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2017 | nr 2 | 64--72
Tytuł artykułu

Are There Just Barriers? Institutional Perspective on the Development of E-Health in Poland

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Development of e-health in Poland has suffered from multiple setbacks and delays. This paper presents views on and experiences with implementation of e-health solutions of three groups of respondents: buyers, suppliers and external experts with the aim of establishing to what extent and in what way e-health development was taking place in Polish public health care and if there were any national policy targets or European targets influencing this development. It is based on desktop studies and interviews conducted in Poland in the spring and summer of 2015. The interviews largely confirmed findings from the desktop study: legal obstacles were the decisive factor hindering the development of e-health, especially telemedicine, with extensive insufficiency of basic IT infrastructure closely following. Stakeholders were deterred from engaging with telemedicine, and from procuring e-health using non-standard procedures, from fear of legal liability. Some doctor's resistance to e-health was also noted. There are reasons for optimism. Amendment to the Act on the System of Information in Health Care removed most legal obstacles to e-health. The Polish national payer (NFZ) has started introducing reimbursement for remote services, though it is still too early see results of these changes. Some doctors' reluctance to telemedicine may change due to demographic changes in this professional group, younger generations may regard ICT-based solutions as a norm. In the same time, poor development of basic IT infrastructure in Polish hospitals is likely to persist, unless a national programme of e-health development is implemented (with funds secured) and contracting e-health services by NFZ is introduced on a larger scale. (original abstract)
Rocznik
Numer
Strony
64--72
Opis fizyczny
Twórcy
  • Jagiellonian University Medical College, Krakow, Poland
  • Jagiellonian University, Krakow, Poland
  • Dane-i-Analizy.pl sp. z o.o., Krakow, Poland
  • Durham University, School of Medicine, Pharmacy and Health, UK
  • Sheffield Hallam University, UK
Bibliografia
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  • eHealth Policy (EU). Retrieved from http://ec.europa.eu/health/ehealth/policy/index_en.htm
  • EU Health Programme. (2014). Overview of the national laws on electronic health records in the EU Member States and their interaction with the provision of cross-border eHealth services. Brussels, Belgium: Milieu Ltd, & Time.lex. Retrieved from http://ec.europa.eu/health/ehealth/docs/laws_report_recommendations_en.pdf
  • European Commission. (2004). E-Health - making healthcare better for European citizens: An action plan for a European e-Health Area. Retrieved from http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=COM:2004:0356:FIN:EN:PDF
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  • European Commission. (2013). Horizon 2020 calls for eHealth projects launched. Retrieved from http://ec.europa.eu/digital-agenda/en/news/first-horizon-2020-calls-ehealth-projects-launched
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  • Karlińska, M. (2014). Informatyzacja opieki stacjonarnej w systemie ochrony zdrowia na przykładzie warszawskich szpitali publicznych [Computerization of in-patient care in the health system on the example of Warsaw's public hospitals]. Studia Ekonomiczne, 199, 99-106.
  • Karlińska, M., Masiarz, P., & Mężyk, R. (2014). Przyspieszenie wdrażania technologii w regionalnej ochronie zdrowia dzięki finansowemu wsparciu UE - przykład województwa świętokrzyskiego [Acceleration of the implementation of technology in the regional health care thanks to the financial support of the EU - the Świętokrzyskie province case]. Collegium of Economic Analysis Annals, 35, 207-218.
  • Klinger, K., & Janczura, M. (2016, November 23). GIODO powinien pójść do lekarza: Dane medyczne nie są zabezpieczane [Inspector General should go to the doctor: Medical data are not secured]. GazetaPrawna.pl. Retrieved from http://prawo.gazetaprawna.pl/artykuly/995326,giodo-dane-medyczne-niezabezpieczone.html
  • Król, T. (2015). Telemedycyna będzie finansowana przez NFZ [Telemedicine will be financed by the National Health Fund]. Serwiszoz.pl. Retrieved from https://serwiszoz.pl/ittechnologiesprzet/telemedycyna-bedzie-finansowana-przez-nfz-2678.html
  • Kumar, S., & Bauer, K. (2011). The business case for implementing electronic health records in primary care settings in the United States. Journal of Revenue and Pricing Management, 10(2), 119-131.
  • MarketsandMarkets. (2015). Telehealth Market by Component (Hardware (Blood Glucose Meters), Software (Integrated), Services (Remote Monitoring, Real-time Interactions)), End User (Providers, Patients) & by Delivery Mode (On Premise, Web, & Cloud) - Trends & Global Forecast to 2020. Retrieved from http://www.marketsandmarkets.com/Market-Reports/telehealth-market-201868927.html
  • Ministerstwo Rozwoju Regionalnego [The Ministry of Regional Development]. (2012). Strategia Rozwoju Kraju 2020 [The National Development Strategy 2020]. Retrieved from https://www.mr.gov.pl/media/3336/Strategia_Rozwoju_Kraju_2020.pdf
  • Ministerstwo Zdrowia [Ministry of Health]. (2009). Kierunki informatyzacji "e-Zdrowie Polska" na lata 2011-2015 [Directions of computerization "e-Health Poland" for 2011-2015]. Retrieved from http://www2.mz.gov.pl/wwwfiles/ma_struktura/docs/kierunki_e_zdrowie_09022011.pdf
  • NFZ [NHF]. (2015). Projekt zarządzenia - warunki zawierania i realizacji umów - świadczenia zdrowotne kontraktowane odrębnie [Draft Decree - conditions for conclusion and implementation of agreements - health services contracted separately]. Retrieved from http://www.nfz.gov.pl/zarzadzenia-prezesa/projektyzarzadzen/projekt-zarzadzenia-warunki-zawieraniai-realizacji-umow-swiadczenia-zdrowotne-kontraktowane-odrebnie,6385.html
  • Rozporządzenie Ministra Zdrowia z dnia 8 marca 2012 r. w sprawie recept lekarskich [Regulation of the Minister of Health, dated 8 March 2012. On medical prescriptions] (Dz.U. 2012, poz. 260) 2012 (PL).
  • Ustawa z dnia 9 października 2015 r. o zmianie ustawy o systemie informacji w ochronie zdrowia oraz niektórych innych ustaw [Act of 9 October 2015. Amending the act on the information system in the health care and some other acts] (Dz.U. 2015, poz. 1991) 2015 (PL).
  • TOK FM/rynekaptek.pl. (2015). GIODO: e-recepty nie chronią danych osobowych [Inspector General: e-prescriptions do not protect personal data]. Retrieved from http://www.rynekaptek.pl/prawo/giodo-erecepty-nie-chronia-danych-osobowych,10730.html
  • TVP.info. (2015). Konsultacje lekarskie za pomocą łączenia wideo. Telemedycyna wkracza do Polski [Medical consultations by combining video. Telemedycyna enters Poland]. Retrieved from http://www.tvp.info/21570820/lekarze-udziela-porady-za-pomoca-laczenia-wideo-telemedycyna-wkracza-do-polski
  • Zgliczyński, W., Pinkas, J., Cianciara, D., Sitarek, M., Berdyga, T., Nowicka-Wasilewska, J., & Kawwa, J. (2013). Telemedycyna w Polsce - bariery rozwoju w opinii lekarzy [Telemedicine in Poland - barriers to the development, in the opinion of doctors]. Medycyna Ogólna i Nauki o Zdrowiu, 19(4), 496-499. Retrieved from http://jml2012.indexcopernicus.com/fulltxt.php?ICID=1096968
Typ dokumentu
Bibliografia
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