Search results - CEJSH

1

Digitalisation and data exchange in healthcare in Poland

100%

Kurczewska K.

Zeszyty Prawnicze BAS

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2023

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issue 2(78)

165-181

EN

The study presents (a) the legal basis for creating digital infrastructure in health care, (b) currently used elements of this infrastructure and (c) solutions waiting to be implemented.

2

Źródła finansowania ochrony zdrowia w Polsce i we Włoszech

80%

Lenio P.

Przegląd Prawa i Administracji

|

2018

|

vol. 115

81-95

EN

The study found that the majority of similarities and differences in the legal structure of Polish and Italian sources of financing of health care are the result of the adoption of a specific model of health care, and therefore there are fundamental differences between the catalogues of sources of financing health care in Poland and Italy. The basis for the difference between the Italian and Polish catalogues of sources of financing health care is the obligation of patients to contribute to the costs of the health care system in Italy by paying fees in return for receiving a certain type of service. In the reforms of the Polish and Italian health care systems one can see signs of transferring more and more responsibility to local government units. However, Italian and Polish local government units have no influence on the principles of functioning of the system and the shape of basic sources of financing health care.

3

Dylematy zdrowotne Polaków

80%

Biernacki M.

Ekonomia. Wrocław Economic Review

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2017

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vol. 23

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issue 4

169 - 177

EN

Good health ensures comfort, so it is a good thing that directly affects the well-being and quality of life of the people and society as a whole, and gives you the opportunity to work, which is a direct factor of the both individual and society permanent welfare. The aim of the article is to identify the “health dilemmas” existing in Poland from the point of view of the citizen (person) and state authority. In support of these theses, the results of questionnaires on important factors of life of Poles (Social Diagnosis, CBOS), data describing the state of health, factors influencing the health of Poles (GUS, WHO) and public healthcare expenditures in international comparison were analyzed.

4

Analysis of nurse staffing and factors determining the demand for health care in Poland

80%

Kózka M., Brzostek T., Ksykiewicz-Dorota A.

Progress in Health Sciences

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2011

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vol. 1

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issue 2

59-66

EN

Introduction: Recent studies have indicated that an adequate nurse staffing in a hospital exerts an effect on both the level of health services provided and the safety of patients. Numerous reports confirm the shortage of nurses who, has been observed in almost all European countries, and may threaten the quality of health care. Purpose: The objective of the study is an analysis of nurse staffing and the factors which shape the demand for health care in Poland. Material and methods: The study was based on the analysis of scientific literature, legal acts and reports by Polish government and occupational organizations, which undertake the problem discussed. Results: For years, in Poland, a decrease has been observed in nurse staffing rates per 1,000 inhabitants, compared to 15 countries of the European Union. The factors which affect the nurse staffing rate in Poland include changes in the sector of health care and the vocational education of nurses. Simultaneously, the limitations in employment of nurses are accompanied by an increased demand for health services. Considering the shortages in nurse staffing, and an increase in the demand for health services, there is a necessity to undertake systemic actions, both on the national and European level. Conclusions: Systemic solutions are necessary to prevent a divergence between increasing public health care demand and limited or even decreasing number of nurses willing to work in the profession. Otherwise the realization of the health policy goals might be hindered.

5

Role of quality in healthcare service provision process

80%

Olkiewicz M., Bober B.

Progress in Health Sciences

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2015

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vol. 5

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issue 2

41-53

EN

Introduction: The role of quality in achieving, improving, maintaining repeatable processes, service level guarantee patient satisfaction, determinants of hospitals.Objective:Identification of the mechanisms consistent quality in the provision of services in the public hospitals.Materials and methods:The study was conducted on a random sample of 104 public hospitals in the provinces of A, B, C. Author's questionnaire was distributed among 8975 participants of the medical staff. An analysis of the operating environment and documents, query literature. Was conducted individual in-depth interview with 540 medical experts from January 2007 to December 2011.Results: Diagnosed public hospitals network problems in the implementation phase of quality management system for medical services: interpretation of the requirements of the standards, development of implementation documentation, knowledge of procedures, standards. The work confirmed the theory that managers/Medical is responsible for the good/bad its functioning.Conclusions: Building on the paradigms of science organization and management expanded the scope of the study on the analysis of the factors determining the quality management of medical services based on a family of ISO standards. Factors focused on human capital and structural describing the quality of intellectual capital, supplemented by a layer of organizational and functional entities. This made it possible to get an answer in terms of phenomena, which in the area of quality in the network of public hospitals can be observed. And suggests practical solutions. Indicated tools and capabilities to implement the principles of quality in shaping the satisfaction of stakeholders.

