Jagiellonian University Medical College, Kraków, Poland (Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine)
Foundation IRCCS Neurological Institute Carlo Besta, Milan, Italy
Int J Occup Med Environ Health. 2019 Jul 15;32(4):475-488. doi: 10.13075/ijomeh.1896.01352.
The objective of this study is to present the barriers existing in Poland to professional integration and reintegration of people with chronic diseases, including mental health conditions, and discuss them on the basis of expert opinions and in comparison with the situation in other European countries.
The research methodology was based on a mixed-methods approach, including literature review, in-depth expert interviews, and a survey (based on a structured questionnaire) performed with experts.
The mapping of policies, systems and services facilitating the integration and reintegration of people with chronic diseases in Poland, as well as expert opinions, made it possible to identify many barriers regarding access to support, such as an obligation to have a certificate of disability, and a system of certification by 2 institutions. There are also barriers regarding the support itself, including problems with subsidies and with professional (re)integration services.
Poland has a multi-level and multi-sector system of public institutions, which should provide support for people with disabilities and chronic diseases. Nevertheless, the research conducted in Poland indicates an insufficient implementation of the existing solutions. Int J Occup Med Environ Health. 2019;32(4):475–88
本研究旨在展示波兰在专业融合和慢性病患者（包括心理健康状况）再融入方面存在的障碍，并根据专家意见进行讨论，并与其他欧洲国家的情况进行比较。
该研究方法基于混合方法，包括文献回顾、深入的专家访谈以及对专家进行的调查（基于结构化问卷）。
对波兰促进慢性病患者融合和再融入的政策、系统和服务进行的制图以及专家意见，使得确定了许多与获得支持相关的障碍，例如获得残疾证明的义务，以及由 2 个机构进行的认证制度。在支持本身方面也存在障碍，包括补贴和专业（再）融入服务方面的问题。
波兰拥有多层次、多部门的公共机构系统，应为残疾人和慢性病患者提供支持。然而，在波兰进行的研究表明，现有解决方案的实施情况不足。国际职业医学与环境卫生杂志。2019；32(4):475-88
