Wykorzystanie programu policy maker w polityce zdrowotnej. Niektóre aspekty wdrażania reformy opieki zdrowotnej w Polsce

2000
journal article
article
dc.abstract.enPolitical mapping is a technique of political analysis at the service of study effectiveness, formulation and implementation of social politics targets. A computer program, Policy Maker was developed at Harvard’s University as a tool enabling practical application of mapping. It is based upon extensive theoretical grounds including a model of rational behaviour, model of public administration, model of bureaucracy, concepts of business groups, model of public option, principles of Marxist analysis and stakeholders analysis. In the past each approach was used in analyses of health sector. Policy Maker enables us or at least makes us easier to make use of the analytical and constructive potential of the technique. Researchers describing and explaining the processes in health politics, as well as political decision-makers that want to be more effective may equally collect benefits. The main aim of the authors was not only to demonstrate the tool but also to prove its usefulness in direct co-operation with leaders of the health care reforms. The starting point was to define the goals, prepared for this purpose in co-operation between the researchers and the members of the health care reforms leader group. However, it should be emphasised that the goals presented below should be regarded as ‘obligatory only in the present phase of the reform’. The following four goals were considered as most important in the implementation of the health care reform: Organisation of the negotiation process within the system Restructuring of the employment with the assumption that the increase in the number of professional workers is not the aim of the reform process Achievement of a high level of professionalism among the participants of the health care system Utilisation of external (informal) resources for the public benefit. A very important element in PM analysis is stakeholders analysis. It is a systematised way of analysing groups and individuals depending on their involvement and role in the implementation of the defined goals. One should identify all critical groups and individuals, both with respect to their true or hidden interests and general approach, which is indispensable for building up an effective coalition and strategy. The most difficult stage in analysis is working out a strategy. Policy Maker comprises two methods of strategy planning: a general set of suggested strategies to be used or adjusted, and a tool for reviewing and evaluating the information, which has already been entered to provide original solutions. Two dangers that may be encountered in the implementation of the reform emerged upon scrutiny: opposition or less than expected support due to a lack of knowledge about the reform in a large number of the participants of the health care system, and marked opposition by the key medical staff. Thus, the fundamental goal of the suggested strategy was to overcome these difficulties. In the course of work with the reform leaders the following recommendations have been proposed: 1. Provide clear interpretation of legal regulations. 2. Ensure security for the laid off persons 3. Neutralise environments of opposition 4. Provide concrete and solid information 5. Consult independent experts 6. Apply temporary solutions in POZ (Primary Care) 7. Motivate doctors to individual practice 8. Eliminate unprofitable organisations in the health care. 9. Guarantee financial benefits 10. Establish clear principles of contracting 11. Increase nurses’ scopes of authorization It should be emphasised that the strategies although worked out in co-operation with the reform leaders have never been applied and in this way the effects of the procedure have only a cognitive nature.pl
dc.contributor.authorWłodarczyk, Cezarypl
dc.contributor.authorKoprowska, Iwonapl
dc.date.accession2020-11-18pl
dc.date.accessioned2020-11-18T09:39:36Z
dc.date.available2020-11-18T09:39:36Z
dc.date.issued2000pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 84-85pl
dc.description.number2pl
dc.description.physical63-87pl
dc.description.versionostateczna wersja wydawcy
dc.identifier.issn1640-1808pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/254134
dc.identifier.weblinkhttp://www.problemypolitykispolecznej.pl/Wykorzystanie-programu-policy-maker-nw-polityce-zdrowotnej-Niektore-aspekty-nwdrazania,123730,0,1.htmlpl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceOTHER
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.plopieka zdrowotnapl
dc.subject.plreforma opieki zdrowotnejpl
dc.subtypeArticlepl
dc.titleWykorzystanie programu policy maker w polityce zdrowotnej. Niektóre aspekty wdrażania reformy opieki zdrowotnej w Polscepl
dc.title.alternativeUsing policy maker program in health policypl
