{"title":"Early COVID-19 pandemic response in Italy: Pros and cons","authors":"N. Magnavita, A. Sacco, F. Chirico","doi":"10.4467/20842627OZ.20.002.12656","DOIUrl":"https://doi.org/10.4467/20842627OZ.20.002.12656","url":null,"abstract":"Since the beginning of the COVID-19 pandemic, Italy was one of the worst-affected European countries. The rapid surge of cases and the limited capacity of intensive care unit departments have posed a serious threat to the Italian national health system. In this paper we describe the first response and the main measures carried by Italian policy makers, as coordinated by a governmental committee of public health experts, which have succeeded in preventing the pandemic from turning into a disaster. Early closure of the school, quarantine measures and lockdown were put in place and the response of the population has been good overall. Despite the Italian health care system of universal coverage is considered the second-best in the world, during phase 1, the Italian decentralisation and fragmentation of health services probably restricted timely interventions and effectiveness. In northern Italy, Lombardy, Emilia Romagna, Piedmont, and Veneto, which reported most of the Italian cases, carried out different strategies against COVID-19, with great differences in testing, quarantine, and public health procedures. The improvement of the epidemiological situation has allowed an easing of the restrictive measures, with a progressive restarting of work activities. The government and technical-scientific bodies have prepared health strategies to support a possible second epidemic wave in the autumn.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125005775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Slavena Manolova, M. Pavlova, Tetiana Stepurko, M. Tambor, W. Groot
{"title":"Long-term care provision in Europe: Results of a desk research study","authors":"Slavena Manolova, M. Pavlova, Tetiana Stepurko, M. Tambor, W. Groot","doi":"10.4467/20842627oz.19.014.11971","DOIUrl":"https://doi.org/10.4467/20842627oz.19.014.11971","url":null,"abstract":"This paper describes the provision of long-term care across Europe based on data gathered in a desk research. The aim is: (1) to identify indicators of long-term care provision; and (2) to compare the provision of formal and informal care across the European countries. For this purpose, a narrative literature review was carried out to identify relevant indicators. Subsequently, a descriptive analysis was performed to analyse the indicator-related data. The results suggested that there are important differences in the long-term care provision in Europe. Long-term care is provided both at public and private institutions. The entitlement criteria vary among countries. In general, Western and Northern European countries have more generous provision of residential care compared to Eastern and Southern European countries. At the same time, informal care has different roles and it is extremely important in Eastern and Southern European countries. Among all countries, more than half have quality assurance regulations for residential care. However, most of the Southern and Eastern European countries lack information about the quality assurance regulations. In order to monitor the long-term care provision, it is recommended that European countries establish a reporting system to provide annual data. These annual data should be based on identical measurement mechanisms and standardised reporting structure to allow for comparison and improvements of long-term care systems.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"870 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132771837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EU policy on healthy ageing","authors":"W. C. Włodarczyk, M. Tambor","doi":"10.4467/20842627oz.19.018.11975","DOIUrl":"https://doi.org/10.4467/20842627oz.19.018.11975","url":null,"abstract":"Population ageing has been affecting all countries across the European Union (EU). To address the challenges resulting from this process, a healthy ageing strategy has been proposed. Healthy ageing aims at keeping older people in good health and independent as long as possible, and thus, im-proves their wellbeing. The aim of this paper is to present the EU healthy ageing policy, based on a review of EU documents related to this concept. A method of narrative literature review using a snowball approach has been applied. The results of the review show that healthy ageing is a broad concept which covers various issues, such as promoting health enhancing behaviour, disease prevention, changing the social perception of older people and providing conditions for the independent living of older people. Healthy ageing has often been dominated by active ageing strategies which are focused on increasing older people’s labour market participation and social involvement. The EU actions in the area of healthy ageing include: increasing awareness and encouraging relevant stakeholders to undertake actions to address the needs of older people (e.g. the 2012 European Year for Active Ageing and Solidarity between Generations), providing funds (e.g. Health Programmes) and providing platforms for cooperation and exchange of good practices (e.g. the European Innovation Partnership on Active and Healthy Ageing).","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126320316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Pavlova, Lena Praznovszky, M. Tambor, S. Golinowska, W. Groot
