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Wyświetlanie 1-8 z 8
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:
Trends of premature mortality in Swietokrzyskie Province (Poland), years 2002-2010
Autorzy:
Gozdz, S.
Krzyzak, M.
Maslach, D.
Wrobel, M.
Bielska-Lasota, M.
Powiązania:
https://bibliotekanauki.pl/articles/872983.pdf
Data publikacji:
2013
Wydawca:
Narodowy Instytut Zdrowia Publicznego. Państwowy Zakład Higieny
Tematy:
Swietokrzyskie province
Polska
premature mortality
mortality
PYLL zob.potential years of life lost
potential years of life lost
trend
Opis:
Background. Premature mortality in younger age groups influences the society as far as social and economic aspects are concerned. Therefore, it is important to come up with a tool which will allow to assess them, and will enable to implement only these health care measures that bring tangible benefits. That is the reason for introducing PYLL rate (PYLL - potential years of life lost), which is an addition to the analysis of premature mortality as it includes the number of deaths due to a particular cause and the age at death. Objective. The purpose of this study was to analyse the level and trends of PYLL rate according to death causes in years 2002 -2010in Świętokrzyskie Province. Material and methods. The material for the analysis was the information from the Central Statistical Office on the number of deaths due to all causes registered among the inhabitants of Świętokrzyskie Province in years 2002-2010. Causes of death were coded according to the 10th revision of the International Classification of Diseases. The analysis of premature mortality was carried out with the use of PYLL rate. PYLL rate was calculated according to the method proposed by Romeder, according to which the premature mortality was defined as death before the age of 70. The analysis of time trends of PYLL rate and the APC (annual percent change) of the PYLL rate were calculated usingjointpoint model as well as the Jointpoint Regression Program (Version 4.0.1 - January 2013). Results. In men, in years 2002 - 2007 PYLL rate increased by 1.5% per year (p<0.05). From year 2007 the trend went downward and PYLL rate decreased on average by 3.1% per year till year 2010. External causes of death, cardiovascular diseases and cancers in years 2002 - 2010 were the reason for almost 74.0% PYLL in men. In year 2010 PYLL rate due to all death causes amounted to 89 13.8/105 and was three times higher than in women (29 75.5/105). In women, however, during the analysed period PYLL rate did not change significantly, and was dominated by cancers, cardiovascular diseases and external death causes. Similarly to men, those three groups of death causes were responsible for an average 76.0% PYLL. Conclusions. The analysis of the causes of premature mortality in Świętokrzyskie Province shows that in the majority of cases it is due to preventable deaths, which calls for the necessity of more intensive measures in primary and secondary prevention as well as the improvement in treatment standards, mainly of cardiovascular diseases, cancers, injuries and accidents.
Wprowadzenie. Przedwczesna umieralność w młodszych grupach wieku wpływa na funkcjonowanie społeczeństwa zarówno pod względem społecznym jak i ekonomicznym. Dlatego ważne stało się opracowanie narzędzia, które pozwoli na ich ocenę i podejmowanie tylko tych działań z zakresu ochrony zdrowia, które przynoszą wymierne efekty. Dlatego wprowadzono wskaźnik PYLL (Potential "Years of Life Lost), który jest uzupełnieniem analizy umieralności przedwczesnej, gdyż uwzględnia liczbę zgonów z powodu określonej przyczyny oraz wiek, w którym nastąpił zgon. Cel. Celem badań była analiza poziomu oraz trendów współczynnika potencjalnych utraconych lat życia (PYLL) według przyczyn w województwie świętokrzyskim w latach 2002-2010. Materiał i metody. Materiał stanowiły publikowane informacje Głównego Urzędu Statystycznego o liczbie zgonów z powodu ogółu przyczyn zarejestrowanych wśród mieszkańców województwa świętokrzyskiego w latach 2002-2010. Przyczyny zgonów były kodowane zgodnie z X Rewizją Międzynarodowej Klasyfikacji Chorób i Problemów Zdrowotnych. Analizę umieralności przedwczesnej przeprowadzono z wykorzystaniem wskaźnika potencjalnych utraconych lata życia (PYLL - Potential Years of Life Lost). Liczbę potencjalnych utraconych lat życia obliczono z zastosowaniem metodologii zaproponowanej przez Romedera. Za umieralność przedwczesną przyjęto zgon przed 70 rokiem życia. Analizy trendów czasowych współczynnika PYLL oraz wartości średniej rocznej zmiany (APC - annual percent change) współczynnika PYLL obliczono za pomocą modeli joinpoint i programu Joinpoint Regression Program (Version 4.0.1- January 2013). Wyniki. U mężczyzn w latach 2002-2007 współczynnik PYLL wzrastał o 1,5% rocznie (p<0,05). Od roku 2007 trend zmienił kierunek na malejący, a wartość współczynnika do 2010 roku obniżała się średnio o 3,1% rocznie. Zewnętrzne przyczyny zgonu, choroby układu krążenia oraz nowotwory złośliwe w latach 2002-2010 były przyczyną utraty średnio 74,0% PYLL u mężczyzn. W 2010 roku wartość wskaźnika PYLL z powodu wszystkich przyczyn u mężczyzn wynosiła 89 13,8/105 i była 3-krotnie wyższa niż u kobiet (2975,5/105). U kobiet przyczyną utraty PYLL były nowotwory złośliwe, choroby układu krążenia oraz zewnętrzne przyczyny zgonów. Podobnie jak u mężczyzn, te trzy grupy przyczyn zgonu były odpowiedzialne za utratę średnio 76,0% PYLL. Wnioski. Analiza przyczyn umieralności przedwczesnej w województwie świętokrzyskim wskazuje, że w zdecydowanej większości jest ona spowodowana „zgonami możliwymi do uniknięcia”, co wskazuje na konieczność intensyfikacji działań profilaktyki pierwotnej i wtórnej oraz poprawę standardów leczenia, głównie chorób układu krążenia i nowotworów złośliwych oraz wypadków i urazów.
