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Tom 15, Numer 4

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2017 Następne

Data publikacji: 28.03.2018

Opis

Przygotowanie do wydania elektronicznego 4 numerów czasopisma - zadanie finansowane w ramach umowy Nr 780/P-DUN/2017 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.

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Zawartość numeru

Empathy in healthcare professionals

Sylwia Królak

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 288 - 298

https://doi.org/10.4467/20842627OZ.17.031.8285
The article attempts to demonstrate the significance and value of empathy in the medical profession, and the consequences generated by its absence, or its very high level. In psychology, empathy is considered to be a multidimensional phenomenon, affecting the appropriate interpersonal relations. Understanding one’s emotions is vital in recognizing the emotions of others. Empathy is one of the emotions acquiring particular significance in the medical profession. Highly empathetic doctor is the dream of every patient.
Unfortunately, a too high level of empathy and the lack of emotional self-regulation skills can lead a physician to empathic depression, and even professional burnout. The article presents research results reflecting the level of empathic sensitivity for the scales of Empathic Concern, Personal Distress and Perspective Taking. The study used Empathic Susceptibility Scale SWE (Kaźmierczak, Plopa, Retowski, 2007), and the respondents were 80 doctors working in one of the hospitals in Gdynia in 2013.
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Medical confidentiality

Katarzyna Maria Zoń

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 299 - 305

https://doi.org/10.4467/20842627OZ.17.032.8286
Primarily, it should be noted that a doctor has an obligation to ensure the principles inherent to the doctor-patient relationship and to maintain medical confidentiality. These basic rules ensue from both statutory and deontology regulations. 
The aim of this paper is to analyse the exceptions to the above rule in relation to public health. In this respect, it is very important to explain the statutory and deontology regulations related to the obligation to maintain confidentiality, as well as to provide a definition of public health. Therefore, the specific nature of the exceptions to the medical confidentiality clause is highlighted. The exceptions are discussed taking into account the fact that public health protection is the requirement justifying their application. Finally, the article ends with a presentation of the conclusions of the analysis. 
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Sztuczna inteligencja w ochronie zdrowia

Krzysztof Kaźmierczak

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 306 - 316

https://doi.org/10.4467/20842627OZ.17.033.8287
An approach for using self-teaching algorithms of artificial intelligences character in health care
Recent developments in information technologies allow an increasing delegation of certain tasks within the area of medicine to self-teaching algorithms, commonly referred to as artificial intelligences. Such programs may advise and provide solutions in various aspects of personalized medical services to be used by practitioners. Large scale usage of data and creation of complicated pathways for decision making may result in opacity and creation of “black boxes” which cannot be effectively supervised by users. This paper aims to position certain aspects of such algorithms within the prescriptive map of ethical debate on algorithms, their accountability and to briefly describe the existing legal solutions which may aid in dealing with such issues. 
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Effectiveness of medical procedures

Włodzimierz Galewicz

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 317 - 324

https://doi.org/10.4467/20842627OZ.17.034.8288
The subject of this article is the assessment of the effectiveness of medical procedures or interventions. In its first part I compare the different meanings that the term effectiveness assumes in the context of assessing medical interventions, including the definition of the concept of consequential effectiveness, i.e. efficiency in achieving a certain objective of recognized value, distinguishing it from purely instrumental efficiency, i.e. effectiveness in achieving any goal, and from ‘cost-effectiveness’ or economic efficiency. Next, I discuss various directions of relativization that allow for, and largely assume, assessments of the effectiveness of medical interventions, primarily considering the purpose, which serves as their point of reference. In the third part, I emphasize the different character of assessments of the effectiveness of medical procedures depending on whether they relate to the final or only to the indirect purpose of a given procedure. Finally, I consider the validity of the popular opposition of effectiveness and efficiency, and egalitarian fairness or justice (equity) in relation to health care procedures.
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Health policy programs

