Wyniki wyszukiwania - Biblioteka Nauki

1

Digitalisation and data exchange in healthcare in Poland

100%

Kurczewska K.

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nr 2(78)

165-181

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.

2

Zdarzenia niepożądane i błędy medyczne w opiece zdrowotnej

100%

Kryst L.

|

2011

|

tom nr 11

22-23

PL

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.

3

Ochrona od porażeń prądem elektrycznym w obiektach służby zdrowia

80%

Strzeżysz Z. , Marzec J.

|

2004

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tom nr 4

44-47

4

Trendy epidemiologiczno-demograficzne jako wyzwanie dla europejskich systemów ochrony zdrowia

80%

Rudawska I.

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nr 1/2013 (41) t.2

134-152

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.

5

HEALTHCARE IN THE LIGHT OF THE CONCEPT OF WELFARE STATE REGIMES – COMPARATIVE ANALYSIS OF EU MEMBER STATES

80%

Kawiorska D.

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nr 2

187-206

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.

6

Work ability of employees in changing social services and health care organizations in Finland

80%

Kokkinen L. , Konu A.

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tom 25

|

nr 2

151-165

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.

7

Medical Liability in the Light of New Hungarian Civil Code

80%

Barzó T.

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nr 1

107-114

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.

8

Health care system and health services reform as a challenge for public authorities in Poland

80%

Lizakowski P.

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nr 4

7-25

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.

9

Perspective modification of medical education in the sphere of telemedicine in Ukraine based on experience gained during professional internships in Poland

80%

Michalik I. , Kańtoch A. , Petiurenko A.

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tom Vol. 14, no. 3

art. no. 20180021

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.

10

Social responsibility of Polish health care in the era of the COVID-19 pandemic

80%

Hryszkiewicz D.

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tom 149(1)

260-273

EN

For several decades the health care service in Poland has been an institution at the centre of attention of both those in power and society as a whole. There are many reasons for this interest, ranging from the economic aspect to the national social policy sphere. This article provides an insight into health issues in Poland from a slightly different perspective. It contains an analysis of the institutions of the health care system in Poland in terms of its multidimensional social responsibility as a special kind of obligation to all community members. It highlights social responsibility as a modern tool for managing contemporary organisations, including public ones. The study also includes an analysis of the range of opportunities to make demands on the management of healthcare services in the field of health security. The health care system in Poland is one of the most strategically important fields for the state's social policy, which has recently been confronted with probably the greatest test in the post-war history of this country. It is becoming increasingly common among practitioners and experts in the social sciences to use the concept of health security as an integral part of designing the state's internal security strategy. The author also considers the health care system as a set of institutions constituting one of the greatest organisational challenges for both effective social policy and Poland's internal security in the years to come.

11

Analysis of nurse staffing and factors determining the demand for health care in Poland

80%

Kózka M. , Brzostek T. , Ksykiewicz-Dorota A.

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nr 2

59-66

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.

12

Selected problems in bionics

80%

Zmysłowski W.

|

tom Vol. 22, no. 2-3

199-206

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.

13

Public expenditure on healthcare in poland (2010-2020)

80%

OWCZARCZYK A.

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tom 54

|

nr 127

33-41

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).

14

Opinia prawna w sprawie zgodności z Konstytucją RP projektu rozporządzenia Parlamentu Europejskiego i Rady w sprawie badań klinicznych produktów leczniczych stosowanych u ludzi

80%

Banaszak B.

|

nr 4(36)

107-117

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.

15

Źródła finansowania ochrony zdrowia w Polsce i we Włoszech

80%

Lenio P.

|

2018

|

tom 115

81-95

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.

16

Selected Problems of Integration of Foreigners in the Czech Republic

80%

Macáková L.

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nr 1

109-125

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.

17

Regional strategies for pro-family policy in the care of rural child

80%

Sygit K. , Stępień-Słodkowska M. , Krajewska-Pędzik A. , Kaczmarczyk M. , Pielichowska E.

|

nr 3

73-80

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.

