The Polish Experience of Quality Improvement in Primary Care.
The Polish health care system : The health care system in Poland is based on a model typical of east-central European countries, with features such as stateowned health care organizations, centralized management and administration, and primacy of access to care over quality.
Poorly planned and uncoordinated reforms have been undertaken to transfer some of the authority for health service management to local governments.
Primary health care in Poland : The reform of the health care system entails substitution of family physician-based for medical specialist-based primary care.
Newly trained family physicians, as the first to start private surgery clinics financed from public sources, are the forerunners of the comprehensive reform and property structure transformation.
Making the transition from quality assurance to quality improvement : Since the early 1990s, more and more organizations, individuals, and professional groups have begun to perceive health care regulations and other external control mechanisms as ineffective.
Attempts have been made to replace periodic, restrictive activities with systematic continuous quality improvement efforts.
Systems of voluntary accreditation are being developed and fostered.
Groups have started meeting to develop medical practice guidelines and conduct peer review. (...)
Mots-clés Pascal : Soin, Pologne, Europe, Monde, Centralisation, Politique, Sociologie, Accréditation, Evaluation, Méthodologie, Gestion, Travail, Santé communautaire, Qualité, Europe Est, Aspect politique, Géographie, Accessibilité, Soin santé primaire
Mots-clés Pascal anglais : Care, Poland, Europe, World, Centralization, Policy, Sociology, Accreditation, Evaluation, Methodology, Management, Labour, Community health, Quality, Eastern Europe, Political aspect, Geography, Accessibility, Primary health care
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 11/09/1998.