Search results

1

Mental health and coping strategies among nursing staff in public health services

100%

Kourakos M.

Progress in Health Sciences

|

2017

|

vol. 7(2)

67-73

EN

Purpose: The present study aimed to evaluate mental health and coping strategies among nursing staff in two public hospitals of Greece. Materials and methods: This cross-sectional study was conducted on 318 nurses working in two public hospitals in Attica, Greece from February 2017 to May 2017. Data were collected using the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder Questionnaire (GAD-2) and the Greek version of the Ways of Coping Questionnaire. The data were presented as mean and standard deviation and analyzed through student tâ“test, chi-square, and descript_ive statistics using SPSS Version 21.0. The significance level was accepted as P values <0.05. Results: Data analysis revealed that 44% of nurses were suffering from depression and 40.3% from anxiety, with the type of hospital (p≤ 0.001) and marital status (p = 0.031) affecting stress levels. Conclusions: Working in mental health hospital and married nurses were the main risk factors for manifestation of anxiety/depression symptoms among nursing staff. Individual nurse characteristics, such as working experience as well as working environment (general and mental health hospital) were found to be associated with the nurses’ coping strategies in their attempt to deal with their work.

2

Rentowność szpitali samorządowych w Polsce

100%

Prędkiewicz K., Prędkiewicz P., Węgrzyn M.

Nauki o Finansach

|

2014

|

issue 3(20)

28-43

EN

The purpose of this paper is to evaluate public hospitals profitability in Poland. The research was carried out on the basis of 67 financial statements and covers the period of time from 2009 to 2011. It has been hypothesized that the profitability of hospitals is systematically deteriorating due to cost pressure and the lack of a significant increase in revenues. In 2009, more than half of hospitals had a net profit and operating profit, while in 2011 only one-third. The average ROA, ROE and EBIT margin and ROS in each year were negative in the research sample. An exception was the average EBITDA margin. However, in hospitals which had an operating profit, ROS and EBIT margin was rather low and achieved approximately a value of 2%.

3

Kościół katolicki wobec reform szpitalnictwa u schyłku I. Rzeczypospolitej

100%

Srogosz T.

Saeculum Christianum. Pismo Historyczne

|

2020

|

vol. 27

|

issue 1

190-204

EN

In individual cases of hospitals, we can see a far-reaching convergence of views, especially when this did not significantly affect the interests of groups or institutions. However, there were extremely fierce disputes over the proposals that undermined the monopolistic position of the Church and its income. During the Four-Year Sejm, anticlerical tendencies intensified. The Authorities of the Four-Year Sejm tried to solve the problem of hospital funds, repeatedly raised in the 18th century (and earlier), but – a.o., due to the resistance of some clergymen - they managed to gather only some information from hospital managers. The activities of the authorities with regard to the hospitals tentatively aimed at their medicalisation, whereas the Church, in its mainstream, adhered to inalterability of social care and opposed any interference or change.

4

JAKOŚĆ ŚWIADCZEŃ MEDYCZNYCH W AKREDYTACJI SZPITALI

100%

Stawowy M., Kautsch M.

Polityka Społeczna

|

2011

|

vol. 38

|

issue 2(443)

21-25

EN

The article describes outcomes of the survey carried out on a group of Polish hospitals accredited by the National Centre for Quality Assessment in Health Care. The aim of the survey was to identify the groups of standards and individual standards that were difficult to implement, standards that weren’t implemented and the causes of problems with implementation. Hospitals have problems with implementation of standards in a field of information management, hospital infection monitoring, anesthesiology and assessment of patient condition. The standards that weren’t implement belong to groups called information management, anesthesiology and patient rights. The main reason of the problems was that the medical staff don’t accept changes in hospital operation appearing during the implementation of Hospital Accreditation Program.

5

Pre-COVID-19‑pandemic differentiation of employment and wages in county hospitals in Poland

100%

Sielska A., Nojszewska E.

