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Coordination and integration in health care. The concepts for the next reform – part I

Przemysław Szetela

Public Health and Governance, Volume 15, Issue 3, 2017, pp. 207-218

https://doi.org/10.4467/20842627OZ.17.027.7807

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 also 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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Coordination and integration in health care. The concepts for the next reform – part II

Przemysław Szetela

Public Health and Governance, Volume 15, Issue 4, 2017, pp. 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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Import równoległy produktów leczniczych w Polsce – 10 lat doświadczeń i rozwoju

Przemysław Szetela

Public Management, Issue 2 (30), 2015, pp. 207-222

https://doi.org/10.4467/20843968ZP.15.017.3588

The parallel trade of pharmaceutical products are products imported into one Member State of the European Economic Area (EEA) from another and placed on the market in the destination Member State, outside the manufacturer’s or its licensed distributor’s formal channels. This activity has been a legal in Republic of Poland after the European Union accession. The parallel trade can reduce the price of pharmaceuticals products by introducing competition into market. This article aims to outline the 10 years of experience with parallel trade of pharmaceuticals products in Republic of Poland. It presents the Polish market development based on selected a few indicators.

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Rola samorządu terytorialnego w polskim systemie ochrony zdrowia: organizator, podmiot tworzący oraz płatnik

Przemysław Szetela

Public Health and Governance, Volume 13, Issue 1, 2015, pp. 55-68

https://doi.org/10.4467/20842627OZ.15.006.4119

The main purpose of this article was to present the most important organizational, supervisory and financial competences of local government units (LGUs) in Poland relating to public health care institutions (medical entities, a non-entrepreneurs). One of the goals of article was also evaluated the involvement of the various levels of local government in Poland in the financing of the tasks related to the health care and evaluated the effects of decentralization in health care. The article has been prepared on the basis of literature study, including the current legislation, as well as papers of various organizations, institutions and scientific journals.

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Przemysław Szetela

Katedra Zdrowia Publicznego, Dietetyki i Chorób Cywilizacyjnych, Wydział Medyczny, Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie, ul. Sucharskiego 2, 35-225 Rzeszów

Katedra Zdrowia Publicznego, Dietetyki i Chorób Cywilizacyjnych, Wydział Medyczny, Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie, ul. Sucharskiego 2, 35-225 Rzeszów

Przemysław Szetela Email

Katedra Zdrowia Publicznego, Dietetyki i Chorób Cywilizacyjnych, Wydział Medyczny, Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie, ul. Sucharskiego 2, 35-225 Rzeszów

Przemysław Szetela