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EN
Healthcare tends to play a crucial role in every country and its society. Appropriate and well-performing healthcare systems constitute an important aspect of national policy. The most important issue connected with this matter is the appropriate adjustment of the health financing system. That is why the subject of evaluation of the performance of healthcare systems in the context of financial management and the quality of public health has been undertaken by many Polish and foreign researchers. The main goal of this study is to conduct a comparative analysis of healthcare systems in selected countries in order to answer the question of whether the increase in expenditures on healthcare has had a positive influence on improvement of the health of the population.
EN
The current issues concerning healthcare institutions are generated by: aging of the population; the increase in prevalence of non-communicable diseases, even in low/medium income countries; the continuous increase of indirect costs generated by chronic diseases; the necessity of new- patient-specific oriented therapies; the need of translation of fundamental research into practice; need of applicability of prevention strategies; an important segment of the working population becomes inactive; migration of healthcare professionals. An essential condition for the sustainable development of any community is the health and the maintenance of the health of its population, and it is essential that the institutions involved in the process adapt to the constant change of the society: the medical academia not only develops health professionals, but conducts research, helps implementing healthcare programmes, develops future strategies, and influences the political systems; the hospitals need to adapt to growing populations; the communities should be involved in out-patient healthcare and prevention of diseases; governmental institutions adapt to the concept of sustainable development in various ways: funding fundamental research, applying nation-wide programmes for prevention and care, help of disadvantaged population, funding medical universities.
EN
Objectives Healthcare systems in European countries, including METEOR partner countries, are faced with the aging population, an increase in costs for innovative technologies and medication, a shortage of health professionals, and inequality in access to healthcare. Presented paper aimed to recognize and compare the functioning of healthcare systems between METEOR partner countries and simultaneously check if the current epidemiological situation of COVID-19 has some relationship with the number of medical staff, yearly gross domestic product, or documented percentage of fully vaccinated people. Material and Methods In the model of descriptive epidemiological study, available demographic, socioeconomic, and healthcare organizational data in the Netherlands, Belgium, Italy, and Poland were compared to the epidemiological situation of the COVID-19 pandemic (percentage of fully vaccinated people, incidence, and mortality) in all mentioned countries. Results Obtained data confirmed that the lowest number of physicians, as well as the life expectancy and gross domestic product per capita, is in Poland. Simultaneously, the lower number of medical staff and lower gross domestic product (GDP) correspond to higher mortality due to COVID-19. The percentage of fully vaccinated with the last dose of the primary series was also the lowest in Poland. Conclusions Obtained results confirmed that higher mortality due to COVID-19 in METEOR participants’ countries is related to a lower number of medical staff and weaker GDP. The worse situation was noted in Poland, a country with problems in the functioning healthcare system, including hospital care and a serious shortage of practicing medical staff.
RU
Вызванные мировым финансовым кризисом от 2008—2010 гг падение дохода, высокий дефицит и задолженность привели к тому, что во многих государствах были предприняты действия для поиска экономии и изме-нений социально-экономической структуры. В статье были представлены последствия деконъюнктуры для сектора здравоохранения. Целью статьи является получение ответа на вопрос касающийся приспособления рас-ходов на здравоохранение, а в частности масштаба и темпов возможного их понижения в ситуации оказывания высокого давления государствен-ными финансами. В статье было представлено формирование основных экономических параметров, а затем размеры и тенденции в различных категориях рас-ходов на здравоохранение. Были охарактеризованы также условия для спасательных программ в международном масштабе.
PL
Wywołane światowym kryzysem finansowym z lat 2008—2010 spadki dochodu, wysokie deficyty oraz zadłużenie wymusiły w wielu państwach podejmowanie działań na rzecz poszukiwania oszczędności i zmiany struktury społeczno-gospodarczej. W opracowaniu pokazano konsekwencje dekoniunktury dla sektora opieki zdrowotnej. Artykuł ma na celu uzyskanie odpowiedzi na pytania dotyczące dostosowania wydatków zdrowotnych, a w szczególności skali i tempa możliwych ich redukcji w sytuacjach wysokiej presji ze strony finansów publicznych. Opisano kształtowanie się podstawowych parametrów ekonomicznych, a następnie wielkości i tendencje w różnych kategoriach wydatków zdrowotnych. Przedstawiono też uwarunkowania programów ratunkowych w skali międzynarodowej.
EN
Declines in income, high deficits and debt (caused by the global financial crisis of 2008-2010) forced many countries to take action to contribute to saving and changing socio-economic structure. The study shows the consequences of the downturn for the healthcare sector. The article aims to provide answers to questions concerning the adjustment of health expenditure, in particular the scale and pace of their possible reduction in high-pressure situations on the part of public finances. The article describes evolution of basic economic parameters, then the figures and trends in the different categories of health spending. Also conditions for rescue programs on an international scale are presented.
Ius Novum
|
2019
|
vol. 13
|
issue 3
134-153
PL
Artykuł przedst awia główne regulacje prawne, organizację i ekonomiczne uwarunkowania systemów ochrony zdrowia we Francji i w Wielkiej Brytanii. W celu przedstawienia widoku z lotu ptaka na oba te systemy, zostały wymienione najważniejsze akty prawne, przy pomocy których je wprowadzono. Zostały także wskazane inne znaczące uregulowania prawne, odnoszące się do obu systemów oraz główne instytucje tworzące, konsultujące i kontrolujące je. Pokazano również podstawowe warunki ekonomiczne i organizację obu systemów. W tekście znalazły się ich schematy organizacyjne oraz diagramy ukazujące przepływy finansowe pomiędzy najważniejszymi ich częściami składowymi. Artykuł ma na celu dostarczenie wstępnych informacji o tym, jak jeden z najbardziej scentralizowanych systemów ochrony zdrowia w Unii Europejskiej, oparty na dużej liczbie dostawców (francuski), porównany z jednym z najbardziej rozproszonych w UE, ale opartym głównie na jednym narodowym dostawcy pod nazwą NHS (brytyjskim), mają zbliżoną efektywność, a więc dostarczają niemal wyrównane produkty medyczne swoim mieszkańcom.
EN
The article presents the essential legal regulations, organization and economics of the healthcare systems in France and the United Kingdom. In order to provide the bird’s-eye view of these systems, the fundamental acts introducing them have been presented. Other most important regulations and principal bodies introducing, consulting and controlling them 150 MIECZYSŁAW BŁOŃSKI IUS NOVUM 3/2019 have been enumerated. The principal economic conditions and organization of the health systems in both countries have been discussed. The organizational overviews of both systems and their financial flows have been included. The whole analysis aimed to deliver primary information on how one of the most centralised healthcare systems in the European Union with many providers (the French one), compared with one of the most devolved in the EU but based mainly on one NHS provider (the UK one), have nearly similar effectiveness, i.e. provide nearly equalized medical services to their citizens.
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