Warranty of occupational health and safety within public health insurance in public opinion in Poland

Authors

  • Iwona Bojar Institute of Agricultural Medicine, Lublin, Poland Author
  • Jolanta Szymańska Department of Paedodontics, Medical University, Lublin, Poland Author

Keywords:

health safety, public health, public health insurance, public opinion

Abstract

Introduction. Public health care systems are aimed at the enhancement of health of the population and decrease in health inequalities.

Aim. The aim of the study was the analysis of social opinion concerning health safety of the Polish population within the system of public health insurance (PHI) in Poland.

Material and methods. The study was conducted anonymously among various social groups in Poland in 2008. The research tool was a questionnaire form designed by the authors for the needs of the presented study. The instructions were mailed, and 711 correctly completed questionnaires were returned. The results were subject to statistical analysis.

Results. The respondents evaluated the opportunities of treatment in public health care – the same for all the insured – to be 2.21 according to a five-degree scale. Males perceive the possibility of equal access to health care within the PHI differently to females and respondents with various levels of education. The greatest problem associated with the use of public health care is a long waiting time after the registration for a specialist visit (87%), and for the performance of diagnostic tests (56.54%). Nearly 60% of the respondents expressed an opinion that there is no warranty of health safety within the PHI in Poland. Public health care services partially meet the expectations of 50% of the respondents, while 31.5% admit that their expectations are not satisfied.

Conclusion. The majority of respondents indicated that both the State, creating an efficient system of health protection, and the citizens themselves are responsible for the state of the Polish health care system

References

1. Aaron KF, Chesley FD Jr. Beyond rhetoric: what we need to know to eliminate disparities. Ethn Dis. 2003;13 Suppl 3:S3-9-11.

2. Hurley J. Ethics, economics, and public fi nancing of health care. J Med. Ethics. 2001;27:234-9.

3. Chang WC. The meaning and goals of equity in health. J Epidemiol Comm Health. 2002;56:488-91.

4. Williams A. Thinking about equity in health care. J Nurs Man. 2005;13:397-402.

5. Baum F, Harris L. Equity and social determinants of health. Editorial. Health Promot J Austr. 2006;17:163-5.

6. Phelan JC, Link BG, Diez-Roux A, Kawachi I, Levin B. “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Soc Behav. 2004;45:265-85.

7. Braveman P, Gruskin S. Defi ning equity in health J Epidemiol Comm Health. 2003;57:254-8

8. National Healthcare Disparties Report. Agency for Healthcare Research and Quality. Department of Health and Human Services. USA 2008.

9. Vecchio C. Health and the market. Ital Heart J. 2000;1:1188-91.

10. Hannigan B. Assessing the new public management: the case of the National Health Service. J Nurs Manag. 1998;6:307-12.

11. Keskimaki I. The future of public health in the European Union. Eur J Public Health. 2007;17:327.

12. Dostępność świadczeń zdrowotnych w opinii Polaków 1998-2003. Centrum Systemów Informacyjnych Ochrony Zdrowia. Warszawa: Zakład Analiz Socjologicznych, 2004.

13. Dostępność świadczeń zdrowotnych w opinii Polaków. Centrum Systemów Informacyjnych Ochrony Zdrowia. Warszawa: Zakład Analiz Socjologicznych, 2006.

14. Dostępność świadczeń zdrowotnych w opinii Polaków. Centrum Systemów Informacyjnych Ochrony Zdrowia. Warszawa: Zakład Analiz Socjologicznych, 2007.

15. Eikemo TA, Bambra C, Joyce K, Dahl E. Welfare state regimens and income-related health inequalities: a comparison of 23 European countries. Eur J Public Health. 2008;18:593-9.

16. Siegel S, Moy E, Burstin H. Assessing the nation’s progress toward elimination of disparities I health care. J Gen Intern Med. 2004;19:

195-200.

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Published

2010-01-01