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    Wyświetlanie 1-9 z 9
    Tytuł:
    Somatic symptoms and level of anxiety and depression in self-referral patients at the emergency department
    Autorzy:
    Lisowska, A.
    Szwamel, K.
    Kurpas, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/2088018.pdf
    Data publikacji:
    2020
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    hospital emergency medical services
    patients
    anxiety
    depression
    Opis:
    Background: Due to multiple morbidities, patients experience various symptoms that may be of psychogenic or somatic origin. Anxiety and depression can induce somatization and the feeling that ailments require urgent medical intervention. Aim of the study: This study aimed to: (1) identify which symptoms self-referral patients most commonly report at the emergency department (ED) and which medical diagnoses they are discharged with; and (2) determine whether the type and severity of symptoms, as well as, sociodemographic variables are related to anxiety and depression levels. Material and methods: The study included 110 patients who self-referred to the ED at the University Clinical Hospital in Opole. Diagnostic surveys and questionnaires were used, including the Hospital Anxiety and Depression Scale and an original questionnaire developed by the authors. Results: Among those suffering from chronic diseases (n = 53; 48.62%), 12 patients (22.64%) did not complete a single visit to the PHCF (Primary Health Care Facility), and 30 patients (56.60%) did not complete a visit to OSC (Outpatient Specialist Care) during the previous 12 months. The most common cause of reporting to the ED were pain and a burning sensation in the chest (n = 29; 27.10%). During discharge, the most common diagnosis was “other chest pains” (n = 22; 20.00%). 82.73% (n = 91) of patients had clear anxiety disorders, and 68.18% (n = 75) had clear depressive disorders. Conclusions: In case of somatic symptoms without a discernible cause in patients, it is necessary to implement comprehensive measures within PHCF, such as periodic measurements of anxiety and depression severity, psychological consultation, and an in-depth medical interview. These data also suggest that proper clinical monitoring should be implemented, including clinical parameters relevant for chronic diseases and the number of visits to the PHCF and OSC.
    Źródło:
    Medical Science Pulse; 2020, 14, 1; 21-30
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Factors determining patient admittance to the observation and consultation areas of the Emergency Department on workdays versus weekends
    Autorzy:
    Lisowska, Ada
    Szwamel, Katarzyna
    Kurpas, Donata
    Powiązania:
    https://bibliotekanauki.pl/articles/551731.pdf
    Data publikacji:
    2019
    Wydawca:
    Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
    Tematy:
    emergency service
    hospital emergency medical services
    patient admission
    emergency treatment, patients.
    Opis:
    Background. In Poland, as in the world at large, Emergency Departments (EDs) face a formidable problem as they are overloaded with an excessive number of patients. It was decided to investigate whether there are any factors which determine patient admittance rates to the observation and consultation areas of EDs. Objectives. The aim of this study is to determine whether differences in the rates of patient visits to emergency rooms (observation and consultation areas) on workdays and on weekends, are significantly determined by sociodemographic variables, patients’ beliefs and knowledge about the functioning of EDs and primary healthcare facilities (PHFs) or health-related variables. Material and methods. A total of 164 patients from the ED of the University Clinical Hospital in Opole were examined. The diagnostic survey method was employed, using the Satisfaction with Life Scale (SWLS), the Hospital Anxiety and Depression Scale (HADS) and an original questionnaire of the authors’ own design. Results. Neither age (p = 0.059), sex (p = 0.687), marital status (p = 0.585), place of residence (p = 0.423), employment status (p = 0.401), the presence of chronic diseases (p = 0.936) nor a lack of trust in primary care physicians (p = 1.000) determined the ED admittance rates on weekdays versus weekends. People who did not know where to seek medical help at night and on national holidays were more likely to visit the ED on weekends than on weekdays (28.5%; 23% vs 10.98%; 9, p = 0.010). Conclusions. It is difficult to define the characteristics of healthcare service recipients visiting the ED in terms of whether the admittance is a on workday or a weekend day. During each shift, the ED staff should be prepared to receive patients of different sociodemographic backgrounds and health statuses, possessing different levels of knowledge and beliefs about the functioning of EDs and PHFs
    Źródło:
    Family Medicine & Primary Care Review; 2019, 3; 230-236
    1734-3402
    Pojawia się w:
    Family Medicine & Primary Care Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Mr Hoefner, Mr Elser, Please Welcome to Poland. Some Comments on the Polish Healthcare System Reform from the Perspective of State Aid Law
    Autorzy:
    Grzejdziak, Łukasz
    Powiązania:
    https://bibliotekanauki.pl/articles/530047.pdf
    Data publikacji:
    2011-11-30
    Wydawca:
    Uniwersytet Warszawski. Wydawnictwo Naukowe Wydziału Zarządzania
    Tematy:
    Polska
    healthcare services
    hospital services
    state aid
    notion of state aid
    write-off of the debts of an undertaking
    notion of undertaking in the EU competition law
    public undertakings
    social solidarity
    cross-subsidization
    effect on trade between Member States
    adverse effect on competition
    notification of state aid
    services of general economic interest
    Opis:
    The purpose of this paper is to verify the hypothesis that a debt write-off implemented recently by Polish authorities in favour of public hospitals constitutes State aid within the meaning of Article 107(1) of the Treaty of the Functioning of the European Union. The paper contains a detailed description of the nature of the measure – its historical background, regulatory context, as well as its construction. It presents an in-depth analysis of the fulfilment by the measure of the conditions stipulated in Article 107(1) TFEU. As a preliminary issue, the analysis addresses the problem whether Polish public hospitals can be considered as undertakings within the meaning of EU competition law, particularly, as to their activity financed by the sickness fund organized under the principle of social solidarity. The answer to this question seems to be affirmative and in line with the landmark Hoefner and Elser judgments where the ECJ held that the way in which an entity is financed is irrelevant for its classification as an undertaking. The paper argues in favour of the thesis that the debt write-off must be considered as affecting trade between Member States and competition. Consequently, and contrary to the official position of the Polish government, the measure in question is classified as State aid.
