Justyna Gruczek, T. Macioch, Marta Słomka, A. Zawada
{"title":"Model funkcjonalny HB-HTA z koordynującą rolą Agencji Oceny Technologii Medycznych i Taryfikacji","authors":"Justyna Gruczek, T. Macioch, Marta Słomka, A. Zawada","doi":"10.4467/20842627oz.20.031.14275","DOIUrl":"https://doi.org/10.4467/20842627oz.20.031.14275","url":null,"abstract":"The functional model of the Hospital-Based Health Technology Assessment (HB-HTA) with the coordinating role of the Agency of the Health Technology Assessment and Tariff Systems\u0000\u0000The article presents the functional model of the HB-HTA (Hospital-Based Health Technology Assessment) project implementation with coordinating role of the Agency of the Health Technology Assessment and Tariff Systems.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125947484","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":"Perspective of schools of public health on war in Ukraine – reactions to military conflict in Europe and international cooperation","authors":"T. Bochenek, L. Chambaud, O. Lozan","doi":"10.4467/20842627oz.22.005.16431","DOIUrl":"https://doi.org/10.4467/20842627oz.22.005.16431","url":null,"abstract":"Since February 24, 2022, the hybrid war between Russia and Ukraine has been transformed into a very severe and open military conflict, having dramatic humanitarian and public health consequences – first of all, for the Ukrainians, but also for the whole world, in various dimensions. The impacts of this war are complex, multidimensional and multilateral. This paper aims to characterize the selected major impacts of the ongoing war on public health, as well as to characterize the selected reactions of the international academic public health community, including especially the three organizations from Moldova, Poland and France. Several positive responses of the academic community to the unprecedented humanitarian and public health crises caused by the Russo-Ukrainian war have been described. These efforts should be continued, developed and modified to the dynamically changing situation. The already existing international cooperation platforms, networks and alliances should be used for that purpose.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"200 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123855748","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":"Ile administracji w ochronie zdrowia? S. Sikorski, Administracja ochrony zdrowia w Polsce – między świadczeniem a reglamentacją","authors":"A. Ryś","doi":"10.4467/20842627oz.20.026.14143","DOIUrl":"https://doi.org/10.4467/20842627oz.20.026.14143","url":null,"abstract":"","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124460263","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 comparison of the differences in public risk perception and public health policies between the first and the second wave of COVID-19 pandemic in Italy","authors":"N. Magnavita, F. Chirico, A. Sacco","doi":"10.4467/20842627oz.21.002.15274","DOIUrl":"https://doi.org/10.4467/20842627oz.21.002.15274","url":null,"abstract":"The paper presents the information on COVID-19 policy response in Italy inin the second half of 2020, when the second wave of the pandemic occurred. It builds on the authors previous report (1) that addressed the first wave of the COVID-19 pandemic. In Italy, from October till December, the number of SARS-CoV-2 infections increased significantly. However, the Italian government, unlike many other European governments, refrained from introducing a second nationwide lockdown. The pandemic was managed through a system of localized interventions (on a regional and / or provincial basis) which significantly varied across the regions. At the end of December 2020, a national plan for vaccination against COVID-19 was approved. In February 2021, together with the change of government, a new public policy against the COVID-19 pandemic was formulated.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"900 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123264645","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}
Ilona Barańska, Violetta Kijowska, Katarzyna Szczerbińska
{"title":"Komunikacja między lekarzem a rodziną osób u schyłku życia przebywających w placówkach opiekuńczych","authors":"Ilona Barańska, Violetta Kijowska, Katarzyna Szczerbińska","doi":"10.4467/20842627oz.19.017.11974","DOIUrl":"https://doi.org/10.4467/20842627oz.19.017.11974","url":null,"abstract":"End-of-life communication between the physician and the relative of dying nursing home residents End-of-life communication between the physician and the relative of dying nursing home residents The aim of this paper was to summarize the current knowledge about the end-of-life (EOL) communication between the physician and the relative of dying nursing home (NH) residents. A review of literature showed that relatives of dying residents reported low satisfaction with quality of communication with a physician. The relatives complained they were not informed about the residents’ condition, did not understand the information provided by the physician and did not participate in the discussion about the residents’ wishes concerning medical treatment. In conclusion, (1) the concept of quality of EOL communication between the physician and the relatives of the dying NH residents still has no well-grounded foundation, (2) the number of tools for evaluation of EOL communication in the NH is limited, (3) physician-family communication is one of the most important aspects of care at the EOL, (4) many factors may influence it, but one of the most important is the availability of a physician in the NHs.