Opieka onkologiczna w Wielkopolsce na tle zmian systemu ochrony zdrowia w Polsce – cz. 1. Kompleksowość świadczeń, koszty systemowe i finasowanie

Julian Malicki , Wojciech Golusiński
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引用次数: 1

Abstract

In all countries of the world, an increase in expenditure on health care is recorded. Cancer has become the main health and social problem whose effective solution requires the development of a comprehensive cancer control program. The Law on the National Programme for Combating Cancer is an example of the comprehensive approach in Poland. Treatment of cancer in Poland is based on a network of public full-profiling dozen cancer centers and oncology units located at university hospitals and local government. An example of a systemic approach at the regional level is “Wielkopolski program rozwoju radioterapii i onkologii” adopted by the provincial government.

Oncology health services in Poland is financed through the National Health Fund. In recent years, there has been scarcity of resources, due to which hospitals do not receive payment for all the provisions made. Research and cooperation with medical schools play a key role in improving treatment outcomes. Element of the system, requiring modifications, are legal restrictions on the structure of cancer centers that prevent greater share of the research and academic activities.

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在世界所有国家,保健支出都有所增加。癌症已成为主要的健康和社会问题,其有效解决需要制定全面的癌症控制计划。《国家防治癌症方案法》是波兰采取综合办法的一个例子。波兰的癌症治疗基于一个由大学医院和地方政府的十几个癌症中心和肿瘤单位组成的公共全面分析网络。在地区一级采用系统方法的一个例子是省政府采用的“Wielkopolski项目rozwoju radioterapii i onkologii”。波兰的肿瘤保健服务由国家保健基金提供资金。近年来,由于资源短缺,医院没有收到所提供的所有款项。研究和与医学院的合作在改善治疗效果方面发挥着关键作用。该体系中需要修改的部分是对癌症中心结构的法律限制,这些限制阻止了更多的研究和学术活动。
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