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Tom 12 Numer 2

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2014 Następne

Data publikacji: 2014

Licencja: Żadna

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Redaktor naukowy dr Katarzyna Dubas-Jakóbczyk

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Katarzyna Dubas-Jakóbczyk

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 116 - 128

https://doi.org/10.4467/20842627OZ.14.013.3105
The article provides a comparison of methods of hospital services’ supply coordination in three European countries: the United Kingdom (on England example), Germany and France. The coordination methods are defined as both the processes of planning the current hospital services supply levels (e.g. number of hospitals’ beds by speciality) and regulations regarding the investment projects within this sector. The results of the international comparison are then used in the context of analysis of the current situation in Polish hospital sector. Major (past and present) initiatives aimed at introduction of some form of hospital services supply coordination in Polish system are described. Shifting the emphasis from ‘competition’ to ‘coordination’ is presented as a basic recommendation for reforms.
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Krzysztof Kuszewski, Magdalena Krysińska, Anna Różycka

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 129 - 133

https://doi.org/10.4467/20842627OZ.14.014.3106
In 2006 National Institute of Hygiene1, prepared a study entitled “Indicators needed for the project to create a hospitals’ network with elements of demographic analysis and population health status”. The study determined the theoretical basis for forming a hospitals’ network and the basis of the law/the act about “the hospitals’ network”. Results of the study showed that between hospitals there were considerable differences in the distribution of hospital beds within a given specialty. The authors recognize that it is necessary to restore well-defined reference levels with regard to specialized ambulatory care.
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Dawid Sześciło

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 134 - 143

https://doi.org/10.4467/20842627OZ.14.015.3107
Since the demise of post-war welfare state, new public management (NPM) became the most influential global paradigm for public sector reform. This is a hybrid concept combining neoliberal pressure on marketization of public services with managerialism defined as incorporating business-like management style into the public sector organizations. This article aims at proving that the health care reforms in Poland were introduced in relatively consistent manner, that is highly compatible with the NPM agenda, particularly in terms of implementation of market-based mechanisms of health services delivery, decentralization and corporatization of public hospitals. This conclusion creates significant policy challenge as NPM agenda is under siege since its numerous adverse effects have been proven. In particular, comprehensive policy response is expected to address the risks associated with extensive marketization, decentralization and corporatization in health care system.
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Alicja Domagała

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 144 - 152

https://doi.org/10.4467/20842627OZ.14.016.3108
The article is aimed at presenting the Polish health care managers’ profile and describing postgraduate education offer available to this group. As a result of the changes in health care system the managers need to continuously gain new qualifications. They are expected not only to provide more effective management methods, but also to minimize the costs and achieve the health care units goals. It is obvious that only highly skilled managers with high level of qualification and broad knowledge concerning economics, finance, medical law, human resources management are able to meet the requirements of rapid changes in health care sector. Research showed that there are significant changes in the profile of health care managers. Currently among managers there are less persons with medical background and more women. Majority of managers continue their education during postgraduate study (mainly managerial and economy). There are very wide range of postgraduate studies for Polish health care managers offered by public and non-public universities.
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Marcin Kautsch, Mirosława Ster

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 153 - 162

https://doi.org/10.4467/20842627OZ.14.017.3109
This article describes the results of research (conducted using a questionnaire) on the operation of boards of trustees in non-public local-government-owned hospitals. CEOs of the above-mentioned hospitals have positive opinions about the operation of the boards, recognizing them to be useful both for the owner authorities and the units themselves. Their supervisory function is particularly highly rated in economic and managerial areas. To a lesser extent this applies to the quality of services. No significant operational issues have been reported by respondents. The CEOs, however, stressed the fact that trustees are not always sufficiently prepared for meetings, moreover, when hospitals operated as independent public health care units, they did not have to finance the activities of such boards.
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Maciej Rogala , Katarzyna Badora-Musiał, Iwona Kowalska, Anna Mokrzycka

