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  1. Article: Respecting the Patient's Right to Information in Hospital Wards in Poland - Socio-Economic Determinants of Patients' Opinions.

    Borowska, Mariola / Augustynowicz, Anna / Olszewski, Paweł / Religioni, Urszula

    Patient preference and adherence

    2023  Volume 17, Page(s) 2311–2323

    Abstract: Background: Implementation of the patient's statutory right to information is one of determinants the quality and safety of medical services. The patients' opinions survey is an element of patient-centric care, which is now one of the most important ... ...

    Abstract Background: Implementation of the patient's statutory right to information is one of determinants the quality and safety of medical services. The patients' opinions survey is an element of patient-centric care, which is now one of the most important things in modern healthcare. The main aim of the work is to examine patients' opinions on the observance of patients' right to information in the hospital and quality of healthcare in the hospital. A secondary objective was to examine the impact of socioeconomic variables on patients' opinions.
    Materials and methods: The study was based on the Computer-Assisted Web Interview (CAWI) questionnaire, carried out in March 2022. The sample included 801 persons. Respondents were patients hospitalized within a maximum of 12 months. The questionnaire contained closed questions about the quality of medical care, observance of the patient's right to information.
    Results: Probability of referral was measured using the Net Promoter Score (NPS). Respondents answered the question about the recommendation on a scale from 0 to 10. People who rated the hospital ward at 10 and 9 are promoters, people who rated the hospital ward at 8 and 7 are neutral people. In turn, people who rated the hospital ward at 6, 5, 4, 3, 2, 1 or 0 are critics, ie people who will not recommend the hospital to their relatives. Most patients in hospital wards were the detractors (37%). The percentage of promoters was only 1% lower (36%) than that of the detractors. Patients was rated medical and nursing staff at a similar level with regard to the observance of the patient's right to information.
    Conclusion: Most statistically significant differences in the assessment of medical care in the hospital ward were associated with such sociodemographic variables as age and income. People aged 55-64 and 65+ rated most of the analyzed aspects better.
    Language English
    Publishing date 2023-09-18
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2455848-5
    ISSN 1177-889X
    ISSN 1177-889X
    DOI 10.2147/PPA.S421336
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  2. Article ; Online: Analyzing the dynamics of meningococcal vaccinations initiatives by local government units in Poland (2017-2021) - Scope, challenges and recommendations.

    Świtalski, Jakub / Miazga, Wojciech / Wnuk, Katarzyna / Tatara, Tomasz / Olszewski, Paweł / Jankowski, Mateusz / Augustynowicz, Anna

    Vaccine

    2024  

    Abstract: Introduction: Meningococcal vaccinations are recommended by Polish public health authorities but lack coverage under health insurance, prompting Local Government Units (LGUs) to implement local health policy programs. This study examines the ... ...

    Abstract Introduction: Meningococcal vaccinations are recommended by Polish public health authorities but lack coverage under health insurance, prompting Local Government Units (LGUs) to implement local health policy programs. This study examines the effectiveness and impact of LGU-driven meningococcal vaccination initiatives in Poland between 2017 and 2021.
    Material and methods: A retrospective analysis utilized data from reports on local public health interventions submitted annually to the Ministry of Health in Poland. The study focused on the number of meningococcal vaccination programs, their scope, the vaccinated population, and associated program costs. Additionally, nationwide data on meningococcal disease incidence and vaccine uptake were analyzed.
    Results: Within LGUs programs, 48,617 individuals received meningococcal vaccinations, constituting approximately 10% of all vaccinations in Poland during the study period. Notably, cities with poviat rights spearheaded programs covering 54% of the total participants. The total cost incurred by these initiatives amounted to EUR 2,553,661.
    Conclusions: While LGUs activities positively contributed to increased meningococcal vaccination rates, the overall engagement of local governments remains limited. The findings underscore the importance of expanding local government involvement in meningococcal vaccination programs to address public health needs effectively. Improved collaboration and increased funding may enhance the reach and impact of these initiatives.
    Language English
    Publishing date 2024-04-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2024.04.046
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  3. Article ; Online: Resilient Health and the Healthcare System. A Few Introductory Remarks in Times of the COVID-19 Pandemic.

