Are there just barriers? Institutional perspective on the development of e-health in Poland

• Autorzy: Kautsch M. , Lichoń M. , Matuszak N. , Erskine J. , Whitfield M.

Identyfikatory

DOI

10.1515/emj-2017-0015

• Języki publikacji: EN

Abstrakty

EN

Development of e-health in Poland has suffered from multiple setbacks and delays. This paper presents views on and experiences with implementation of e-health solutions of three groups of respondents: buyers, suppliers and external experts with the aim of establishing to what extent and in what way e-health development was taking place in Polish public health care and if there were any national policy targets or European targets influencing this development. It is based on desktop studies and interviews conducted in Poland in the spring and summer of 2015. The interviews largely confirmed findings from the desktop study: legal obstacles were the decisive factor hindering the development of e-health, especially telemedicine, with extensive insufficiency of basic IT infrastructure closely following. Stakeholders were deterred from engaging with telemedicine, and from procuring e-health using non-standard procedures, from fear of legal liability. Some doctor’s resistance to e-health was also noted. There are reasons for optimism. Amendment to the Act on the System of Information in Health Care removed most legal obstacles to e-health. The Polish national payer (NFZ) has started introducing reimbursement for remote services, though it is still too early see results of these changes. Some doctors’ reluctance to telemedicine may change due to demographic changes in this professional group, younger generations may regard ICT-based solutions as a norm. In the same time, poor development of basic IT infrastructure in Polish hospitals is likely to persist, unless a national programme of e-health development is implemented (with funds secured) and contracting e-health services by NFZ is introduced on a larger scale.

Słowa kluczowe

EN

barrier; e-Health; Poland; telemedicine

PL

bariera; e-zdrowie; Polska; telemedycyna

• Wydawca: Oficyna Wydawnicza Politechniki Białostockiej
• Czasopismo: Engineering Management in Production and Services
• Rocznik: 2017
• Tom: Vol. 9, no. 2
• Strony: 64--72
• Opis fizyczny: Bibliogr. 27 poz.

Twórcy

autor

Kautsch M.

• Jagiellonian University Medical College, Institute of Public Health, Krakow, Poland

autor

Lichoń M.

• Jagiellonian University, Sociology Institute, Krakow, Poland

autor

Matuszak N.

• Dane-i-Analizy.pl sp. z o.o., Krakow, Poland

autor

Erskine J.

• Durham University, School of Medicine, Pharmacy and Health, Durham, UK

autor

Whitfield M.

• Emeritus Professor, Sheffield Hallam University, Sheffield, UK

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