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1
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EN
The study presents (a) the legal basis for creating digital infrastructure in health care, (b) currently used elements of this infrastructure and (c) solutions waiting to be implemented.
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Poziom i jakość systemu zdrowotnego decyduje o poczuciu bezpieczeństwa pacjentów korzystających z usług medycznych. Miernikiem oceny systemów zdrowotnych może być właściwa analiza przyczyn, monitorowanie i raportowanie zdarzeń niepożądanych i błędów medycznych. Zwracanie uwagi na ergonomiczne uwarunkowania tych zdarzeń zmniejsza ich liczbę i ogranicza zakres szkód.
EN
The level and quality of healthcare defines the sense of safety of patients who use medical services. Proper analysis of causes, monitoring and reporting of unwanted occurances and medical errors can help evaluate healthcare systems. Focussing on ergonomic conditions of those events lowers their number and reduces damage.
EN
The aim of the article was to present the principles of health care financing in Poland. Basic ways of acquiring health care funds were described. Their structure and their share in health care financing was analyzed in detail, demonstrating which of the ways of financing has the biggest share. A detailed analysis was conducted regarding the level and kinds of funds acquired for health care in the years 1999 - 2003.
EN
In many countries financing health care is becoming more and more complex. In order to compare the health care spending in various countries it is necessary to establish ways of classification of the above mentioned spending common to all these countries. The authors achieve this by dividing the spending into public and private, as well as by analyzing total spending on health care. The level of the country's economic development determines the potential possibilities of acquiring the funds, which may be earmarked for the health care.
EN
Background and purpose: The use of quality registers has increased rapidly in Sweden and they are identified as beneficial for health care competitiveness. A quality register is a structured gathering of patient information, to improve health care. However, the introduction of quality registers in health care organisations presupposes that employees know how to use them in quality improvement. Disconnections, or knowledge gaps, concerning quality registers hamper the possibilities to take advantage of them. Taking departure in professional health care educations, the purpose with the paper is to identify and explore knowledge gaps concerning quality registers. A second purpose is to propose actions to bridge the gaps. Methodology/Approach: In 2012 50 semi-structured telephone interviews were completed and the material analysed in the search for knowledge gaps. Results: Five knowledge gaps were found. Some professional health care educations teach improvement knowledge, but they have difficulties integrating quality registers as a resource in teaching. Quality registers do not sufficiently cooperate with professional health care educations and county councils do not generally include learning of quality registers in clinical placements/practicums. Conclusion: Professional health care educations need forums where they can collaborate with others to jointly explore how learning of quality registers can be integrated. There are promising approaches.
EN
Health care of children and young people is part of a system of care of the so called “developmental age population.” In this system, prevention plays a key role. The aim of the study was, basing on the obtained results, to develop guidelines for the regional pro-family policy in care of a rural child. The study included children and young people of school age, from 14 to 19 years of age. Overall the analysis included 6,971 children and adolescents and 6,971 parents. Organization of health care of children and school adolescents depended on the solutions approved by individual founding bodies of Health Care Units and Regional Patients’ Funds. The withdrawal of nurses from school was observed. The tasks of prevention character performed previously by nurses employed at schools began to be implemented within the framework of primary health care in the child’s place of residence. For proper implementation of the tasks of school nurses and the proper development of school hygiene, it is important to establish a uniform and maximum number of pupils per one nurse, taking into account all circumstances, and to develop standards of care for the student, taking into account the age of the student, school type, and the region.
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Content available remote Selected problems in bionics
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EN
Selected problems concerning the studies in the field of bionics have been reviewed. It have been shown that this discipline of science has an important impact on the development of studies in other disciplines and on the development of the innovative technologies. Particular attention was paid to the technical studies on information processing and control and biological studies on the mechanisms of physiological processes.
EN
Introduction: Recent studies have indicated that an adequate nurse staffing in a hospital exerts an effect on both the level of health services provided and the safety of patients. Numerous reports confirm the shortage of nurses who, has been observed in almost all European countries, and may threaten the quality of health care. Purpose: The objective of the study is an analysis of nurse staffing and the factors which shape the demand for health care in Poland. Material and methods: The study was based on the analysis of scientific literature, legal acts and reports by Polish government and occupational organizations, which undertake the problem discussed. Results: For years, in Poland, a decrease has been observed in nurse staffing rates per 1,000 inhabitants, compared to 15 countries of the European Union. The factors which affect the nurse staffing rate in Poland include changes in the sector of health care and the vocational education of nurses. Simultaneously, the limitations in employment of nurses are accompanied by an increased demand for health services. Considering the shortages in nurse staffing, and an increase in the demand for health services, there is a necessity to undertake systemic actions, both on the national and European level. Conclusions: Systemic solutions are necessary to prevent a divergence between increasing public health care demand and limited or even decreasing number of nurses willing to work in the profession. Otherwise the realization of the health policy goals might be hindered.
