PubMed · 11369556
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
H Bauchner, L Simpson, J Chessare. 2001. Changing physician behaviour.. https://doi.org/10.1136/adc.84.6.459
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
This study provides a comprehensive picture of the organization and delivery of ambulatory health care services in Poland. A main finding of the study is that, following the introduction of health insurance in 1999, the newly introduced Sickness Funds have become the main players in the medical services market, introducing new bidding procedures and contracts for provision of medical services. Contracts, and negotiations which precede them, have introduced elements of market competition, which has affected the number and types of services provided by health care centers operating under a contract. The health financing reforms have led to an even playing field for public and non-public providers, marked by a proliferation of structurally smaller health units. The introduction of a market environment has changed the way in which providers are compensated, with a discernible shift away from salary-based systems to capitation and fee-for-service compensation. The analysis of the provider market for outpatient care underscores the importance of understanding the organization and supply of health services, particularly insofar as it relates to the design of appropriate financial and other incentives for providers of health services and of policy interventions necessary for achieving systemic changes.
In order to plan services for long-term care of those with acquired brain injury (ABI), the prevalence of ABI was investigated by using a postal inquiry sent to a representative sample of general practitioners, of whom 121 cooperated and registered 186 cases. The corresponding estimated prevalence of adults with ABI-related disabilities is 183 per 100 000 population. The large majority remained at home without professional assistance. One in five had resumed education or regained full employment, but over half spent their day at home with no specific activity. The need for specific care at home was present in almost half of the patients. One-quarter had employment-related needs, and one in five had living needs for specialized accommodation or supported living. In conclusion, this study primarily revealed unfulfilled needs in the area of day services aiming at a maximal social and professional reintegration.
Explore the source record for details and available documents.