The article seeks to analyse the accessibility of hospital healthcare to inhabitants of Łódź voivodeship in 2015. The analysis comprises all the communes of the Łódź region as well as those of the neighbouring voivodeships from which the theoretical time of reaching hospitals in Łódź voivodeship does not exceed the maximum time assumed in the research. Accessibility was determined in reference to 51 hospitals, assuming that their ‘attractiveness’ was related to the number of permanent beds they offered. The research was conducted using the three-step floating catchment area method (3SFCA).
In many countries, including Poland, there is a problem associated with disadvantages of valuation methods of medical services that affect the poor efficiency of health care financing system. In the literature, it is estimated that one of the best methods of valuation is system based on the Homogeneous Groups of Patients. In this system all treated patients are classified, based on selected clinical characteristics into patient groups which consume the resources of the hospital in a similar manner. Such a system already exists in many European countries. In some of them the basis for valuation of medical services are the cost data accumulated in hospitals. One of such country is France. The aim of this article is to analyze the valuation principles of medical services, especially in the hospitals, that are applied in the French health care system. Particular attention was paid to the characteristics of the French health care system and the French system of Homogeneous Groups of Patients GHM, which is the base for the valuation of medical services in hospitals. This article also describes the process of collecting cost data needed to determine the cost weights and the pricing rules for calculating the GHM tariffs at the central level.
The author deals with the importance of memories in connection with historical buildings and sites. The theoretical framework of the study is the concept of space and place (mostly in approach of S. Low) and collective memory (M. Halbwachs). Abstract space is transformed through human activities, interpersonal relationships, communication, memories, etc. into a known place with sense and specific meanings for certain people. Collective memory (the social representation of the past) plays an important role in this process of change. On the other hand, the memories are bound to a certain place, that is to say they are spatially anchored. In this study, the author observes what memories are related to the buildings and the site of the old hospital in Topoľčany. His informants were its former employees, doctors and nurses and the main method used was ethnographic semi-structured interview.
Many hospital rankings are based on algorithms and weights elicited by experts. The paper attempts to build rankings of Polish district hospitals using the TOPSIS method and to examine the sensitivity of the results to the changes in weights. We considered 11 large and 34 medium-sized hospitals. The criteria set consists of man-days total, profit/loss on sales, contract with the National Health Fund, return on assets (ROA) and return on equity (ROE). Because of this, rankings consider different spheres in which hospitals perform, including the financial aspect and their main goal, i.e., treating patients. The results show that despite the overall high similarity of rankings, the benchmarking based on rankings should be done with care as the positions of some individual hospitals changed to a great degree.
Objectives: The aim of the article is to present the role of the public manager in crisis management based on the analysis of stakeholders of a selected hospital. Research Design & Methods: Based on the adopted research methodology, an analysis of stakeholders in a selected health care unit was performed. The study used a hospital stakeholder analysis methodology in the context of managing an emergency resulting from the coronavirus pandemic. Findings: The need for a flexible approach on the part of the public manager requires a proper identification of the interests of stakeholder groups as well as the establishment of good communication. In a crisis situation, this approach is particularly important. Implications / Recommendations: On this basis, recommendations were formulated with regard to both theoretical and practical aspects of the research problem. The role of hospital stakeholders in managing a crisis situation is indicated. Contribution / Value Added: Managing a crisis situation in the context of the coronavirus pandemic is a significant challenge for managers of health care units. In the future, the presented research area can be continued, among other retrospective studies.
The authors discuss the activities and achievements of Albert Schweitzer in their principal fields—music and musicology, philosophy and theology, and medicine and hospital management. They also describe Schweitzer’s successive hospitals in Lambarene (Gabon) during the years of 1913-2013.
The paper investigates a new Polish regulation which requires doctors’ permission to use force during medical treatment. It begins with an overview of the former regulations and the dilemmas, especially those associated with patients with medical disorders treated in non-psychiatric hospitals. The second section focuses on the problems with a new procedure regarding the use of force against patients who are treated in psychiatric and non-psychiatric hospitals and are not able to produce legally binding consent. It also looks at the differences between the current and the former procedures. The article concludes that the new regulation has not improved patients’ safety and management of hospitals.
This article presents the range of budget planning usage in European hospitals. The budgeting system in one of the Polish hospitals in the province of Warmia and Mazury is described.
