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Analiza możliwości wdrożenia szpitalnej oceny technologii medycznych (HB-HTA) na podstawie modelu z koordynującą rolą niezależnej organizacji zewnętrznej
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.20.029.14273
Tomasz Bochenek, A. Sobczak, D. Szplit, A. Smoleń, Anna Tybińkowska, Michał F. Farkowski
{"title":"Analiza możliwości wdrożenia szpitalnej oceny technologii medycznych (HB-HTA) na podstawie modelu z koordynującą rolą niezależnej organizacji zewnętrznej","authors":"Tomasz Bochenek, A. Sobczak, D. Szplit, A. Smoleń, Anna Tybińkowska, Michał F. Farkowski","doi":"10.4467/20842627oz.20.029.14273","DOIUrl":"https://doi.org/10.4467/20842627oz.20.029.14273","url":null,"abstract":"Implementation of Hospital-Based Health Technology Assessment (HB-HTA) with the coordinating role of independent external organization\u0000\u0000Hospital-Based Health Technology Assessment (HB-HTA) aims to support local decision-making on investing in new health technologies limited to the hospital level. The goal of this study was to prepare and present the strategic functional model of HB-HTA in Poland with coordinating role of an organization labelled as the independent external organization (NOZ). The stakeholders of the HB-HTA process were identified, together with their interests and relations among them, as well as the goals and consequences of health policy in area of implementation of HB-HTA in Poland. The conduct of HB-HTA process was presented, the tasks foreseen for NOZ, its possible organizational forms, barriers, and possibilities of development; as well as the overall capacity of this organization in area of HB-HTA. It is foreseen that the development of HB-HTA in Poland based on NOZ should take place within a positively inclined environment, having a generally positive impact on the health care system, positive prognoses, and opportunities for implementation of HB-HTAh.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"28 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":"128359667","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}
引用次数: 0
Uwarunkowania wprowadzenia nowego zawodu medycznego (asystent lekarza) w polskim systemie ochrony zdrowia
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.21.015.16420
A. Kita
{"title":"Uwarunkowania wprowadzenia nowego zawodu medycznego (asystent lekarza) w polskim systemie ochrony zdrowia","authors":"A. Kita","doi":"10.4467/20842627oz.21.015.16420","DOIUrl":"https://doi.org/10.4467/20842627oz.21.015.16420","url":null,"abstract":"Conditions for introducing a new medical profession (physician assistant) in the polish health care system\u0000\u0000Shortage of medical staff is a growing problem in most countries, also in Poland. There is a growing demand for medical staff in connection with longer life expectancy and on a macro scale, the aging of society. An important idea for reducing this problem is to introduce new medical professions. However, this issue arouses controversy and opinions on it are divided. The paper presents data on the number of physicians in Poland compared to other European countries and discusses selected proposals related to attempts to improve the situation in this area. Reference has also been made to the example of the United States, where physician assistants have been functioning for many years. Moreover, the current outline of a proposal for the occupation of a physician assistant in Poland has been presented, with particular emphasis on specialization in “surgical physician assistance”. The paper also presents the results of the author’s study on the attitude of primary care physicians towards new medical professions and refers to the opinions of the medical community in this respect, mainly from websites. Finally, the paper presents conclusions and recommendations for further actions related to the introduction of new medical professions in the country.","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":"130886867","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}
引用次数: 0
Eutanazja – charakterystyka aspektów prawnych w Polsce i wybranych krajach europejskich 安乐死--波兰和部分欧洲国家在法律方面的特点
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.21.013.16418
Paweł Lipowski, Oskar Wiliński