    Augustynowicz, Anna / Opolski, Janusz / Waszkiewicz, Michał

    International journal of environmental research and public health

    2022  Volume 19, Issue 6

    Abstract: People across the globe are facing increasingly complex public health emergencies that are responsible for the loss of life, economic and social problems with unprecedented damage and costs. For some sociologists, our society is even "a risk society" and ...

    Abstract People across the globe are facing increasingly complex public health emergencies that are responsible for the loss of life, economic and social problems with unprecedented damage and costs. For some sociologists, our society is even "a risk society" and our time is highly violative. Emergencies of different origin: stemming from natural environmental disasters, such as floods, hurricanes, intense drought, technical accidents, social unrest and last but not least-outbreaks of infectious diseases. This decade started with one of the most significant pandemics in the history of man-kind-COVID-19. Hence, the problems of resilient health and healthcare systems have become urgent. Especially since SARS-CoV-2 may cause long-term health threats and recurrent crises. It is very important to have a common language. So far, definitions and concepts of health and healthcare resilience differ substantially and are seldom clearly defined. The aim of this paper is to describe how health and healthcare system resilience is defined to either uncover, recall, or in combination, its concept and prepare an introductory conceptual review as a preliminary step for further studies.
    MeSH term(s) COVID-19/epidemiology ; Cyclonic Storms ; Delivery of Health Care ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2022-03-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19063603
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  4. Article ; Online: Health Security: Definition Problems.

    Augustynowicz, Anna / Opolski, Janusz / Waszkiewicz, Michał

    International journal of environmental research and public health

    2022  Volume 19, Issue 16

    Abstract: The link between security and health is not a discovery. Despite the widespread recognition of the social importance of health security, there is no single common definition of this concept. The study's objective was to search, analyse and evaluate ... ...

    Abstract The link between security and health is not a discovery. Despite the widespread recognition of the social importance of health security, there is no single common definition of this concept. The study's objective was to search, analyse and evaluate possible original propositions to define the concept of "health security" in Polish professional literature published from 10 January 2017 to 31 March 2022. The research method was a scoping review performed in five stages according to H. Arksey and L. O'Malley. Ultimately, the study criteria were met by four studies. The proposed definition of health security in these papers failed to solve this problem and raised further questions and doubts. It is urgent to start a discourse on the meaning of the concept of "health security" with the broadest possible participation of representatives of various scientific disciplines, but taking into account the knowledge and practice of public health. It seems that it will be impossible to avoid the following questions: what is health security nowadays? What is health security as a personal issue? What are the necessary steps to achieve the consensus? Is it worthwhile to consider it on the international level?
    MeSH term(s) Knowledge ; Occupations ; Research Design
    Language English
    Publishing date 2022-08-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph191610009
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  5. Article ; Online: Patients' Opinions on the Quality of Services in Hospital Wards in Poland.

    Borowska, Mariola / Religioni, Urszula / Augustynowicz, Anna

    International journal of environmental research and public health

    2022  Volume 20, Issue 1

    Abstract: Introduction: Patient opinion surveys have become a widely used method for assessing key aspects of the functioning of medical facilities and, thus, of the functioning of the entire health care system. They are a prerequisite for developing patient- ... ...