    Le but de cet article est de vérifier l’hypothèse selon laquelle l’amortissement total des dettes effectué récemment par les autorités polonaises en faveur des hôpitaux publiques constitue une aide publique au sens de l’Article 107(1) TFUE. L’article contient une description détaillée de la nature de cette mesure – son histoire, contexte législatif aussi que sa construction. Il présent une analyse profonde de l’accomplissement par cette mesure des conditions indiquées par l’Article 107(1) TFUE. Comme question préliminaire, l’analyse a pour objectif de vérifier si les hôpitaux publiques polonais peuvent être considérés comme entreprises au sens de la loi de concurrence de l’EU par rapport à son activité financée par le fonds de maladie organisé en accord avec le príncipe de la solidarité sociale.
    Źródło:
    Yearbook of Antitrust and Regulatory Studies; 2011, 4(5); 85-109
    1689-9024
    2545-0115
    Pojawia się w:
    Yearbook of Antitrust and Regulatory Studies
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Purchase Documentation as a Source of Information about Insurance Bought by Public Hospitals in Poland
    Autorzy:
    Piechota, Anna Maria
    Powiązania:
    https://bibliotekanauki.pl/articles/16729159.pdf
    Data publikacji:
    2023
    Wydawca:
    Uniwersytet Marii Curie-Skłodowskiej. Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej
    Tematy:
    public hospital
    insurance services
    purchasing decisions
    demand for insurance service
    public contracts
    Opis:
    Theoretical background: By deciding to purchase insurance the entity which does so expresses its demand for money should it suffer adverse consequences of a fortuitous event – that is to say, an event which the entity concerned has identified and whose occurrence it estimated as probable. There are very limited possibilities to learn about the specifics of insurance public hospitals buy. There are also no sources of data that could shed closer light on this, whether coming from the market or gleaned through surveys. As public finance entities, public hospitals are required to follow applicable public procurement laws in purchasing insurance, although that obligation may be waived under certain circumstances. Whatever the procedure hospitals choose to use in their purchases, certain purchase documentation will be generated over its course, which can be a valuable source of detailed information about the coverage bought. Purpose of the article: The main objective of this study is to determine the ways in which public hospitals can buy insurance, what kind of documents are generated in the process, and what scope of information they contain. Research methods: In order to reach the stated objective, a body of literature and legal regulations was analysed, and an empirical study was conducted. The underlying premise in the study was that purchasing procedures followed by public hospitals provide insight into their purchasing decisions, and thereby into the reported demand for insurance. Main findings: The study opened up a way for an assessment of the possibilities and limitations involved in gaining insight into insurance purchasing decisions based on the purchase documentation.
    Źródło:
    Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia; 2023, 57, 2; 87-100
    0459-9586
    2449-8513
    Pojawia się w:
    Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Does place of residence affect patient satisfaction with hospital health care?
    Autorzy:
    Maślach, D.
    Karczewska, B.
    Szpak, A.
    Charkiewicz, A.
