The first attempt to create a national strategy for reducing waiting times in Poland: Will it succeed?

Abstract

The waiting lists package, proposed in March 2014, is the first attempt to create a national strategy to reduce waiting times for specialist care in Poland. The policy proposes a number of measures directed at primary, specialist ambulatory and hospital care with the goal of shifting patients to the lowest possible level of care. Initially, it has been welcomed by the patients and there has been, so far, no strong opposition against the reform from other stakeholders. However, this may be because there is some disbelief that the policy would actually be implemented (due to limited funding available for its implementation) and because some of the proposed changes are vague and have yet to be clarified. One stakeholder group that may obstruct the implementation of the reform, if they are not satisfied with the final shape of the proposed measures, is the primary care doctors. They are directly affected by the reform and enjoy a relatively strong bargaining position compared to other groups of medical professionals. Thus, the future of the reform remains uncertain.

Participation in Medical Tourism versus Physical Activity of Patients after Liposuction: What are the Concerns about Health and Quality of Life?

“…The ongoing demographic, socio-cultural, economic, and technological changes should be perceived as sources of this kind of behavior. In Poland, not only ill, elderly individuals exasperated by a long waiting period to obtain guaranteed free medical services are becoming medical tourists (Kowalska et al, 2015). In recent years, there has been an increase in self-confident young tourists (both women and men) who want to improve their health, well-being, strength, vitality, and beauty.…”

Skill mix in medical and about medical professions

“…Głównym zarzutem jest ustalanie odległych terminów wizyt u lekarzy specjalistów, czyli długi czas oczekiwania na wizytę lub operację. Aby przeciwdziałać takiej sytuacji, wprowadza się w systemie ochrony zdrowia zmiany [21]. Przykładem ww.…”

Can nurses strike for more money? Challenges for taking nurses’ self-interests into account in the light of the deliberative systems theory: A partial analysis of 2016 strike in the Children’s Memorial Health Institute

“…Na styku polskiego systemu zdrowotnego i systemu tworzenia polityki zdrowotnej "branie pacjentów na zakładników" -odmowa świadczeń ponadlimitowych, strajki personelu, a nawet odmowa zawierania kontraktów przez świadczeniodawców -stanowią najskuteczniejszą metodę komunikacji politycznej i często jedyną ścieżkę wpływu na kształt reform. 42 Ponadto spełnienie niektórych postulatów (szczególnie tych dotyczących natychmiastowego zatrudnienia nowego personelu) mogło być nieosiągalne z powodu uwarunkowań organizacyjnych systemu i niemożliwych do przełamania w takiej skali ograniczeń finansowych.…”