Magdalena A. Mrożek-Gąsiorowska

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 325 - 334

https://doi.org/10.4467/20842627OZ.17.035.8289
Since 2010, the Agency for Health Technology Assessment and Tariff System (AOTMiT) has issued its opinions on health policy programs (PPZ), including therapeutic rehabilitation. Of 1,813 opinions submitted on the programs, 6.9% (126 opinions) have concerned therapeutic rehabilitation. The purpose of the study is to evaluate the proportion of and determining factors of the negative opinions presented by the AOTMiT. It has been demonstrated that nearly a quarter (23.5% in 2017) of the projects in the field of therapeutic rehabilitation are negatively assessed by the Agency, the most common reason for the negative opinion (72.4%) being inadequate project preparation. The new scheme of PPZ developed by the Agency should make it easier for local governments to design a program, thus significantly reducing the number of negative opinions on therapeutic rehabilitation programs.
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Sleep disorders in older adults

Antonina Ostrowska

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 335 - 346

https://doi.org/10.4467/20842627OZ.17.036.8290
The paper is a sociological analysis of the phenomenon of insomnia in older population. The aim is to show the experience of sleep disorders in a social context, i.e. relating them to the socio-economic situation, the quality of life, the frame of mind and the social functioning of seniors. The approach taken is not clinical, which is oriented towards a neurological explanation of the phenomenon, the diagnostics and treatment. Nor is it epidemiological, which generally considers only the demographic features, or characteristics of the state of health, in its analysis of insomnia. The occurrence of insomnia in various European countries and seeking the similarities and dissimilarities in its social correlates will be the subject of further analyses.
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Coordination and integration in health care

Przemysław Szetela

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 347 - 353

https://doi.org/10.4467/20842627OZ.17.037.8291
The concept of coordinated and related integrated health care is playing an increasingly important role in modern health care systems. Societies’ changing health profile, particularly in developed countries, together with the growing complexity of the health care process necessitates searching for, and implementing, solutions to increase the effectiveness and efficiency of the existing systems. This is particularly necessary when there are no opportunities for a rapid and substantial increase in funding. The substance of the planned and implemented changes is the transition from episodic, fragmented, and dispersed treatment of diseases towards the provision of coordinated health care – with a varied degree of integration – which would ensure that patients receive comprehensive and continuous treatment ensured by cooperation between the health care, social care and education sectors. Achieving solution to the above challenges is included in the concept of coordinated and integrated health care, some elements of which are being implemented in the Polish system of health care.
The purpose of this paper is to present the essential aspects of the philosophy of coordinated health care and the often related concept of integration in the health care system. The starting point for this consideration of the concept of coordinated health care is its origin and its development to date. The paper focusses on the attempts made to implement the concept in the Polish health care system and on the currently formulated proposals concerning this matter.
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Dyskusja panelowa

Stanisława Golinowska

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 354 - 360

https://doi.org/10.4467/20842627OZ.17.038.8292

Konferencja naukowa pod patronatem Ministra Zdrowia

Promocja zdrowia postawą zdrowia publicznego. Promocja zdrowia dla osób starszych

Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny w Warszawie

Warszawa, dnia 8 września 2017 r.

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Stanisława Golinowska

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 361 - 365

https://doi.org/10.4467/20842627OZ.17.039.8293

Konferencja naukowa pod patronatem Ministra Zdrowia

Promocja zdrowia postawą zdrowia publicznego. Promocja zdrowia dla osób starszych

Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny w Warszawie

Warszawa, dnia 8 września 2017 r.

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Podstawowa opieka zdrowotna

Olga Partyka, Krzysztof Kuszewski, Sławomir Radiukiewicz, Włodzimierz Cezary Włodarczyk

Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 4, 2017, s. 366 - 373

https://doi.org/10.4467/20842627OZ.17.040.8294
Primary health care in the health care system and education of family practitioners in Poland.
What is worth knowing from history?
We are faced with the adoption of another law on primary health care in Poland, which was adopted by the government in August 2017. Before we present and evaluate this project we want to remind, and for young readers pass unfamiliar history about how concept of primary health care in Poland was transformed. What has been implemented and what is not and in what direction they are evaluating the current changes. This story will be presented by persons who participated in the transformation of the health care system in Poland – Krzysztof Kuszewski, Sławomir Radiukiewcz and Cezary Włodarczyk.
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