Hospitals’ Financial Health in Rural and Urban Areas in Poland: Does It Ensure Sustainability?

Bem, Agnieszka; Siedlecki, Rafał; Prędkiewicz, Paweł; Gazzola, Patrizia; Ryszawska, Bożena; Ucieklak-Jeż, Paulina

doi:10.3390/su11071932

Cited by 24 publications

(20 citation statements)

References 55 publications

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“…It is their responsibility to decide whether to leave the emergency area and go to a safer place. However, upon arrival at the scene of the State Fire Service, the chief commander of the rescue operation is the most senior and experienced firefighter and becomes the Rescue Leader [15]. The Rescue Leader has to carry out detailed reconnaissance of the scene of the incident, to calculate the forces and means at one's disposal, and to decide whether these forces are sufficient or whether additional assistance needs to be called for.…”

Section: Hospital Safety -Legal Liabilitymentioning

confidence: 99%

Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

Goniewicz

Misztal-Okońska

Pawłowski

et al. 2020

IJERPH

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Medical facilities, while providing both essential and demanding health care to society’s most vulnerable populations, also belong to the most demanding category of risk to human life if and when a crisis event occurs within its walls. The development of a safe evacuation plan for these facilities is extremely complicated, as the evacuation of medical facilities is much more complex than for other critical infrastructure. In this category, the evacuated patients constitute a specific risk group requiring specialized medical care. Hospitalized persons may be dependent on life-saving measures, are unconscious or immobile, are significantly restricted in movement or mentally unbalanced, being dependent on the continued assistance of trained third parties. Additionally, the medical transport of evacuated patients becomes more difficult due to the limited capacity of ambulances and available health care facilities to transport them to, which are increasingly limited due to their overcrowded census. The study aimed to analyze the requirements which are placed on hospitals in Poland to ensure the safety of patients in case of an evacuation. The research method used in the paper was retrospective analysis and evaluation of the media and literature. We have found, that Polish law imposes an obligation on the administrator of a medical facility to ensure the safety of both patients and employees. The regulations cover issues of technical conditions to be met by buildings and their location, prevention, and fire protection requirements, and the determination of which staff is responsible for the evacuation. However, available documents fail to describe what the hospital evacuation process itself should entail under emergency evacuation. Taking into account the complexity of the hospital evacuation process, health care facilities should have a well-developed plan of action that must be implemented at least once a year in the form of facility-wide training. Evacuation drills should not be avoided. Only trained procedures offer the possibility of later analysis to identify and eliminate errors and provide the opportunity to acquire skill sets and habits which promote the behaviors expected in real-life emergencies.

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Section: Hospital Safety -Legal Liabilitymentioning

confidence: 99%

Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

Goniewicz

Misztal-Okońska

Pawłowski

et al. 2020

IJERPH

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“…Michalski et al (2018) develop a model to find the optimal level of debt for nonprofit organisation environmental conditions. Bem et al (2019) find that in the case of Polish hospitals there is no difference in financial condition between rural and urban hospitals. Dziuba et al (2019) examine the use of the Internet by older adults in Poland and their result suggests that older adults are becoming more digital.…”

Section: Introductionmentioning

confidence: 71%

Environmental certification in a differentiated duopoly

Xia

Fan

Lou

2020

Economic Research-Ekonomska Istraživanja

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The articleaims to explore the role of horizontal product differentiation in promoting/hindering firm's participation in environmental certification. To this purpose, we consider a differentiated duopoly model where firms compete in both prices and environmental qualities. The result shows that when the level of horizontal differentiation relative to the degree of vertical differentiation is sufficiently high, only the symmetric equilibrium where both firms choose to or both choose not to certify their products exists. Asymmetric equilibrium (vertical dominance equilibrium) occurs when the level of horizontal differentiation relative to the degree of vertical differentiation is sufficiently low.

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“…European countries implemented a decentralized maternity services in order to ensure good access to necessary care independent of a mother's place of residence [34]. Moreover, recent research have shown that type of hospital is not the main determinant of hospital financial performance in Europe [35].…”

Section: Perinatal Regionalizationmentioning

confidence: 99%

The impact of high intensity care around birth on long-term neurodevelopmental outcomes

Bolbocean

Shevell

2020

Health Econ Rev

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Background: An equitable and affordable healthcare system requires a constant search for the optimal way to deliver increasingly expensive neonatal care. Therefore, evaluating the impact of hospital intensity around birth on long-term health outcomes is necessary if we are to assess the value of high intensity neonatal care against its costs. Methods: This study exploits uneven geographical distribution of high intensity birth hospitals across Canada to generate comparisons across similar Cerebral Palsy (CP) related births treated at hospitals with different intensities. We employ a rich dataset from the Canadian Multi-Regional CP Registry (CCPR) and instrumental variables related to the mother's location of residence around birth. Results: We find that differences in hospitals' intensities are not associated with differences in clinically relevant, long-term CP health outcomes. Conclusions: Our results suggest that existing matching mechanism of births to hospitals within large metropolitan areas could be improved by early detection of high risk births and subsequent referral of these births to high intensity birthing centers. Substantial hospitalization costs might be averted to Canadian healthcare system ($16 million with a 95% CI of $6,131,184-$24,103,478) if CP related births were assigned to low intensity hospitals and subsequently transferred if necessary to high intensity hospitals.

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Hospitals’ Financial Health in Rural and Urban Areas in Poland: Does It Ensure Sustainability?

Cited by 24 publications

References 55 publications

Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

Environmental certification in a differentiated duopoly

The impact of high intensity care around birth on long-term neurodevelopmental outcomes

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