Źródło:
Roczniki Państwowego Zakładu Higieny; 2013, 64, 3
0035-7715
Pojawia się w:
Roczniki Państwowego Zakładu Higieny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Waiting time for treatment of women with breast cancer in Podlaskie Voivodeship (Poland) in view of place of residence. A population study
Autorzy:
Maslach, D.
Krzyzak, M.
Szpak, A.
Owoc, A.
Bielska-Lasota, M.
Powiązania:
https://bibliotekanauki.pl/articles/50218.pdf
Data publikacji:
2013
Wydawca:
Instytut Medycyny Wsi
Opis:
Introduction: Treatment delay is a major problem of contemporary oncology. Knowing the time interval between diagnosis and initiation of treatment, together with monitoring this adverse prognostic factor, is an important element of the treatment planning process in the population and can contribute to the improvement of patients’ curability. Objective: To assess the waiting time for first treatment of women diagnosed with breast cancer in 2001-2002 in Podlaskie Voivodeship. Materials and methods: During 2001-2002, there were 709 cases of women with breast cancer who reported to the Voivodeship Cancer Registry in Bialystok. 659 women were diagnosed with a primary invasive breast tumour. A cohort of 499 women who were treated with a curative intent was selected from this group. The waiting time in the created cohort was calculated as the number of days between the date of the breast cancer diagnosis and date of the first treatment. Results: The average time between the date of diagnosis and date of the first treatment was 38 days. The median was 14 days. 28.6% of patients from the selected cohort waited longer than 28 days. The treatment of rural women was initiated faster than the treatment of urban patients.
Źródło:
Annals of Agricultural and Environmental Medicine; 2013, 20, 1
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The breast-conserving surgery of women with breast cancer in Podlaskie voivodship (Poland). Population study
Autorzy:
Maslach, D.
Krzyzak, M.
Szpak, A.
Bojar, I.
Bielska-Lasota, M.
Owoc, A.
Powiązania:
https://bibliotekanauki.pl/articles/51887.pdf
Data publikacji:
2013
Wydawca:
Instytut Medycyny Wsi
Tematy:
breast-conserving surgery
woman
breast cancer
Polska
Podlasie region
cancer control
human population
Opis:
Introduction. The results of breast cancer treatment depend mainly on better detection in mammography screening and, consequently, a higher proportion of women with early stage of the disease. They depend also on a better access to health care services and the effectiveness of oncological treatment. One of the methods of breast cancer control is a breastconserving surgery. With a proper patients’ classification for the treatment, the results of the breast-conserving surgery do not differ in relation to mastectomy. That’s why, the availability of breast-conserving surgical methods is particularly important, especially in a population in which a population screening is conducted. Objective. The analysis of the selected aspects of the breast cancer treatment’s standard in Podlaskie Voivodeship. Patients and methods. In years 2001–2002, 709 cases of women with breast cancer were reported to the Voivodeship Cancer Registry in Bialystok. 659 women were diagnosed with a primary invasive breast cancer. Based on a cohort of 499 women treated with radical methods the following indicators, recommended by WHO for the evaluation of the breastconserving surgery’s availability, were calculated: a percentage of patients with whom breast-conserving surgery was used, a proportion of breast cancer cases receiving post-operative breast radiotherapy after breast-conserving surgery and a proportion of breast-conserving surgery in pT1 cases. Results. The breast-conserving surgery has been used much less frequently in Podlaskie Voivodeship than in Western Europe, but more frequently than in Poland in general. Conclusion. It should be aimed to provide a surgical treatment with the use of breast-conserving surgical methods to the highest possible percentage of patients. The increase of the percentage of patients treated with breast-conserving surgery methods can be a result of an effective screening realisation.
Źródło:
Annals of Agricultural and Environmental Medicine; 2013, 20, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Differences in results of breast cancer curative treatment between urban/rural female population in Podlaskie Voivodship of Poland before introduction of the National Cancer Control Programme
Autorzy:
Maslach, D.