The reforms of the Prussian army in the second half of the 19th century resulted in the creation of a modern health care system for soldiers participating in combat, as well as those physically disabled in consequence of military operations. The introduced changes had also an influence on the economic-technical and administrative fields including health care institutions, i.e. field and military hospitals and supplies needed to run them. The fulfillment of this task was down to storehouses supplying field and military hospitals, as well as reserve field hospitals. The instruction for evacuation of field hospitals (Instruction über die Evakuation der Feld-Lazarethe) in the collection of the National Archives in Opole located in Opole District Starosty. It contains detailed instructions for the formation, management, administration and visit, as well as procedures for evacuation of field hospitals, of war and reserve hospitals, also appoints medical staff, support medical staff, and volunteer medical personnel for these facilities. It contains provisions regarding transportation of the wounded and sick, and formal procedures associated with the release from military service and return to active service, after convalescence.
Evaluation of hospital standing is one of the tasks of the funding bodies of hospitals. The evaluation is made based on the indices of measurements specified in the Ordinance of the Minister of Health. These indices relate to various areas of hospital activities, including their financial results. There are no indices based directly on costs. The aim of the study is to identify the role of costs as a basis for the evaluation of economic and financial status of hospital. The research hypothesis states: it is necessary to increase the role of hospital operating costs in the assessment of their economic-financial condition. The research tools included the analysis of legal acts, related literature and practical examples of hospital reports on economic and financial situation of independent public health care institutions. Final conclusions were developed using the method of deduction and synthesis.
Pandemia COVID-19 spowodowała zmiany w funkcjonowaniu szpitali dziecięcych na całym świecie. Zapobieganie rozprzestrzenianiu zakażeń jest jednym z najbardziej naglących problemów, z którymi spotyka się opieka medyczna. W poniższym artykule chcemy przypomnieć, w jaki sposób usiłowano zapobiegać zakażeniom wewnątrzszpitalnym w Szpitalu dla Dzieci im. Karola i Marii w Warszawie, otwartym w 1913 roku. Szpital ten był wówczas jednym z najbardziej nowoczesnych w Europie, a rozwiązania w nim proponowane budzą podziw i zdumienie. Wiele z nich nadal wydaje się być użytecznych, chociaż nie stosuje się ich powszechnie.
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The COVID-19 pandemic caused changes in the operation of children’s hospitals around the world. The prevention of the spread of infections is one of the most pressing issues faced by everyone involved in medical care. The following article reminds what the Karol and Maria Hospital for Children in Warsaw opened in 1913 did to prevent nosocomial infections. At the time, this hospital was one of the most modern in Europe, and the solutions it offered were welcomed with admiration and amazement. Even if not widely used, many of them seem relevant today.
Cancer patients face complicated situations from an emotional, social and physical perspective. Hospitals help them through implementing corporate communication initiatives based on social media platforms. This win-win relationship allows hospitals to reinforce their brand reputation. This paper aims to better understand how cancer hospitals manage social media platforms for enhancing their brand as well as their relationships with stakeholders. To do that, we carried out a literature review about corporate communication in health organizations, as well as a content analysis about how the top 100 American cancer hospitals managed their corporate website as well as their corporate profile on Facebook, Twitter and YouTube for branding initiatives. Finally, we proposed the Reb Model for Branding Cancer Hospitals. We concluded that thanks to social media, cancer hospitals can reinforce their brand because these platforms allow them to promote human values, improve their internal processes and become a true source of scientific information.
The following paper critically evaluates the health care system in Poland, including the market reform of the Polish healthcare system between 1999 and 2010. The article presents the process of ownership transformation, including the scale and dynamics of the introduced reform. Apart from analysing the core assumptions and aims of the long-term programme entitled „Wsparcie jednostek samorządu terytorialnego w działaniach stabilizujących system ochrony zdrowia” (Support for Local Authorities in Healthcare System Stabilization) the paper analyses proposed solutions based on the so called „health acts package” including the health care activity bill. The main aim of this paper is to critically evaluate the health care system reform in Poland, mainly focusing on the process of commercialisation of public hospitals. As a conclusion it is suggested that the introduced reform does not solve the most important problems of the Polish healthcare system in a comprehensive and suffi cient manner.