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EN
Both expenditure on healthcare and the functioning of the entire healthcare system in Poland stir up considerable controversy and are often discussed in the media. Hospital debts, the low quality of services, and the low availability of specialist medical services form the basis for the discussion of the effectiveness of the healthcare system. Statistical data are also bleak. Total health expenditure in Poland in 2019 amounted to 6.3% of GDP (estimated expenditure), whereas the average for health expenditure in the OECD countries was 8.8%. Therefore, Poland is below the average, and is placed last but four in the ranking (stat.oecd.org). The aim of this article is the presentation of public expenditure on healthcare in Poland from 2010 to 2020. In order to achieve this, the following research methods were used: a critical analysis of the literature, an analysis of statistical data, and - to make the research more transparent and the research results clearer - a tabular method was used. Also, widely accepted measurements were used, such as absolute values in domestic and international currencies, values per capita, and values in relation to the Gross Domestic Product (GDP).oduct (GDP). 
EN
The purpose of the opinion is not to examine thoroughly the proposal for a regulation but only to assess the legal basis for its issue, and to provide an analysis of those provisions of the proposal that may raise doubts about their conformity with the Constitution of the Republic of Poland. The main conclusions of the opinion relate to the lack of grounds for delegation by the Republic of Poland to the bodies of the European Union of the competence to regulate the issue of clinical trials on medicinal products for human use under primary law of the EU. Such delegation would infringe Article 90(1) of the Constitution. The author claims that the time limits specified in the proposal for regulation for action of the State make it impossible for Polish public authorities to implement obligations resulting from the preamble to the Constitution and their duties relating to protection of individual’s rights referred to in its Article 30.
11
Content available remote Źródła finansowania ochrony zdrowia w Polsce i we Włoszech
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EN
The study found that the majority of similarities and differences in the legal structure of Polish and Italian sources of financing of health care are the result of the adoption of a specific model of health care, and therefore there are fundamental differences between the catalogues of sources of financing health care in Poland and Italy. The basis for the difference between the Italian and Polish catalogues of sources of financing health care is the obligation of patients to contribute to the costs of the health care system in Italy by paying fees in return for receiving a certain type of service. In the reforms of the Polish and Italian health care systems one can see signs of transferring more and more responsibility to local government units. However, Italian and Polish local government units have no influence on the principles of functioning of the system and the shape of basic sources of financing health care.
EN
The aim of this paper is to characterize the problems of immigration and subsequent integration of foreigners in the Czech Republic. The starting point is a brief historical perspective on the development of migration policies of the Czech Republic and the development of immigration in recent years. The aspects discussed in particular are education and health care, as the main factors affecting the integration of immigrants. The analysis suggests a pivotal role of the state in the activities focused on the integration of foreigners, an important role is played by non-profit organizations. In the end of the paper attention is focused on the Czech public attitude to immigration. Active immigration policy in the Czech Republic began in 2003. Currently, integration is understood as an essential part of the immigration policy of the Government of the Czech Republic. Integration of foreigners into the Czech society is directly linked to the process of immigration and is crucial for the smooth immigrant participation in the local labor market and life in the country. The main problem is the lack of knowledge of the Czech language by adult immigrants and especially their children, lack of knowledge of the Czech language, which significantly complicates the possibility of integration into the Czech society. Access to health care is another critical area of integration.
EN
The number of medical malpractice lawsuits filed each year in Hungary has considerably increased since the change of regime. The judicial decisions and practices on determining and awarding wrongful damages recoverable for medical malpractices in the Hungarian civil law have been developing for decades.
EN
The health care system in Poland is an important element of the activities of state authorities. Public opinion polls confirm the need for reforms in this area. The health sector comprises healthcare, public health and health-related social welfare activities and as a whole requires operational improvement. Well planned activities should improve health security in general. One of the ways to improve the effectiveness of healthcare entities is commercialization of independent public healthcare institutions. It is in line with the generally observed tendency to more and more frequently outsource tasks to external entities by public administration. In this way, the traditional tasks of public administration, so far performed mainly by the public finance sector, are entrusted to private entities. However, this does not change the scope of public authorities’ responsibility for the functioning of healthcare security.
