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PL
W artykule podjęto próbę przeanalizowania stanu opieki zdrowotnej Śląska na tle kraju w 2013 r. metodą taksonomiczną. Do badania wybrano wszystkie województwa polskie. Uporządkowania województw od najwyżej stojącego w hierarchii do obiektu znajdującego się najniżej dokonano metodą rang.
EN
The purpose of the paper is to analyse of the healthcare condition in Polish voivodships using the taxonomic method. For the analysis in the paper the statistical data has been used from the Central Statistical Office of Poland (Statistical Yearbook of the Regions – Poland 2014). The object of the analyses were all the Polish voivodships in 2013. The analysed regions were prioritized by rank method.
XX
Od wielu lat obserwujemy w Polsce utrudniony dostęp do lekarzy specjalistów oraz długi czas oczekiwania na realizację usług medycznych i to zarówno w opiece stacjonarnej, jak i ambulatoryjnej. Sytuacja ta spowodowana jest niedofinansowaniem systemu ochrony zdrowia i nie zawsze racjonalnym wykorzystaniem przyznanych pieniędzy. Na systematycznie wzrastające potrzeby finansowe systemu ochrony zdrowia ma wpływ wiele czynników. Do najistotniejszych zalicza się zmiany demograficzno-epidemiologiczne polskiego społeczeństwa, w tym zwiększenie średniej długości trwania życia, a także konieczność inwestowania w aparaturę i sprzęt medyczny nowych generacji, zapewniające wysokospecjalistyczne badania. Monopolistyczna pozycja największego płatnika systemu ochrony zdrowia, jakim jest NFZ (Narodowy Fundusz Zdrowia), zmusza świadczeniodawców do zawierania często nieopłacalnych kontraktów na udzielanie świadczeń zdrowotnych. Zjawisko to powoduje coraz częstsze sięganie przez pacjentów po usługi medyczne wykonywane przez prywatny sektor ochrony zdrowia. (fragment tekstu)
EN
The article discusses household spending on outpatient care in the years 1998-2010 based on data from CSO. Household consumer preferences are shown related to economic factors, defined by disposal income, and non-economic. In this group, health and socio-occupational and demographic determinants were the most important. The analysis of expenditure on outpatient health care is shown in the background of the legal and organizational changes in the healthcare system, that had implications for their amount. (original abstract)
EN
Introduction of system solutions for the health sector was most evident in the 90s of the twentieth century. Then started expressly notice the need to build an integrated system helping prehospital and assistance specialist hospital wards, in emergency health. Construction of the system required the integration of emergency medical services operators to protect the health, but also the creation of new specialized units. Passing over the past few years a number of organizational activities, contributed to the emergence of a fairly advanced system which ensures the maintenance of readiness, resources, and organizational units in order to take their immediate emergency medical operations In this context, the question arises of the effectiveness of the organization of the entire EMS system, which essentially determines the efficiency and effectiveness of its component units .
EN
In this paper a number of competitive approaches to defining efficiency term in the healthcare systematics were defined. Diverse semantic takes on efficiency defined per se were brought up based on both polish and international literature resources. Systematization was feasible and finalized by dividing methods called index-based, parameter-based, parametric and non-parametric into group and subgroups.
EN
The paper deals with the role of the state in the Polish health care sector. The goal of the paper is to show, that the state intervention in health care sector has been considerably reduced over the last twenty years by shifting certain risks to health care providers and patients and by forcing patients to obtain health services from private health care providers and by introducing copayments. This additional weight was neither compensated by tax concessions nor by any financial incentives. There is a ground to maintain that individual patients' obligations will be further strengthened and extended.
EN
The present article is a summary of the literature dealing with the idea of learning organization. Author undertakes an attempt to make a conceptual approach of above as well as analyzing the validity and ability of adopting the learning organization model in public healthcare sector, including previous solutions in this area.
EN
The need to balance available resources and the quality of assistance provided is stimulating the development of "eHealth" or "Online Healthcare", or rather, the use of instruments based on information and communication technology to support and promote the prevention, diagnosis, treatment and monitoring of illnesses and the management of health and lifestyles.
EN
As defined by the World Health Organization a health system (health care system) is the sum total of all the organizations, institutions and resources whose primary purpose is to improve health. The system provides services, acquires resources through investment and provides funding and proper management. Insurance is a feature of many areas of the health care system in Poland. This article describes the areas of the health care system in which insurance is present and the role it plays in them.
EN
The different definitions of efficiency (in their medical meanings) are presented as the result of meta-reviews found in scientific databases. Efficacy and efficiency are often mismatched with effectiveness in the research of healthcare systems in different countries. In addition to the classic Bismarck's and Beveridge's models the modern concepts of health systems include personalized medicine, recognition of health as economic value, and so called salutogenesis. However, the basic problem in the Polish healthcare system is the low quality of overly specific and often changed legislation.
EN
The aim of this paper is to present the possibility of using multidimensional comparison analysis and DEA to evaluate the efficiency of the hospitals for with the payer is the National Health Fund (NHF). There were used Hellwig's taxonomical meter of development and DEA method letting to analyze the relative efficiency of the units surveyed. The obtained results allow to determine the relative efficiency of hospitals care in individual voivodships.
EN
This article describes the idea of introducing information technologies to hospital care and provides an overview of their implementation in Poland as one of the European Union member states. Special emphasis is put on Warsaw hospitals. The current state of their hospital information systems is further described based on the data recently collected by the Polish Supreme Audit Office. Additionally, the article includes two case studies, which give insight into everyday application of hospital information systems in a general hospital and a specialist institute.
XX
Przedmiotem opracowania jest rola jaką odgrywa szpital w systemie informacyjnym ochrony zdrowia. Omówiono podstawowe procesy informacyjne, w których uczestniczy szpital. Autorzy zwracają uwagę, że warunkiem dobrego funkcjonowania statystycznego systemu informacyjnego ochrony zdrowia jest prawidłowa identyfikacja szpitala pod względem podmiotowym (struktura organizacyjna) oraz przedmiotowym. Różnice w terminologii znacznie utrudniają prowadzenie badań i analiz.
EN
The key role of a hospital as a source of statistical information on health care system is presented in the article. Basic information processes were presented in which a hospital participates including information covered by the Statistical Survey Program of Official Statistics. The authors point out that the special role of each hospital as a source of information at inpatient health care acquires the unambiguous identification of a hospital in its activity as well as organization structure. Differences in the used terminology significantly hinder analyses and conducting surveys. (original abstract)
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