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 163 - 174

https://doi.org/10.4467/20842627OZ.14.018.3110
Contemporarily the increasing role of marketing in the process of hospital management may be observed due to the lastly undertaken processes of systemic changes. The paper describes this phenomena on the basis of the Children’s University Hospital of Kraków, one of the leading polish centers in pediatrics. Authors analyze the case of a public clinical hospital asking if marketing activities should be used in such case. The issues focused on public relations and relations with the most important stakeholders are taken into account with a specific regard to the process of the hospital development, potential support for the hospital’s budget and for the future perspectives of such important provider. The case study explicitly illustrates the importance of different marketing techniques and actions for the process of effective management. The final conclusion underlined hereby, is the existing necessity of making publicly visible the vital role of such hospitals as well as building the positive and publicly accepted image of relationship and cooperation amongst stakeholders. This may be obtained with a great help and contribution of marketing knowledge and practices, specifically public relations and relationship marketing, 
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Katarzyna Bandoła, Michał Seweryn, Magdalena Koperny, Małgorzata M. Bała, Marcin Mikos

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 175 - 182

https://doi.org/10.4467/20842627OZ.14.019.3111
Despite the continuous advances of medicine and higher safety standards for patients, nosocomial infections are a major problem accompanying of treatment process. Infected patients are exposed to prolonged hospital stay, require additional medical procedures, theresofore their treatment and care are associated with additional costs for health facility. In the present study the number of outbreaks of nosocomial infections, which occurred in hospitals in the Malopolska province and in Poland, as well as etiological factors of the infections in the years 2011–2013 were analyzed. In the analyzed period we observed increase in the number of outbreaks of infections in Poland and in Malopolska (from 339 to 394 and from 19 to 26 in Poland and Malopolska respectively). The most frequently identified factor is C. difficile and Rotavirus, followed by K. pneumoniae ESBL, and Norovirus. There was a decrease in the number of outbreaks of unknown etiology, both in Poland and in Malopolska. The analysis identified an increase in the number of outbreaks caused by C. difficile, Noroviruses and Rotaviruses, as the main problem in the recent years. This trend occurs in the Malopolska region and in the country. However, the analysis of the reports shows improved reportability of outbreaks in Malopolska and in Poland which will allow for better control of nosocomial infections.
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Adam Kozierkiewicz , Krzysztof Gajda, Dariusz Gilewski, Wojciech Trąbka

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 183 - 191

https://doi.org/10.4467/20842627OZ.14.020.3112
An access to health care remains an important social issue for many years. In practice, the access is identified with waiting time and waiting lists for health services. The system working at present, which was introduced by virtue of a set of regulatory documents from years 2004–2005, is contested, mainly as concerns availability to valid and trustworthy information about waiting time to services provided by different providers. In the current paper, based on results of a research project entitles “Analysis of the current waiting lists management system (...)”, commissioned by the Ministry of Health, we present an attempt of systematic assessment and recommendation concerning rules and ways of organisation of the waiting lists system. 
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Katarzyna Dubas-Jakóbczyk, Pavlo Kovtonyuk

Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 2, 2014, s. 192 - 202

https://doi.org/10.4467/20842627OZ.14.021.3113
The aim of this article is to present the basic characteristics of the U.S. hospital sector (with an emphasis on structure, utilization level and the system of financing) as well as its current challenges and reform trends. Hospitals in the U.S. constitute a complicated and heterogeneous subsystem. There are diverse types of hospitals, functioning independently or in networks, developing innovative care models and using a multiple payer structure. The recent health care reform has created new organizational and financial challenges on both the macro and micro levels. The major ones are: the extension of the insured population; Medicare Hospital Readmissions Reduction Program; new requirements for non-profit hospitals regarding charity services; the role of accountable care organizations (ACOs). Additional challenge results from a strong public pressure for hospital’s price transparency. 
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