Journal of Management and Financial Sciences

|

2023

|

issue 50

81-108

EN

The difficult current global situation in the aspect of Human Resources for Health was clearly seen during the COVID-19 pandemic. The spending on healthcare is still increasing and the rate of increase outpaces the growth rate of GDP. Only part of these funds is dedicated to the training of new staff and current healthcare employees migrate in search for better job conditions and worklife balance. Personnel migration combined with the demographic structure in the high-income countries simultaneously leads to increasing demand for healthcare services and limits the supply of specialists who can provide such services. The confrontation between the demand for medical personnel and its supply will lead to a reduction in the quality of care and accessibility of services. In the study based on the large group of Polish county hospitals in 2015–2018, differences and similarities between the hospitals in terms of employment, measured in full-time equivalents (FTEs) and in terms of wages were analyzed. Similarity and dissimilarity analysis was conducted, based on distance measures and cluster analysis. Bigger differences between the hospitals were found for wages than employment levels. The hospitals with an ED and efficient units were less similar to one another than their counterparts in terms of employment (FTEs), except for 2016. When it comes to wages and both types of variables (wages and employment) considered simultaneously, the hospitals with an ED and high number of beds were characterized by lower similarity to one another than their counterparts during the whole period. Clustering all the 3 approaches (FTEs, wages, FTEs and wages) the results were the same. One of these groups was characterized by a rather low employment level per bed, while the other one – by high.

6

Diagnosis-related group prospective payment system in Poland – costs versus tariffs: the case of inguinal hernia

88%

Macuda M.

Nauki o Finansach

|

2018

|

issue vol. 23 no. 3

102-110

EN

In the last 20 years many OECD countries have adopted some form of diagnosis-related group (DRG) prospective payment system to reimburse hospitals. In Poland, hospitals are also paid fixed prices, imposed by Narodowy Fundusz Zdrowia (NFZ) according to DRG, for patients treated. The aim of this paper is to calculate, analyze and compare the costs of patient conditions within the same DRG (F72 – inguinal hernia), collate these costs and the reimbursement from NFZ with the purpose of determining the net profit and then check if it matches bigger research samples. In order to realize the aim of the paper, a comparative and a content analysis of medicals documents and financial data were adopted, and Student’s t-test was performed. The Shapiro-Wilk test was applied to confirm the correctness of the research sample. The results revealed that the reimbursement for costs related to inguinal hernia treatment covers the costs of 90% of patient conditions from the research sample.

7

A Dual Approach to Exercising Statutory Supervision over Hospitals in Poland

88%

Kautsch M.

Zarządzanie Publiczne / Public Governance

|

2020

|

issue 1(51)

5-17

EN

Objectives: The paper aims to describe the current model of supervision over public hospitals in Poland. Research Design & Methods: The paper is based on a scoping review and content analysis of applicable legislation, their resumes, and pertinent data sourced from the Internet, including articles, reports, and dedicated websites. The sourced data was identified with the aid of the Google search engine. All assembled source materials were subsequently filtered out in terms of their suitability for the subject matter under scrutiny, and assessed in line with the key assumptions of the agency theory, whereby an agent is entrusted by the principal with the task of managing an organisation. Findings: Polish hospitals operate either as the so-called autonomous public healthcare units, or as commercial companies. Both forms are publicly owned and invested with identical scope of statutory tasks, whereas their supervision remains subject to different statutory regulations. However, the organisational models presently in place do not actually provide for an effective securing of the key supervisory objectives. Implications / Recommendations: A general structural overhaul is therefore postulated, with a view to introducing more effective, in-house-developed supervisory solutions, especially with regard to autonomous public hospitals. Article classification: research article

8

Evaluating Opportunities to Implement Hospital-Based Health Technology Assessment (HB-HTA) in Selected Hospitals in the Kraków Municipality

88%

Dusza D., Furman M., Gałązka-Sobotka M., Kowalska-Bobko I.

Zarządzanie Publiczne / Public Governance

|

2021

|

issue 1(55)

35-49

EN

Objectives: Hospitals are the entry point for newly implemented innovative health technologies. Hospital-based health technology assessment (HB-HTA) has been developed to facilitate the use of new health technologies in hospitals. The purpose of this study was to evaluate opportunities to implement HB-HTA in selected hospitals located in the Kraków municipality in Poland. Research Design & Method: We used shortened version of a questionnaire from a project called “Implementation of the Hospital-Based HTA (HB-HTA) – Hospital Assessment of Innovative Medical Technologies”. The participants were hospital managers working in three hospitals located in Kraków: the Ujastek Medical Centre Limited Liability Company (LLC), the Brothers Hospitallers of Saint John of God Hospital LLC, and the University Hospital in Kraków. The survey was conducted and made available online. Findings: Each of the participating hospitals had implemented new medical technologies. Applications for the implementation of innovative medical technology had been considered by the hospital directors; however, departmental heads were required to act as the lead applicants. Two out of these three hospitals had developed both an application template for the implementation of innovative technologies and a formalized path for their examination. The main source of financing new technologies is the hospitals’ funds. Before implementing the technology, hospitals had consulted the following agencies: the National Health Fund, the Ministry of Health, medical technology manufacturers or producer organisations, medical voivodeship consultants, and other hospitals. The financial consequences of the medical technologies implementation were analyzed. Implications / Recommendations: The hospitals define innovative medical technologies in a correct way. There are no separate HTA units in any of the hospitals. The surveyed hospitals have the capability to implement HB-HTA. Contribution / Value Added: The implementation of HB-HTA processes in the analysed hospitals may require the hospital managers to broaden knowledge about this area. The implementation of HB-HTA procedures in hospitals may have positive economic effects on the entire health care system.

