Rybarczyk-Szwajkowska Anna, Staszewska Anna, Timler Małgorzata, Rydlewska-Liszkowska Izabela
Uniwersytet Medyczny w Łodzi / Medical University of Lodz, Łódź, Poland (Zakład Zarządzania i Logistyki w Ochronie Zdrowia, Wydział Nauk o Zdrowiu / Department of Management and Logistics in Health Care, Faculty of Health Sciences).
Med Pr. 2021 Nov 19;72(5):591-604. doi: 10.13075/mp.5893.01095. Epub 2021 Oct 1.
Following the outbreak of the COVID-19 pandemic, the objectives of the health care system had to be adapted to the changing circumstances, in order to meet the health needs of patients, but also the expectations of medical workers related to ensuring safe working conditions in the crisis situation. The activities of medical staff are greatly affected by organizational and financial changes in health care systems, which affect both the health care systems all over the world and the functioning of all forms of health care. The article examines the organizational and financial changes resulting from the introduction of regulations affecting the conditions of primary health care (PHC) workers in Poland from the beginning of the COVID-19 pandemic to May 8, 2021. The findings regarding measures taken to ensure the stability of PHC functioning during the pandemic highlight that the public health emergency exposed a significant need to introduce organizational and financial changes in PHC. The changes arising from legislation and good practices of medical, organizational and financial character resulted in health care system modernizations in Poland. It is worth stressing, however, that there is a great need to maintain coherence when implementing organizational and financial changes affecting the fluidity and effectiveness of the actions taken by PHC personnel, and thus their working conditions, when implementing future responses to public health emergencies. Such changes should be based on an analysis of the solutions introduced since the beginning of the pandemic in Poland: these include organizational changes such as housing conditions, organization of work and workplaces, flow of information and way of supplying the patient, and financial changes involving mobilization of additional financial resources. The article presents a list of future research questions that merit consideration when setting problems and priorities: these can be used to guide the introduction of permanent modifications to the functioning of PHC in Poland and to facilitate possible future adaptation in times of emergency. Med Pr. 2021;72(5):591-604.
在新冠疫情爆发后，医疗保健系统的目标必须适应不断变化的形势，以满足患者的健康需求，同时也要满足医护人员在危机情况下确保安全工作条件的期望。医护人员的活动受到医疗保健系统组织和财务变化的极大影响，这些变化既影响全球的医疗保健系统，也影响所有形式医疗保健的运作。本文研究了自新冠疫情爆发至2021年5月8日波兰实施影响初级卫生保健（PHC）工作者条件的法规所导致的组织和财务变化。关于在疫情期间为确保初级卫生保健功能稳定而采取措施的研究结果表明，公共卫生紧急情况凸显了在初级卫生保健中引入组织和财务变化的重大需求。医疗、组织和财务方面的立法及良好做法所带来的变化使波兰的医疗保健系统实现了现代化。然而，值得强调的是，在实施影响初级卫生保健人员行动流畅性和有效性（进而影响其工作条件）的组织和财务变化时，以及在实施未来应对公共卫生紧急情况的措施时，非常需要保持连贯性。此类变化应基于对波兰自疫情爆发以来所引入解决方案的分析：这些包括组织变化，如住房条件、工作和工作场所的组织、信息流通和为患者提供服务的方式，以及涉及调动额外财政资源的财务变化。本文列出了一系列未来研究问题，在设定问题和优先事项时值得考虑：这些问题可用于指导对波兰初级卫生保健运作进行永久性调整，并便于未来在紧急情况下可能的适应。《医学实践》。2021年；72(5):591 - 604。
