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Polskie Towarzystwo Prawa Medycznego, Krupnicza 11a 31-123 Kraków Polska

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Ogniska zakażeń szpitalnych w województwie małopolskim w latach 2011-2013

Marcin Mikos

Public Health and Governance, Volume 12, Issue 2, 2014, pp. 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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Dostępność świadczeń zdrowotnych finansowanych ze środków publicznych w Polsce a funkcjonowanie sieci szpitali

Marcin Mikos

Public Health and Governance, Volume 15, Issue 3, 2017, pp. 197 - 206

https://doi.org/10.4467/20842627OZ.17.025.7805

The article deals with the issue of access to health services financed from the public funds in Poland with regard to the so-called “network of hospitals” introduced on October 1, 2017. The network of hospitals is an instrument commonly applied for infrastructure planning, which is essential in providing patients with access to hospital treatment. The main purpose hereof is to present new legal solutions regarding the functioning of the hospital network in Poland in connection with ensuring access to healthcare services financed from the public funds for patients. The authors of the article made an attempt to assess whether the reform introducing the network of hospitals in Poland will contribute to the improvement of access to health services for patients and influence the increase of their health security. The above considerations are founded on the genesis and the concept evolution of the network of hospitals in Poland. The Polish experiences collected in the field mentioned above as well as the international experiences applied in selected European countries were presented herein. The network of hospitals functioning in Poland was analyzed in detail, and the authors indicated strengths and weaknesses thereof as well as existing and potential opportunities, and threats in its functioning.

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