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

Kautsch M., Lichoń M., Matuszak N., Erskine J., Whitfield M.

Engineering Management in Production and Services

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2017

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Vol. 9, no. 2

64--72

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.

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Problem energii w europejskich systemach ochrony zdrowia

Kautsch M.

Rynek Energii

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2015

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Nr 2

32--39

PL

Energia produkowana z paliw kopalnych przyczynia się do pogarszania stanu zdrowia populacji. Chcąc zapobiec negatywnym skutkom emisji gazów cieplarnianych państwa członkowskie Unii Europejskiej przyjęły ambitną strategię ograniczania emisji ww. gazów i poprawy efektywności energetycznej swoich gospodarek. Strategia, która dotyczy także ochrony zdrowia, obejmuje, m.in., tworzenie przez państwa członkowskie narodowych planów efektywności energetycznej. W dokumentach tych ochrona zdrowia nie zajmuje jednak poczesnego miejsca, co pokazuje, że tematyka energii w ochronie zdrowia nie przykuwa uwagi decydentów, choć jest to energochłonny sektor gospodarki. Różnice w zużyciu energii przez jednostki ochrony zdrowia w Europie są znaczące, co wynika z szeregu czynników będących pochodną rozwiązań systemowych ochrony zdrowia, jak i czynników technicznych / technologicznych dotyczących budynków użytkowanych przez jednostki ochrony zdrowia. Poprawa efektywności energetycznej sektora może przynieść pozytywnie skutki. Może wpłynąć na stan zdrowia populacji poprzez mniejszą emisję szkodliwych gazów oraz poprawić efektywność ekonomiczną jednostek ochrony zdrowia, a przez to – pozwolić na pełniejsze zaspokajanie potrzeb zdrowotnych.

EN

Energy produced from fossil fuels contributes to the deterioration of the health status of the population. To prevent negative effects of greenhouse gas emissions, Member States of the European Union adopted an ambitious strategy for reducing emissions of the above gases and improve energy efficiency of their economies. The strategy, which also applies to healthcare, comprising, among others, the developing national energy efficiency plans by Member States. However, healthcare does not take a prominent place in these documents, which shows that the subject of energy in healthcare does not call attention of decision-makers, although it is an energy-intensive sector of the economy. The differences in energy consumption by healthcare units in Europe are significant, due to a number of factors deriving from solutions used by the health system and technical/technology issues related to buildings used by healthcare units. Improving the sector energy efficiency can bring positive effects. It can affect the health status of the population through lower emissions of harmful gases and improve the economic efficiency of health care units, and thus – to allow for fuller meeting of health needs.

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Rynek certyfikacji placówek ochrony zdrowia w Polsce

Lewandowski R., Kautsch M.

Problemy Jakości

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2009

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R. 41, nr 4

23-26

EN

Certifying quality has a Long tradition, it started in the 50s of the 20th century in the military supplying systems and then spread to most areas of economy worldwide. In health care quality of services it is the issue of enormous importance. Therefore the quality assuring and control systems were developed in this sector quite early. Despite globalization, countries are devoted to their own health care systems. Development of these systems depends on the country's tradition, social model and resources available. Therefore quality and attitude towards quality assurance varies between countries. In Poland there are two systems, which, though they were developed for different purposes are used for quality assurance. They are accreditation and ISO family certificates. They are not mandatory, and units which have them, are perceived as those which are more caring for patients. The paper focuses on the ISO certificates and presents the analysis of the number of different health care units awarded by these certificates and companies, which issued them. The results of the study show that there are about 5% of health care units in Poland which have ISO 9001 certificates. These and other ISO family certificates were issued by at least 37 agencies. The leading one has about 20% of this market. The next two - about 10% each. All others are much smaller.