Kolasa Katarzyna, Dohnalik Jacek, Borek Ewa, Siemiątkowski Marek, Scibiorski Cezary
Warsaw Medical University, al. ŻwirkiiWigury 81, 02-091 Warsaw, Poland.
TNS Pentor, Wspólna 56, 00-687 Warsaw, Poland.
Health Policy. 2014 Nov;118(2):159-65. doi: 10.1016/j.healthpol.2014.09.015. Epub 2014 Oct 2.
To assess the concept of public involvement in the decision-making process in the healthcare sector in Poland.
A poll was conducted in 2011 on a representative random sample of residents of Poland. Respondents were asked about their preferences concerning the selection of the groups most appropriately representing public interests in the process of decision-making in the healthcare: Patients' Advocacy Groups (PAGs), Carers' Advocacy Groups (CAGs) and Citizens' Councils (CCs). A systematic literature review was performed to study real life examples of patients' involvement in the decision making processes in the Polish healthcare sector as well.
In total, 83% of respondents would wish the participation of PAGs in decision-making concerning healthcare resources. The attitude to the engagement of CAGs and CCs was still positive but significantly lower, by 6 and 7 percentage points respectively. Some socio-demographic differences were observed. In the literature review, five examples of the Polish patients' empowerment and three cases of PAGs' engagement in decision making process were identified.
Although its importance was met with a universal approval by the majority of responders, real life examples of public engagement in decision making process indicate there is still room for improvement in the Polish healthcare.
评估波兰医疗保健部门决策过程中公众参与的概念。
2011年对波兰居民的代表性随机样本进行了一项民意调查。询问受访者在医疗保健决策过程中，对于最能恰当代表公众利益的群体的偏好：患者权益倡导组织（PAGs）、护理者权益倡导组织（CAGs）和公民委员会（CCs）。还进行了系统的文献综述，以研究波兰医疗保健部门患者参与决策过程的实际案例。
总体而言，83%的受访者希望患者权益倡导组织参与医疗资源的决策。对护理者权益倡导组织和公民委员会参与的态度仍然是积极的，但明显较低，分别低6和7个百分点。观察到一些社会人口统计学差异。在文献综述中，确定了五个波兰患者赋权的例子和三个患者权益倡导组织参与决策过程的案例。
尽管大多数受访者普遍认可其重要性，但公众参与决策过程的实际案例表明，波兰医疗保健仍有改进空间。
