An analysis of health policy programmes on eye health implemented by Local Government Units (LGUs) in Poland, 2015-2023.

IF 1.3 4区医学 Q4 ENVIRONMENTAL SCIENCES Annals of Agricultural and Environmental Medicine Pub Date : 2024-09-25 Epub Date: 2024-05-31 DOI:10.26444/aaem/188504

Maciej Kamiński, Mateusz Jankowski, Olga Adamska, Jarosław Pinkas, Agnieszka Kamińska

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Abstract

Introduction and objective: 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.

Material and methods: 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.

Results: 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.

Conclusions: This study revealed significant gaps in the implementation of health policy programs on eye health implemented by LGUs in Poland, especially in rural areas.

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2015-2023 年波兰地方政府部门 (LGUs) 实施的眼健康政策计划分析。

引言和目标：波兰地方政府部门（LGUs）可根据卫生技术评估和关税系统机构（AHTATS）制定的规则和模板，针对不同的健康状况制定卫生政策计划。本研究旨在分析波兰地方政府部门在2015年至2023年期间实施的眼健康政策项目：本研究对波兰地方政府部门在 2015 年 1 月 1 日至 2023 年 12 月 31 日期间实施的眼健康政策项目的数据进行了回顾性分析。数据来源于波兰国家卫生技术服务局（AHTATS）发布的公共信息和公告。眼健康卫生政策计划的全文特别关注目标人群、干预类型、时间表、预算以及地方政府部门的特点：从 2015 年到 2023 年，地方政府部门共向 AHTATS 提交了 1568 项卫生政策计划，其中只有 41 项（2.6%）涉及眼健康。16 个省中有 4 个省、314 个县中有 2 个县、2477 个乡中有 30 个乡制定了眼健康政策计划。在 1464 个乡镇中，只有 3 个乡镇（0.2%）制定了眼健康卫生政策计划。计划期限从 24 个月到 72 个月不等，而 53.7% 的计划期限为 36 个月。只有 33 项计划得到了 ATHATS 的积极评价，可以付诸实施。大多数计划（85.4%；n=35）的目标群体是小学生，78%（n=32）的计划还包括家长和照顾者。在 41 个项目中，92.7% 包含二级预防干预措施。视力测试是地方政府部门实施的眼健康项目中最常见的眼科测试（人数=34；82.9%）：这项研究揭示了波兰地方政府部门在实施眼健康政策项目方面存在的巨大差距，尤其是在农村地区。

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来源期刊

Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.00

自引率

5.90%

发文量

审稿时长

4-8 weeks

期刊介绍： All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.