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EN
This opinion provides an assessment of the implementation of the Directive 2011/24/EU of the European Parliament and of the Council. The author shows that the bill is not fully consistent with the directive. He proposes corrections of ambiguous concepts and elimination of lacunas. It was stressed in the opinion that some solutions may cause limitation of patients’ rights to benefit from cross‑border healthcare and may impose unjustified obstacle to the implementation of Treaty‑guaranteed freedoms. The opinion indicates the solutions that may cause full implementation of the directive into national law.
Horyzonty Wychowania
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2017
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vol. 16
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issue 40
113-126
EN
RESEARCH OBJECTIVE: The main goal of this explorative study is to investigate the public perception of private healthcare providers in Kurdistan region in Iraq. Moreover, the research aims to test the questionnaire and research technique (face-to-face) interviews in terms of their usefulness and adequacy for a further representative survey, which is planned in the upcoming years. THE RESEARCH PROBLEM AND METHODS: The research problem is to analyze patients’ perception and satisfaction from healthcare services offered by private hospitals in Kurdistan region of Iraq. THE PROCESS OF ARGUMENTATION: Developing countries have an increasing difficulty in providing cheap and effective healthcare sector for the entire society. In this regard, the autonomous regions like Kurdistan are in a doublydisadvantaged position, as they have to overcome the problems of poor infrastructure, while designing a new health system, at the same time struggling with military conflict with ISIL. RESEARCH RESULT: The research result show surprising gaps in public knowledge about the private hospitals and their healthcare service quality. The study finds, among other, that the easiest way to improve patients’ satisfaction is to improve hygiene and cleaning standards in private hospitals. Although these findings are purely explorative, they should be taken into the account when designing a research project which should produce representative, reliable findings for the entire region. CONCLUSIONS, INNOVATION AND RECOMMENDATIONS: As there is no alternative to increase of the role of private providers in Kurdistan region, the regional authorities should monitor the quality of healthcare services offered by both public and private providers to ensure a reasonable standard of healthcare system. Thus, the further studies on healthcare market in Kurdistan should include comparisons between private and public providers.
EN
Introduction and aim. Cardiovascular diseases remains the leading cause of death in most of devoloped societies, including Poland. The study aimed to assess the changes in the number, duration, and costs of hospitalizations due to myocardial infarction in Silesian voivodeship (Poland) in 2009-2014. Material and methods. Data were obtained from the Silesian Voivodeship Branch of the National Health Fund. The number, costs, and duration of healthcare services granted during an inpatient hospital stay to patients with acute initial or subsequent myocardial infarction in 2009-2014 were processed and analyzed quarterly for the whole Silesian voivodeship and its subregions. Results. From 54826 patients aged 66±12, the majority were males (62.3%) and 63.4% of 80866 hospitalizations were granted to them. We observed a decreasing trend for the total number of healthcare services granted in 2009-2014 that varied depending on the subregion. Simultaneously, we found that in most subregions the costs of services and the number of invasive services increased over time. We observed that treating patients above 80 years with acute initial or subsequent myocardial infarction generated lower costs of hospitalization but was extended in time. Conclusion. Increased number and costs and accompanying reduced duration of hospitalizations granted in 2009-2014, especially in the range of invasive cardiology and cardiac surgery, results from implementing international guidelines and recommendations for acute myocardial infarction procedures. Lower cost and extended time of hospitalization for patients older than 80 years most likely result from using conservative (non-invasive) methods of treatment.
EN
NIK has audited the availability of healthcare services at night and during holidays, in relation to the results of the audit of the functioning of the medical rescue system. During the audit, it has been examined whether there are barriers that limit access to such services, whether these services are provided in accordance with the binding procedures, and whether patients are properly informed about possibilities to use such forms of medical assistance.
EN
The issue of trust as an ethical foundation of social infrastructure has always aroused intense interest among social scientists. With the development of the concept of relationship marketing, trust and its impact on the efficiency of the organization has also become a subject of research. The results of these studies show indisputably that the acquisition and maintenance of trust is a key factor in building and developing long-term relationships and valuable service. It is essential that there may be a transfer of knowledge, and cooperation agreements between the two sides. Trust is also an essential part of intangible assets. It is not surprising that research on the issues of trust are carried out in different sectors in this important sector of healthcare services. However, due to the multitude of work and research as well as a variety of approaches to the issues of trust, its determinants and consequences, aim of this article is to analyse this issue on the basis of the perceived healthcare service quality.