9

Behavior of Hospital Mid-Level Managers in Budgeting Implementation - an Empirical Study

88%

Cygańska M., Marcinkiewicz Z.

Olsztyn Economic Journal

|

2014

|

vol. 9

|

issue 3

237-249

EN

This study examines the introduction of management changes in a hospital based on the Lewin's model. It focuses on the attitudes of a hospital's mid-level managers to a new management-budgeting system. The conclusions are based on empirical research. The article analyzes the change implementation process related to the budgeting system in a hospital with particular consideration of the attitudes and the level of involvement of employees in the performance of new tasks. The analysis showed that the top management of hospitals and the mid-level management do not see the effects of changes related to budgeting in similar ways. This may cause significant hindrances to the process of employees adopting attitudes and behaviors required by the top management. The diversity of opinions in this area may result from: not specifying in detail the targets of budgeting by the top management or not informing the medium-level management of them, a lack of set measures for evaluation of the performance of budget tasks, aiming at achievement of the assumed targets by means of methods not accepted by the employees.

10

O protestanckiej „miłości bliźniego”, czyli toruńska Ordinanz des Vorsteher-Amst wegen der Haltungen vor die Armut z 1665 roku

88%

Drzewiecki B., Pękacka-Falkowska K.

Zapiski Historyczne

|

2012

|

vol. 77

|

issue 3

51-66

EN

The article concerns the legal grounds for the activity of five (not including the lazaret) hospitals in Toruń in the mid-17th century. The rules of 1665 how to manage this type of institution, preserved in the form of copies from the beginning of the 18th century, constitute the source base of the article and the edited appendix to it. The document is an amendment to the rules of 1570, which was necessary due to the war and the change in the economic situation in the city. It discusses the hierarchical system of hospital management such as the authority of provisors (Provisores), the hospital supervisors (Vorstehern), their director (Director des Vorsteher Amts) and lower rank personnel, as well as the manner of managing the property of the institution which included e.g. proceeds from confiscations, the lease of the hospital’s estates, fines, money collections, special rents and charges for the stay in hospital. The authors also addressed a very important category of proceeds such as foundations, bequests and legacies, which referred to the ideology of Christian mercy. The authors also touched upon the question of the rules of the execution of back rents from eases, which must have been a significant problem for hospital supervisors (Vorstehern) in the face of the social-economic situation in the second half of the 17th century. Thus, the problem was thoroughly discussed in the article. The conclusions from the analysis of the rules confirm Weber’s thesis about the beginnings of the spirit of capitalism. Hospitals in Protestant towns were to work in an economic way. Apart from looking after the sick and the poor, they were to generate profits, or at least to be financially self-sufficient.

11

The Factors Influencing Economic Efficiency of the Hospital Bed Care in Terms of the Regional Allowance Organizations

88%

Vaňková I., Vrabková I.

Review of Economic Perspectives

|

2014

|

vol. 14

|

issue 3

233-248

EN

This paper aims to provide an efficiency evaluation of selected hospital bed care providers during years 2010 -2012 with respect to selected factors: The size of the hospital establishment according to number of beds, number of hospitalized patients, the average length of stay per a patient in care, total staff cost calculated per bed, total revenues calculated per bed, and total costs calculated per bed. For this purpose, hospitals providing primarily acute bed care were chosen. From the legal point of view, they are allowance organizations of a particular region. The evaluation concerns both allocative efficiency and technical efficiency. The allocative efficiency is treated from the proper algorithm point of view and it compares total costs calculated per bed with total revenues calculated per bed. A method denominated Data Envelopment Analysis was applied for the calculation of the technical efficiency of units. To be more specific, it was input-oriented model with constant returns to scale (CCR). The input parameters involve the number of beds, the average length of stay and costs per day of stay. Output parameters were as follows: Bed occupancy in days and the number of hospitalized patients. The data published by the Institute of Health Information and Statistic of the Czech Republic and by ÚFIS system (the Data Base of Ministry of Finance of the Czech Republic) were used as the source of data. The evaluation implies that only three hospitals were economically-effective: Silesian Hospital in Opava, Hospital Jihlava, and TGM Hospital Hodonín. The most significant factor influencing the efficiency was determined - the average length of stay.

