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EN
Introduction. Since January 1, 2012 a patient who suffered so-called medical damage has the right to choose between two alternative routes to compensate for medical damages, i.e. legal or extrajudicial. Aim. To present the consequences of the out-of-court compensation for medical damages for patients on the basis of existing legal acts and the literature. Materials and methods. The analysis of legal acts and literature regarding extrajudicial compensation. Conclusions. The provisions regulating the out-of-court medical compensation for patients are inconsistent and unclear. As a result of the application of the regulations in force by Provincial Commission for Adjudication of Medical Events, there are difficulties for the injured patients to receive compensation or redress. The analysis of legal acts and literature shows that only court proceedings are the most effective way to assert their rights for patients who have suffered so-called medical damage.
PL
Wprowadzenie: Badanie satysfakcji pacjentów jest cenną i wartościową metodą oceny jakości usług medycznych. Dzięki pomiarowi satysfakcji jednostka opieki zdrowotnej uzyskuje informacje, na ile sposób sprawowania przez nią opieki zaspokaja potrzeby i oczekiwania pacjentów, a co jest ewentualnym źródłem ich niezadowolenia. Wykorzystanie wniosków z badań pozwala dostosować system opieki do oczekiwań świadczeniobiorców i wskazuje kierunek działań projakościowych. Cel pracy: Ocena opinii pacjentów podstawowej opieki zdrowotnej na temat realizacji opieki w kategorii respektowanie praw pacjenta Materiał i metody: Analizą objęto 1000 podkarpackich pacjentów, którzy zgłosili się na wizytę do lekarza pierwszego kontaktu. Dane uzyskano na podstawie sondażu diagnostycznego z wykorzystaniem autorskiego kwestionariusza wywiadu opracowanego na potrzeby badania. W analizie statystycznej wykorzystano test niezależności Chi-kwadrat. Wyniki: Jak wynika z uzyskanych danych, 63,4% pacjentów jest informowanych o przysługujących im prawach. Stwierdzono, że im wyższe wykształcenie, tym większe zadowolenie z jakości otrzymanej informacji oraz silniejsze odczucie możliwości współdecydowania w podejmowaniu decyzji o planowanym leczeniu. Wykazano, iż kobiety w porównaniu do mężczyzn są bardziej zadowolone z uzyskanych od lekarza informacji i częściej przyznają, że mogą współuczestniczyć w decyzjach lekarskich. W ocenie większości pacjentów opieka lekarska jest sprawowana z zapewnieniem godności pacjenta. Wnioski: Ogólnie pacjenci pozytywnie ocenili kategorię respektowania praw pacjenta w jednostkach podstawowej opieki zdrowotnej zlokalizowanych na terenie Polski południowo-wschodniej. Wiek, płeć, miejsce zamieszkania, wykształcenie oraz status zawodowy istotnie wpływają na odczucia pacjentów odnośnie do respektowania ich praw.
EN
Introduction: Evaluation of patient’s satisfaction is a valuable and worthwhile method of assessing the quality of medical service. It has emerged as an increasingly important health outcome and is currently used to identify how health care meets the needs and expectations of patients, what is the possible source of their dissatisfaction and which aspects of a service need to be changed. Use of the conclusions of the study allows to customize the system of care to patients’ expectations and indicates the direction of quality activities. Aim: The aim of this exploratory study was to investigate the opinions of primary care patients on the implementation of care in the fild such as patients’ rights. Material and methods: The analysis included 1000 patients from Podkarpacie who reported a visit to primary care physician. The research used an author-designed questionnaire as the main method of data collection. For statistical analysis of results the chi-square test was used.Results: According to the data obtained, 63.4% of the patients are informed of their rights. On the basis of the results a dependence may be observed: the higher the educational status, the higher satisfaction from the quality of the received information, as well as the stronger the conviction of the ability to co-decide in terms of planned treatment. It has been shown that women as compared to men are more satisfid with the information received from the doctor and often admit that they can participate in medical decisions. In the opinion of the majority of patients, medical care is exercised in ensuring the dignity of the patient. Conclusions: In general, patients positively evaluated category of respecting the rights of the patient’s primary care units located in the south-eastern Poland. Age, sex, place of residence, education and occupational status signifiantly affct the opinions of the patients with regard to respect their rights.