{"title":"Introduction. Challenges in long-term care in Europe","authors":"M. Pavlova, Lena Praznovszky, M. Tambor, S. Golinowska, W. Groot","doi":"10.4467/20842627oz.19.013.11970","DOIUrl":"https://doi.org/10.4467/20842627oz.19.013.11970","url":null,"abstract":"","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121392165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Priorities, factors and alternatives involved in the choice of medical specialty – an empirical study on year sixth medical students","authors":"A. Pawełczyk, W. Adamus, M. Radek, T. Pawełczyk","doi":"10.4467/20842627oz.19.008.11379","DOIUrl":"https://doi.org/10.4467/20842627oz.19.008.11379","url":null,"abstract":"Priorities, Factors and Alternatives Involved in the Choice of Medical Specialty – an empirical study on year sixth medical students","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125842779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postgraduate education of hospital directors","authors":"M. Kautsch, Roksana Dela, I. Barańska","doi":"10.4467/20842627oz.19.010.11381","DOIUrl":"https://doi.org/10.4467/20842627oz.19.010.11381","url":null,"abstract":"The reforms of the healthcare system (market economy of the sector) have changed the requirements for Poland’s hospital directors. Consequently, ever greater numbers of non-doctors have been appointed to these positions in recent years. One of the responses to this change in the requirements has been directors undertaking postgraduate studies in order to enhance their qualifications or by others to meet the requirements included in recruit-ment competitions to select a director. The research conducted in 2017 on a group of 137 directors found out that the majority of respondents completed at least one postgraduate course of study. The groups more often undertaking a course of study, or more than one course comprised women, non-doctors, especially those with an engineering education, and younger people. The studies most often chosen were in the field of healthcare management, which comprised 43% of all studies undertaken by the research group. Those least interested in postgraduate studies were doctors.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124406646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A tool for health system description. Diagnosing the Polish system","authors":"W. C. Włodarczyk","doi":"10.4467/20842627oz.19.012.11383","DOIUrl":"https://doi.org/10.4467/20842627oz.19.012.11383","url":null,"abstract":"The article presents the thesis that there is information available in the public sphere on the basis of which the situation in the Polish health system can be diagnosed. Such a diagnosis would make it possible to identify the problems experienced by patients as ailments and other problems which may lead to missing the chance of positive impact on the health condition. Since the study is focused on and confined to the diagnosis of problems, especially those perceived by patients as limiting, and leaves their explanation to be considered further, the range of sources is necessarily restricted. The following sources are indicated: WHO reports, European Health Consumer Index reports, Centre for Public Opinion Research (Pol. CBOS) reports, National Health Fund (Pol. NFZ) annual reports, WHC BAROMETER results and OECD documents. On this basis, it can be argued that a serious problem for the system is the multi-cause perception of the patients’ failure to meet their health needs, long waiting times for specialist consultation, diagnostic tests and hospitalisations, shortage of time and attention devoted to patients, issues of equal treatment of patients and – oftentimes – dissatisfaction with the functioning of the system. After formulating the outline of the diagnosis presented in this text, considerations were made aimed at explaining the revealed problems.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121380591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Koordynacja jako element nowoczesnej opieki nad pacjentem onkologicznym. Specyfika aktywności zawodowej koordynatorów","authors":"A. Kita","doi":"10.4467/20842627oz.19.009.11380","DOIUrl":"https://doi.org/10.4467/20842627oz.19.009.11380","url":null,"abstract":"Koordynacja jako element nowoczesnej opieki nad pacjentem onkologicznym. Specyfika aktywności zawodowej koordynatorow","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115967807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social determinants of Self-Rated Health among Polish women and men – results from the COURAGE in Europe project","authors":"Aleksandra Piłat, Wilga Michał, K. Zawisza","doi":"10.4467/20842627oz.19.011.11382","DOIUrl":"https://doi.org/10.4467/20842627oz.19.011.11382","url":null,"abstract":"Social determinants of self-rated health among Polish women and men- results from the courage in Europe project","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124283325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rola kompetencji zawodowych w dopasowaniu kwalifikacji wymaganych w zawodach medycznych w zakresie świadczeń zdrowotnych","authors":"Zdzisław Czajka","doi":"10.4467/20842627oz.19.007.11378","DOIUrl":"https://doi.org/10.4467/20842627oz.19.007.11378","url":null,"abstract":"Rola kompetencji zawodowych w dopasowaniu kwalifikacji wymaganych w zawodach medycznych w zakresie świadczen zdrowotnych","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133547749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}