12

Zarządzanie wartością klienta na rynku usług medycznych w Polsce

88%

Nagraba K.

Zeszyty Naukowe PWSZ w Płocku. Nauki Ekonomiczne

|

2015

|

vol. 1(21)

115-127

EN

The Customer Lifetime Value is crucial in every kind of economic activity as the customer is the good that brings profits to the companies. This is the main reason why entrepreneurs and managers should always think how to satisfy needs of its clients. One of markets, on which the customer value should be thoroughly analyzed is medicine. This article presents the theoretical basis of customer lifetime value management and tries to explain how it is being introduced on medical services market in Poland. As the health care in Poland seems to be on initial stage there is a lot of space for new, private medical centers to be set up. Majoroty of institution operates basing on concracts with National Health Fund (NFZ) and there are fully dependent from the amounts of money granted by the institution. It is renegotiated after certain period and there is always the risk of not winning it again. Unfortunately due to weaknesses of public health care system in Poland, many customers are disappointed with its quality and management form. In these conditions the private medicine services are improving. Unfortunately there is no possibility in choosing the form of health insurance (all are paying contribution to National Health Fund). In this case there is a hope for development of a competitive market, which would be certainly supported by private insurance. The artice is an introduction to deeper considerations regarding medicine in Poland and the effectiveness of managing medical centers (especially hospitals).

13

Comparison of Public, Non-Profit and Private Hospitals

88%

Held B.

Equilibrium. Quarterly Journal of Economics and Economic Policy

|

2015

|

vol. 10

|

issue 1

155-178

EN

The health care system in Germany is undergoing a phase of transformation. The resulting challenges and fields of action for the hospitals were described as one outcome of a scenario analysis conducted by the author. These include, for example, setting up new organisation structures, professionalising management competence or also developing a comprehensive quality management system. In the following analysis, the hospitals are to be described and compared to one another in terms of their initial conditions regarding these fields of action. The question at the focus is which different prerequisites and options the clinics have subject to their organisational structure.

14

Nadzór właścicielski powiatów nad podmiotami leczniczymi

75%

Kautsch M.

Zarządzanie Publiczne / Public Governance

|

2017

|

issue 4(42)

63-76

PL

W niniejszym artykule opisano wyniki badania dotyczącego nadzoru sprawowanego przez powiaty nad podległymi im podmiotami leczniczymi (szpitalami). Działania, jakie w tym zakresie podejmują powiaty, można uznać za niewystarczające. Mimo deklaracji dotyczących rozbudowanych struktur administracyjnych odpowiedzialnych za nadzór nie mają one wiedzy nie tylko na temat procesów zarządczych stosowanych w podległych im podmiotach, ale i stanu ich finansów. To, co powiaty nazywają nadzorem, polega w dużym stopniu na kontroli – wyrywkowej i formalnej. Luka informacyjna między nadzorującym a nadzorowanym jest na tyle duża, że istotnie wpływa na możliwość sprawowania przez powiaty nadzoru nad podległymi im podmiotami.

EN

This article describes the results of a survey on the supervision by the counties on the subordinated therapeutic entities (hospitals). Action taken by counties in this area can be considered as insufficient. Despite the declarations of complex administrative structures responsible for the supervision, counties do not have the knowledge not only about the management processes used in the subordinate entities, but also the state of their finances. What counties call a supervision is to a large extent a control – sampling and formal. Information gap between the supervisor and the supervised is so large, that significantly affect the ability of supervision by the counties on the subordinated entities.

15

Employee Appraisal as the Tool of the Pro-innovative Organizational Culture Formation in Hospitals36

75%

Jończyk J., Buchelt B.

Journal of Intercultural Management

|

2015

|

vol. 7

|

issue 2

135-150

EN

Healthcare sector is considered as the knowledge-based sector and because of this innovation and creativity should be regarded as prerequisite for the survival and growth of the organizations which perform their activities within the sector. In this context development of pro-innovative culture within hospitals becomes crucial. In search for tools allowing to create the culture employees appraisal becomes an interesting tool to be further investigated. Due to the fact the main aim of the paper is to investigate the relationships between the employee appraisal system and innovation in the context of the organizational culture in the hospitals. Study was carried in eight public hospitals located in two voivodships in Poland. Not only qualitative but also quantitative data was analyzed in order to identify usefulness of employees appraisal as the tool of pro-innovative culture creation.