6

Paradigm shift towards co-production in the European healthcare?A literature review

80%

Sześciło D.

Problemy Polityki Społecznej. Studia i Dyskusje

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2017

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issue 38(3)

77-88

EN

Public service delivery has never been the area of a state monopoly, but the process of the “destatization” of public service delivery accelerated with the wave of new public management (NPM). The competition between private suppliers of public services was expected to reduce public expenditures and improve the quality of services. However, current scepticism towards NPM triggered the revival of the idea of co-production, i.e. direct participation of citizens in public service delivery. This paper reviews the practices of co-production in European health care systems. It is based on an extensive definition of co-production, not only including co-delivery, but also co-planning, co-financing and co- -evaluation. The existing evidence regarding the effects of co-production is also reviewed.

7

Wybrane modele finansowania systemu opieki zdrowotnej

80%

Łagowski P.

Studenckie Prace Prawnicze, Administratywistyczne i Ekonomiczne

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2012

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issue 12

81 - 94

EN

Health care in developed countries as well as countries aspiring to this group is recognized as one of the fundamental tasks of the State towards its own citizens. The shape and way of financing the health care system is very diverse in various countries. This is mainly the result of different historical circumstances. Due to the high sensitivity to social issues, health protection system is constantly being modified or reformed, depending on the political or economic instability. This article aims to present the theoretical models of financing health care system and their actual modifications found in the Member States of the European Union. The adaptation of theoretical models is associated mainly with limited funds, which Member States and individuals are able to spend on health benefits. This issue can be boiled down to one of the fundamental economic questions: How do you manage with limited resources available to satisfy unlimited needs. The author will also try to prove the hypothesis that maximum expenditures on the provision of health care do not provide the highest standards of service. This issue is so important that the European countries, currently in the economic and financial crisis, should above all try to raise the efficiency of the system and ensure appropriate allocation of financial resources, rather than try implementing drastic reforms.

8

The Assessment of Health Care System Operation Efficiency Based on the Example of Poviats of Łódź and West Pomeranian Voivodships

80%

Rozpędowska-Matraszek D.

Folia Oeconomica Stetinensia

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2012

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vol. 10

|

issue 2

169-189

EN

The operation of health care in poviats allows to determine the role of the health care system in the region. The subjects of the analysis are poviats of Łódź and West Pomeranian voivodships characterised by different economic development levels. The analysis uses such tools as agglomerative methods of clustering and econometric models estimated on the basis of panel data. Similar groups of poviats were selected based on their health care system operation levels and econometric analysis was performed concerning factors significantly affecting accessibility of health care in the poviats.

9

Quality Registers in Professional Health Care Educations; Knowledge Gaps and Proposed Actions

80%

Nordin A. M. M., Ernsäter T. P., Bergman B.

Organizacija

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2014

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vol. 47

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issue 4

245-253

EN

Background and purpose: The use of quality registers has increased rapidly in Sweden and they are identified as beneficial for health care competitiveness. A quality register is a structured gathering of patient information, to improve health care. However, the introduction of quality registers in health care organisations presupposes that employees know how to use them in quality improvement. Disconnections, or knowledge gaps, concerning quality registers hamper the possibilities to take advantage of them. Taking departure in professional health care educations, the purpose with the paper is to identify and explore knowledge gaps concerning quality registers. A second purpose is to propose actions to bridge the gaps. Methodology/Approach: In 2012 50 semi-structured telephone interviews were completed and the material analysed in the search for knowledge gaps. Results: Five knowledge gaps were found. Some professional health care educations teach improvement knowledge, but they have difficulties integrating quality registers as a resource in teaching. Quality registers do not sufficiently cooperate with professional health care educations and county councils do not generally include learning of quality registers in clinical placements/practicums. Conclusion: Professional health care educations need forums where they can collaborate with others to jointly explore how learning of quality registers can be integrated. There are promising approaches.

