Debt, Ownership, and Size: The Case of Hospitals in Poland

Miszczyńska, Katarzyna; Miszczyński, Piotr

doi:10.3390/ijerph18094596

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Poland, a European country with a huge burden on medical security, has been criticized for its inadequate level and allocation of funds and staff shortages in the health system. 52 , 53 Compared with other European countries, the slow increase in the TAVI adoption rate in Poland and the significant variations among national TAVI centres suggest that the limited progress in CAVD treatment was not proportionate to the increasing prevalence of CAVD. 54 Similarly, Croatia and Portugal had increasingly elevated CAVD prevalence, while TAVI promotion was insufficient, characterized by low numbers of TAVI procedures and deficient treatment strategy.…”

Section: Discussionmentioning

confidence: 99%

Alerting trends in epidemiology for calcific aortic valve disease, 1990–2019: An age–period–cohort analysis for the Global Burden of Disease Study 2019

Shu

Yang

Sun

et al. 2023

European Heart Journal - Quality of Care and Clinical Outcomes

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Aims To assess the trends in calcific aortic valve disease (CAVD) epidemiology, with an emphasis on CAVD mortality, leading risk factors, and their associations with age, period, and birth cohort. Methods and results Prevalence, disability-adjusted life years (DALYs), and mortality were derived from the Global Burden of Disease Study 2019. The age-period-cohort model was employed to study the detailed trends of CAVD mortality and its leading risk factors. Globally, CAVD showed unsatisfactory results from 1990 to 2019, with the CAVD deaths of 127 000 in 2019. CAVD mortality was substantially reduced in high Socio-demographic Index (SDI) countries (−1.45%, 95% confidence interval (CI) [−1.61, −1.30]), mildly increased in high-middle SDI countries (0.22%, 95% CI [0.06, 0.37]), and unchanged in other SDI quintiles. There was a noticeable transition in CAVD deaths from younger to older populations globally. The CAVD mortality increased exponentially with age, and the male had higher mortality than the female before 80 years old. Favorable period (0.69, 95% CI [0.66, 0.72]) and birth effects (0.30, 95% CI [0.22, 0.43]) were mainly observed in high SDI countries, while unfavorable effects were mostly noticed in high-middle SDI countries. High systolic blood pressure was the leading risk factor of CAVD deaths globally and it showed favorable trends in high SDI regions. Conclusions Although CAVD mortality reduction was observed globally, unfavorable period and cohort effects were found in many countries. Increase of mortality rate among the population ≥ 85 years was the common challenge across all SDI quintiles, stressing the necessity to further improve health care for CAVD patients worldwide.

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Section: Discussionmentioning

confidence: 99%

Alerting trends in epidemiology for calcific aortic valve disease, 1990–2019: An age–period–cohort analysis for the Global Burden of Disease Study 2019

Shu

Yang

Sun

et al. 2023

European Heart Journal - Quality of Care and Clinical Outcomes

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“…The financial condition of Polish hospitals is the subject of continual discussionand despite constant changes in the rules of financingit has not improved (Miszczyńska and Miszczyński, 2021). The pandemic has created entirely new conditions for the functioning of hospitals.…”

Section: Introductionmentioning

confidence: 99%

Next Pandemic? Yes, Please! How Covid-19 Pandemic Improved the Financial Condition of Polish Hospitals

Bem,

Prędkiewicz,

Siedlecki

et al. 2023

JoFFL

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The purpose of the article. The study aims to analyze how these special rules of financing during the pandemic affected the financial situation of hospitals in Poland. Methodology. We analyzed a sample of 86 Polish hospitals from 2019 to 2021. The financial condition is assessed based on financial ratios and the synthetic measure M1. We employ the Kruskall-Wallis test to confirm the differences between the values of financial ratios in the analyzed period. Results of the research. We confirm that due to the special rules and financing, combined with underperformance, the financial condition of Polish hospitals has slightly improved – especially in the case of operating margin, EAT to debt ratio and ROA.

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“…Adequate protection of the health condition of citizens is related to the achievement of the macroeconomic goals of the health care system. These include the level of health costs and increasing the effectiveness of healthcare entities [ 5 , 6 ]. The efficient functioning of the health care system translates into the economic situation of the country.…”

Section: Introductionmentioning

confidence: 99%

“…The level of indebtedness of the health care system in Poland is significant. Achieving negative financial results by hospitals and the constant increase in their debt is one of the most important problems of the system [ 5 ]. Seventy percent (70%) of all the arrears in medical facilities concern payments to suppliers of drugs, materials and energy [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Health Care System in Poland and Other OECD Countries Using the Hellwig Method

Smarżewska

Wereda

Jończyk

2022

IJERPH

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The health care system is a key element in the functioning of any country. However, depending on the level of funding, the number of medical staff and their availability, there are significant discrepancies in the health care systems of different countries. This article presents a picture of the Polish health care system compared to the systems of other selected OECD countries. The comparison was made on the basis of selected indicators concerning financing, medical and nursing staff as well as patient satisfaction with the availability and quality of healthcare. The aim of this article is to analyze the Polish health care system and compare it with other selected OECD countries’ health care systems. A literature review, secondary data analysis and statistical analyses were used as the research method. The ranking was prepared using Hellwig’s linear ordering method. Ten indicators related to financing, medical and nursing staff, and residents’ opinions on the availability and quality of medical services were selected for the analysis. The presented results clearly indicated that Norway, Germany and Switzerland have the best health care systems. The Polish system takes one of the last places in developed classification. The conducted analysis indicates the need to introduce changes to the health care system and the need to implement solutions from countries where health care systems have been indicated as the best.

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Debt, Ownership, and Size: The Case of Hospitals in Poland

Cited by 7 publications

References 31 publications

Alerting trends in epidemiology for calcific aortic valve disease, 1990–2019: An age–period–cohort analysis for the Global Burden of Disease Study 2019

Alerting trends in epidemiology for calcific aortic valve disease, 1990–2019: An age–period–cohort analysis for the Global Burden of Disease Study 2019

Next Pandemic? Yes, Please! How Covid-19 Pandemic Improved the Financial Condition of Polish Hospitals

Assessment of the Health Care System in Poland and Other OECD Countries Using the Hellwig Method

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