Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2018 | nr 521 Finanse i audyt wewnętrzny - współczesne wyzwania | 79--88
Tytuł artykułu

Potencjalne źródła nieefektywności w wydatkach na ochronę zdrowia

Treść / Zawartość
Warianty tytułu
Potential Sources of Inefficiency in Health Care Expenditure
Języki publikacji
Wydatki na ochronę zdrowia są grupą wydatków, która w zdecydowanej większości państw stale wzrasta. Oprócz poszukiwania nowych źródeł finansowania ochrony zdrowia, należy zwrócić szczególną uwagę na racjonalne wykorzystanie dostępnych środków. W artykule przeanalizowano wybrane wskaźniki opisujące warunki funkcjonowania systemu ochrony zdrowia. Są nimi: świadomość zdrowotna społeczeństwa, dostępność do świadczeń medycznych ze względu na ich cenę, elementy satysfakcji pacjenta z wizyt lekarskich, dotyczące zaangażowania pacjenta w proces leczenia. Celem artykułu jest zbadanie, czy w polskim systemie ochrony zdrowia pacjent świadomie dba o własne zdrowie i czy struktura systemu, w tym sposób finansowania, sprzyja procesowi wykrywania chorób na wczesnym etapie oraz czy pacjent jest zaangażowany w podejmowanie decyzji o sposobie leczenia. Są to wybrane determinanty efektywnego wydatkowania środków publicznych i prywatnych na ochronę zdrowia.(abstrakt oryginalny)
Expenditures on healthcare are constantly increasing in the vast majority of countries. Attention should be paid not only to seeking new sources of funding but also to effective usage of currently available resources. Therefore, the article aims to verify whether in the Polish healthcare system, a patient consciously manages his/her own health and if one participates in the decision-making process concerned with methods of treatment. Moreover, it is analysed whether the structure of the system itself, including financing methods, allows for disease diagnosis at early stage. These three issues constitute potential determinants of effectiveness of spending the public and private funds on healthcare, which in some way lie beyond the core focus of the healthcare system. The article presents selected areas of public funds expenditure and proposes means of their analysis and measurement.(original abstract)
  • Szkoła Główna Handlowa w Warszawie
  • Berkman N.D., Sheridan S.L., Donahue K.E., Halpern D.J., Viera A., Crotty K., Holland A., Brasure M., Lohr K.N., Harden E., Tant E., Wallace I., Viswanathan M., 2011, Health Literacy Interventions and Outcomes: An Updated Systematic Review. Evidence Report/Technology Assessment no. 199 (Prepared by RTI International - University of North Carolina Evidencebased Practice Center under contract No. 290-2007-10056-I. AHRQ Publication Number 11- E006. Rockville, MD. Agency for Healthcare Research and Quality March 2011).
  • Boulding W., Glickman S.W., Manary M.P., Schulman K.A., Staelin R., 2011, Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days, The American Journal of Managed Care.
  • Coulter A., 2012, Patient engagement - what works?, J Ambul Care Manage, vol. 35(2), s. 80-89, DOI: 10.1097/JAC.0b013e318249e0fd.
  • Cylus J., Papanicolas I., Smith P.C., 2016, Health system efficiency. How to make measurement matter for policy and management, The European Observatory on Health Systems and Policies, Health Policy Series, no. 46.
  • Da Silva D., 2011, Helping People Help Themselves. A Review of the Evidence Considering Whether it is Worthwhile to Support Self-management, The Health Foundation.
  • Da Silva D., 2012, Helping People Share Decision Making. A Review of Evidence Considering Whether Shared Decision Making is Worthwhile, The Health Foundation.
  • Egerter S., Braveman P., Sadegh-Nobari T., Grossman-Kahn R., Dekker M., 2011, Exploring the social determinants of health education and health, Robert Wood Johnson Foundation,
