalence of mental disorders among children and adolescents rapidly increased. The next sections focus on the risk and protective factors for mental health. The article concludes with some recommendations for improving mental health care system in Poland.
EN
The study is prepared at the Department of International Information of Lesya Ukrainka Eastern European National University. The paper describes the healthcare system in Ukraine. The basic legal documents that relate directly to this issue are considered. The main health threats for Ukrainian youth are defined. Some of the social programs and projects related to healthy lifestyle of Ukrainian youth are examined.
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2017
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vol. 62
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issue 4 (375)
77-96
EN
Observing its importance to human health, NIK, on its own initiative, conducted an audit whose main objective was to evaluate health prevention in the areas of gastroenterology, gynaecology and cardiology, related to prevention of cancer and cardiovascular diseases, as well as the effects of these diseases. The audit covered secondary prevention that consists in early detection of pathological processes/changes. In their article, the authors present the detailed findings of the audit.
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