Research on job satisfaction has attracted significant attention of both theoreticians and practitioners of psychology and management. The basic challenge related to carrying on job satisfaction research is a choice of appropriate questionnaire. In the paper we analyze one of the most popular tools helping to assess the level of job satisfaction – Minnesota Satisfaction Questionnaire (MSQ). On the basis of the research carried out among 75 employees of chosen hospital we verify two resarch hypotheses related to the dimensions of job satisfaction and their relationship with declared, general level of job satisfaction. Research results reveal 5 factors of studied construct, and regression analysis partly supports hypothesis describing relationship between dimensions of job satisfaction and declared, general level of job satisfaction.
Introduction and aim. Determining the needs of children hospitalized for treatment is important in terms of identifying children who are more at risk and developing support systems for the child and the family. We aimed to test the validity and reliability of the Turkish needs of children questionnaire (NCQ) and cross-culturally adapt it to the Turkish language. Material and methods. This cross-sectional study was conducted using a total of 160 children aged 5-16 years who were hospitalized between May 2021 and May 2022. The linguistic, content validity, construct validity, and internal consistency of NCQ were assessed. Results. NCQ had a four-factor structure consisting of two categories and explained 76% of the total variance. The Cronbach’s alpha coefficients were 0.748, 0.799, 0.821, and 0.802 for the subscales of Caring, Information, Activities, and Relationships, respectively; and 0.893 for the total score. Inter-item correlations ranged from 0.149 to 0.702 (p<0.05). Conclusion. NCQ has a high level of validity and reliability for Turkish society. Turkish children aged 5 to 16 years were able to comprehend this instrument and express their needs and feelings about their hospitalization period.
The healthcare sector is constantly changing due to many different factors, both external and internal, such as regulatory, organizational, technological, personnel, financial, and geopolitical change. Change management methods and tools are useful for effectively planning, implementing and monitoring change. The important issue is in which areas and to what extent change management is utilized in healthcare. The aim of this text is therefore to conduct a scoping literature review on change management in healthcare and to develop, based on the results of this research, a theoretical model of determinants and motives for implementing change management in healthcare. A scoping review of the literature was conducted to determine the extent to which change management is applied in healthcare organizations. Texts meeting the inclusion criteria were searched for in four databases: PubMed, Embase, Scopus, and EBSCO. The search was limited to texts published in English. Of the 247 publications screened, 73 met the inclusion criteria. Additionally, 1021 keywords were selected from the screened publications, of which 137 met the inclusion criteria and were approved for the keyword analysis. The keywords formed seven thematic clusters: human, change management, organization and management, leadership, healthcare delivery, hospital management, and productivity. There are a number of motives for using change management in healthcare, and all centre around a few determinants that can be divided into those directly related to the specifics of the healthcare sector and those directly related to management processes. These determinants and motives were included in the theoretical model.
W artykule przedstawiono wyniki badań, dotyczące outsourcingu w szpitalach powiatowych województwa lubelskiego. Analizie poddano usługi zlecane firmom zewnętrznym, ich sposób realizacji oraz wpływ takiego rozwiązania na działalność placówki służby zdrowia. Szczególną uwagę poświęcono przyszłej wizji outsourcingu w szpitalach, obejmującą dwa przeciwstawne działania, a więc dalszy rozwój lub rezygnację z tej metody zarządzania.
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This article presents results of research concerning outsourcing in district hospitals of Lublin province. Services recommended to external companies, it's way of realization and influence on hospitals activity were analyzed. Particular attention was paid to long-term vision of outsourcing in hospitals and was composed of selection between future development and resignation of this method of management.
Artykuł przedstawia przegląd wdrażanych innowacji w samo-dzielnych publicznych zakładach opieki zdrowotnej oraz ich pozytywny wpływ na efektywne funkcjonowanie placówki, wzrost jakości świadczonych usług oraz satysfakcję pacjentów.
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This article presents an overview of implemented innovations in independent public health care facilities and their positive impact on the effective functioning of the facility, increase in quality of services and patient satisfaction.
The article is not a historical but a sociological presentation of the “history of the senility”. It traces the transformations of definitions of the old age and elderly in the context of the social history of the state. Historical presentation aims to clarify present culture, namely roots of the images of ageing. At the basis of this paper there lies the assumption that all the notions, including political ones, are cultural constructs.
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