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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:
Uwarunkowania funkcjonowania szpitali we współczesnej Europie ze szczególnym uwzględnieniem zasobów kadrowych
The European hospitals’ functioning determinants with special emphasis on the human resources issue
Autorzy:
Dubas, Katarzyna
Domagała, Alicja
Powiązania:
https://bibliotekanauki.pl/articles/635181.pdf
Data publikacji:
2012
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
koszty opieki zdrowotnej
szpitale
reforma opieki zdrowotnej
usługi szpitalne
zasoby ludzkie systemu zdrowotnego
health care costs
hospitals
health care reform
hospital services
human resources for health
Opis:
The aim of the article is to present the scope of determinants influencing hospitals’ functioning in contemporary Europe with emphasize put on the health sector human recourses issue. Multiplicity of the functions realized by the hospitals units relates to the plurality of determinants which influence their present situation as well as long-term transformation processes. The determinants can be categorized into three main groups: these related to the demand side of the hospital services, their supply and determinants being the results of the social and economic changes. Regardless of the differences existing between health systems in specific countries – all European countries are facing similar problems of increasing health care costs, strong need of efficiency improvement and deficits of medical staff. In case of the hospital sector the key issue is number of beds reduction and transformation of the hospitals’ organizational form
Źródło:
Zdrowie Publiczne i Zarządzanie; 2012, 10, 3; 143-153
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
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:
Świadczenia opieki pozaszpitalnej w dyrektywie 2011/24/UE oraz jej wdrożenie do prawa polskiego - krok wstecz dla pacjentów?
Outpatient Healthcare Services in the 2011/24/EU Directive and Its Implementation into the Polish Law - a Step backwards for Patients?
Autorzy:
Kiełbasa, Marcin
Powiązania:
https://bibliotekanauki.pl/articles/454412.pdf
Data publikacji:
2013
Wydawca:
Polski Instytut Ekonomiczny
Tematy:
transgraniczna opieka zdrowotna
pozaszpitalne świadczenia medyczne
dyrektywa o prawach pacjenta
transpozycja
uprzednia zgoda
cross-border healthcare
non-hospital medical services
patients' rights directive
transposition
prior authorisation
Opis:
Problematyka ponadgranicznych świadczeń opieki pozaszpitalnej (ambulatoryjnej) stanowi istotną część prawa pacjenta do uzyskania opieki medycznej w innym państwie członkowskim Unii Europejskiej. Co do zasady, tzw. rozporządzenia koordynacyjne UE, wydawane w związku z przepływem pracowników w ramach Unii, oraz orzecznictwo Trybunału Sprawiedliwości UE (TSUE) przewidują swobodę w ich otrzymywaniu przez pacjentów. Dyrektywa 2011/24/UE w sprawie stosowania praw pacjentów w transgranicznej opiece zdrowotnej miała „skodyfikować" przedmiotową judykaturę TSUE oraz ustanowić zasady ułatwiające dostęp do bezpiecznej transgranicznej opieki zdrowotnej o wysokiej jakości w Unii. Założeniem artykułu było zbadanie, czy swoboda pacjentów w ponadgranicznym korzystaniu z przedmiotowej kategorii usług medycznych w wyniku przyjęcia powyższej dyrektywy nie doznaje ograniczeń, które byłyby nie do pogodzenia z istniejącymi przepisami unijnego prawa. Analizie poddano zarówno proces prac nad dyrektywą, jak i jej ostateczny kształt. Prowadzi ona do wniosku, iż ten ostatni odbiega, ze szkodą dla praw pacjentów, od początkowych założeń, opartych na korzystnym dla nich orzecznictwie TSUE. W artykule zbadano również założenia polskich przepisów, które mają wdrożyć dyrektywę 2011/24/UE do prawa polskiego. Przeprowadzona analiza prowadzi do wniosku, że projektowana transpozycja tego unijnego aktu do polskiego systemu prawnego zmierza w podobnym do dyrektywy, niekorzystnym dla polskich pacjentów, kierunku.
The issue of cross-border non-hospital (outpatient) healthcare services constitutes an essential part of the patient's right to receive medical care in another EU Member State. In principle, the so-called EU coordination regulations, issued in connection with the movement of workers within the Union, as well as the case law of the Court of Justice of the EU (CJEU) provide for patients' freedom of its reception. The 2011/24/EU directive on the application of patients' rights in cross-border healthcare was to "codify" the above-mentioned jurisprudence of the CJEU. It was also to establish rules for facilitating access to safe and high-quality cross-border healthcare in the Union. The article investigates whether freedom of patients in cross-border use of the very category of medical services does not experience limitations that would not be compatible with the existing EU law as a result of the adoption of the directive. For this purpose, both the process concerning work undertaken to adopt the directive as well as its final shape were examined. It leads to the conclusion that the latter diverges from the initial assumptions, based on the CJEU's case law which was favourable to patients. The assumptions of the Polish provisions, which are to implement the 2011/24/EU directive into the Polish law, were thoroughly examined in the article as well. The analysis leads to the conclusion that the proposed transposition of this Union's act to the Polish legal system is moving in the direction which is similar to the one of the directive that is in a detrimental one to Polish patients.
Źródło:
Unia Europejska.pl; 2013, 4; 40-47
2084-2694
Pojawia się w:
Unia Europejska.pl
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Zasady wyceny świadczeń zdrowotnych we francuskim systemie ochrony zdrowia
The analysis of valuation principles of medical services in the French health care system
Autorzy:
Kludacz, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/596979.pdf
Data publikacji:
2014
Wydawca:
Łódzkie Towarzystwo Naukowe
Tematy:
hospital
valuation of medical services Homogeneous Groups of Patients GHM
hospital costs
Opis:
In many countries, including Poland, there is a problem associated with disadvantages of valuation methods of medical services that affect the poor efficiency of health care financing system. In the literature, it is estimated that one of the best methods of valuation is system based on the Homogeneous Groups of Patients. In this system all treated patients are classified, based on selected clinical characteristics into patient groups which consume the resources of the hospital in a similar manner. Such a system already exists in many European countries. In some of them the basis for valuation of medical services are the cost data accumulated in hospitals. One of such country is France. The aim of this article is to analyze the valuation principles of medical services, especially in the hospitals, that are applied in the French health care system. Particular attention was paid to the characteristics of the French health care system and the French system of Homogeneous Groups of Patients GHM, which is the base for the valuation of medical services in hospitals. This article also describes the process of collecting cost data needed to determine the cost weights and the pricing rules for calculating the GHM tariffs at the central level.
Źródło:
Studia Prawno-Ekonomiczne; 2014, XCIII (93); 193-205
0081-6841
Pojawia się w:
Studia Prawno-Ekonomiczne
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Unmet needs in emergency department patients as an important aspect of the increasing number of hospitalizations
Autorzy:
Szwamel, Katarzyna
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/551601.pdf
Data publikacji:
2017
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
needs assessment
health services needs and demand
emergency service
hospital ward.
Źródło:
Family Medicine & Primary Care Review; 2017, 3; 261-269
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
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
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