- Author
- Kozieł Anna (Bank Światowy), Kononiuk Aleksandra (Bank Światowy), Wiktorzak Katarzyna (Narodowy Fundusz Zdrowia)
- Title
- Opieka koordynowana, definicja, międzynarodowe doświadczenia jako inspiracja dla Polski
Coordinated Care, Definition, International Experience as An Inspiration For Poland - Source
- Zdrowie Publiczne i Zarządzanie, 2017, t. 15, nr 3, s. 251-257, bibliogr. 38 poz.
- Keyword
- Opieka zdrowotna, System ochrony zdrowia, Model publicznej służby zdrowia
Health care, Health care system, National health service model - Note
- summ.
- Abstract
- Celem pracy było wskazanie różnorodności w podejściu do zagadnień opieki koordynowanej (OK), zarówno jeżeli chodzi o jej definicje, funkcjonalność, jak również skalę, sposób wdrożenia oraz znaczenie dla systemu ochrony zdrowia i pacjentów. Wśród analizowanych programów OK częściej spotykane są te obejmujące osoby starsze lub różne formy zarządzania chorobą oraz wdrażane na poziomie regionalnym. Różnorodność ma istotne znaczenie przy wdrażaniu projektów opieki koordynowanej w Polsce. Pokazuje bowiem, że nie ma jednego, właściwego, sprawdzonego w wielu krajach na świecie modelu opieki koordynowanej. Jedną z nielicznych cech wspólnych dla przykładów opieki koordynowanej w różnych krajach jest to, że jest ona różnorodna, mocno dostosowana do potrzeb lokalnych, często wdrażana na małą skalę. Inspiracją więc może być to, że w przedsięwzięciach związanych z opieką koordynowaną ważna jest dogłębna analiza sytuacji i potrzeb lokalnych oraz oddolne (wspólne z właściwymi podmiotami wdrażającymi) tworzenie modelu opieki koordynowanej. Istnieje kilka cech opieki koordynowanej, które da się zauważyć w literaturze światowej. Dotyczą one zakresu świadczeń, mechanizmów płatności, zakresu chorób czy typu pacjentów objętych opieką, jako że trudno jest porównywać bardzo różnorodne programy. W artykule przedstawione są również główne wnioski z procesów wdrażania. Praca ma także na celu wskazanie pewnych źródeł wiedzy być może przydatnych przy wdrażaniu inicjatyw związanych z opieką koordynowaną w Polsce. Od kilku lat prowadzone są prace i wdrożenie projektów opieki koordynowanej w opiece nad matką i dzieckiem, rehabilitacji medycznej, opiece nad chorymi na SM czy podstawowej opiece zdrowotnej. Definicje i przykłady zawarte w tej pracy mogą wesprzeć systemowe podejście od wprowadzanych rozwiązań. (fragment tekstu)
Integrated care could be seen as an approach to overcome deficiencies in the care management for people with chronic diseases and frail elderly, while at the same time improving efficiency, quality and effectiveness of the health services provided. In the recent years, focus has been on better coordination and integration among health sectors to manage specific diseases. The solutions we see across the world present integration between levels of care in health but also social sector. New solutions necessitate the overcoming of many boundaries, most notably between different professions, different organizations and different attitudes in both sectors. The many experiences across Europe and around the world have demonstrated that sustainable solutions need a multi-faceted approach, which changes the processes and structures of service delivery just as much as the culture and attitudes of all stakeholders involved. Patients, families and communities need to be actively involved in this process in order to ensure that their needs are met. This article gives an overview of the different examples of the definition and implementation elements of the integrated care and how could Poland benefit from those. (original abstract) - Full text
- Show
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- Cited by
- ISSN
- 1731-7398
- Language
- pol
- URI / DOI
- http://dx.doi.org/10.4467/20842627OZ.17.028.7808