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131372583","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}
Małgorzata Gałązka-Sobotka, Maciej Furman, Iwona Kowalska-Bobko
{"title":"Identyfikacja kluczowych podmiotów i ich ról oraz możliwości i barier dla wdrożenia koordynacji regionalnej procesu HB-HTA w Polsce","authors":"Małgorzata Gałązka-Sobotka, Maciej Furman, Iwona Kowalska-Bobko","doi":"10.4467/20842627oz.20.028.14272","DOIUrl":"https://doi.org/10.4467/20842627oz.20.028.14272","url":null,"abstract":"Identification of key actors involved in the implementation of a regional functional model for hospital evaluation\u0000\u0000The concept of Hospital-Based Health Technology Assessment (HB-HTA) is conducive to the rationalization of decisions made by the hospital management regarding the implementation of innovative medical technologies in hospital units.\u0000\u0000This type of HTA is a bottom-up hospital initiative, but usually it is also supported systemically and involves other entities, such as: the Agency for Health Technology Assessment and Tariff System, the payer, or regional authorities. Providing support to the hospital in making the final decision on the implementation of innovative medical technology may include such aspects as: obtaining necessary funding for the implementation of technology, identification of the competitive potential of the planned project, or following the HB-HTA methodology in reporting.\u0000\u0000The process of decentralization of hospital management in Poland induces scholars to carry out research and draw conclusions about the involvement of regional authorities, mainly voivodeship offices and their departments responsible for health issues, in the HB-HTA process.\u0000\u0000The primary objectives of this paper are to present the results of research and analysis of the development and popularization of HB-HTA in Poland. These will be discussed in relation to the implementation of a regional functional model for hospital evaluation of innovative medical technologies and the creation of rules of cooperation between important institutions of sectoral (health) policy to support and develop HB-HTA at the regional (voivodeship) level, as well as the dissemination of knowledge, popularization of HB-HTA, and promotion of good practices.\u0000\u0000Słowa kluczowe: HB-HTA, lecznictwo szpitalne, ocena technologii medycznych, szpital, szpitalna ocena technologii medycznych, technologia medyczna, zarządzanie ochroną zdrowia, health care management, health technology assessment, Hospital-Based Health Technology Assessment, health technology, hospital, hospital treatment","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121170008","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":"The future of long-term care in ten European countries: Review of policy reports and qualitative study among country experts","authors":"Lena Praznovszky, M. Pavlova, M. Tambor, W. Groot","doi":"10.4467/20842627oz.19.016.11973","DOIUrl":"https://doi.org/10.4467/20842627oz.19.016.11973","url":null,"abstract":"The provision of good quality long-term care to citizens represents a challenge for many European countries due to tight public budgets and on-going societal transitions. To gain insights on the future of long-term care in Europe, an explorative study was conducted consisting of a review of policy reports and qualitative study among country experts from Albania, Bulgaria, France, Germany, Lithuania, the Netherlands, Poland, Portugal, Ukraine","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124147459","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":"Global access to medicines: An uphill struggle","authors":"C. Ndayishimiye, Desmond A. Aji","doi":"10.4467/20842627oz.21.014.16419","DOIUrl":"https://doi.org/10.4467/20842627oz.21.014.16419","url":null,"abstract":"Background: The study originated from the authors’ coursework in health technology assessment and rational pharmaceutical policy.\u0000\u0000Purpose: To respond to the question of whether there is a global problem of access to medications by providing differentiated backgrounds and possible solutions or mitigation strategies for boosting the population’s access to medications.