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1
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Przemiany demograficzne – świat, Europa, Polska. Wpływ zmian demograficznych na rynek pracy i sektor ochrony zdrowia

100%
Kocot E.
Zdrowie Publiczne i Zarządzanie
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2011
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vol. 9
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issue 1
5-24
EN
The population ageing is an universal problem concerning all countries in the world, not only in Europe. The main sources of this process are decreasing fertility and increasing life expectancy. The migration has additional impact on ageing in some countries. The ageing of population means many new challenges in the field of economy and society. The quality of life of older people and the entire population as well depends on how countries will meet these challenges and how societies will adapt to the changing demographic conditions. Longer life can mean activity, health and participation, but it depends on properly planned activities in many areas of social and economic life. The phenomenon of ageing and the consequences associated with them are extremely complex and multilateral issues. The presented article focuses on the comparision of the process of ageing in different continents and countries, particularly in Poland. It concerns the problem of the ageing impact on labour market and health care sector as well.
2
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Wskaźniki zdrowotne – definicje, funkcje, klasyfikacje

100%
Kocot E.
Zdrowie Publiczne i Zarządzanie
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2009
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vol. 7
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issue 1
PL
Health indicators – definitions, functions, classificationsAspiration for health care system improvement can be observed in almost each country. However the health policy activities should be based on comprehensive and reliable information about current health status of population, health care system performance valuation and monitoring, health needs and identification of priorities in the health sector. The information can be efficiently collected and presented in the form of health indicators. The health indicators application in the epidemiology is obvious, but rapid growth of health expenditures in the last years causes considerable increase of interest in the problems of wider usage of health indicators.If we assume wide health indicators definition they could be divided into four groups, depending on the field they concern: indicators of population characteristics, indicators of individual and population health status, indicators of non-medical determinants of health and indicators of health system performance. The analysis of health indicators indicates their  following functions: information, diagnosis, planning, comparing, prognosis, monitoring, evaluation. Many indicators may perform different  functions, depending on the level of usage and the main aims defined.
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Stan finansów w ochronie zdrowia

63%
Golinowska S., Kocot E.
Zdrowie Publiczne i Zarządzanie
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2008
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vol. 6
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issue 1-2
PL
The state of finances in health careThe state of finances in health care stirs a lot of interest among both poli­ticians as well as experts. Unfortunately, despite improvements made in recent years, there is still a lack of  thorough knowledge in this field. For this reason the Ministry of Health has  commissioned a report called “Green Book II” on the financial situation in the health sector. The report presents first and foremost a diagnosis of the financial situation of health care in Poland. However, it also contains some recommendations that are the result of  analyses and prognosis of income and expenses of health care in Poland in the next decades. Over 60% percent of the health care’s income comes from premiums – which is a source of income of great dynamics. Another significant source of income is made up of funds designated for health care out of household budgets.  The remaining sources of income come from the country’s budget, state’s budget as well as from employers.   Health care expenses since the year 2004 clearly show a tendency to rise, what is worrisome is the drop in expenses connected with public health such as, for example, education.  In Poland the share of expenses for public health in GDP (gross domestic product) has been constant figure for many years, and is one of the lowest in Europe. The report, “Green Book II” also sheds light on two important occurrences: the disproportion of the development of separate segments of the system as well as the permanent debts of care givers. Unfortunately, according to the prognosis the gap between income and expenses in health care will widen.In light of the results of the analyses conducted so far, the basic problem regarding the functioning of the health care sector is the lack of.
4
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Zasoby kadr dla sektora zdrowotnego. Dotychczasowe tendencje i prognozy

51%
Golinowska S., Kocot E., Sowa A.
Zdrowie Publiczne i Zarządzanie
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2013
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vol. 11
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issue 2
PL
Human resources in health care. Up-to–date trends and projectionsThe article presents the diagnosis of trends in health care sector personnel in Poland, particularly physicians and nurses, and projections of the future personnel taking into account population ageing. The article is based on the NEUJOBS project research performed within the European Commission 7th Framework Programme. The analysis and projections use quantitative data: administrative, Eurostat data and GUS survey results. The density of employment of the health personnel per 1000 inhabitants is lower in Poland than in other EU-countries. In the future the demand for the medical personnel will be growing due to the increased needs for health care and ageing. The projections show that shortages of personnel will be faced by hospitals, particularly for specializations related to treatment of chronic diseases, while this is not the case in primary care. The size of the demand for medical personnel will be subjected to increase in technical efficiency of hospitals.
5
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Production lost due to cervical cancer in Poland in 2012