    Krzyżak, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/2085402.pdf
    Data publikacji:
    2020
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    patient satisfaction
    hospital health care
    health care services
    care quality
    rural
    urban
    Opis:
    Introduction and objective. Measuring the level of patient satisfaction is a useful tool in delivering quality care that is responsive to consumer preferences. Various socio-demographic factors might be considered as potential predictors of patient satisfaction. The aim of the study was to assess whether place of residence (rural/urban) affects patient satisfaction with hospital health care. Materials and method. Data were obtained using face-to-face questionnaire, administered in five large, urban hospitals in Podlaskie Province, north-eastern Poland, during 2014–2018. The study sample comprised of 1,624 participants (585 rural, 1039 urban) who assessed satisfaction with 28 hospital health care items. The means and standard deviations were presented to compare 28 satisfaction items between the rural and the urban samples. Regression analysis was used to determine whether location difference (rural vs urban) affected patient satisfaction with various domains of hospital health care. Results. The mean results of 28 satisfaction items on the 1–5 scale were similar among the rural and the urban samples, and generally skewed towards positive experiences. In the univariate analysis, significant associations between place of residence and patient satisfaction were identified with regard to three components of inpatient care: 1) hospital settings and staff care, 2) doctors’ professional skills, and 3) hospitalization outcomes. After adjusting for socio-demographic variables, the association remained significant only with respect to satisfaction with hospitalization outcomes (b = 0.121; SE = 0.055; p = 0.028). Conclusions. Some evidence for differences in patient satisfaction by place of residence was found. Study findings may be helpful in implementing care quality improvement programmes.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2020, 27, 1; 86-90
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The cybernetic hospitals revolution in the age of artificial intelligence
    Autorzy:
    Karcz, W. Konrad
    Andrade, Dorian
    Powiązania:
    https://bibliotekanauki.pl/articles/2063772.pdf
    Data publikacji:
    2020
    Wydawca:
    Międzynarodowe Stowarzyszenie na rzecz Robotyki Medycznej
    Tematy:
    sztuczna inteligencja
    zarządzanie szpitalem
    efektywność usług zdrowia
    szpital cybernetyczny
    artificial intelligence
    hospital management
    efficiency of health services
    cybernetic hospital
    Opis:
    AI can lead to better care outcomes and improve the productivity and efficiency of care delivery. It can also improve the day-to-day life of healthcare practitioners, letting them spend more time looking after patients and in so doing, raise staff morale and improve retention. It can even get life-saving treatments to market faster. At the same time, questions have been raised about the impact AI could have on patients, practitioners, and health systems, and about its potential risks; there are ethical debates around how AI and the data that underpins it should be used. This short article aims to contribute to the debate surrounding AI in Hospitals, specifically looking at how practitioners and organizations will be affected.
    Źródło:
    Medical Robotics Reports; 2020, 8/9; 64--67
    2299-7407
    Pojawia się w:
    Medical Robotics Reports
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Validation of services supporting healthcare standards conformance
    Autorzy:
    Górski, J.
    Jarzębowicz, A.
    Miler, J.
    Powiązania:
    https://bibliotekanauki.pl/articles/220595.pdf
    Data publikacji:
    2012
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    standards conformance
    hospital quality management and monitoring
    experimental validation
    process metrics and measurements
    NOR-STA services
    TRUST-IT methodology
    Opis:
    The paper presents the results of experimental validation of a set of innovative software services supporting processes of achieving, assessing and maintaining conformance with standards and regulations. The study involved several hospitals implementing the Accreditation Standard promoted by the Polish Ministry of Health. First we introduce NOR-STA services that implement the TRUST-IT methodology of argument management. Then we describe and justify a set of metrics aiming at assessment of the effectiveness and efficiency of the services. Next we present values of the metrics that were built from the data collected. The paper concludes with giving the interpretation and discussing the results of the measurements with respect to the objectives of the validation experiment.
    Źródło:
    Metrology and Measurement Systems; 2012, 19, 2; 269-282
    0860-8229
    Pojawia się w:
    Metrology and Measurement Systems
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Head of a ward as a person performing a public function in the light of Act on access to public information
    Ordynator jako osoba pełniąca funkcję publiczną w świetle ustawy o dostępie do informacji publicznej
    Autorzy:
    Bielski, Karol
    Szustakiewicz, Przemysław
    Powiązania:
    https://bibliotekanauki.pl/articles/1361000.pdf
    Data publikacji:
    2019-06-30
    Wydawca:
    Uczelnia Łazarskiego. Oficyna Wydawnicza
    Tematy:
    ordynator
    dostęp do informacji publicznej
    ochrona zdrowia
    szpital
    zakład opieki zdrowotnej
    działalność lecznicza
    lekarz kierujący oddziałem
    Konstytucja
    head of a ward
    access to public information
    health protection
    hospital
    healthcare institution
    healthcare services
    physician managing a ward
    Constitution
    Opis:
    The article is aimed at presenting, analysing and assessing legal aspects of classifying a head of a ward as a person performing a public function in the light of the Act on access to public information. Access to public information is a citizen’s right of key importance in a democratic state ruled by law. The right has its basis in the Constitution of the Republic of Poland, where in accordance with Article 61 para. 1, “A citizen shall have the right to obtain information on the activities of organs of public authority as well as persons discharging public functions. Such right shall also include receipt of information on the activities of self-governing economic or professional organs and other persons or organizational units relating to the field in which they perform the duties of public authorities and manage communal assets or property of the State Treasury.” The right to healthcare is also a constitutional right laid down in Article 68 para. 1 of the Constitution. Healthcare services are financed from public funds. The function of the head of a ward is deeply rooted in the practice of hospital functioning and plays a significant role in the organisation of 24-hour inpatient healthcare. In case law and literature, there are differences in the classification of heads of a ward as persons performing public functions. The article presents an analysis of the status of the head of a ward as an obliged entity in the light of the Act on access to public information.
