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Transformacja systemowa i nierówności w zdrowiu. Perspektywa zwykłego człowieka

100%
Piątkowski W.
Zdrowie Publiczne i Zarządzanie
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2011
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vol. 9
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issue 2
76–84
EN
This text is the effort of having a look at the system transformation and inequalities in health cused by it from the perspective of Eliot Freidson’s theory. The author wants to show the makrosocial process and their costs from the ordinary people’s point of view. The empirical material will be the fragments of letters sent to TVP program II by the viewers systematically watching the programs of non conventional therapist A.M. Kaszpirowski. This kind of personal documents among others gives the possibility of subjective experiencing the financial difficulties in the first phase of transformation, registration of impressions connected with the trauma of the “big change”, finally allowes to follow the examples of new thinking about the social and economic problems: increase of civil activity, autocreative and innovative attitudes.
2
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Inequality of macro-social factors determining health

63%
Ucieklak-Jeż P.
Prace Naukowe Akademii im. Jana Długosza w Częstochowie. Pragmata tes Oikonomias
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2018
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vol. 12
151-168
EN
The root causes of health inequalities, according to Marmot [1] are the causes of various social determinants of health. The author used socio-economic factors shaping health analyzed with a breakdown into four categories, i.e.: demographic situation, labor market and education, economic situation, state of households.The method of financing health care adopted in a given country is directly related to the health system model used in it [8]. The examined group of countries was divided into two subgroups according to the statistical importance of the surveyed private insurance population in health care financing.The objective of this article is statistical analysis of levels, their changes and forms of distribution of selected determinants of health status between two groups of countries where private insurance plays a greater role as a financing mechanism for benefits or is not a significant source of the available resources. The data distributed among the NUTS2 units for European countries provided by the EUROSTAT was used for the analysis. The measurement involved skewness coefficients, concentration coefficients (kurtosis, Herfindahl-Hirschman coefficient, Gini coefficient). The results confirmed lack of clear differences in inequalities between the socio-economic factors shaping health in two groups of countries with a different significance of private insurance.
PL
Praprzyczynami nierówności zdrowia, według Marmota [1], są różne społeczne determinanty zdrowia. W pracy wykorzystano społeczno-ekonomiczne czynniki kształtujące zdrowie analizowane z podziałem na cztery kategorie, tj.: sytuacja demograficzna, rynek pracy i wykształcenie, sytuacja gospodarcza, stan gospodarstw domowych.Przyjęty w danym kraju sposób finansowania służby zdrowia związany jest bezpośrednio ze stosowanym w nim modelem systemu zdrowotnego [8]. Badaną grupę krajów podzielono na dwie podgrupy według kryterium istotności w badanej populacji prywatnych ubezpieczeń w finansowaniu opieki zdrowotnej.Celem niniejszego artykułu jest analiza statystyczna poziomów, ich zmian i kształtów rozkładów wybranych determinant stanu zdrowia pomiędzy dwoma grupami krajów, w których prywatne ubezpieczenia odgrywają większą rolę jako mechanizm finansowania świadczeń albo nie są istotnym źródłem zasobów. W analizie wykorzystano dane w podziale na jednostki NUTS2 dla krajów Europy pochodzące z EUROSTAT-u. W pomiarze wykorzystano współczynnik skośności, współczynniki koncentracji (kurtozę, współczynnik Herfindahla-Hirschmana, współczynnik Giniego). Wyniki potwierdziły brak wyraźnych różnic w nierównościach pomiędzy społeczno-ekonomicznymi czynnikami kształtującymi zdrowotność w dwóch grupach krajów o innym znaczeniu prywatnych ubezpieczeń.
3
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Psychospołeczne uwarunkowania nierówności w zdrowiu

51%
Ostrowska A.
Zdrowie Publiczne i Zarządzanie
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2011
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vol. 9
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issue 2
55–63
EN
The article presents selected research results on differences in self assessed state of health and the role of social class related psychosocial factors that may be responsible for health inequalities. Among discussed variables are: differences in lifestyles, health care utilization patterns and perceived access to health care and social support network. Their relative value to predict health differences is weighted against the role of social position indicators. The empirical base for considering above issues is the representative study of Warsaw inhabitants conducted in 2004.
4
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Przestrzenny wymiar nierówności zdrowia i polityka spójności

51%
Golinowska S.
Zdrowie Publiczne i Zarządzanie
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2011
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vol. 9
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issue 2
38–54
EN
The spatial perspective of health inequality gained in importance as a result of the European cohesion policy, a significant dimension of which is equalization of spatial living conditions, and among them an equal access to the health services. The cohesion policy reflects a new approach to the health policy, in which impact on factors determining health is taken into account, and not only on creating a better health care system for people who already have health problems. In this context, the article is aimed at presenting new directions of both health and spatial European policy and more general strategies of Europe development. It shows new methodological approach in presentation of territorial division and indicators used. It also presents the results of research on health inequalities between regions in the European countries. The article is an expression of a concern for insufficient perceiving in Poland a phenomenon of health inequalities in the spatial dimension, whereas there are possibilities and means to diminish them within the European strategy, European cohesion policy and European funds.
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