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EN
Purpose: The main purpose of the paper is to provide an introduction to the issues of the coordinated medicine model and the management of the medical facility. Due to the comprehensiveness of the topic, the paper is only a theoretical introduction to a further, more detailed publication series encompassing research assumptions. Design/methodology/approach: The paper is based on a theoretical analysis and literature review. Findings: The paper describes the theoretical assumptions of the model setting the directions for further research. Research limitations/implications: The content presented is an outline of the further research area. Practical implications: The considerations presented and references to international experience provide a basis for further research to identify possible impacts on improving the availability and quality of health service provision in Poland. Social implications: Undertaking research based on the theoretical assumptions of the model described should improve the health of the population and make more rational use of resources to improve access to services. Originality/value: The paper is primarily addressed to health care managers, as well as economists and government employees dealing with management issues in health care and public health.
EN
The most recent big reform of the Polish health system took place in 2017 and introduced a basic hospital service provision system. Hospitals were able to be included in the network and receive flat-rate financing from the National Health Fund. The current paper aimsto assess how the relative situation of hospitals changed between 2015 and 2018. This study is based on multicriteria rankings which take into account the values of profit/loss on sales, the contract with the NHF, the income from health services outside the NHF, the income from rental and lease, the employment of doctors, the employment of nurses, liabilities, operating costs, and interns and residents per hospital bed. The similarity of rankings constructed using different methods is shown. Based on the results of the Chi-squared test, it can be concluded that the inclusion in the network does not affect whether the relative situation of a hospital between 2015 and 2018 improved or not. In the regression analysis, the dummy variable for level 1 hospital was negatively related to the median rank; however, this impact was not statistically significant.
EN
In the article shows the stages of strategic audit of the health system in Ukraine context of the concept of social-ethical marketing. It was concluded on trends in the relationship between the reduction of specialized medical facilities and the reduction of the population based on the results of multivariate correlation and regression analysis. A survey of the population on access to health services shows that the majority of respondents do not have the opportunity to receive adequate medical care, which is exacerbated by declining incomes and the economic crisis. It was concluded that the health care system of Ukraine does not comply with the socio-ethical norms and principles of the marketing strategy of medical services. It was proposed to improve the reform of the health care system of Ukraine in terms of its compliance with socio-ethical principles.
PL
W artykule przedstawiono etapy strategicznego audytu systemu ochrony zdrowia w Ukrainie, w kontekście koncepcji marketingu społeczno-etycznego. Na podstawie wyników wielowymiarowej analizy korelacji i regresji sformułowano wnioski, dotyczące trendów, w związku między redukcją wyspecjalizowanych placówek medycznych, a redukcją populacji. Z badania ankietowego, dotyczącego dostępu do świadczeń zdrowotnych wynika, że większość respondentów nie ma możliwości uzyskania odpowiedniej opieki medycznej, co jest pogłębiane przez spadające dochody i kryzys gospodarczy. Stwierdzono, że system opieki zdrowotnej Ukrainy nie spełnia norm społeczno-etycznych i zasad strategii marketingowej usług medycznych. Zaproponowano poprawę reformy systemu opieki zdrowotnej Ukrainy, pod kątem zgodności z zasadami społeczno-etycznymi
PL
Artykuł ma charakter poglądowy i prezentuje potencjał twórczy pracy architekta w projektowaniu przestrzeni obiektów ochrony zdrowia z uwzględnieniem wpływu jego działań twórczych na system opieki medycznej. Celem niniejszego opracowania jest zwrócenie uwagi na modele funkcjonowania opieki medycznej w Polsce oraz powiązanie ich z istotnymi aspektami projektowania obiektów ochrony zdrowia, takimi jak np. komfort klimatyczny.
EN
The article presents an overview of the architect’s creative potential in designing space of healthcare facilities. It, furthermore, analyses the influence of architectural designing on the healthcare system. The study aims to present the operating models of healthcare facilities in Poland and their interrelations with significant criteria recommended in designing healthcare facilities, such as e.g. thermal comfort.
EN
Purpose: To diagnose causes of unsatisfactory (failure factors) of restructuring operations undertaken in public hospitals located in the Silesian Province (Śląskie Voivodeship). A level of achievement of an individual objective set for restructuring operation was a measure of their effectiveness. Design/methodology/approach: The present research study was conducted in three stages and preceded by pilotage. In the first stage, the process of restructuration as perceived from public hospitals was analysed, in the second stage - from the point of view of their establishing entities. Two survey questionnaires were used to accomplish these stages. The research studies were conducted among the management staff of 17 public hospitals and among 14 establishing entity representatives. The third step was aimed at assessing and sorting all the identified failure factors. The group expert assessment method was applied for its implementation by 20 people. Findings: The most common objective of public hospital restructuration was to improve the quality of provided services and then to reduce debts. The average degree of achievement of the first objective amounted to 75.2%, while the second - 67.7%. The research studies led to the identification of 30 factors which have a significant negative influence on restructuration; among them 'adoption of improper assumptions on the restructuring plan in relation to financial forecasting' was considered the most important. Research limitations/implications: The research studies were conducted in public hospitals located in the Silesian Province (Śląskie Voivodeship) and which operated as independent public health-care units. Practical implications: In order to conduct restructuring operations, public hospitals and their establishing entities should apply project management methodologies, under which they will plan and implement their restructuring operations. Originality/value: Studies have shown the effectiveness of restructuring hospitals located in Silesia and identified the factors that have a negative impact on hospital restructuring.
6
Content available remote Integrating deep learning, social networks, and big data for healthcare system
EN
This paper aims to propose a deep learning model based on big data for the healthcare system to predict social network data. Social network users post large amounts of healthcare information on a daily basis and at the same time hospitals and medical laboratories store very large amounts of healthcare data, such as X-rays. The authors provide an architecture that can integrate deep learning, social networks, and big data. Deep learning is one of the most challenging areas of research and is becoming increasingly popular in the health sector. It uses deep analysis to extract knowledge with optimum precision. The proposed architecture consists of three layers: the deep learning layer, the big data layer, and the social networks layer. The big data layer includes data for health care, such as X-ray images. For the deep learning layer, three Convolution Neuronal Network models are proposed for X-ray image classification. As a result, social network layer users can access the proposed system to predict their X-ray image posts.
PL
Zmiany zachodzące w organizacjach sektora ochrony zdrowia i w jego otoczeniu zwiększają zapotrzebowanie na wiedzę dotyczącą zarządzania tymi organizacjami oraz zarządzania w tych organizacjach. To pociąga za sobą konieczność stosowania odpowiednich metod i narzędzi zarządzania, a tym samym bycia organizacją uczącą się. W niniejszym opracowaniu – w wyniku przeprowadzonych badań terenowych – dokonano oceny stopnia stosowania metod i narzędzi zarządzania jakością usług zdrowotnych w wybranych podmiotach leczniczych mających siedzibę w województwie śląskim. Zastosowano case study. Wyniki badań wskazują, że stopień znajomości i stosowania metod i narzędzi zarządzania jakością w badanych szpitalach nie jest wysoki.
EN
Changes occurring in organizations in the healthcare sector and in its environment increase the need for knowledge regarding the management of these organizations and management in those organisations. This entails the need to apply appropriate methods and management tools, and thus to be a learning organization. In this study – as a result of field research – an assessment was made of the degree of application of methods and tools for quality management of health services in selected medical entities located in the Silesia Province. Case study was applied. The results indicate that there is not a high level of knowledge and use of methods and tools of quality management in researched hospitals.
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