EN
The article deals with peculiarities of organization of gifted and talented pupils learning in the extended schools in Great Britain. It is emphasized that Ukrainian term «gifted» corresponds to British «gifted and talented», but at the same time each of the constituents have different meaning. The term «gifted» describes pupils who have the ability to excel academically in one or more subjects such as English, Drama, Technology; the term «talented» refers to the pupils who have the ability to excel in practical skills such as sport, leadership, and artistic performance. In comparison with their peers, when engaged in their area of expertise, gifted and talented pupils will tend to show a passion for particular subjects / areas of interest and seek to pursue them; master the rules easily and transfer their insights to new problems; analyze their own behaviour and use a greater range of learning strategies than others (self-regulation); make connections between past and present learning; demonstrate intellectual curiosity; show intellectual maturity and enjoy engaging in depth with subject material; actively and enthusiastically engage in debate and discussion on a particular subject; and produce original and creative responses to common problems. It is found out that extended schools are an innovative type of educational institutions, which, along with education, provide a wide range of health and social services. The directions in which extended schools provide their services are characterized. They include: childcare,healthandsocialcare, lifelonglearning, familylearning, parentingsupport, studysupport, sportsandarts,and ICT. Based on the analysis of the proposition of services it is proved that extended schools best meet the needs of gifted and talented pupils, because they provide opportunities for the full development of the personality, which is extremely important for artistic, technical, sports gifted pupils, and twice exceptional gifted pupils with special educational needs. Taking into consideration the importance of the problem of versatile development of gifted pupils and the necessity of finding the ways to reveal their potential, the perspectives for further research the author sees in identifying the opportunities for the implementation of British experience in the practice of Ukrainian education.
EN
The NIK audit focused on the effectiveness of local self-government units’ activities taken with regard to depression prevention and treatment. The audit was conducted in 13 local self-government units, and covered the years 2015–2017 (three first quarters). In-depth examination comprised designing and planning of the measures related to depression prevention and treatment, the actual implementation of these measures, and the use of public funds allocated for this purpose. The assumption behind was that the activities of the local self-governments should complement the mental health services portfolio guaranteed by the National Health Fund (Polish: Narodowy Fundusz Zdrowia, NFZ).
EN
In the article, provisions have been discussed that define the conditions for the ope rations of the external system for evaluating the quality of healthcare in treatment entities. These are part of the audit conducted, in the first place, by the state admini stration. Also, the results of NIK’s audit in the area have been presented, enriched with the standards of NIK’s examination. The material includes the author’s observations stemming from his scientific dissertation and professional experience. They indicate that the persons who manage treatment entities frequently decide to implement ac creditation programmes of the CMJ. It can be assumed that its objective is to certify that the entity meets the standards for providing healthcare services. Unfortunately, due to the lack of legislative solutions that would provide for a proper, i.e. based on transparency and precise criteria, course of the accreditation process, it needs to be assumed that awarding an accreditation certificate may not translate into the actual improvement in the quality of the medical services provided to patients by the given entity. Considering that the level of such services set out in these standards has an impact on patients’ safety, it should be assumed that the accreditation system, tre ated as external control does not directly affect the operations of treatment entities. Modification of the existing quality assessment system is vital mainly from the per spective of preventing errors in the treatment process.
PL
Celem artykułu jest prezentacja wybranych przepisów, które definiują warunki funkcjonowania zewnętrznego systemu oceny jakości opieki zdrowotnej w podmiotach leczniczych. Wpisują się one w obszar kontroli realizowanej przede wszystkim przez administrację państwową. Przedstawiono również wyniki kontroli NIK w tej dziedzinie, wzbogacając je o standardy badań przyjmowane przez tę instytucję. Opracowanie uwzględnia obserwacje autora wynikające z jego pracy naukowej oraz doświadczeń zawodowych.
EN
The purpose of this paper is to verify the hypothesis that a debt write-off implemented recently by Polish authorities in favour of public hospitals constitutes State aid within the meaning of Article 107(1) of the Treaty of the Functioning of the European Union. The paper contains a detailed description of the nature of the measure – its historical background, regulatory context, as well as its construction. It presents an in-depth analysis of the fulfilment by the measure of the conditions stipulated in Article 107(1) TFEU. As a preliminary issue, the analysis addresses the problem whether Polish public hospitals can be considered as undertakings within the meaning of EU competition law, particularly, as to their activity financed by the sickness fund organized under the principle of social solidarity. The answer to this question seems to be affirmative and in line with the landmark Hoefner and Elser judgments where the ECJ held that the way in which an entity is financed is irrelevant for its classification as an undertaking. The paper argues in favour of the thesis that the debt write-off must be considered as affecting trade between Member States and competition. Consequently, and contrary to the official position of the Polish government, the measure in question is classified as State aid.
