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

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.

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

HEALTHCARE IN THE LIGHT OF THE CONCEPT OF WELFARE STATE REGIMES – COMPARATIVE ANALYSIS OF EU MEMBER STATES

80%

Kawiorska D.

Oeconomia Copernicana

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2016

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vol. 7

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issue 2

187-206

EN

This paper addresses issues related to health care in the context of the debate about the typology of welfare state regimes and comparative studies conducted in reference to the debate. Particular attention has been paid to the phenomenon of decommodification as one of the key dimensions that define welfare regimes identified in the literature associated with this debate. The study presents a health decommodification index, on the basis of which an attempt has been made to assess the decommodification potential of health care, taking into account the situation in the 28 EU Member States in 2012. The identification of a widely understood accessibility of publicly funded health care as a basic measure for assessing the decommodifying features of health programs is an important result of the empirical analysis. The study has also confirmed the views expressed in the literature about the existence of practical obstacles standing in the way of developing a universal typology of welfare states.

5

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.

6

Public expenditure on healthcare in poland (2010-2020)

80%

OWCZARCZYK A.

Zeszyty Naukowe UPH seria Administracja i Zarządzanie

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2020

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vol. 54

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issue 127

33-41

EN

Both expenditure on healthcare and the functioning of the entire healthcare system in Poland stir up considerable controversy and are often discussed in the media. Hospital debts, the low quality of services, and the low availability of specialist medical services form the basis for the discussion of the effectiveness of the healthcare system. Statistical data are also bleak. Total health expenditure in Poland in 2019 amounted to 6.3% of GDP (estimated expenditure), whereas the average for health expenditure in the OECD countries was 8.8%. Therefore, Poland is below the average, and is placed last but four in the ranking (stat.oecd.org). The aim of this article is the presentation of public expenditure on healthcare in Poland from 2010 to 2020. In order to achieve this, the following research methods were used: a critical analysis of the literature, an analysis of statistical data, and - to make the research more transparent and the research results clearer - a tabular method was used. Also, widely accepted measurements were used, such as absolute values in domestic and international currencies, values per capita, and values in relation to the Gross Domestic Product (GDP).oduct (GDP).

7

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.

8

Selected Problems of Integration of Foreigners in the Czech Republic

80%

Macáková L.

Equilibrium. Quarterly Journal of Economics and Economic Policy

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2013

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vol. 8

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issue 1

109-125

EN

The aim of this paper is to characterize the problems of immigration and subsequent integration of foreigners in the Czech Republic. The starting point is a brief historical perspective on the development of migration policies of the Czech Republic and the development of immigration in recent years. The aspects discussed in particular are education and health care, as the main factors affecting the integration of immigrants. The analysis suggests a pivotal role of the state in the activities focused on the integration of foreigners, an important role is played by non-profit organizations. In the end of the paper attention is focused on the Czech public attitude to immigration. Active immigration policy in the Czech Republic began in 2003. Currently, integration is understood as an essential part of the immigration policy of the Government of the Czech Republic. Integration of foreigners into the Czech society is directly linked to the process of immigration and is crucial for the smooth immigrant participation in the local labor market and life in the country. The main problem is the lack of knowledge of the Czech language by adult immigrants and especially their children, lack of knowledge of the Czech language, which significantly complicates the possibility of integration into the Czech society. Access to health care is another critical area of integration.

9

Źródła finansowania ochrony zdrowia w Polsce i we Włoszech

80%

Lenio P.

Przegląd Prawa i Administracji

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2018

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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.

10

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.

11

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.

12

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

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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

13

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

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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.

14

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

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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.

15

Innowacyjność ZZL w sektorze ochrony zdrowia – wybrane aspekty

80%

Głód W.

Nauki o Zarządzaniu

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2016

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issue 1(26)

44-51

EN

Innovation of contemporary organizations is now becoming the basis for the functioning of the market. It also relates to rules governing the functioning of entities in the health sector. Human resources very often become the driving force behind contemporary health care units proving their innovation. The present study identifies the problems associated with innovation in the area of HRM and conditions in this regard.

16

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.

17

Analysis of Risk of Burn Out at Workers in the Field of Social Services and Health Care

80%

Budayová Z., Ludvigh Cintulová L., Mrosková L.

Journal of Education Culture and Society

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2023

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vol. 14

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issue 1

365-380

EN

Aim. The aim of the research was to analyse the burnout rate of these social workers and nurses, as well as to determine the relationship between burnout syndrome and other important factors, including lifestyle, stress, resistance to stress and other selected demographic indicators. Methods. The Maslach Burnout Inventory was used to collect burnout data in 2021 during the second wave of the Covid-19 pandemic. The research sample consisted of 623 women aged 35-55 who work in social services facilities for the elderly and nurses working in the geriatrics department at a hospital in the western part of Slovakia. Results. Research has shown that lifestyle has a significant impact on the development of burnout syndrome in connection with the quality of work and personal relationships, which can help eliminate feelings of frustration, exhaustion and personal failure in the workplace. Burnout affects social workers regardless of age and education, but with older age and length of practice in the same facility, the risk of manifestations of burnout increases. Significant differences in burnout rates between social workers and nurses in the individual dimensions of exhaustion, depersonalisation and professional attitudes were confirmed. High levels of exhaustion have even shown an increased risk of alcohol consumption among these workers. Conclusion. The development of chronic stress in health care workers can put them at risk of burnout, which is characterized by emotional exhaustion (EE), depersonalization (DP) in interactions with patients and social clients, and low levels of personal accomplishment (PA) in social work and health care.

18

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.

19

Opinia prawna w sprawie zgodności z Konstytucją RP projektu rozporządzenia Parlamentu Europejskiego i Rady w sprawie badań klinicznych produktów leczniczych stosowanych u ludzi

80%

Banaszak B.

Zeszyty Prawnicze BAS

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2012

|

issue 4(36)

107-117

EN

The purpose of the opinion is not to examine thoroughly the proposal for a regulation but only to assess the legal basis for its issue, and to provide an analysis of those provisions of the proposal that may raise doubts about their conformity with the Constitution of the Republic of Poland. The main conclusions of the opinion relate to the lack of grounds for delegation by the Republic of Poland to the bodies of the European Union of the competence to regulate the issue of clinical trials on medicinal products for human use under primary law of the EU. Such delegation would infringe Article 90(1) of the Constitution. The author claims that the time limits specified in the proposal for regulation for action of the State make it impossible for Polish public authorities to implement obligations resulting from the preamble to the Constitution and their duties relating to protection of individual’s rights referred to in its Article 30.

20

ANALYSIS OF POLISH HEALTHCARE SYSTEM FINANCING IN 2000-2009

80%

Hady J., Leśniowska M.

Finansowy Kwartalnik Internetowy e-Finanse

|

2013

|

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.

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