Faculty of Medicine, Lazarski University, Warszawa, Poland.
School of Public Health, Centre of Postgraduate Medical Education, Poland.
Ann Agric Environ Med. 2024 Sep 25;31(3):388-394. doi: 10.26444/aaem/188504. Epub 2024 May 31.
Local Government Units (LGUs) in Poland may develop health policy programs on different health conditions according to the rules and templates defined by the Agency for Health Technology Assessment and Tariff System (AHTATS). This study aimed to analyze health policy programs on eye health implemented by LGUs in Poland between 2015 and 2023.
This is a retrospective analysis of data on health policy programs on eye health implemented by LGUs in Poland from 1 January 2015 to 31 December 2023. Data were received from the public information and announcements published by the AHTATS. Full texts of health policy programs on eye health were with particular focus on the target population, type of intervention, timeline, budget, and characteristics of LGU.
Between 2015 and 2023, a total of 1568 health policy programs were submitted to AHTATS by LGUs, of which only 41 (2.6%) programs addressed eye health. Health policy programs on eye health were prepared by 4 of 16 voivodeships, 2 of 314 poviats, and 30 of 2477 communes. Only 3 of 1464 (0.2%) of rural communes prepared health policy programs on eye health. Program duration varied from 24 to 72 months, whereas 53.7% of programs were planned for 36 months. Only 33 programs were rated positively by ATHATS and could be implemented. Most of the programs (85.4%; n=35) were targeted at primary school children and 78% (n=32) also included parents and caregivers. Out of 41 programs, 92.7% included secondary prevention interventions. Visual acuity test was the most common eye test (n=34; 82.9%) offered within the eye health programs implemented by LGUs.
This study revealed significant gaps in the implementation of health policy programs on eye health implemented by LGUs in Poland, especially in rural areas.
波兰的地方政府单位（LGUs）可以根据卫生技术评估和价格系统机构（AHTATS）定义的规则和模板制定针对不同健康状况的卫生政策计划。本研究旨在分析波兰 LGUs 自 2015 年至 2023 年期间实施的眼部健康卫生政策计划。
这是对波兰 LGUs 自 2015 年 1 月 1 日至 2023 年 12 月 31 日期间实施的眼部健康卫生政策计划的回顾性分析。数据来自 AHTATS 发布的公共信息和公告。眼部健康卫生政策计划的全文重点关注目标人群、干预类型、时间线、预算以及 LGU 的特征。
在 2015 年至 2023 年期间，LGUs 向 AHTATS 提交了总计 1568 项卫生政策计划，其中仅有 41 项（2.6%）计划涉及眼部健康。4 个省、314 个县和 2477 个市镇中的 30 个制定了眼部健康卫生政策计划。仅 30 个农村市镇中的 1464 个（0.2%）制定了眼部健康卫生政策计划。计划持续时间从 24 个月到 72 个月不等，其中 53.7%的计划为期 36 个月。仅有 33 项计划得到 ATHATS 的积极评价并可以实施。大多数计划（85.4%；n=35）针对小学生，78%（n=32）还包括家长和照顾者。41 项计划中有 92.7%包含二级预防干预措施。视力检查是 LGUs 实施的眼部健康计划中最常见的眼部检查（n=34；82.9%）。
本研究揭示了波兰 LGUs 实施眼部健康卫生政策计划方面存在重大差距，特别是在农村地区。
