A reform proposal from 2019 aims to improve coordination of health services in Poland by strengthening the role of the counties

Sagan, Anna; Kowalska-Bobko, Iwona; Badora-Musiał, Katarzyna; Gałązka-Sobotka, Małgorzata

doi:10.1016/j.healthpol.2022.06.006

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Poland also has various complex care programmes aimed at improving coordination of care for various diseases or groups of patients, which have been implemented over the past 15 years [see Table 1 in ( 22 )]. However, some of these programmes are quite narrow, focusing mainly on diagnostics and specialist care, with only a few encompassing prevention and primary care services, or social care.…”

Section: Efforts To Strengthen Primary Carementioning

confidence: 99%

What is being done to respond to the rise of chronic diseases and multi-morbidity in Czechia, Hungary, Poland, and Slovakia?

Sagan

Kowalska-Bobko

Bryndová

et al. 2023

Front. Public Health

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Although countries in central and eastern Europe (CEE) have relatively younger populations compared to the West, their populations are often affected by higher prevalence of chronic conditions and multi-morbidity and this burden will likely increase as their populations age. Relatively little is known about how these countries cater to the needs of complex patients. This Perspective piece identifies key initiatives to improve coordination of care in Czechia, Hungary, Poland, and Slovakia, including some pioneering and far-reaching approaches. Unfortunately, some of them have failed to be implemented, but a recent strategic commitment to care coordination in some of these countries and the dedication to rebuilding stronger health systems after the COVID-19 pandemic offer an opportunity to take stock of these past and ongoing experiences and push for more progress in this area.

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Section: Efforts To Strengthen Primary Carementioning

confidence: 99%

What is being done to respond to the rise of chronic diseases and multi-morbidity in Czechia, Hungary, Poland, and Slovakia?

Sagan

Kowalska-Bobko

Bryndová

et al. 2023

Front. Public Health

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Section: Discussionmentioning

confidence: 99%

“…The presence of such reform proposals has likely introduced a level of uncertainty and ambiguity, which in turn may have influenced respondents to exhibit varying degrees of agreement with HTA objectives. 18,19 There is no consensus between all respondents at what stage stakeholders should be involved in HTA. However, the work notes the involvement of patients or society at various stages, such as identifying health technologies for assessment, prioritization process, assessment or conducting evaluations, produce information and making recommendations, implementing funding recommendations, and disseminating solutions.…”

Section: Discussionmentioning

confidence: 99%

Stakeholders’ Involvement in Health Technology Assessment in Kazakhstan, Poland and Bulgaria

Kulembekova,

Hailey,

Kulzhanov

et al. 2024

PPA

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Background In recent years, involvement of healthcare stakeholders in health technology assessment (HTA) has been discussed as helping the inclusion of social values in the decision-making process. The aim of our research was to identify and compare details from Kazakhstan, Poland and Bulgaria on their stakeholders’ involvement in the HTA process. Information was sought on their identification, responsibilities, and regulation. Methods We conducted a survey of seven types of stakeholders in the healthcare systems of Kazakhstan, Poland, and Bulgaria. They included patients and the public, providers, purchasers, payers, policy makers, product makers, and principal investigators. They were questioned on their involvement in the HTA process, and on the objectives of their participation. Results Levels of involvement of different kinds of stakeholder varied between countries, reflecting political and administrative developments. There was full or partial agreement on the objectives of stakeholder participation. All respondents agreed that representatives of the ministry of health should be involved in selection of stakeholders for HTA. Conclusion Progress has been made in the involvement of stakeholders, with interest in further development in all three countries.

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Reforms and innovations in primary health care in different countries: scoping review

Azimzadeh,

Azami-Aghdash,

Tabrizi

et al. 2024

Prim Health Care Res Dev

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Introduction: The World Health Organization (WHO) recommends focusing on primary health care (PHC) as the first strategy of countries to achieve the improvement of the health level of communities and has emphasized it again in 2021. Therefore, we intend to take a different look at the PHC system with reform, innovation, and initiative by using the experiences of leading countries and identify practical and evidence-based solutions to achieve greater health. Methods: This is a scoping review study that has identified innovations and reforms related to PHC since the beginning of 2000 to the end of 2022. In this study, Scopus, Web Of Science, and PubMed databases have been searched using appropriate keywords. This study is done in six steps using Arkesy and O’Malley framework. In this study, the framework of six building blocks of WHO was used to summarize and report the findings. Results: By searching in different databases, we identified 39426 studies related to reforms in primary care, and after the screening process, 106 studies were analyzed. Our findings were classified and reported into 9 categories (aims, stewardship/leadership, financing & payment, service delivery, health workforce, information, outcomes, policies/considerations, and limitations). Conclusion: The necessity and importance of strengthening PHC is obvious to everyone due to its great consequences, which requires a lot of will, effort, and coordination at the macro-level of the country, various organizations, and health teams, as well as the participation of people and society.

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A reform proposal from 2019 aims to improve coordination of health services in Poland by strengthening the role of the counties

Cited by 3 publications

References 4 publications

What is being done to respond to the rise of chronic diseases and multi-morbidity in Czechia, Hungary, Poland, and Slovakia?

What is being done to respond to the rise of chronic diseases and multi-morbidity in Czechia, Hungary, Poland, and Slovakia?

Stakeholders’ Involvement in Health Technology Assessment in Kazakhstan, Poland and Bulgaria

Reforms and innovations in primary health care in different countries: scoping review

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