{"title":"Eutanazja – charakterystyka aspektów prawnych w Polsce i wybranych krajach europejskich","authors":"Paweł Lipowski, Oskar Wiliński","doi":"10.4467/20842627oz.21.013.16418","DOIUrl":"https://doi.org/10.4467/20842627oz.21.013.16418","url":null,"abstract":"Euthanasia – characteristics of legal aspects in Poland and selected European countries\u0000\u0000This article presents the characteristics of the legal aspects of euthanasia in Poland and in selected European countries. The key element of the considerations is the presentation of the legal regulation of euthanasia in Poland against the background – often detailed and precise solutions adopted in the European countries (specially EU), which define the legal conditions for carrying out this type of “medical services”. These solutions are presented from the point of view of the legal conditions for ensuring the legality of treatments falling within the concept of “euthanasia”, which in European legislation are most often classified as “assisted suicide” treatments and are associated with the provisions of the so-called “living wills”. The authors intended the article to be part of the discussion on potential changes in Polish legislation.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"40 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":"134609104","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}
引用次数: 0
ASPHER in the Ukraine war: An ethical mission 乌克兰战争中的阿斯菲尔:道德使命
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.22.004.16430
Henrique Lopes
{"title":"ASPHER in the Ukraine war: An ethical mission","authors":"Henrique Lopes","doi":"10.4467/20842627oz.22.004.16430","DOIUrl":"https://doi.org/10.4467/20842627oz.22.004.16430","url":null,"abstract":"Since the beginning of the Ukrainian War, ASPHER has been mobilized to provide its best contribution to the search for an immediate and long-term response. The reason for this strong mobilization is that the present war represents a risk of the greatest magnitude to European Health and, inherently, to Public Health in the countries covered by ASPHER.\u0000\u0000Efforts have been made in providing scientific and technical advice related to Public Health to reinforce closer cooperation between Schools of Public Health, in particular between those in peripheral countries to the theatre of military operations, and theoretical training, given the near absence of an educational offer from Schools of Public Health (SPH) in this area of knowledge. A Public Health War Roadmap is also under construction.\u0000\u0000This article is essentially the closing speech of the Gdansk Meeting promoted by ASPHER together with the local School of Public Health, which seeks to express ASPHER’s position on the war in Ukraine and what, in its opinion, should be done by the SPH.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"89 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":"123690922","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}
引用次数: 0
Government response to COVID-19 in the Czech Republic: February–July 2020 捷克共和国政府应对2019冠状病毒病:2020年2月至7月
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.20.007.12661
O. Löblová
{"title":"Government response to COVID-19 in the Czech Republic: February–July 2020","authors":"O. Löblová","doi":"10.4467/20842627oz.20.007.12661","DOIUrl":"https://doi.org/10.4467/20842627oz.20.007.12661","url":null,"abstract":"The Czech Republic initially managed the outbreak of the novel coronavirus remarkably, with relatively few cases and low death rate. Its public health response was characterized by swift implementation of public health measures driven by an implicit precautionary principle, but also chaotic communication of measures and a lack of transparency in justifying individual policies. June and July 2020 have seen a rise in COVID-19 cases linked to two regional clusters but later associated with community transmission, which exposed weaknesses in the country’s test-trace-isolate system.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"144 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":"124606576","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}
引用次数: 1
Ocena wpływu pandemii Covid-19 na realizację świadczeń rehabilitacyjnych finansowanych przez NFZ w Polsce w 2020 roku
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.21.005.15277
Magdalena A. Mrożek-Gąsiorowska, Paulina Okarmus