10

Współpłacenie za zdrowie – za i przeciw

80%

Kolasa K.

Polityka Społeczna

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2012

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vol. 39

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issue 10(463)

19-21

EN

The introduction of co-payments on the healthcare market has been discussed continuously be health policy as well as social policy experts. There are many arguments for and against cost sharing. On the one hand, it is proven that the system of co-payments will reduce the use of ineffective healthcare services and consequently improve the optimal allocation of healthcare resources. On the other, there are voices that co-payments will reduce the needed healthcare services and consequently trigger the poverty. In order to understand the potential implications of the introduction of co-payments on the Polish market, the experience from other jurisdictions should be learned.

PL

Wprowadzenie współpłacenia na rynku ochrony zdrowia jest ciągle dyskutowane zarówno przez ekspertów ekonomiki zdrowia jak i ekspertów polityki społecznej. Istnieje dużo głosów za i przeciw współpłaceniu. Z jednej strony wskazuje się, że system opłat pacjentów przyczyni się do redukcji konsumpcji niepotrzebnych świadczeń zdrowotnych i tym samym doprowadzi do optymalnej alokacji na rynku ochrony zdrowia. Z drugiej strony, pojawiają się głosy, iż wprowadzenie współpłacenia spowoduje ograniczenie korzystania z potrzebnych usług zdrowotnych i w konsekwencji pogłębienia się sfery ubóstwa. W celu lepszego zrozumienia potencjalnych konsekwencji wprowadzenia opłat pacjentów w Polsce, pożądane wydaje się zapoznanie się z doświadczeniami innych krajów w tym zakresie.

11

Medical Liability in the Light of New Hungarian Civil Code

80%

Barzó T.

Practice and Theory in Systems of Education

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2015

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vol. 10

|

issue 1

107-114

EN

The number of medical malpractice lawsuits filed each year in Hungary has considerably increased since the change of regime. The judicial decisions and practices on determining and awarding wrongful damages recoverable for medical malpractices in the Hungarian civil law have been developing for decades.

12

Exclusion from service consumption in Polish health care system

80%

Holecki T., Wróblewski M., Woźniak-Holecka J., Sobczyk K.

Progress in Health Sciences

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2016

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vol. 6(1)

25-31

EN

Purpose: The scientific objective of this research was to determine social groups affected by exclusion in Polish health care. Materials and methods: Survey was carried out among local government units and nongovernmental organizations by using authorial questionnaire distributed towards representative research group selected. Results: This work depicts activities of social welfare centers in cooperation with non-profit sector entities, in the field of exclusion from the access to health care benefits in Poland, appointing circumstances, causes and the range of this exclusion. It presents the results of the countrywide research in the context of structure and tasks of the health care, but also two points of view (institutional and social one) for resolving the same population issues. Conclusions: On the basis of the conducted analyses it has been stated that social exclusion, in the field of health care, is a significant social problem, but the biggest difficulty is the access to the rehabilitation benefits and pharmacological therapy

13

Health Care Expenditure and the State of Health Care Sector in Selected European Union Countries

80%

Hady J., Leśniowska M.

Finansowy Kwartalnik Internetowy e-Finanse

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2011

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vol. 7

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issue 4

25-36

EN

The article deals with the issue of health care, focusing on expenditure allocated to it. The first part of the article reviews some selected European Union countries, analyzing their expenditure on their health care sectors. The second part brings an analysis of expenditure on health care in Poland. Basing on this analysis we determine the state of the Polish health care sector. Moreover, as regards the Polish health care sector, we indicate the expenditure forecasts. The article concludes with a comparison of the state of the Polish system to the state of the systems in other European countries.