EN
Introduction. According to the World Health Organization, non-infectious chronic diseases will become the leading cause of disability by 2020 and can be the most expensive health problem. Type 2 diabetes, hypertension, smoking, poor eating habits, insufficient physical activity and the resulting overweight and obesity are among the main modifiable factors of non-infectious chronic diseases. The results of epidemiological studies indicate that the prevalence of these factors in the Polish population is constantly growing, which is associated with the dissemination of unfavorable eating habits and sedentary lifestyle. Their combating and preventive and educational activities of patients in the scope of modifiable lifestyle behaviors related to lifestyle should be implemented primarily through primary care physicians. Aim. To validate the Polish language version of Physician Survey of Practices on Diet, Physical Activity and Weight Control: Questionnaire on Adult Care. Material and methods. A Polish version of the questionnaire “Physician Survey of Practices on Diet, Physical Activity and Weight Control: Questionnaire on Adult Care” was created. Validation was carried out on a group of 30 primary care physicians. Results. Very good results in terms of internal coherence of the questionnaire were obtained - the Alpha-Crombach coefficient was 0.82. The level of reproducibility was established with an ICC factor, which was 0.81. Conclusions. The tested Polish version of the questionnaire can be used to conduct research among primary care physicians in Poland
PL
Wojewódzka Stacja Pogotowia Ratunkowego w Rzeszowie powstała jako pierwsza w województwie rzeszowskim (obecnie podkarpackim), cztery lata po zakończeniu drugiej wojny światowej. Od tej pory rozpoczął się żmudny, ale jednocześnie systematyczny proces tworzenia struktur pomocy doraźnej, tak w Rzeszowie, jak również w całym regionie. Wiedza na temat historii powstania i rozwoju pomocy doraźnej, a następnie ratownictwa medycznego na terenie miasta Rzeszowa i dawnego województwa rzeszowskiego, a obecnie podkarpackiego, byłaby trudna, bądź niemożliwa do zdobycia, gdyby nie Kronika Wojewódzkiej Stacji Pogotowia Ratunkowego w Rzeszowie (Kronika WSPR w Rzeszowie). Powstała ona w latach 1967–1968 na zlecenie ówczesnego dyrektora Wojewódzkiej Stacji Pogotowia Ratunkowego w Rzeszowie (WSPR) Stanisława Widlarza. Autorem cennej Kroniki był Piotr Kamiński – dyrektor ds. administracyjnych rzeszowskiej Stacji, długoletni jej pracownik oraz współorganizator wielu powiatowych stacji pogotowia ratunkowego na terenie dawnego województwa rzeszowskiego. Obecnie Wojewódzka Stacja Pogotowia Ratunkowego realizuje zadania systemu Państwowego Ratownictwa Medycznego. Posiada najliczniejszy potencjał zespołów ratownictwa medycznego na terenie województwa podkarpackiego. I tak, jak w momencie jej powstania, tak też obecnie priorytetem jej działalności jest ratowanie ludzkiego życia i zdrowia. Opracowanie powstało na bazie wspomnianej Kroniki Wojewódzkiej Stacji Pogotowia Ratunkowego w Rzeszowie, dokumentów archiwalnych Wojewódzkiej Stacji Pogotowia Ratunkowego w Rzeszowie (WSPR), witryn internetowych, które zawierają informacje na temat powstania, rozwoju, a także obecnego stanu funkcjonowania i organizacji rzeszowskiej Stacji Pogotowia Ratunkowego oraz relacji osób – prekursorów pomocy doraźnej/ratownictwa medycznego na ternie miasta Rzeszowa i okolic oraz bibliografii opisującej dzieje Rzeszowa i okolic. Z uwagi na powszechny deficyt informacji, dotyczących historii Rzeszowskiego Pogotowia Ratunkowego autorzy niniejszego opracowania podjęli pierwszą próbę upublicznienia tak ważnej informacji, jaką jest zarys dziejów ratownictwa medycznego na Rzeszowszczyźnie.