{"title":"Ocena wpływu pandemii Covid-19 na realizację świadczeń rehabilitacyjnych finansowanych przez NFZ w Polsce w 2020 roku","authors":"Magdalena A. Mrożek-Gąsiorowska, Paulina Okarmus","doi":"10.4467/20842627oz.21.005.15277","DOIUrl":"https://doi.org/10.4467/20842627oz.21.005.15277","url":null,"abstract":"Assessment of the impact of the Covid-19 pandemic on the realization of rehabilitation services financed by NFZ in Poland in 2020.\u0000\u0000 The National Health Fund finances rehabilitation services contracted in two scopes, therapeutic rehabilitation and health resort treatment. The aim of the study is to assess the impact of the Covid-19 pandemic on the realization of rehabilitation services financed by the National Health Fund in Poland in 2020 compared to the previous years (2016-2019). The paper also discusses the implementation of successive regulations regarding rehabilitation during Covid-19 pandemic in Poland in 2020. Based on the analysis, it was shown that the number of patients who benefited from rehabilitation services in Poland financed by the National Health Fund decreased by 17% in the case of services in the field of therapeutic rehabilitation in 2020 compared to 2019 (the largest decrease, amounting to 80%, was observed in the case of pulmonary rehabilitation provided in the conditions of a day center or ward) and by 50% in the case of health resort treatment services.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"8 3‐4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113968601","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}
引用次数: 2
Public health law and the war in Ukraine: Present and lessons for the future 公共卫生法和乌克兰战争:现状和对未来的教训
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.22.002.16428
I. Senyuta
{"title":"Public health law and the war in Ukraine: Present and lessons for the future","authors":"I. Senyuta","doi":"10.4467/20842627oz.22.002.16428","DOIUrl":"https://doi.org/10.4467/20842627oz.22.002.16428","url":null,"abstract":"In this paper, the theme of medical neutrality is highlighted, in particular, the definition of the concept and principles are defined, and examples of medical neutrality violation through the prism of armed aggression in Ukraine are given. Medical neutrality is seen as a social agreement that obliges society to protect health workers both in time of war and peacetime, and obliges medical personnel to provide medical care to all, regardless of religion, race, ethnic origin, political affiliation or other characteristics. The internationally coordinated system for the observance of human rights is clarified, attention is focused on the guarantees enshrined in Protocol I regarding the provision of medical care, as well as on the international axioms of the protection of medical workers and guarantees of their professional activity in martial law conditions, defined in Protocol I.\u0000\u0000The issue of legal assessment of the professional activity of medical workers in the territories in which the aggressor state has established or is trying to establish an occupation regime is revealed, and a fine line between the essence of the concept of medical neutrality and the professional activities of medical workers in the temporarily occupied territories is stated, which emphasizes the need for clarity and certainty in the presentation of legal norms to prevent human rights violations.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"1 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":"129206866","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}
引用次数: 0
Strategiczny model funkcjonalny z koordynującą rolą Regionalnego Centrum Oceny Inwestycji wspartego przez Narodowy Fundusz Zdrowia oraz Agencję Oceny Technologii Medycznych i Taryfikacji – model mieszany
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.20.033.14277
Małgorzata Gałązka-Sobotka, Iwona Kowalska-Bobko
{"title":"Strategiczny model funkcjonalny z koordynującą rolą Regionalnego Centrum Oceny Inwestycji wspartego przez Narodowy Fundusz Zdrowia oraz Agencję Oceny Technologii Medycznych i Taryfikacji – model mieszany","authors":"Małgorzata Gałązka-Sobotka, Iwona Kowalska-Bobko","doi":"10.4467/20842627oz.20.033.14277","DOIUrl":"https://doi.org/10.4467/20842627oz.20.033.14277","url":null,"abstract":"Mixed functional model HB-HTA with the coordinating role of the Regional Center for Investments supported by the Polish National Fund and Agency for Health Technology Assessment and Tariff System\u0000\u0000The implementation of the strategic model for hospital health technology assessment in Poland requires the involvement of many stakeholders. HB-HTA fundamentally concerns hospitals and how they rationalize decision making in implementing innovative medical technologies. However, the need to obtain public funding after verifying the effectiveness of a given medical technology or to keep up with the evolving HB-HTA method­ology naturally requires the involvement of both the payer (NFZ) and the Agency for Health Technology Assessment and Tariff System in activities connected with the implementation and development of HB-HTA. An important aspect of the coordination of activities in relation to hospital HTA is also the support given to hospitals by regional authorities – competent health departments in voivodeship offices – by assessing HB-HTA reports prepared by the hospitals and indicating regional competitive potential of a given medical technology. This creates a hybrid/mixed system of insti­tutional support for innovative medical technologies implemented in hospitals.