14

ANALYSIS OF POLISH HEALTHCARE SYSTEM FINANCING IN 2000-2009

80%

Hady J., Leśniowska M.

Finansowy Kwartalnik Internetowy e-Finanse

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2013

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vol. 9

|

issue 1

1-11

EN

Healthcare is a very important, and at the same time difficult element of each state’s policy. For many countries, the issue of financing the healthcare system is a delicate matter, while at the same time one of the basic economic and social issues. Nevertheless, decisions concerning the sources and principles of healthcare financing influence the quality of the entire system. This article analyses the expenditure on healthcare in Poland during the last few years. It presents total expenditure on healthcare, its yearly growth rate, as well as other data related to the expenses incurred within the Polish healthcare system in that period.

15

PRIVATE HEALTH INSURANCE AS A SOURCE OF FINANCING THE HEALTHCARE SYSTEM IN POLAND

80%

Rodzinka J., Paszkowska M.

Finansowy Kwartalnik Internetowy e-Finanse

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2013

|

vol. 9

|

issue 1

60-73

EN

The medical services market in Poland is financed mainly with funds from national health insurance, yet year by year, an increasing importance of private resources in financing health services can be noticed. Apart from common (national) health insurance, medical care is primarily financed directly by the patient and possibly by his employer (occupational medicine, additional private medical care). The purpose of this paper is to present the basic legal and market aspects of private health insurance in Poland, including a presentation of the structure of private healthcare expenses in Poland.

16

INTEGRATED IT SYSTEMS AND THEIR INFLUENCE ON MANAGING THE FINANCES

80%

Litwin D.

Finansowy Kwartalnik Internetowy e-Finanse

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2013

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vol. 9

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issue 3

52-63

EN

This paper describes the properties and components of integrated hospital IT systems, and the correlations of those comprehensive systems with the use of tools supporting financial management of the units. The first part discusses the essence of Integrated IT Systems and attempts to apply the system’s logic to the traditional model of hospital functioning. The second part analyses current information about IT sector trends and possible applications of modern technologies in healthcare units. The third part of the paper discusses the potential of computerising the medical sector as an element of helping hospitals function more effectively.

17

Health care system and health services reform as a challenge for public authorities in Poland

80%

Lizakowski P.

Polish Journal of Political Science

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2019

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vol. 5

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issue 4

7-25

EN

The health care system in Poland is an important element of the activities of state authorities. Public opinion polls confirm the need for reforms in this area. The health sector comprises healthcare, public health and health-related social welfare activities and as a whole requires operational improvement. Well planned activities should improve health security in general. One of the ways to improve the effectiveness of healthcare entities is commercialization of independent public healthcare institutions. It is in line with the generally observed tendency to more and more frequently outsource tasks to external entities by public administration. In this way, the traditional tasks of public administration, so far performed mainly by the public finance sector, are entrusted to private entities. However, this does not change the scope of public authorities’ responsibility for the functioning of healthcare security.

18

E-HEALTH IN THE CONTEXT OF THE SUBSIDIARITY PRINCIPLE. COMMENTS AGAINST THE BACKGROUND OF POLISH LAW

80%

Sobieski L.

