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SPATIAL BARRIERS IN ACCESS TO MEDICAL AND WELFARE SERVICES IN RURAL AREAS (PRESENTED ON THE EXAMPLE OF SELECTED COMNMUNES OF LUBELSKIE PROVINCE)

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Czarnecki A., Piecek B.

Wieś i Rolnictwo

2005

issue 3(128)

162-179

The main aim of this paper was to establish whether and to what extent spatial barriers (such as distance, time and costs) decide about the rural population's access to the medical and welfare services. Analyses were conducted to examine the differences in the availability of such services existing between and within the selected communes. This made it possible to identify the line of division between the centre and the peripheries in local systems. The selected communes were characterized by similar development problems, chiefly in terms of the demographic, settlement and economic structure, and a similar level of development of infrastructure. Simultaneously, each of the chosen communes was characterized - as the conducted analyses have revealed - by a specific and unique spatial system determining to a very large extent the availability of public services. A particularly significant factor determining the rural population's access to these services proved to be the type of settlement dominating in villages forming a given commune, their location in relation to the main roads, their central or peripheral location within the commune, the distance separating them from towns and the organisation of public transportation in terms of frequency and direction of the serviced connections. In other words the classic, concentric arrangement of zones characterised by various degrees of availability of the services in question was often modified by other factors determining the specificity of individual communes.

INSTITUTIONAL CHANGES IN THE HEALTH SERVICE: GDANSK EXAMPLE (Instytucjonalne zmiany w sluzbie zdrowia - gdanski przyklad)

100%

Bulinski L.

Polityka Społeczna

2009

vol. 36

issue 5-6(422-423)

19-23

The health service sector has undergone a range of changes within the last few years due to the political situation of the country, including Poland's accession to the EU in 2004. As a result of these changes the socio-economic development processes were based on the principle of market mechanisms as opposed to the regulatory activities of the state. The health care changes in the city of Gdansk are closely linked with both the legislative and socio-political conditions. The Gdansk model was based on principle of the workers' privatisation, which allows the teams to establish a non-public health care institutions or individual specialist practices. Even though it is not devoid of defects and shortcomings, the changes presented in this article show a positive development trend relating to health service reforms. There is no doubt that the departure from the centralized management and administration of health care to that based on the market economy promotes processes aimed at more effective and rational management system,

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1 Polityka Społeczna

1 Wieś i Rolnictwo

1 Bulinski L.

1 Czarnecki A.

1 Piecek B.

1 2009

1 2005

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SPATIAL BARRIERS IN ACCESS TO MEDICAL AND WELFARE SERVICES IN RURAL AREAS (PRESENTED ON THE EXAMPLE OF SELECTED COMNMUNES OF LUBELSKIE PROVINCE)

INSTITUTIONAL CHANGES IN THE HEALTH SERVICE: GDANSK EXAMPLE (Instytucjonalne zmiany w sluzbie zdrowia - gdanski przyklad)