\u0000\u0000This institutional plurality within HB-HTA is a clear asset, strengthening the hospital’s planned undertaking substantively and financially, especially when the assistance mechanisms undertaken are flexible, soft in nature, and allow hospital units to shape effective HB-HTA activities.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"98 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":"116859411","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}
引用次数: 0
Stanowisko Komitetu Zdrowia Publicznego Polskiej Akademii Nauk w sprawie szczepień przeciw COVID-19
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.20.021.14138
W. Włodarczyk, G. Juszczyk, T. Zdrojewski, W. Hanke, B. Samoliński, B. Wojtyniak
{"title":"Stanowisko Komitetu Zdrowia Publicznego Polskiej Akademii Nauk w sprawie szczepień przeciw COVID-19","authors":"W. Włodarczyk, G. Juszczyk, T. Zdrojewski, W. Hanke, B. Samoliński, B. Wojtyniak","doi":"10.4467/20842627oz.20.021.14138","DOIUrl":"https://doi.org/10.4467/20842627oz.20.021.14138","url":null,"abstract":"The Resolution of Public Health Committee Polish Academy of Science on Vaccination against COVID-19\u0000\u0000Public health community worldwide encouraged by successes of former campaigns have always accepted vaccination as the most effective way to handle infectious diseases pandemics. Even before the outburst of SARS-CoV-2 pandemic in many countries mandatory vaccination against many diseases, especially child related had been implemented. From among 193 countries under study in as many as 105 (54%) such obligation existed and in 62 of them (59%) at least one form of punishment or harm for those opposing was involved. Following this sort of available solutions and facing COVID-19 pandemic disaster the authors on behalf of the Public Health Committee of the Polish Academy of Science recommend to the government implementation od mandatory vaccination against COVID-19 for all workers in sectors of health care, education and welfare.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"46 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":"126984726","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}
引用次数: 0
Public policy response to the second wave of the Covid-19 pandemic (the second half of 2020) in the Netherlands. Experts' report 荷兰应对第二波新冠肺炎大流行(2020年下半年)的公共政策专家的报告
Zdrowie Publiczne i Zarządzanie Pub Date : 1900-01-01 DOI: 10.4467/20842627oz.21.003.15275
Alexander W. Friedrich, L. Curfs
{"title":"Public policy response to the second wave of the Covid-19 pandemic (the second half of 2020) in the Netherlands. Experts' report","authors":"Alexander W. Friedrich, L. Curfs","doi":"10.4467/20842627oz.21.003.15275","DOIUrl":"https://doi.org/10.4467/20842627oz.21.003.15275","url":null,"abstract":"In a previous report we answered a number of questions by the editors about the Dutch strategic policy in the first half year of the SARS-CoV2 crisis. In the present paper we reply to a number of additional questions of the editors about the steps put by the Dutch policy during the second half of 2020, when the SARS-CoV2 and COVID-19 pandemic developed its second wave. Especially, the awareness of an upcoming second and third epidemic waves, the specific preventive actions and measures taken by the government and the changing compliance and trust of the public in the government’s strategy are described. Actions such as the Dutch test strategy, the division of regional vs national competences, partial and complete lockdowns, and cooperation with other member states and the (or their lack) are also briefly treated. Specific temporary and structural adjustments in the public health and health care system are mentioned.\u0000\u0000No hard conclusions or qualifications about the adequacy of the Dutch public health and health care policy are drawn. Nevertheless, in retrospect it is clear that a straightforward, focussed and highly effective strategy in this unprecedented crisis by a new and dangerous and rapidly mutating virus is a great challenge for every country. Many things go well, but many more could or should have be done better. We have to learn, also from each other.","PeriodicalId":139863,"journal":{"name":"Zdrowie Publiczne i Zarządzanie","volume":"1 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":"130688421","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}
引用次数: 0
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