    Przedmiotem artykułu jest prezentacja, analiza i ocena prawna kwalifikacji ordynatora jako osoby pełniącej funkcję publiczną w świetle ustawy o dostępie do informacji publicznej. Dostęp do informacji publicznej należy do praw obywatela o kluczowym znaczeniu w demokratycznym państwie prawa. Prawo to znajduje oparcie w Konstytucji, gdzie zgodnie z art. 61 ust. 1 “Obywatel ma prawo do uzyskiwania informacji o działalności organów władzy publicznej oraz osób pełniących funkcje publiczne. Prawo to obejmuje również uzyskiwanie informacji o działalności organów samorządu gospodarczego i zawodowego, a także innych osób oraz jednostek organizacyjnych w zakresie, w jakim wykonują one zadania władzy publicznej i gospodarują mieniem komunalnym lub majątkiem Skarbu Państwa”. Prawo do ochrony zdrowia jest również prawem konstytucyjnym, określonym w art. 68 ust. 1 Konstytucji. Świadczenia ochrony zdrowia finansowane są ze środków publicznych. Funkcja ordynatorska jest głęboko zakorzeniona w praktyce funkcjonowania szpitali, pełniąc doniosłą rolę w organizacji całodobowej stacjonarnej opieki zdrowotnej. W orzecznictwie i literaturze istnieją rozbieżności co do zakwalifikowania ordynatorów do grupy osób, których działalność jest pełnieniem funkcji publicznej. W niniejszym artykule przedstawiono analizę statusu ordynatora jako podmiotu zobowiązanego w świetle ustawy o dostępie do informacji publicznej.
    Źródło:
    Ius Novum; 2019, 13, 2; 194-206
    1897-5577
    Pojawia się w:
    Ius Novum
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Emergency medical services intervention in a specialised hospital
    Interwencja zespołu wyjazdowego ratownictwa medycznego w szpitalu jednoprofilowym
    Autorzy:
    Sobas, Magdalena
    Powiązania:
    https://bibliotekanauki.pl/articles/443234.pdf
    Data publikacji:
    2016
    Wydawca:
    Wyższa Szkoła Humanitas
    Tematy:
    Emergency Medical Services System
    tasks of medical assistance
    specialised hospital,
    emergency medical service unit
    state of urgent health threat
    healthcare
    System Ratownictwa Medycznego
    medyczne czynności ratunkowe
    szpital jednoprofilowy,
    Pogotowie Ratunkowe
    stan nagłego zagrożenia zdrowotnego
    ochrona zdrowia
    Opis:
    The text concentrates on a human right to life and health defined in the Constitution of the Republic of Poland with regard to the issue of legal admissibility of the Emergency Medical Service units’ intervention in a specialised facility in a situation when a hospitalised patient is in a state of urgent health threat. This paper also addresses the subject of shaping and organising the Emergency Medical Service System, as well as a medical transport of a patient and financing of health benefits. Furthermore, it points to the necessity of clarifying and regulating the solutions relating to the possibility of providing medical assistance by the system’s units in specialised hospitals, so that the undertaken tasks of medical assistance are quick, many times even instantaneous, rational and most importantly effective.
    Tekst poświęcony jest prawu człowieka do życia i zdrowia określonemu w Konstytucji RP w odniesieniu do problematyki prawnej dopuszczalności interwencji jednostek Systemu Państwowe Ratownictwo Medyczne w placówce jednoprofilowej w sytuacji, gdy przebywający tam, hospitalizowany pacjent, znajduje się w stanie nagłego zagrożenia zdrowotnego. Poniższe opracowanie podejmuje również tematykę kształtowania i organizacji Systemu Państwowe Ratownictwo Medyczne, a także transportu sanitarnego pacjenta oraz finansowania świadczeń zdrowotnych. Wskazuje również na konieczność doprecyzowania i uregulowania rozwiązań dotyczących możliwości niesienia pomocy przez jednostki systemu w szpitalach jednoprofilowych, by podejmowane działania ratownicze były szybkie, niejednokrotnie nawet natychmiastowe, racjonalne, a przede wszystkim efektywne.
    Źródło:
    Roczniki Administracji i Prawa; 2016, 16/1; 253-270
    1644-9126
    Pojawia się w:
    Roczniki Administracji i Prawa
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-9 z 9

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