16

The relationship between nurse’s job satisfaction and missed nursing care

75%

Plevová I., Zeleníková R., Jarošová D., Janíková E.

Medycyna Pracy

|

2021

|

vol. 72

|

issue 3

231-237

EN

The main aims of the study were to explore the frequency of missed nursing care (MNC) among Czech hospital nurses, and to find the relationship between nurse’s job satisfaction and MNC.Material and MethodsThe sample consisted of 513 nurses from 9 hospitals in the Czech Republic. Data were collected in January–August 2019 using the standardized MISSCARE Survey questionnaire, complemented with items assessing nurse’s job satisfaction and demographic data.ResultsThe most frequently missed nursing activities were patient ambulation and emotional support to the patient and/or family. The surveyed nurses were most satisfied with being a nurse and least satisfied with the level of teamwork on their unit. The strongest correlation was found between satisfaction with the current position and satisfaction with being a nurse; there was a negative correlation between satisfaction with the current position and the overall level of MNC. There was a significant trend between the rating of satisfaction with the current position and MNC.ConclusionsNurse’s job satisfaction is associated with the level of nursing care provided; more missed care means more dissatisfaction among nurses. Med Pr. 2021;72(3):231–7

17

Nurses’ intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study

75%

Malinowska-Lipień I., Gabryś T., Kózka M., Gniadek A., Brzostek T.

Medycyna Pracy

|

2023

|

vol. 74

|

issue 5

377-387

EN

Background The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. Material and Methods The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses’ working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI) questionnaire were used in the research. Results Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00–1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99–1.03). Conclusions Younger age of nurses, greater workload resulting from more patients and occupational burnout – emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities.

18

Zmiany ról zarządczych lekarzy w szpitalach: czego możemy się nauczyć od Brytyjczyków?

75%

Kautsch M., Hartley K.

Problemy Zarządzania

|

2013

|

issue 1/2013 (41) t.2

112-127

PL

Niniejszy artykuł przedstawia role medical managers i nastawienie do nich prezentowane przez brytyjskich i polskich lekarzy oraz ewolucję tego nastawienia w ostatnich dekadach. Artykuł powstał na podstawie analizy literatury, dokumentów systemowych, statystyk dotyczących ochrony zdrowia oraz wywiadów półustrukturyzowanych.W wyniku badania stwierdzono, że w przeszłości lekarze niechętnie podejmowali role zarządcze w brytyjskim systemie ochrony zdrowia, natomiast w polskim – byli nimi zainteresowani. Zmiany w obu krajach (większa orientacja rynkowa, polityka prowadzona w Wielkiej Brytanii) zmieniły omawiane nastawienie lekarzy. Obecnie w Wielkiej Brytanii lekarze wykazują chęć podejmowania ról zarządczych, a w Polsce w publicznych szpitalach lekarze są mniej zainteresowani takimi stanowiskami, w związku z pojawianiem się większych korzyści finansowych za wykonywanie zadań klinicznych. W szpitalach prywatnych natomiast lekarze lepiej rozumieją potrzebę współpracy z menedżerami i z innymi grupami zawodowymi.

EN

This paper surveys the attitudes to managerial roles shown by Polish and British doctors and their evolution over the past decades. The paper is based on a review and analysis of literature, policy documents, healthcare statistic sand semi-structured interviews. Results of this research show that in the past doctors were reluctant to assume managerial roles in the UK system, whereas they were actually keen to do so in the Polish one. Changes in both countries (more market orientation in both countries, UK state policy) changed the doctors’ attitude to management. In the UK, doctors are at the moment more interested in taking on managerial responsibilities, while in Poland they are less interested in doing so in public hospitals due to the financial incentives attached to clinical work. In private hospitals, however, doctors understand the need for collaboration with general managers and other professional groups.

19

Zmiany ról zarządczych lekarzy w szpitalach: czego możemy się nauczyć od Brytyjczyków?

75%

Kautsch M., Hartley K.