Review of European and Comparative Law

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2018

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vol. 35

|

issue 4

27-40

PL

In the article an attempt was made to present the assumptions of Polish legislative solutions concerning e-health in the context of one of the basic principles of European philosophical and legal thought – the principle of subsidiarity. The principle of subsidiarity, the essence of which is to leave it to the political communities to carry out tasks for which they can take responsibility, has been incorporated into the legislation of nation states and the European Union, determiningthe identity of European civilisation. Article 5 of the Treaty on European Union and the Treaty on the Functioning of the European Union and the preamble to the Constitution of the Republic of Poland are an example of the translation of the subsidiarity principle into legal norms. Attention has been paid to the possibility of decentralising and delegating competences to lower levels of public authority in the field of health, using or amending the e-health legislation accordingly. Appropriate division of tasks and competences in the area of health care, taking into account the subsidiarity principle, can be observed at both national and EU level. European Union law recognises the autonomy of the Member States to define national health regulations. On the basis of selected national and EU regulations, a definition of e-health has been proposed, understood as a set of provisions within the health care system regulating the collection, processing of data and provision of health care services in order to identify and optimise the satisfaction of individual and collective health needs as well as to pursue an effective health policy by public authorities. The basic assumptions of key national and EU legal acts are also indicated. On the basis of the solutions adopted in the Act on Health Care Services Financed from Public Funds, the formal possibility of delegating and effective performance of tasks has been demonstrated in the field of health protection by local government units. New information and communication technologies provide the basis for a more complete implementation of the subsidiarity principle in health protection, as they enable the necessary knowledge on the collective and individual health needs at European, national and any other expected level – regional, population, age to be gathered and transferred. They are a tool, previously unavailable, for the precise identification of the needs of separated communities. On the other hand, new technologies can be a tool for communities to meet these needs to the extent that they are able to provide organisational and financial security. The combination of new information and communication technologies with the application of a systematic concept of tasks implementation based on the principle of subsidiarity will allow for a change in the model of health care in Poland.

19

WAITING TIMES HEALTH POLICY IN POLAND

80%

Wolan M., Jacek A., Gugała B.

Review of European and Comparative Law

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2017

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vol. 29

|

issue 2

33-45

PL

In Poland, a provisions of the Act of 27 August 2004 on health care services financed from public funds1 defines the principles of the waiting list . Waiting list is one of the way to ensure equal access to health care services . Running waiting lists for health care services is the statutory duty of all providers and considers only first-time patients . The Act of 27 August specifies the responsibilities of the provider in relation to the patient, and to managing the waiting lists . Provider is obliged to give the patient information on the scope of health care services, the waiting time for health services, and information regarding the confirmation of the right to health care benefits at the first visit of the patient . In addition, a patient at the point of registration should receive comprehensive information on clinics . Minister of Health in regulation of 26 September 2005 on medical criteria, described what criteria should be guided by the provider entering a beneficiary on waiting lists for health care services . In case of deterioration of patients’ health, which may indicate the need to provide earlier health care service, the patient is obliged to inform the provider . Then, for medical reasons, the time of providing the health care service should be adjusted . Health care provider has no right to refuse to register patient on the waiting list to obtain health care servic. National Health Fund web sites provide information on waiting lists main-tained by individual providers, the number of people, by urgent cases and cases of a stable, and the average waiting time for providing medical services and infor-mation about other healthcare providers who offer benefits in within a shorter period of time

20

Work ability of employees in changing social services and health care organizations in Finland

80%

Kokkinen L., Konu A.

International Journal of Occupational Medicine and Environmental Health

|

2012

|

vol. 25

|

issue 2

151-165

EN

Objectives: In this study, we examined the connection between organizational changes and employees own evaluations of their work ability. Materials and Methods: In early 2010, we asked employees (n = 2429) working in the Finnish social services and health care industry to identify all the organizational changes that had occurred at their workplaces over the previous two years, and to evaluate their own work ability and whether different statements related to the elements of work ability were true or false at the time of the survey. For our method of analysis, we used logistical regression analysis. Results: In models adjusted for gender, age, marital status, professional education and managerial position, the respondents who had encountered organizational changes were at a higher risk of feeling that their work ability had decreased (OR = 1.49) than the respondents whose workplaces had not been affected by changes. Those respondents who had encountered organizational changes were also at a higher risk of feeling that several elements related to work ability had deteriorated. The risk of having decreased self-evaluated work ability was in turn higher among the respondents who stated they could not understand the changes than among those respondents who understood the changes (OR = 1.99). This was also the case among respondents who felt that their opportunities to be involved in the changes had been poor in comparison to those who felt that they had had good opportunities to be involved in the process (OR = 2.16). Conclusions: Our findings suggest that the organizational changes in social and health care may entail, especially when poorly executed, costs to which little attention has been paid until now. When implementing organizational changes, it is vital to ensure that the employees understand why the changes are being made, and that they are given the opportunity to take part in the implementation of these changes.

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