Derkacz Marek, Chmiel-Perzyńska Iwona, Buczak-Stec Elzbieta, Pachuta Izabela, Kowal Agnieszka, Grywalska Ewelina, Pinkowska Patrycja, Pawlos Joanna, Bednarczyk Natalia, Kuszewski Krzysztof
Klinika Endokrynologii Uniwersytetu Medycznego w Lublinie.
Przegl Epidemiol. 2011;65(2):363-70.
One of the solutions aimed at improving the functioning of the healthcare system in Poland is to introduce patients' co-payment for public healthcare services. In all countries where the healthcare system is at a high level there already exists a co-payment system and it is regarded by many specialists as a necessary and indispensable condition for the proper functioning of healthcare. The aim of this study was to show respondents' attitudes and opinions regarding the proposal of introduction co-payments as and additional form of financing medical care. The questionnaire survey covered a group of 2,409 persons (50.7% men and 49.3% women). Most respondents, despite the overall rising dissatisfaction with the quality and availability of medical services do not see the need for co-payments. The opinion about the implementation of co-payments. The opinion about the implementation of co-payments depends on many factors, to the most important belong age, education, place of residence and income. More often, the co-payments is in favour of young people in good health condition, who live in big cities, having a university degree and determining their financial situation as good. Before the introduction of co-payment - certain social groups, which would be exempt from additional fees, should be specified. To the highest costs that patients are able to carry belong: paying for a home visit of family doctor or specialist, for surgical procedures, and for complex tests performed during the hospital stay (including computed tomography, magnetic resonance imaging).
旨在改善波兰医疗体系运行状况的解决方案之一是引入患者对公共医疗服务的共同付费。在所有医疗体系处于高水平的国家,都已存在共同付费体系,并且许多专家将其视为医疗体系正常运转的必要且不可或缺的条件。本研究的目的是展现受访者对引入共同付费作为医疗护理额外融资形式这一提议的态度和看法。问卷调查涵盖了2409人(男性占50.7%,女性占49.3%)。尽管大多数受访者对医疗服务的质量和可及性总体不满情绪在上升,但他们并未认为有必要实行共同付费。对实行共同付费的看法取决于许多因素,其中最重要的是年龄、教育程度、居住地点和收入。更常见的情况是,健康状况良好、居住在大城市、拥有大学学位且认为自己经济状况良好的年轻人更支持共同付费。在引入共同付费之前,应明确某些可免除额外费用的社会群体。患者能够承受的最高费用包括:支付家庭医生或专科医生的上门出诊费用、外科手术费用以及住院期间进行的复杂检查费用(包括计算机断层扫描、磁共振成像)。