EN
Introduction. Voivodeship Rescue Service Station (Wojewódzka Stacja Pogotowia Ratunkowego, WSPR) in Rzeszów was the first to be established in Rzeszów Voivodeship (currently Podkarpackie Voivodeship), four years after the World War II. Since that time, in Rzeszów as well as in the whole region a laborious yet systematic process of creating structures of emergency medical aid has started. Aim. If it was not for the chronicle of Voivodeship Rescue Service Station in Rzeszów, obtaining the knowledge regarding the history and development of emergency medical aid, and then medical rescue services in Rzeszów and former Rzeszów Voivodeship - current Podkarpackie Voivodeship would be hindered or else impossible. The chronicle was created between 1967 and 1968 to the order of the then director of Voivodeship Rescue Service Station in Rzeszów Stanisław Widlarz. The author of this valuable chronicle was Piotr Kamiński, the administrative director of the station in Rzeszów, its long-time employee and co-founder of many poviat rescue service stations in the former area of Rzeszów Voivodeship. At present, the Voivodeship Rescue Service Station in Rzeszów implements tasks of the Emergency Medical Services (EMS). It boasts the most numerous medical rescue teams in Podkarpackie Voivodeship. Just like the day it was founded, the top priority for the station is saving human life and health. Material and method. The paper is based on the above mentioned chronicle of Voivodeship Rescue Service Station in Rzeszów, archive of Voivodeship Rescue Service Station in Rzeszów, web pages which served as sources of information on foundation, development and current operating and organization of the Voivodeship Rescue Service Station in Rzeszów and its vicinity, as well as bibliography on history of Rzeszów and its vicinity. Results. Due to the information shortage concerning the history records of rescue service in Rzeszów, the authors of this paper made the first attempt to publish the vital information on the history of medical rescue service in Rzeszów region.
EN
ntroduction. This study reviews the link between personal health and military qualifications. It was found that there is evidence of a strong link between obesity levels across young individuals and military qualification adjudication. Aim. The purpose of the study was to review the literature about significance of the rules for adjudicating on the ability to perform active military service and analysis of the literature regarding the health condition of Polish citizens subject to perform obligatory military service. Materials and method. Analysis of foreign and Polish literature
EN
Introduction. Europe is the region with the greatest proportion of deaths (16%) attributable to tobacco smoking worldwide. Medical students and physicians should set an example of tobacco-smoking abstinence for their patients. Aim. The aim of the study was to compare opinions on behaviors and attitudes of Czech and Polish medical students about tobacco smoking and the position of a physician in anti-smoking counseling. Material and methods. The Global Health Professions Student Survey (GHPSS) was conducted among 707 medical students in Czech Republic in 2011 and among 1164 medical students in Poland. Results. Twety percent of polish and 25,7% of Czech medical students declared current tobacco smoking. Eighty-one percent in Poland and 60% in Czech Republic felt that physicians should be trained in smoking cessation techniques but only 27% of the medical students in Poland and 2,8% in Czech Republic , declared that such a course had been realized during the course of their education. Conclusion. Over a fifth of Polish students and a quarter of Czech students declared themselves as active smokers. It is worrying that about half of Polish students were exposed to environmental tobacco smoke, while only one-fifth of Czech students declared such exposure. Polish and Czech students agreed that the doctor will play an important role in the patient’s smoking cessation process and that physicians should give advice on quitting smoking.
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