18

Training of health care leaders among rural residents

80%

Nishigaki Y. , Iijima I. , Matsushima S.

|

nr 2

19

Social privileges in the Second Polish Republic

70%

Grata P.

|

tom 33

19-36

EN

The Second Polish Republic developed an advanced and, in many ways, modern system of social care; however, the services which the citizens were entitled to seemed to be privileges available only to a small part of the population. The origins of this situation are to be found in the specific social and occupational structure of the population, low industrialization rate and the modest financial capabilities of the state and local governments. These resulted in a limited number of people with access to social insurances, a limited scope of public health care, a selective nature of access to unemployment insurance or radical differences in access to social care. And it is this unavailability of the social offer which determines the consideration of those benefits in Poland as privileges rather than commonly available rights of the Polish citizens.

20

Responsiveness to the hospital patient needs in Poland

70%

Gromulska L. , Gorynski P. , Supranowicz P. , Wysocki M. J.

Roczniki Państwowego Zakładu Higieny

|

2014

|

tom 65

|

nr 2

EN

ABSTRACT Background. The health system responsiveness, defined as non-medical aspect of treatment relating to the protection of the patients’ legitimate rights, is the intrinsic goal of the WHO strategy for 21st century. Objective. To describe the patients’ opinions on treatment they received in hospital, namely: admission to hospital, the role of patient in hospital treatment, course of treatment, medical workforce attitude, hospital environment, contact with family and friends, and the efficacy of hospital treatment in respect to responsiveness to patient’s needs and expectations (dignity, autonomy, confidentiality, communication, prompt attention, social support, basic amenities and choice of provider). Material and methods. The data were collected in 2012 from 998 former patients of the randomly selected 73 hospital in Poland. Results. Dignity: Over 80% of patients experienced kindness, empathy, care and gentleness, and over 90% of them had the sense of security in hospital, met with friendliness during the admission to hospital and never encountered inappropriate comments from medical staff. Autonomy: About 80% of patients accepted the active role of patients in hospital, they perceived they had influence on procedures related to hospitalization and course of treatment, and they felt medical staff responded to their requests and concerns. Over 90 % of them had opportunity to communicate their concerns to medical staff and to discuss the course of treatment. On the other hand, the explanation of the reason for the refusal to meet their requests was given to only 23 % of the patients interested. Confidentiality: 70-80 % of patients declared the respect for privacy and confidentiality during collecting the health information and during medical examinations, and were not examined in presence of other people. Nevertheless, only 23% of patients examined so were asked of their consent. Communication: About 90% of patients declared they trusted their physician, received from him explanation regarding the course of treatment and information about further treatment after discharge from hospital, but physicians devoted the time and attention to only 70% of them. Prompt attention: Over 90% of patients perceived simplicity of the formalities of admission to hospital, and short waiting for treatment and additional tests in hospital (but only 50% received explanation of reason if they waited long). Nevertheless, 10% of them % of them perceived they waited for admission to hospital too long, and over 20% for admission to a ward as long. Social support: The unlimited direct and phone contact with family and friends was declared by 96% of patients. Basic amenities: The high percentage of patients assessed positively the marking in hospital (97%) and cleanliness of linen (89%), followed by the general indoor appearance room in which patient stayed, lack of noise (70-80%), hospital meals, furniture (60-70%), availability of personal hygienic articles (50-60%), cleanliness of hospital room, toilet, showers and bathtubs, and availability of soap (40-50%). Choice of provider: Only 41% of patients declared that they had influence on choice of the hospital. Conclusion. Responsiveness of Polish hospital patient needs is similar to that of the OECD countries of the lowest health system responsiveness. Compared to the Central European countries, the responsiveness in Polish hospitals is lower than that of Czech Republic and only slightly higher of those of Slovenia, Slovakia and Hungary.