    Abstract Introduction: Patient opinion surveys have become a widely used method for assessing key aspects of the functioning of medical facilities and, thus, of the functioning of the entire health care system. They are a prerequisite for developing patient-centered care and an essential component of quality improvement programs. In many countries, including Poland, patient opinion surveys are written into the accreditation standards of medical institutions. Patient's readiness to recommend a hospital is a recognized indicator of the quality of patient-centered care. In a report on strategies for improving the quality of health care in Europe published in 2019 by WHO and the OECD (Organisation for Economic Cooperation and Development), patient's readiness to recommend a hospital was cited as one of the basic indicators of 'patient centeredness' along with patient satisfaction. Therefore, as well consideration of the quality of medical care, a patient recommendation index was also used in the study presented in this paper. The index was based on the answers to questions about the patient's readiness to recommend a hospital ward to family and friends.
    Aim: The aim of the study was to investigate patients' opinions on the quality of services in particular hospital wards. A patient opinion survey can be used to improve the quality of services and monitor the effects of health-related activities, identify areas that need improvement, motivate medical staff and prevent their burnout, build a trusting relationship with patients, and compare the quality of health care in various facilities.
    Material and methods: The study was carried out in March 2022. The patient opinion survey was conducted using the CAWI (Computer-Assisted Web Interview). The sample selection was purposive. The respondents were patients with a history of hospitalization. The sample selection used an algorithm for the random selection of patients who met the criteria for the sample. The inclusion criterion was hospitalization in the 12 months prior to the study. A standardized questionnaire was used that was aimed at the assessment of the quality of medical care and the patient's rights to information. Additionally, the survey contained questions about the demographic characteristics of the respondents.
    Results: A total of 38% of patients with a history of hospitalization expressed criticisms. The majority of statistically significant differences were observed when differentiating respondents according to age. Elderly persons significantly more often declared having been treated with respect and interest. They also rated more highly the meals served in the hospital, effective pain treatment, and respect for the patient's dignity and intimacy during diagnosis and treatment. Younger persons assessed all these aspects of hospitalization less favorably.
    Conclusions: Variables including age and the level of income had a statistically significant influence on the opinion of the respondents. Elderly persons assessed most aspects of the quality of care in a hospital ward more favorably. There were a similar number of "promoters" (36%) and "detractors" (38%) of the quality of hospital services. Detractors mainly pointed to long waiting times for hospital admission, the poor quality of medical and nursing care, and unappealing meals. The promoters emphasized the high quality of medical and nursing care and the favorable conditions of the accommodation. Regular patient satisfaction surveys are helpful in identifying areas in which the functioning of a medical entity requires changes.
    MeSH term(s) Humans ; Aged ; Poland ; Delivery of Health Care ; Surveys and Questionnaires ; Hospitals ; Inpatients ; Patient Satisfaction
    Language English
    Publishing date 2022-12-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20010412
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  6. Article: The Usage of Cryopreserved Reproductive Material in Cancer Patients Undergoing Fertility Preservation Procedures.

    Wnuk, Katarzyna / Świtalski, Jakub / Miazga, Wojciech / Tatara, Tomasz / Religioni, Urszula / Olszewski, Paweł / Augustynowicz, Anna

    Cancers

    2023  Volume 15, Issue 22

    Abstract: Background: Many cancer treatment methods can affect fertility by damaging the reproductive organs and glands that control fertility. Changes can be temporary or permanent. In order to preserve the fertility of cancer patients and protect the genital ... ...

    Abstract Background: Many cancer treatment methods can affect fertility by damaging the reproductive organs and glands that control fertility. Changes can be temporary or permanent. In order to preserve the fertility of cancer patients and protect the genital organs against gonadotoxicity, methods of fertility preservation are increasingly used. Considering that some patients ultimately decide not to use cryopreserved reproductive material, this review analysed the percentage of post-cancer patients using cryopreserved reproductive material, collected before treatment as part of fertility preservation.
    Methods: A systematic search of studies was carried out in accordance with the Cochrane Collaboration guidelines, based on a previously prepared research protocol. The search was conducted in Medline (via PubMed), Embase (via OVID), and the Cochrane Library. In addition, a manual search was performed for recommendations/clinical practice guidelines regarding fertility preservation in cancer patients.
    Results: Twenty-six studies met the inclusion criteria. The studies included in the review discussed the results of cryopreservation of oocytes, embryos, ovarian tissue, and semen. In 10 studies, the usage rate of cryopreserved semen ranged from 2.6% to 21.5%. In the case of cryopreserved female reproductive material, the return/usage rate ranged from 3.1% to 8.7% for oocytes, approx. 9% to 22.4% for embryos, and 6.9% to 30.3% for ovarian tissue. In studies analysing patients' decisions about unused reproductive material, continuation of material storage was most often indicated. Recovering fertility or death of the patient were the main reasons for rejecting cryopreserved semen in the case of men.
    Conclusion: Fertility preservation before gonadotoxic treatment is widely recommended and increasingly used in cancer patients. The usage rate is an important indicator for monitoring the efficacy of these methods. In all of the methods described in the literature, this indicator did not exceed 31%. It is necessary to create legal and organizational solutions regulating material collection and storage and to create clear paths for its usage in the future, including by other recipients.
    Language English
    Publishing date 2023-11-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15225348
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  7. Article ; Online: Workplace Interventions for Type 2 Diabetes Mellitus Prevention-an Umbrella Review.