  • Eichler K., Wieser S., Brugger U., 2009, The costs of limited health literacy: a systematic review, Int J Public Health, no. 54, s. 313-324, DOI: 10.1007/s00038-009-0058-2.
  • Fitzpatrick A.L., Powe N.R., Cooper L.S., Ives D.G., Robbins J.A., 2004, Barriers to health care access among the elderly and who perceives tchem, Am J Public Health, vol. 94(10), s. 1788-1794, PMID: 15451751, [za:] World report on ageing and health, World Health Organization, 2015, s. 95,
  • Forrest C.B., Starfield B., 1996, The effect of first-contact care with primary care clinicians on ambulatory health care expenditures, J Fam Pract, vol. 43(1), s. 40-48.
  • GUS, 2017, Zdrowie i ochrona zdrowia w 2016 r.
  • HLS-EU Consortium, 2012, Comparative report of health literacy in eight EU member states. The European health literacy survey HLS-EU,
  • Kickbusch I., Maag D., 2008, Health Literacy, [w:] International Encyclopedia of Public Health, vol. 3, eds. K. Heggenhougen, S. Quah, Academic Press, San Diego.
  • McGinnis J.M., Williams-Russo P., Knickman J.R., 2002, The case for more active policy attention to health promotion, Health Aff (Millwood), vol. 21(2), s. 78-93, DOI: 10.1377/hlthaff.21.2.78.
  • McGovern L., Miller G., Hughes-Cromwick P., 2014, Health policy brief: the relative contribution of multiple determinants to health outcomes, Health Affairs, August 21.
  • Moumjid N., Carretier J., Marsico G., Blot F., Durif-Bruckert C., Chauvin F., 2017, Moving towards shared decision making in the physician-patient encounter in France: State of the art and future prospects, Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, vol. 123-124, s. 41-45, ISSN: 2212-0289,
  • Nutbeam D., 2000, Health literacy as a public goal: a challenge for contemporary health education and communication strategies into the 21st century, Health Promot Int, vol. 15(3), s. 259-267.
  • OECD, 2017, Health at a Glance 2017: OECD Indicators, OECD Publishing, Paris,
  • Ostrowska A., 1999, Styl życia a zdrowie. Z zagadnień promocji zdrowia, Wydawnictwo IFiS PAN Warszawa.
  • Rasu R.S., Bawa W.A., Suminski R., Snella K., Warady B., 2015, Health literacy impact on national healthcare utilization and expenditure, International Journal of Health Policy and Management, vol. 4(11), s. 747-755, DOI: 10.15171/ijhpm.2015.151.
  • Ratzan S., 2001, Health literacy: communication for the public good, Health Promotion International, vol. 16(2), s. 207-214, [za:] Sørensen K., Van den Broucke S., Fullam J., Doyle G., Pelikan J., Slonska Z., Brand H., Health literacy and public health: A systematic review and integration of definitions and models, BMC Public Health, 2012.
  • Rowe R.E., Garcia J., Macfarlane A.J., Davidson L.L., 2002, Improving communication between health professionals and women in maternity care: a structured review, Health Expect, vol. 5(1), s. 63-83.
  • Sørensen K., Broucke S., Fullam J., Doyle G., Pelikan J., Slonska Z., Brand H., 2012, Health literacy and public health: A systematic review and integration of definitions and models, BMC Public Health. Terraneo M., 2015, Inequities in health care utilization by people aged 50+: evidence from 12 European countries, Soc Sci Med., s.154-163, PMID: 25562311.
  • U.S. Department of Health and Human Services, 1980, Ten Leading Causes of Death in the United States 1977, Public Health Service, Bureau of State Services, Atlanta, GA.
  • Vernon J.A., Trujillo A., Rosenbaum S., DeBuono B., 2007, Low health literacy: implications for national health policy, Department of Health Policy, School of Public Health and Health Services,
  • What is person-centred care and why is it important?, Health Innovation Network South London,
Typ dokumentu
Identyfikator YADDA

Zgłoszenie zostało wysłane

Zgłoszenie zostało wysłane

Musisz być zalogowany aby pisać komentarze.
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.