PL

Wprowadzenie. Wrażliwość systemu opieki zdrowotnej na potrzeby pacjenta, definiowana jako niemedyczny aspekt leczenia odnoszący się do ochrony praw należnych pacjentom, stanowi samoistny cel strategii Światowej Organizacji Zdrowia na 21-szy wiek. Cel badań. Zebranie i przedstawienie opinii pacjentów o leczeniu, które zapewniono im w szpitalu, mianowicie: przyjęcie do szpitala, rola pacjenta w czasie leczenia szpitalnego, przebieg leczenia, postawa personelu medycznego, środowisko szpitalne, kontakt z rodziną i znajomymi oraz skuteczność leczenia szpitalnego, w odniesieniu do wrażliwości na potrzeby i oczekiwania pacjenta (godność, autonomia, poufność, komunikacja, niezwłoczna pomoc, wsparcie społeczne i wybór szpitala). Materiał i metody. Dane zebrano od 998 byłych pacjentów z losowo wybranych 73 szpitali w Polsce. Wyniki. Szacunek: Ponad 80% pacjentów dostrzegało życzliwość, współczucie, troskę i delikatność, a ponad 90% miało poczucie bezpieczeństwa, spotkało się z uprzejmością podczas przyjęcia do szpitala i nie spotkało się z niewłaściwymi uwagami ze strony personelu medycznego. Autonomia: Około 80% pacjentów akceptowało aktywną rolę pacjenta w szpitalu, postrzegało, że mają wpływ na działania związane z pobytem w szpitalu i przebiegiem leczenia i reagowanie przez personel medyczny na ich prośby i wątpliwości. Ponad 90 % miało możliwość przekazywania personelowi medycznemu swoich wątpliwości i omawiać przebieg leczenia z lekarzem. Z drugiej strony, wyjaśnienie powodów odmowy spełnienia ich próśb przekazało tylko 23% zainteresowanych pacjentów. Poufność: Chociaż 70-80% pacjentów deklarowało respektowanie prywatności i poufności w czasie zbierania informacji o zdrowiu i w czasie badań medycznych, a także nie byli oni badani w obecności innych osób, jednakże o zgodę proszono tylko 23% pacjentów badanych w ten sposób. Komunikacja: Prawie 90% pacjentów odczuwało zaufanie do lekarza, otrzymywało od niego wyjaśnienia o przebiegu leczenia i informacje o dalszym leczeniu po wypisaniu ze szpitala, ale lekarz poświęcał swój czas i uwagę tylko 70% z nich. Szybka pomoc: Chociaż ponad 90% pacjentów postrzegało łatwość załatwiania formalności związanych z przyjęciem do szpitala i czas czekania na zabiegi i dodatkowe badania postrzegało jako krótki (ale jeśli długo czekali, to tylko 50% otrzymywało wyjaśnienia o przyczynie), jednakże prawie 10% czekających na przyjęcie do szpitala i ponad 20% czekających na przyjęcie na oddział postrzegało czas oczekiwania jako długi. Wsparcie społeczne: Brak ograniczeń w kontaktowaniu się z rodziną i znajomymi poprzez wizyty i rozmowy deklarowało 96% pacjentów. Podstawowe udogodnienia: Wysoki odsetek pacjentów ocenił pozytywnie oznakowania w szpitalu (97%) i czystość pościeli (89%), a w następnej kolejności: wygląd wnętrza szpitala, salę w której przebywa pacjent, brak hałasu (70-80%), posiłki, mebli (60-70%), zapewnienie papieru toaletowego, ręczników papierowych i suszarek do rąk (50-60%), czystość sali szpitalnej, toalet, pryszniców i wanien oraz dostępność mydła (40- 50%). Wybór usługodawcy: 41% pacjentów zadeklarowało, że mieli możliwość wyboru szpitala. Wnioski. Wrażliwość na potrzeby pacjentów szpitalnych w Polsce jest podobna do notowanej w państwach OECD o najniższej wrażliwości systemu zdrowia. W porównaniu do państw Europy Środkowej wrażliwość jest niższa niż w Republice Czeskiej i tylko nieco wyższa niż w Słowenii, na Słowacji i na Węgrzech.