Impact of the doctor deficit on hospital management in Poland: A mixed‐method study

Dubas‐Jakóbczyk, Katarzyna; Domagała, Alicja; Mikoś, Marcin

doi:10.1002/hpm.2612

Cited by 22 publications

(18 citation statements)

References 4 publications

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“…Still, statistically significant differences in the hospital financial performance were identified. Currently in Poland, local (county and/or city-county) hospitals are facing major challenges related to both the level of financing as well as doctor deficits [39,40]. In 2018, the majority of county hospitals generated a gross loss (55.3%) while almost half of units had overdue liabilities (48.5%).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, while assessing hospitals' financial performance, the national health policy context must be carefully analyzed. In Poland, numerous previous analyses indicated that there is no single, leading cause of public hospitals' poor financial standing and debt problem [18][19][20][21][22]39]. Instead there is a mix of both macro-and micro-level factors that contribute to undermining public hospitals' financial standing.…”

Section: Discussionmentioning

confidence: 99%

“…Instead there is a mix of both macro-and micro-level factors that contribute to undermining public hospitals' financial standing. At the system level, these include weak stewardship [18,19]; oversized infrastructure [19]; inadequate tariff valuation [19,21]; central regulations on medical workers' salaries [20,39]; underfunding and/or lack of health needs analysis and matching funding; and inadequate financial mechanisms [18,19]. At the level of particular hospitals, additional micro-level features might be leading factors, including poor management (i.a., regarding cost containment procedures, especially in relation to staff costs) [20]; weak owner control [19]; the general state of the hospital's infrastructure (the need for investment expenditures) [19].…”

Section: Discussionmentioning

confidence: 99%

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Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Dubas‐Jakóbczyk

Kocot²,

Kozieł³

2020

IJERPH

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There is growing evidence of a positive association between health care providers’ financial standing and the quality of care. In Poland, the instable financial situation and growing debt of public hospitals has been a source of concern for more than two decades now. The objectives of this paper were to compare the financial performance of public hospitals in Poland, depending on the ownership and organizational form; and analyze whether there is an association between financial performance and the chosen variables. We conducted a cross sectional study covering the whole population of public hospitals operating in 2018. The total number of included units was 805. The hospitals’ financial outcomes were measured by several variables; Spearman’s rank correlation was calculated, and a multivariable logistic regression model was performed. In 2018, the majority of public hospitals in Poland (52%) generated a gross loss, while 40% hospitals had overdue liabilities. There were statistically significant differences between hospital groups, with university hospitals and those owned by counties (local hospitals) being in the most disadvantageous situation. Additionally, corporatized public hospitals performed worse than those functioning in the classic legal form of independent health care units. Urgent actions are needed to measure and monitor the potential impact of financial performance on the quality of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Dubas‐Jakóbczyk

Kocot²,

Kozieł³

2020

IJERPH

Self Cite

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“…All of these policies effectively prevented the spread of the epidemic and slowed the spread of a number of infectious diseases. Furthermore, the need for tele-medicine services became more important to reduce the movement of patients (17). Therefore, doctors worldwide were encouraged to use the hospital cloud system to provide simple medical advice and treatment recommendations (18).…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study

Zhang

Gao

et al. 2020

Front. Pediatr.

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Introduction: The COVID-19 pandemic has affected all aspects of life worldwide. The aim of the present study was to review and describe and acknowledge the impact of COVID-19 on the pediatric health care system at a pediatric tertiary hospital in Wenzhou. Methods: A retrospective study was conducted at Yuying Children's Hospital of Wenzhou Medical University, a public pediatric tertiary hospital in Southern Zhejiang Province that specializes in pediatrics. The data regarding the primary diagnosis of patients were extracted from the electronic medical records system of the hospital. Data for outpatients and inpatients treated at the pediatric department were analyzed in the time frame of 22 weeks since the beginning of the pandemic (from December 30, 2019 to June 2, 2020) and compared with data from the same period in 2019. Results: The total number of outpatient cases in the previous 22 weeks of the year declined from 560,620 in 2019 to 247,030 in 2020, and inpatient cases decreased from 14,177 to 7,555. This negative trend settled by week 6 and 7 and subsequently approached the 2019 numbers. The most noticeable decrease in the number of cases was observed in children of preschool age. Moreover, the number of weekly visits decreased at the beginning of the epidemic, reached the lowest value during the lockdown period, and recovered after the lockdown. Conclusion: Based on the results of this study, clinical practice in a pediatric department in Wenzhou was substantially affected by the epidemic and measures such as physical distancing and increased personal hygiene, particularly in preschool-age children. An understanding of the trends and impacts of the pandemic on pediatric patients and health systems will facilitate better preparation of pediatricians in the future.

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“…Recent advancements in Information and Communication Technology (ICT) have paved the way toward new innovative tele-healthcare services able to face the growing demand of even more accessible medical treatments [1,2]. Moreover, in the pandemic condition such as that we are living at the time of writing of this paper due to the Covid-19 virus, the need of tele-healthcare service becomes dramatically fundamental to reduce the movement of patients, thence reducing the risk of infection.…”

Section: Introductionmentioning

confidence: 99%

Blockchain-Based Healthcare Workflow for Tele-Medical Laboratory in Federated Hospital IoT Clouds

Celesti

Ruggeri

Fazio

et al. 2020

Sensors

101

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In a pandemic situation such as that we are living at the time of writing of this paper due to the Covid-19 virus, the need of tele-healthcare service becomes dramatically fundamental to reduce the movement of patients, thence reducing the risk of infection. Leveraging the recent Cloud computing and Internet of Things (IoT) technologies, this paper aims at proposing a tele-medical laboratory service where clinical exams are performed on patients directly in a hospital by technicians through IoT medical devices and results are automatically sent via the hospital Cloud to doctors of federated hospitals for validation and/or consultation. In particular, we discuss a distributed scenario where nurses, technicians and medical doctors belonging to different hospitals cooperate through their federated hospital Clouds to form a virtual health team able to carry out a healthcare workflow in secure fashion leveraging the intrinsic security features of the Blockchain technology. In particular, both public and hybrid Blockchain scenarios are discussed and assessed using the Ethereum platform.

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Impact of the doctor deficit on hospital management in Poland: A mixed‐method study

Cited by 22 publications

References 4 publications

Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers

The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study

Blockchain-Based Healthcare Workflow for Tele-Medical Laboratory in Federated Hospital IoT Clouds

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