Jacek Michalak

Nofer Institute of Occupational Medicine, Łódź, Łódź Voivodeship, Poland

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Publications (4)3.79 Total impact

  • Jacek Michalak
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    ABSTRACT: Good practice in health, environment and safety management in enterprise (GP HESME) is the process that aims at continuous improvement in health, environment and safety performance, involving all stakeholders within and outside the enterprise. The GP HESME system is intended to function at different levels: international, national, local community, and enterprise. The most important issues at the first stage of GP HESME implementation in the Lodz region are described. Also, the proposals of future activities in Lodz are presented. Practical implementation of GP HESME requires close co-operation among all stakeholders: local authorities, employers, employees, research institutions, and the state inspectorate. The WHO and the Nofer Institute of Occupational Medicine (NIOM) are initiating implementation, delivering professional consultation, education and training of stakeholders in the NIOM School of Public Health. The implementation of GP HESME in the Lodz region started in 1999 from a WHO meeting on criteria and indicators, followed by close collaboration of NIOM with the city's Department of Public Health. 'Directions of Actions for Health of Lodz Citizens' is now the city's official document that includes GP HESME as an important part of public health policy in Lodz. Several conferences were organized by NIOM together with the Professional Managers' Club, Labor Inspection, and the city's Department of Public Health to assess the most important needs of enterprises. The employers and managerial staff, who predominated among the participants, stated the need for tailored sets of indicators and economic appraisal of GP HESME activities. Special attention is paid to GP HESME in supermarkets and community-owned enterprises, e.g., a local transportation company. A special program for small- and medium-size enterprises will be the next step of GP HESME in the Lodz region. The implementation of GP HESME is possible if the efforts of local authorities; research institutions and state inspectorate are combined with the support of employers' organizations.
    International Archives of Occupational and Environmental Health 11/2002; 75 Suppl:S7-9. · 2.10 Impact Factor
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    ABSTRACT: Collecting accurate data on performance and costs of services is recognized as the most difficult managerial problem because of limited application of medical standards and procedures as well as the different methods for costs calculation. The report presents the implementation of standardized medical procedures for referral examination, diagnosing occupational disease; and consultation in Regional Occupational Health Care Centers (ROHCC). Data on procedures were related to those on costs in cost centers and to cost structure--the time required for each task. Direct normative costs were analyzed in 6 ROHCC for managerial goals and selling the products as well. The results revealed important differences among different physicians' paid worktime spent on the same types of services. At 2 ROHCC time measurements and estimation of time gave similar results, in contrast to the rest ROHCC where those times were more prolonged. In contrast to commonly accepted opinions, the cost of physicians' work time amounted just several percent of total cost of the service. Such differences were noted not only among different ROHCC but even inside the same single ROHCC. The highest costs of production and of selling referral examinations and diagnosing occupational diseases resulted from the high percentage of indirect costs and overhead costs. The possible reasons of differentiated data on .rapid" and "slow" ROHCC were discussed. The need of right use of medical, organizational and financial data in evaluation of occupational health care efficiency is stressed.
    Wiadomości lekarskie (Warsaw, Poland: 1960) 02/2002; 55 Suppl 1(Pt 2):796-801.
  • Konrad Rydzyński, Jacek Michalak
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    ABSTRACT: Poland's accession to the European Union entails the need to formulate our strategic goals also in occupational medicine. The most important trends, as well as the changes in world economy are presented with special reference to their impact on occupational medicine. The changing goals of occupational medicine and occupational hygiene in the Polish economy during the period of transition are discussed. The research priorities and the EU policy in these areas are highlighed. The intention of this paper is to initiate a general discussion in "Medycyna Pracy" on the future of occupational health service and occupational hygiene in Poland.
    Medycyna pracy 02/2002; 53(1):5-13. · 0.39 Impact Factor
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    Jacek Michalak
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    ABSTRACT: Various understanding of occupational health services (OHS) roles, structures and functions in European counties depends mainly on the legal, financial and organizational issues, which influence the health of employees. The OHS aims and functions are often related to public health, and/or to the management of enterprises. In consequence, quality assessment (QA) of OHS is used in the management of enterprises and the implementation of health policy. The study was performed to delineate the methods and techniques used in OHS QA and to find the most useful ones, which might be applied in Polish occupational health services. The web pages, current literature, and international reports on OHS were reviewed. The OHS tasks, activities and methods for OHS QA are different in different European countries. Numerous voluntary methods are believed to be more effective, but their effectiveness is not as yet unequivocally proven. Quality assessment methods in Polish OHS are more similar to those used in clinical medicine. Good Practice in Health Environment and Safety Management in Enterprises (GP HESME) offers a new insight into in OHS QA.
    International Journal of Occupational Medicine and Environmental Health 02/2002; 15(2):165-71. · 1.31 Impact Factor