Krzyzak, M.
Szpak, A.
Owoc, A.
Gebska-Kuczerowska, A.
Bielska-Lasota, M.
Powiązania:
https://bibliotekanauki.pl/articles/51272.pdf
Data publikacji:
2013
Wydawca:
Instytut Medycyny Wsi
Opis:
The aim of the study was to evaluate differences in the results of the curative treatment received by women with breast cancer in urban and rural area in Podlaskie Voivodship in 2001-2002 before the introduction of the National Cancer Control Programme. The analysis was based on 449 women with breast cancer, who received curative treatment in years 2001-2002. Relative 5-year survival rates as function of age and stage among urban and rural women population were calculated. The results showed that survival rates in Podlaskie Voivodship among curatively treated women with breast cancer were 81.9% but they differed between urban and rural areas. Patients living in rural areas had much lower survivals than those living in urban areas at local and regional stage of disease. In all age groups considered in the study survivals in rural areas were lower than in urban ones in which survivals were higher in 55-64 age group. These results indicated the necessity intervention in order to increase the access to the health care system and effectiveness of early detection and also improved treatment standards for more disadvantaged rural areas. These results should be also considered in monitoring of the National Cancer Control Programme introduction in Poland in 2006.
Źródło:
Annals of Agricultural and Environmental Medicine; 2013, 20, 1
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Differences in breast cancer incidence and stage distribution between urban and rural female population in Podlaskie voivodship, Poland in years 2001-2002
Autorzy:
Krzyzak, M
Maslach, D.
Juczewska, M.
Lasota, W.
Rabczenko, D.
Marcinkowski, J.T.
Szpak, A.
Powiązania:
https://bibliotekanauki.pl/articles/50013.pdf
Data publikacji:
2010
Wydawca:
Instytut Medycyny Wsi
Tematy:
Polska
Podlasie voivodship
rural population
urban population
woman
breast cancer
human disease
distribution
differentiation
incidence
disease stage
Population Screening Programme
monitoring
diagnosis
Źródło:
Annals of Agricultural and Environmental Medicine; 2010, 17, 1; 159-162
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Breast cancer survival gap between urban and rural female population in Podlaskie voivodship, Poland, in 2001-2002. Population study
Autorzy:
Krzyzak, M
Maslach, D.
Bielska-Lasota, M.
Juczewska, M.
Rabczenko, D.
Marcinkowski, J.T.
Szpak, A.
Powiązania:
https://bibliotekanauki.pl/articles/50248.pdf
Data publikacji:
2010
Wydawca:
Instytut Medycyny Wsi
Tematy:
environmental exposure
rural population
urban population
human disease
breast cancer
survival rate
inequality
Podlasie region
Polska
female
Źródło:
Annals of Agricultural and Environmental Medicine; 2010, 17, 2; 277-282
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Inequalities in breast cancer incidence and stage distribution between urban and rural female population in Swietokrzyskie Province, Poland
Autorzy:
Paszko, A.
Krzyżak, M.J.
Charkiewicz, A.E.
Ziembicka, D.
Żendzian-Piotrowska, M.
Szpak, A.S.
Florek-Łuszczki, M.
Maślach, D.
Powiązania:
https://bibliotekanauki.pl/articles/2082946.pdf
Data publikacji:
2019
Wydawca:
Instytut Medycyny Wsi
Tematy:
breast cancer
incidence
inequalities in health
urban and rural population
stage distribution
Opis:
Introduction and objective. One of the main factors determining the burden of breast cancer is the effectiveness of measures taken to combat this cancer including urban-rural differences. The aim of the study was to analyse the differences in breast cancer incidence and disease stage distribution among urban and rural women in the Świętokrzyskie Province as a part of a strategy for breast cancer control. Materials and method. The study of disease stage distribution included 483 female residents of Świętokrzyskie Province who were diagnosed in 2013 with invasive breast cancer, and reported to Świętokrzyskie Office for Cancer Registration. Urban-rural differences in breast cancer incidence in 2002–2013 were presented using Range Ratio (RR). Changes in incidence trends in urban and rural areas were analysed using joinpoint models. Annual Percentage Change (APC) of the rates was calculated for each time trend. Results. Breast cancer incidence rate in the urban female population was higher than in rural women with RR, amounting to 1.43. However, the analysis of trends showed that the pace and direction of change were developing negatively among inhabitants of rural areas. In 2002–2013, in rural women, the age-standardized rate (ASR) values increased by 2.8% per year (p<0.05). The course of ASR trends showed statistically significant urban-rural differences (p=0.004). Analysis of urban-rural differences in disease stage distribution revealed a non-significantly higher proportion of cases with localised stage in urban than in rural areas, amounting to 51.0% and 43.9%, respectively. Conclusions. Existing health inequalities indicate the need to intensify activities in rural areas and should be the starting point for making key decisions in combating breast cancer.
Źródło:
Annals of Agricultural and Environmental Medicine; 2019, 26, 1; 169-164
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-8 z 8

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