FR
Le but de cet article est de vérifier l’hypothèse selon laquelle l’amortissement total des dettes effectué récemment par les autorités polonaises en faveur des hôpitaux publiques constitue une aide publique au sens de l’Article 107(1) TFUE. L’article contient une description détaillée de la nature de cette mesure – son histoire, contexte législatif aussi que sa construction. Il présent une analyse profonde de l’accomplissement par cette mesure des conditions indiquées par l’Article 107(1) TFUE. Comme question préliminaire, l’analyse a pour objectif de vérifier si les hôpitaux publiques polonais peuvent être considérés comme entreprises au sens de la loi de concurrence de l’EU par rapport à son activité financée par le fonds de maladie organisé en accord avec le príncipe de la solidarité sociale.
Zeszyty Prawnicze
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2017
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vol. 17
|
issue 1
93-105
EN
Summary This article considers the legality and regime of telecommunication and data transmission in medicine. It is divided into five sections. The first is an introduction which attempts to define the concept of telemedicine and show the practical significance of this phenomenon. The second is devoted to relevant amendments to Polish law adopted in 2015. The third section presents the principles determining the compatibility of the practice of telemedicine with Polish law. The fourth section lists the provisions of EU law most relevant for a person who intends to provide telemedicine services in a Member State other than the Member State in which his business is registered. The last part is a summary and evaluation of the current legal status.
PL
Streszczenie Artykuł poświęcony jest problemowi legalności oraz reżimu wykorzystywania w medycynie środków porozumiewania się i przesyłu danych na odległość. Praca podzielona została na pięć punktów. Pierwszy punkt zawiera uwagi wprowadzające. Podjęto w nim próbę zdefiniowania pojęcia telemedycyny oraz przedstawiono praktyczną doniosłość tego zjawiska. Drugi punkt poświęcony został zmianom polskiego prawa dokonanym w 2015 r., relewantnym dla przedmiotowej materii. W trzecim punkcie przedstawiono zasady zgodnego z prawem stosowania telemedycyny w prawie polskim. W czwartym punkcie wskazano przepisy prawa Unii Europejskiej najważniejsze dla podmiotu zamierzającego świadczyć usługi telemedyczne w innym państwie członkowskim niż państwo jego przedsiębiorstwa. W ostatnim punkcie autor dokonuje podsumowania i oceny obecnego stanu prawnego w kontekście wybranej materii.
Ius Novum
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2019
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vol. 13
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issue 2
194-206
PL
Przedmiotem artykułu jest prezentacja, analiza i ocena prawna kwalifikacji ordynatora jako osoby pełniącej funkcję publiczną w świetle ustawy o dostępie do informacji publicznej. Dostęp do informacji publicznej należy do praw obywatela o kluczowym znaczeniu w demokratycznym państwie prawa. Prawo to znajduje oparcie w Konstytucji, gdzie zgodnie z art. 61 ust. 1 “Obywatel ma prawo do uzyskiwania informacji o działalności organów władzy publicznej oraz osób pełniących funkcje publiczne. Prawo to obejmuje również uzyskiwanie informacji o działalności organów samorządu gospodarczego i zawodowego, a także innych osób oraz jednostek organizacyjnych w zakresie, w jakim wykonują one zadania władzy publicznej i gospodarują mieniem komunalnym lub majątkiem Skarbu Państwa”. Prawo do ochrony zdrowia jest również prawem konstytucyjnym, określonym w art. 68 ust. 1 Konstytucji. Świadczenia ochrony zdrowia finansowane są ze środków publicznych. Funkcja ordynatorska jest głęboko zakorzeniona w praktyce funkcjonowania szpitali, pełniąc doniosłą rolę w organizacji całodobowej stacjonarnej opieki zdrowotnej. W orzecznictwie i literaturze istnieją rozbieżności co do zakwalifikowania ordynatorów do grupy osób, których działalność jest pełnieniem funkcji publicznej. W niniejszym artykule przedstawiono analizę statusu ordynatora jako podmiotu zobowiązanego w świetle ustawy o dostępie do informacji publicznej.
EN
The article is aimed at presenting, analysing and assessing legal aspects of classifying a head of a ward as a person performing a public function in the light of the Act on access to public information. Access to public information is a citizen’s right of key importance in a democratic state ruled by law. The right has its basis in the Constitution of the Republic of Poland, where in accordance with Article 61 para. 1, “A citizen shall have the right to obtain information on the activities of organs of public authority as well as persons discharging public functions. Such right shall also include receipt of information on the activities of self-governing economic or professional organs and other persons or organizational units relating to the field in which they perform the duties of public authorities and manage communal assets or property of the State Treasury.” The right to healthcare is also a constitutional right laid down in Article 68 para. 1 of the Constitution. Healthcare services are financed from public funds. The function of the head of a ward is deeply rooted in the practice of hospital functioning and plays a significant role in the organisation of 24-hour inpatient healthcare. In case law and literature, there are differences in the classification of heads of a ward as persons performing public functions. The article presents an analysis of the status of the head of a ward as an obliged entity in the light of the Act on access to public information.
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