The aim of the study was to present characteristics of patients transported in incubators by crews of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) of the Polish Medical Air Rescue as well as the character of their missions. The study was based on the method of retrospective analysis of neonatal transports with the use of transport incubators by the crews of HEMS and EMS of the Polish Medical Air Rescue. The study covered 436 medical and rescue transports of premature babies and full-term newborns in the period between January 2012 and December 2018. The study group consisted mainly of male patients (55.05%) who, on the basis of the date of delivery, were qualified as full-term newborns (54.59%). During the transport their average age was 37.53 (standard deviation, SD 43.53) days, and their average body weight was 3121.18 (SD 802.64) grams. A vast majority of neonatal transports were provided with the use of a plane (84.63%), and these were medical transports (79.36%). The average transport time was 49.92 (SD 27.70) minutes with the average distance of 304.27 km (SD 93.05). Significant differences between premature babies and full-term newborns were noticed in terms of age and body weight at the moment of transport, diagnosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10), the most commonly used medications (prostaglandin E1, glucose, furosemide, vitamins), National Advisory Committee for Aeronautics (NACA) scale rate as well as the mission type and the presence of an accompanying person.
This study aimed at presenting selected aspects of outpatient specialist care for women diagnosed with polycystic ovary syndrome (PCOS) or endometriosis. The study was carried out using a retrospective analysis of the services provided under Outpatient Specialist Care (AOS) for women, based on data from the National Health Fund (NFZ). The study included data on women with PCOS or endometriosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10) in Poland from 2016 to 2018. The average age of women in the study group with PCOS was 25.31 (±7.02) years and, for those with endometriosis, 38.21 (±10.79). AOS patients with diagnosed PCOS most often made 2–3 visits (34.60%) to a specialist doctor, and those with diagnosed endometriosis most often made one visit (39.95%). Significant differences between patients with PCOS and endometriosis using AOS were found concerning the women’s age, the year, season, place of treatment, type of clinic, mode of admission, number of visits, and their place of residence or macroregion. With increasing age, women with PCOS made more visits to AOS, and women with endometriosis made fewer visits to the AOS specialist.
Introduction: Health treatment services in health resorts are a specific type of health care services in the Polish health protection system. In the context of performing the services, this specificity should be indicated in the rules for referring patients to treatment in health resorts. Referrals to treatment or rehabilitation in health resorts must be confirmed by the voivodeship branch office of the Fund, which is competent for the place of residence of the respective beneficiary. By confirming referrals, the voivodeship branch office of the National Health Fund specifies, inter alia, the type, place and date of the treatment. Therefore, it should be pointed out that the process in which the National Health Fund confirms referrals to treatment in health resorts is an important factor impacting the performance of treatment services in health resorts. Material: In order to inform about the performance of health care services in health resorts in 2019, the National Health Fund analysed the data by taking into account, inter alia, quantitative and value data (the value and number of registered medical referrals), medical data (the basis of the referrals, treatment profile, and scope of services), and statistical data (age and sex). Conclusions: From the analysis containing the above mentioned data, which is performed by the National Health Fund, results that the largest age group being treated in health resorts is the group aged from 56 to 65 years, which accounts for 41.03% of the total group of beneficiaries. On the other hand, the smallest groups is comprised of beneficiaries aged from 19 to 40 years, i.e. 1.39% of the total group of beneficiaries. This means that there is a significant disparity in the performance of treatment in health resorts between different age groups. Disparities may also be noticed in the performance of medical referrals to treatment in terms of sex, i.e. women account for 63.67% and men for just 36.33%.
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