    Wnuk, Katarzyna / Świtalski, Jakub / Tatara, Tomasz / Miazga, Wojciech / Jopek, Sylwia / Augustynowicz, Anna / Religioni, Urszula / Gujski, Mariusz

    Current diabetes reports

    2023  Volume 23, Issue 10, Page(s) 293–304

    Abstract: Purpose of review: Type 2 diabetes mellitus (T2DM) is a chronic disease that may lead to severe complications. The main methods of preventing or delaying the onset of T2DM include lifestyle changes. The purpose of this study is to identify and evaluate ... ...

    Abstract Purpose of review: Type 2 diabetes mellitus (T2DM) is a chronic disease that may lead to severe complications. The main methods of preventing or delaying the onset of T2DM include lifestyle changes. The purpose of this study is to identify and evaluate the effectiveness of workplace interventions aimed at preventing type 2 diabetes. An umbrella review was conducted in accordance with the Cochrane Collaboration guidelines. Searches were performed in Medline (via PubMed), Embase (via OVID), and Cochrane Library databases. The quality assessment of the included studies was performed using the AMSTAR2 tool.
    Recent findings: The final analysis included 7 studies. The majority (4 of 7) of the studies included in the review focused on workplace interventions based on the guidelines of the US Diabetes Prevention Program (DPP) or other similar programs. The method of decreasing the risk of type 2 diabetes among employees are programs consisting of multiple approaches aimed at improving parameters associated with diabetes, i.e., body weight, and therefore BMI, reduction, and reducing blood glucose levels, as well as HbA1c levels through educational approach and lifestyle changes. The results of those studies point to multicomponent interventions as more effective than single-component interventions. An effective workplace intervention aimed to reduce the risk of type 2 diabetes among employees is a multicomponent program consisting of elements such as educational activities, interventions targeting dietary changes and increased physical activity.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/prevention & control ; Workplace ; Body Weight ; Life Style
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2065167-3
    ISSN 1539-0829 ; 1534-4827
    ISSN (online) 1539-0829
    ISSN 1534-4827
    DOI 10.1007/s11892-023-01521-3
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  8. Article ; Online: Creating healthy and active life for the elderly in programmes conducted by rural and urban-rural communes in Poland.

    Augustynowicz, Anna / Waszkiewicz, Michał / Szopa, Sławomir / Borowska, Mariola / Czerw, Aleksandra

    European journal of public health

    2020  Volume 31, Issue 1, Page(s) 111–115

    Abstract: Background: In Poland, between 1989 and 2018 the number of the elderly increased by over 3.9 million. Demographic changes justify a senior policy focussed on the longest possible social, professional and family activity of the elderly. Directions of ... ...

    Abstract Background: In Poland, between 1989 and 2018 the number of the elderly increased by over 3.9 million. Demographic changes justify a senior policy focussed on the longest possible social, professional and family activity of the elderly. Directions of undertaken actions should include health policy programmes aimed at creating conditions healthy and active life of the elderly. The programmes should be particularly important in rural areas as the health of rural and urban residents differs. The study presents programmes for creating conditions for a healthy and active life of the elderly run by rural and urban-rural communes in 2012-17.
    Methods: The study was conducted on the basis of existing data analysis. Data from the summary information prepared by voivodes and provided to the Minister of Health about implemented health policy programmes were used. Data on programmes concerning a healthy and active life for the elderly conducted by rural and urban-rural communes between 2012 and 2017 were extracted from the aggregate information.
    Results: Between 2012 and 2017, 354 programmes were implemented, the most in 2016, and the least in 2015. There were 171 000 people participating in the programmes. The total cost was USD 2 491 664.
    Conclusion: It can be presumed that in 2016 communes implemented more diagnostic and therapeutic programmes than in 2017. A small number of programmes and a small involvement of financial resources in communes with the largest number of the elderly may indicate marginalization of the importance of an active and healthy life for the elderly.
    MeSH term(s) Aged ; Health Policy ; Health Status ; Humans ; Life Style ; Poland ; Rural Population ; Urban Population
    Language English
    Publishing date 2020-08-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1129243-x
    ISSN 1464-360X ; 1101-1262
    ISSN (online) 1464-360X
    ISSN 1101-1262
    DOI 10.1093/eurpub/ckaa154
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  9. Article ; Online: Selected factors determining outsourcing of basic operations in healthcare entities in Poland.