Problemy Zarządzania

|

2013

|

issue 1/2013 (41) t.2

112-127

EN

This paper surveys the attitudes to managerial roles shown by Polish and British doctors and their evolution over the past decades. The paper is based on a review and analysis of literature, policy documents, healthcare statistic sand semi-structured interviews. Results of this research show that in the past doctors were reluctant to assume managerial roles in the UK system, whereas they were actually keen to do so in the Polish one. Changes in both countries (more market orientation in both countries, UK state policy) changed the doctors’ attitude to management. In the UK, doctors are at the moment more interested in taking on managerial responsibilities, while in Poland they are less interested in doing so in public hospitals due to the financial incentives attached to clinical work. In private hospitals, however, doctors understand the need for collaboration with general managers and other professional groups.

PL

Niniejszy artykuł przedstawia role medical managers i nastawienie do nich prezentowane przez brytyjskich i polskich lekarzy oraz ewolucję tego nastawienia w ostatnich dekadach. Artykuł powstał na podstawie analizy literatury, dokumentów systemowych, statystyk dotyczących ochrony zdrowia oraz wywiadów półustrukturyzowanych.W wyniku badania stwierdzono, że w przeszłości lekarze niechętnie podejmowali role zarządcze w brytyjskim systemie ochrony zdrowia, natomiast w polskim – byli nimi zainteresowani. Zmiany w obu krajach (większa orientacja rynkowa, polityka prowadzona w Wielkiej Brytanii) zmieniły omawiane nastawienie lekarzy. Obecnie w Wielkiej Brytanii lekarze wykazują chęć podejmowania ról zarządczych, a w Polsce w publicznych szpitalach lekarze są mniej zainteresowani takimi stanowiskami, w związku z pojawianiem się większych korzyści finansowych za wykonywanie zadań klinicznych. W szpitalach prywatnych natomiast lekarze lepiej rozumieją potrzebę współpracy z menedżerami i z innymi grupami zawodowymi.

20

Uwarunkowania funkcjonowania szpitali we współczesnej Europie ze szczególnym uwzględnieniem zasobów kadrowych

63%

Dubas K., Domagała A.

Zdrowie Publiczne i Zarządzanie

|

2012

|

vol. 10

|

issue 3

143–153

EN

The aim of the article is to present the scope of determinants influencing hospitals’ functioning in contemporary Europe with emphasize put on the health sector human recourses issue. Multiplicity of the functions realized by the hospitals units relates to the plurality of determinants which influence their present situation as well as long-term transformation processes. The determinants can be categorized into three main groups: these related to the demand side of the hospital services, their supply and determinants being the results of the social and economic changes. Regardless of the differences existing between health systems in specific countries – all European countries are facing similar problems of increasing health care costs, strong need of efficiency improvement and deficits of medical staff. In case of the hospital sector the key issue is number of beds reduction and transformation of the hospitals’ organizational form

Refine search results

Mental health and coping strategies among nursing staff in public health services

Rentowność szpitali samorządowych w Polsce

Kościół katolicki wobec reform szpitalnictwa u schyłku I. Rzeczypospolitej

JAKOŚĆ ŚWIADCZEŃ MEDYCZNYCH W AKREDYTACJI SZPITALI

Pre-COVID-19‑pandemic differentiation of employment and wages in county hospitals in Poland

Diagnosis-related group prospective payment system in Poland – costs versus tariffs: the case of inguinal hernia

A Dual Approach to Exercising Statutory Supervision over Hospitals in Poland

Evaluating Opportunities to Implement Hospital-Based Health Technology Assessment (HB-HTA) in Selected Hospitals in the Kraków Municipality

Behavior of Hospital Mid-Level Managers in Budgeting Implementation - an Empirical Study

O protestanckiej „miłości bliźniego”, czyli toruńska Ordinanz des Vorsteher-Amst wegen der Haltungen vor die Armut z 1665 roku

The Factors Influencing Economic Efficiency of the Hospital Bed Care in Terms of the Regional Allowance Organizations

Zarządzanie wartością klienta na rynku usług medycznych w Polsce

Comparison of Public, Non-Profit and Private Hospitals

Nadzór właścicielski powiatów nad podmiotami leczniczymi

Employee Appraisal as the Tool of the Pro-innovative Organizational Culture Formation in Hospitals36

The relationship between nurse’s job satisfaction and missed nursing care

Nurses’ intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study

Zmiany ról zarządczych lekarzy w szpitalach: czego możemy się nauczyć od Brytyjczyków?

Zmiany ról zarządczych lekarzy w szpitalach: czego możemy się nauczyć od Brytyjczyków?

Uwarunkowania funkcjonowania szpitali we współczesnej Europie ze szczególnym uwzględnieniem zasobów kadrowych