Assessment of the health care system functioning in Poland in light of the analysis of the indicators of the hospital emergency department (ED) and primary health care (PHC) – proposals for systemic solutions
Journal Title: Family Medicine & Primary Care Review - Year 2019, Vol 21, Issue 2
Abstract
the last three decades, in developed countries, the number of patients reporting to hospital emergency departments has dramatically increased. The number of visits to EDs can be an important indicator of the quality of primary health care. Objectives. To analyse: 1) the frequency of admissions to EDs, 2) the type and number of medical procedures performed in EDs, and 3) the type and number of services provided by PHC in the Kedzierzyn-Kozle district. Material and methods. A retrospective analysis of the statistical data regarding services provided by PHC in the Kedzierzyn-Kozle district within the National Health Fund (NHF) and data from the hospital emergency department in Kedzierzyn-Kozle (Opole Province, Poland). Results. The results showed an annual increase in the number of hospitalisations (13,815 – 2012, 14,192 – 2013, 15,123 – 2014) and the number of medical procedures performed in the ED (mainly those from I–III categories), as well as the low rate of admission from the ED to ICU (Department of Anaesthesiology and Intensive Care). There was an increase in the overall number of consultations given by a primary health care doctor and the total number of healthcare services provided at night and during holidays. Conclusions. Reducing the number of non-urgent visits to EDs can be achieved by making efforts to meet the needs of patients at the level of primary health care, in particular through better coordination of services provided by EDs and PHC and better motivation of primary care doctors to perform the role of gatekeeper to the health care system.
Authors and Affiliations
Katarzyna Szwamel, Donata Kurpas
Keywords
Related Articles
- EP ID EP609709
- DOI -
- Views 63
- Downloads 0
Opinia pacjentów na temat trudności wieku podeszłego oraz roli opieki pielęgniarskiej w kształtowaniu zachowań proaktywnych u osób w wieku podeszłym
Wstęp. Pielęgniarka pracująca z pacjentami w wieku podeszłym powinna mieć dużą wiedzą specjalistyczną, a także kwalifikacje pozwalające na doskonalenie i poszerzanie u osób w wieku podeszłym postaw proaktywnych. Celem op...
Impact of loneliness in the elderly in health care: a cross-sectional study in an urban region of Portugal
Background. Loneliness is a subjective, complex and multi-dimensional feeling, having a significant impact on mental health. It is related to intrinsic and extrinsic factors. Objectives. The aim of this study is to evalu...
South Africa’s rural mental health human resource crisis: a situation analysis and call for innovative task-shifting
Background. These data provide national estimates of the human resources and services available to address the mental health (MH) needs of over 17 million rural South Africans, reliant on public rural primary healthcare...
CCM (Chronic Care Model) w ramach podstawowej opieki zdrowotnej
Proponuje się, aby systemy opieki zdrowotnej modelować na strukturze wspierającej „zarządzanie chorobami przewlekłymi”– zależnie od lokalnych możliwości oraz potrzeb i oczekiwań pacjentów. Od wielu lat wskazuje się na po...
The Internet as a source of health-related information among Internet users in the Lodz region, Poland
Background. The Internet is a widely used medium and a popular source of health-related information for patients. Currently, 59% of European Union citizens use it for such purpose. Due to the disputable quality of medica...