51%
Dubas-Jakóbczyk K., Kocot E., Seweryn M., Koperny M.
Medycyna Pracy
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2016
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vol. 67
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issue 3
289-299
PL
Wstęp Polska ma jeden z najwyższych w Europie wskaźników umieralności kobiet z powodu nowotworu szyjki macicy. Niewiele kobiet uczestniczy w programach przesiewowych, a u wielu choroba jest późno diagnozowana. Celem badania było oszacowanie produkcji utraconej z powodu występowania nowotworu szyjki macicy w Polsce w 2012 r., a tym samym ocena wpływu choroby na zdolność populacji do pracy. Analizę można traktować również jako przykład metodyki szacowania strat produkcyjnych z powodu występowania określonej jednostki chorobowej przy wykorzystaniu dostępnych w Polsce danych. Materiał i metody Wykorzystano metodę kapitału ludzkiego i oszacowano produkcję utraconą z 4 powodów – 1) czasowej niezdolności do pracy, 2) trwałej niezdolności do pracy, 3) opieki członków rodziny nad osobą chorą i 4) umieralności – w kategoriach monetarnych i ilościowych (dni utraconej produkcji). Wyniki Nowotwór szyjki macicy spowodował w 2012 r. utratę 702 964 dni produkcji z powodu chorobowości i 957 678 dni z powodu umieralności. Całkowitą produkcję utraconą oszacowano na 111,4 mln euro, z czego ponad 66% było spowodowanych zgonami osób chorych na nowotwór. Wnioski Oszacowanie produkcji utraconej z powodu nowotworu szyjki macicy dostarcza silnych argumentów w procesie alokacji zasobów w sektorze zdrowia na rzecz prewencji nowotworów. Należy zintensyfikować również działania z zakresu promocji badań przesiewowych, m.in. z uwzględnieniem roli pracodawcy. Med. Pr. 2016;67(3):289–299
EN
Background Poland has one of the highest cervical cancer mortality rates in Europe. It is related to the problem of late diagnosis and low attendance rate in screening programs. The objective of the study has been to assess the annual production loss due to the cervical cancer morbidity and mortality in Poland in 2012. The outcomes have been to provide comprehensive information on cervical cancer’s influence on population’s ability to work and its overall economic burden for the society. The study has also provided the methodological framework for disease-related production losses in Polish settings. Material and Methods The human capital method was used. The production losses were calculated in both monetary and quantitative terms (working days lost) due to 4 following reasons: 1) temporary disability to work, 2) permanent disability, 3) informal care, and 4) mortality. Results Cervical cancer resulted in approx. 702 964 working days lost in 2012 due to absence at work for both patients and care givers and a total number of 957 678 working days lost due to patients’ mortality. The total value of production lost was assessed at 111.4 million euros. More than 66% of this value was attributed to women’s mortality. Conclusions The calculation of production lost due to cervical cancer burden provides strong evidence to support adequate health promotion and disease prevention actions. Actions promoting cervical cancer screening should be intensified including workplace health promotion activities. Med Pr 2016;67(3):289–299
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Starzenie się populacji; co wiemy o problemie i jak możemy się przygotować na sprostanie wyzwaniu demograficznemu? Konferencja w UJ CM oraz badania naukowe

51%
Dubas K., Kocot E., Rogala M.
Zdrowie Publiczne i Zarządzanie
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2012
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vol. 10
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issue 4
PL
Population aging challenge – the conference at Jagiellonian University and research The population aging process is inherent feature of all contemporary societies. It places enormous pressure on all countries health and social systems. The demographic changes lead to both the organizational as well as financial challenges. The aim of the article is to present the scope and diversity of the ‘population aging’ influence on the health care sector – by description of various, related researches, projects and activities conducted within the past several years, in Europe and Poland. The authors provide brief summaries of contemporary researches and analyze the effects of the population aging on the Polish health care system in its: organizational (human resources), financial (costs of treatment, public expenditure) and social (disability, informal care) aspects. The need for comprehensive (combining education, labour, health and social sectors), long-term strategy focused on the population aging challenge is emphasized
7
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The association between air pollutions and emergency hospitalizations due to COPD and asthma across 16 Polish cities: population-based study

33%
Ścibor M., Leoszkiewicz K., Micek A., Chomoncik K., Dubas-Jakóbczyk K., Kocot E., Bąk A., Kucińska J., Dziurda D., Topór-Mądry R.
International Journal of Occupational Medicine and Environmental Health
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2024
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vol. 37
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issue 1
110-127
EN
Objectives In recent years numerous initiatives aimed at reducing air pollution have been undertaken in Poland. The general objective was to examine the correlation between air pollution measured by the level of particulate matter ≤10 μm in diameter (PM₁₀) and emergency hospitalizations due to chronic obstructive pulmonary disease (COPD) and asthma in 16 Polish cities (capitals of the regions). Material and Methods The authors aimed to diagnose the situation across 16 cities over a 5‑year period (2014–2019). Data on the number of hospitalizations was retrieved from the national public insurance system, the National Health Fund. A total number of 22 600 emergency hospitalizations was analyzed (12 000 and 10 600 in 2014 and 2019, respectively). The data on air pollution was accessed via the public register of the Chief Inspectorate for Environmental Protection air quality database. The authors of this article have used the data on PM₁₀ daily exposure in each of the 16 cities in 2014 and 2019. Statistical methods included: non-parametric tests, a 2-stage modelling approach for time-series data, and multivariate meta-analysis of the results. Results The results indicated that there was a statistically significant decrease in PM₁₀ concentration in 2019 in comparison to 2014 in all cities, mainly in the autumn and winter season. However, the correlation between the improvement in the air quality and a decrease in emergency hospitalizations due to asthma and COPD turned out to not be as strong as expected. The authors observed a strong correlation between PM₁₀ concentrations and hospitalizations due to asthma and COPD, but only when air quality norms were significantly above acceptable levels. Conclusions Air pollution measured by PM₁₀ concentration might be used as one of the predictors of the asthma and COPD emergency hospitalization risk, yet other factors like respiratory tract infection, health care organizational aspect, patient self-control, compliance and comorbidities should also be taken into consideration.
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