    Borowska, Mariola / Augustynowicz, Anna / Bobiński, Krzysztof / Waszkiewicz, Michał / Czerw, Aleksandra

    Health policy (Amsterdam, Netherlands)

    2020  Volume 124, Issue 4, Page(s) 486–490

    Abstract: Background: In light of insufficient financial resources allocated to the functioning of the health care system in Poland, healthcare entities undertake several restructuring measures aimed at cost reduction, improvement of effectiveness and ... ...

    Abstract Background: In light of insufficient financial resources allocated to the functioning of the health care system in Poland, healthcare entities undertake several restructuring measures aimed at cost reduction, improvement of effectiveness and optimisation of operations. One of the elements of this restructuring is outsourcing.
    Objective: The objective of the study is to determine the significance of selected factors determining the outsourcing of basic operations in healthcare entities in Poland.
    Methods: The research tool was the authors' questionnaire. The study was conducted at healthcare entities using the CAWI method in 2018. The outsourcing of laboratory diagnostics, diagnostic imaging and medical personnel was examined.
    Results: Out of 750 healthcare entities, 241 outsource medical personnel, 484 outsource laboratory diagnostics, 445 outsource imaging diagnostics. The use of outsourcing primarily results from the excessively high cost of maintaining own employees, the desire to gain access to the top-quality knowledge and technology as well as the need for financial savings.
    Conclusions: The scale of outsourcing of medical personnel may be greater than it results from the obtained study results. Excessively high costs of maintaining own employees as the most important reason for using outsourcing is a consequence of high personnel costs occurring in the case of establishing cooperation on the basis of an employment relationship.
    MeSH term(s) Delivery of Health Care ; Health Facilities ; Humans ; Outsourced Services ; Poland
    Language English
    Publishing date 2020-01-31
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 605805-x
    ISSN 1872-6054 ; 0168-8510
    ISSN (online) 1872-6054
    ISSN 0168-8510
    DOI 10.1016/j.healthpol.2020.01.010
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  10. Article ; Online: COVID-19 - Infection prevention in prisons and jails in Poland.

    Augustynowicz, Anna / Wójcik, Michał / Bachurska, Beata / Opolski, Janusz / Czerw, Aleksandra / Raczkiewicz, Dorota / Pinkas, Jarosław

    Annals of agricultural and environmental medicine : AAEM

    2021  Volume 28, Issue 4, Page(s) 621–626

    Abstract: Introduction and objective: Due to the specificity of conditions in penitentiary establishments, there is an increased risk of rapid spread of SARS-CoV-2 virus infections. In addition, there is a high prevalence of non-communicable chronic diseases ... ...

    Abstract Introduction and objective: Due to the specificity of conditions in penitentiary establishments, there is an increased risk of rapid spread of SARS-CoV-2 virus infections. In addition, there is a high prevalence of non-communicable chronic diseases among inmates, which increases the risk of the severe course of COVID-19. The objectives of the study are to present the number and percentage of officers and employees of the Prison Service (PS), and inmates quarantined and infected with the SARS-CoV-2 virus in the period from March to the end of December 2020, as well as to present solutions aimed at limiting the transmission of SARS-CoV-2 virus.
    Material and methods: Information on the number of PS officers, employees and inmates quarantined and infected, as well as information on the solutions introduced by the Prison Service Management Bard,was obtained from the Ministry of Justice pursuant to the provisions of the Act on Access to Public Information.
    Results: From1 March 2020 - 31 December 2020, the number of cases of infection detected among PS officers and employees was 3,666, and among inmates - 599. 97.7% of all cases among PS officers and employees and 93.8% among inmates were reported in the last 3 months of the year.
    Conclusions: The rapid introduction of solutions aimed at limiting the transmission of the SARS-CoV-2 virus and proper monitoring of the epidemic in penitentiary establishments resulted in a low number of infections in the period from March to the end of December 2020. Infections among PS officers and employees, as well as inmates, seem to be parallel to the epidemiological situation in the population of the entire country. Further analysis of the epidemic will confirm the impact of the measures taken on the incidence of COVID-19 among PS officers, employees and inmates.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; Communicable Disease Control ; Humans ; Jails ; Poland/epidemiology ; Prisons
    Language English
    Publishing date 2021-07-22
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 1215115-4
    ISSN 1898-2263 ; 1232-1966
    ISSN (online) 1898-2263
    ISSN 1232-1966
    DOI 10.26444/aaem/140099
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