\u0000\u0000Method: Thematic content analysis (TCA) was performed on paper-based data. Findings: 39 documents were included, including 22 articles, eleven technical reports, two books, one book chapter, and three websites. Drug accessibility issues affect four major categories – essential, innovative, orphan, and highly-priced medicines. Access to these medications is nevertheless hampered for several reasons, including patents; prohibitive costs; fluctuating production; market unprofitability for rare diseases; and delays in innovative treatments, even in developed countries.\u0000\u0000Conclusion: Efforts to boost drug access should target all sectors – public, private, and non-governmental – and should forge ties with pharmaceutical firms and key health care institutions.\u0000\u0000* This study arose from the authors’ coursework “Health Technology Assessment and Rational Pharmaceutical Policy” for the European Public Health Master: Europubhealth+ Studies, which was funded by the European Union’s Erasmus+ Program.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122211011","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":"Wpływ przynależności do grupy zawodowej pielęgniarek i lekarzy na milczenie organizacyjne","authors":"Barbara Kudryńska, Krzysztof Krzywdziński","doi":"10.4467/20842627oz.21.016.16421","DOIUrl":"https://doi.org/10.4467/20842627oz.21.016.16421","url":null,"abstract":"The impact of belonging to the professional group of nurses and doctors on the organizational silence\u0000\u0000Employees who have relevant information about the functioning of the organization sometimes decide to share this information, and in other cases, they choose not to disclose their opinion. In the literature on the subject, this phenomenon is called organizational silence. This study aimed to try to answer whether the position in the organization and belonging to a specific professional group will impact organizational silence. The survey covered representatives of employees of two professional groups – doctors and nurses. The questionnaires were completed by 30 doctors and 35 nurses. The study showed that in the three analyzed situations, the hypothesis, assuming that the silence of employees is more pronounced in a situation where the violation of the applicable professional standards concerns people from the same professional group of nurses or doctors, was confirmed only in the case of a “mistake in administering the drug”.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"215 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115955131","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":"Analiza hierarchii czynników motywacyjnych w pracy pielęgniarek","authors":"Paulina Bąk","doi":"10.4467/20842627oz.21.017.16422","DOIUrl":"https://doi.org/10.4467/20842627oz.21.017.16422","url":null,"abstract":"Analysis of the hierarchy of motivational factors in the work of nurses\u0000\u0000Introduction: Employees incentive scheme is one of the main components of human resource management in any modern organization. A properly functioning incentive system enabling an effective motivation process allows to utilize the potential and commitment of employees, which directly affects the efficient functioning of a given facility. The aim of the study was to establish the hierarchy of motivational factors and the relationships that exist between them in the group of nurses working in one of the network of healthcare centers in the city of Kraków.\u0000\u0000Materials and methods: The survey was conducted among 79 nurses working in several healthcare centers. The study uses the method of a diagnostic survey with the use of a research technique in the form of a questionnaire. The questionnaire contained demographics questions and the “Self assesment scale of work motivators” by Stefan Tokarski. Results: The study uses the terms “dominant motive” and “meaningless motive”.The research showed that the most numerous group of respondents chose “job security” as the dominant motive. At the lowest level in the hierarchy of respondents were “possibility of promotion” and “independence”. The research also uses the term “leading motive”, which was designated as the one with the highest score in the hierarchyof respondents’ motives, but not necessarily the dominant motive. Conclussions: Research has shown a relationship between seniority and the choice of the leading motive. Among the respondents, the group with work experience over 20 years showed significant leading motives. These included “job security”, “relationships with colleagues” and “earnings”. The remaining groups did not show any visible leading motives. The research also showed a relationship between education and the classification of motivators. The group with a master’s degree assessed the relations with their superiors significantly lower compared to other motivating factors.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116799407","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}