dc.title.journalProblemy Polityki Społecznejpl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Political mapping is a technique of political analysis at the service of study effectiveness, formulation and implementation of social politics targets. A computer program, Policy Maker was developed at Harvard’s University as a tool enabling practical application of mapping. It is based upon extensive theoretical grounds including a model of rational behaviour, model of public administration, model of bureaucracy, concepts of business groups, model of public option, principles of Marxist analysis and stakeholders analysis. In the past each approach was used in analyses of health sector. Policy Maker enables us or at least makes us easier to make use of the analytical and constructive potential of the technique. Researchers describing and explaining the processes in health politics, as well as political decision-makers that want to be more effective may equally collect benefits. The main aim of the authors was not only to demonstrate the tool but also to prove its usefulness in direct co-operation with leaders of the health care reforms. The starting point was to define the goals, prepared for this purpose in co-operation between the researchers and the members of the health care reforms leader group. However, it should be emphasised that the goals presented below should be regarded as ‘obligatory only in the present phase of the reform’. The following four goals were considered as most important in the implementation of the health care reform: Organisation of the negotiation process within the system Restructuring of the employment with the assumption that the increase in the number of professional workers is not the aim of the reform process Achievement of a high level of professionalism among the participants of the health care system Utilisation of external (informal) resources for the public benefit. A very important element in PM analysis is stakeholders analysis. It is a systematised way of analysing groups and individuals depending on their involvement and role in the implementation of the defined goals. One should identify all critical groups and individuals, both with respect to their true or hidden interests and general approach, which is indispensable for building up an effective coalition and strategy. The most difficult stage in analysis is working out a strategy. Policy Maker comprises two methods of strategy planning: a general set of suggested strategies to be used or adjusted, and a tool for reviewing and evaluating the information, which has already been entered to provide original solutions. Two dangers that may be encountered in the implementation of the reform emerged upon scrutiny: opposition or less than expected support due to a lack of knowledge about the reform in a large number of the participants of the health care system, and marked opposition by the key medical staff. Thus, the fundamental goal of the suggested strategy was to overcome these difficulties. In the course of work with the reform leaders the following recommendations have been proposed: 1. Provide clear interpretation of legal regulations. 2. Ensure security for the laid off persons 3. Neutralise environments of opposition 4. Provide concrete and solid information 5. Consult independent experts 6. Apply temporary solutions in POZ (Primary Care) 7. Motivate doctors to individual practice 8. Eliminate unprofitable organisations in the health care. 9. Guarantee financial benefits 10. Establish clear principles of contracting 11. Increase nurses’ scopes of authorization It should be emphasised that the strategies although worked out in co-operation with the reform leaders have never been applied and in this way the effects of the procedure have only a cognitive nature.
dc.contributor.authorpl
Włodarczyk, Cezary
dc.contributor.authorpl
Koprowska, Iwona
dc.date.accessionpl
2020-11-18
dc.date.accessioned
2020-11-18T09:39:36Z
dc.date.available
2020-11-18T09:39:36Z
dc.date.issuedpl
2000
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 84-85
dc.description.numberpl
2
dc.description.physicalpl
63-87
dc.description.version
ostateczna wersja wydawcy
dc.identifier.issnpl
1640-1808
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/254134
dc.identifier.weblinkpl
http://www.problemypolitykispolecznej.pl/Wykorzystanie-programu-policy-maker-nw-polityce-zdrowotnej-Niektore-aspekty-nwdrazania,123730,0,1.html
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
OTHER
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.plpl
opieka zdrowotna
dc.subject.plpl
reforma opieki zdrowotnej
dc.subtypepl
Article
dc.titlepl
Wykorzystanie programu policy maker w polityce zdrowotnej. Niektóre aspekty wdrażania reformy opieki zdrowotnej w Polsce
dc.title.alternativepl
Using policy maker program in health policy
dc.title.journalpl
Problemy Polityki Społecznej
dc.typepl
JournalArticle
dspace.entity.type
Publication
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