EN
The processes of globalization and integration, as well as technologies and computerization, occurring in public life cause significant changes in all its spheres, especially in medicine. Nowadays, computerization of healthcare facilities has become the norm of their development. However, rapid technological change requires the modernization of medical education system, revising the approaches to the training of competitive medical professionals who will able to adapt quickly to changes in the field of health care. The research issue concerns the processes of future medical professionals’ training. The importance of telemedicine in health-care systems of Ukraine and Poland is justified. It is suggested that the problem of telemedicine and e-health usage in the process of medical professionals’ training in Ukraine is not studied sufficiently and does not have practical consolidation. The didactic methodology of medical specialties students training for the use of telemedicine technologies in future professional activities is developed.
EN
Objectives: In this study, we examined the connection between organizational changes and employees own evaluations of their work ability. Materials and Methods: In early 2010, we asked employees (n = 2429) working in the Finnish social services and health care industry to identify all the organizational changes that had occurred at their workplaces over the previous two years, and to evaluate their own work ability and whether different statements related to the elements of work ability were true or false at the time of the survey. For our method of analysis, we used logistical regression analysis. Results: In models adjusted for gender, age, marital status, professional education and managerial position, the respondents who had encountered organizational changes were at a higher risk of feeling that their work ability had decreased (OR = 1.49) than the respondents whose workplaces had not been affected by changes. Those respondents who had encountered organizational changes were also at a higher risk of feeling that several elements related to work ability had deteriorated. The risk of having decreased self-evaluated work ability was in turn higher among the respondents who stated they could not understand the changes than among those respondents who understood the changes (OR = 1.99). This was also the case among respondents who felt that their opportunities to be involved in the changes had been poor in comparison to those who felt that they had had good opportunities to be involved in the process (OR = 2.16). Conclusions: Our findings suggest that the organizational changes in social and health care may entail, especially when poorly executed, costs to which little attention has been paid until now. When implementing organizational changes, it is vital to ensure that the employees understand why the changes are being made, and that they are given the opportunity to take part in the implementation of these changes.
EN
This paper addresses issues related to health care in the context of the debate about the typology of welfare state regimes and comparative studies conducted in reference to the debate. Particular attention has been paid to the phenomenon of decommodification as one of the key dimensions that define welfare regimes identified in the literature associated with this debate. The study presents a health decommodification index, on the basis of which an attempt has been made to assess the decommodification potential of health care, taking into account the situation in the 28 EU Member States in 2012. The identification of a widely understood accessibility of publicly funded health care as a basic measure for assessing the decommodifying features of health programs is an important result of the empirical analysis. The study has also confirmed the views expressed in the literature about the existence of practical obstacles standing in the way of developing a universal typology of welfare states.
EN
Aim. The aim of the research was to analyse the burnout rate of these social workers and nurses, as well as to determine the relationship between burnout syndrome and other important factors, including lifestyle, stress, resistance to stress and other selected demographic indicators. Methods. The Maslach Burnout Inventory was used to collect burnout data in 2021 during the second wave of the Covid-19 pandemic. The research sample consisted of 623 women aged 35-55 who work in social services facilities for the elderly and nurses working in the geriatrics department at a hospital in the western part of Slovakia. Results. Research has shown that lifestyle has a significant impact on the development of burnout syndrome in connection with the quality of work and personal relationships, which can help eliminate feelings of frustration, exhaustion and personal failure in the workplace. Burnout affects social workers regardless of age and education, but with older age and length of practice in the same facility, the risk of manifestations of burnout increases. Significant differences in burnout rates between social workers and nurses in the individual dimensions of exhaustion, depersonalisation and professional attitudes were confirmed. High levels of exhaustion have even shown an increased risk of alcohol consumption among these workers. Conclusion. The development of chronic stress in health care workers can put them at risk of burnout, which is characterized by emotional exhaustion (EE), depersonalization (DP) in interactions with patients and social clients, and low levels of personal accomplishment (PA) in social work and health care.
EN
The aim of this paper is to revise selected demographic and epidemiologic trends regarding European societies. Next paper focuses on the implications of the defined trends on health care financing and organizing. The discussion is based on the comparative analysis of international statistics referring European region, mainly members of European Union. Then the conclusions are drawn regarding priorities in health care organizing and financing.
PL
Celem artykułu jest przegląd wybranych trendów demograficznych i epidemiologicznych dotyczących europejskich społeczeństw. Artykuł koncentruje się na wpływie zdefiniowanych trendów na system finansowania i organizowania ochrony zdrowia. Dyskusja została poprowadzona w oparciu o analizę komparatywną statystyk międzynarodowych odnoszących się do regionu Europy, w tym przede wszystkim krajów Unii Europejskiej. Artykuł wieńczą konkluzje na temat priorytetowych kierunków zmian w finansowaniu i organizowaniu ochrony zdrowia.
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