Katarzyna Dubas-Jakóbczyk

Katarzyna Dubas-Jakóbczyk
Jagiellonian University | UJ · Institute of Public Health, Health Economics and Social Security Department

MPh, PhD

About

85
Publications
31,362
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Introduction
Professor at the Health Economics and Social Security Department, Institute of Public Health, Jagiellonian University in Krakow. I’m currently involved in several research projects focused i.a. on issues related to: capacity planning in health care with special focus on inpatient care; international comparison of hospital sector reforms; health care providers performance assessment and quality assurance tools.

Publications

Publications (85)
Article
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Background Health care provider payment schemes are key elements of the health care system that influence providers behavior, quality of care, and efficient use of resources. In recent decades, Central and Eastern European (CEE) counties have implemented various reforms that have changed payments methods and other elements of the purchasing process...
Article
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Central and Eastern European (CEE) countries have recently implemented reforms to health care provider payment systems, which include changing payment methods and related systems such as contracting, management information systems, and accountability mechanisms. This study examines factors influencing provider payment reforms implemented since 2010...
Article
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Background The existing evidence shows that the pattern of health expenditure differs considerably between people at the end-of-life and people in other periods of their lives. The awareness of these differences, combined with a detailed analysis of future mortality rates is one of the key pieces of information needed for health spending prognoses....
Article
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Objectives: In recent years numerous initiatives aimed at reducing air pollution have been undertaken in Poland. The general objective was to examine the correlation between air pollution measured by the level of particulate matter ≤10 μm in diameter (PM10) and emergency hospitalizations due to chronic obstructive pulmonary disease (COPD) and asth...
Article
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Introduction Medical deserts are a growing phenomenon across many European countries. They are usually defined as (i) rural areas, (ii) underserved areas or (iii) by applying a measure of distance/time to a facility or a combination of the three characteristics. The objective was to define medical deserts in Spain as well as map their driving facto...
Article
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Introduction Hospitals remain the cornerstone of health systems in European countries. Therefore, the financial sustainability of hospitals constitutes an important determinant of health care provision security. The fragmentary data available indicate that hospitals in many European countries are continuously facing financial deficits and/or insolv...
Article
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Background: Medical deserts are increasingly considered a problematic issue for many countries, which try to employ a multitude of policies, actions, and initiatives to achieve a better distribution of the health workforce (HWF). Aims and Objectives: Participants will be able to discuss different reasons for shortages of HWF in medical deserts and...
Preprint
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Health care provider payment schemes consist of a complex set of arrangements used to in uence provider behavior towards speci c health policy objectives. The study aimed at: 1) providing a structured, comparative overview of current payment methods in selected Central and Eastern European (CEE) countries for different health care providers; 2) ide...
Article
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Background Health care systems are constantly evolving to better meet changing health needs and to adapt to external pressures. Reforms are therefore an integral part of health systems. One of the most common reforms concerns provider payment systems, including changes to payment methods. These are considered one of the most important levers throug...
Article
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Background Changes to provider payment systems are among the most common reforms in health care. They are important levers for policymakers to influence the health system performance. The aim of this study was to identify, systematize, and map the existing literature on the factors that influence health-care provider payment reforms. Methods A sco...
Article
“Medical deserts,” areas characterized by limited access to healthcare services, are a growing global concern. These areas often face a shortage of healthcare professionals, which significantly contributes to poor healthcare access, reduced health outcomes, and health inequalities [1]. As future healthcare providers, medical students have the poten...
Article
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Background: Medical deserts are considered a problematic issue for many Western countries which try to employ multitude of policies and initiatives to achieve a better distribution of their health workforce (HWF). The aim of this study was to systematically map research and provide an overview of definitions, characteristics, contributing factor...
Article
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Hospital managers around the world work under constant pressure to adapt their organizations to new challenges and health policy goals. This requires a comprehensive set of competencies. The objective of this scoping review was to identify, map, and systematize the literature on hospital manager competencies. The review involved six steps: (1) defi...
Article
The health system in Poland is characterized by oversized hospital infrastructure, with simultaneous deficits in the ambulatory and long-term care sectors. The main challenges of the hospital sector involve i.a. weak stewardship and fragmented governance with a concurrent problem of persistent hospital debts as well as huge workforce deficits. The...
Article
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Introduction: Medical deserts are increasingly considered problematic and many countries employ a multitude of actions and initiatives to achieve a better distribution of the health workforce (HWF). This study systematically maps research and provides an overview of the definitions/characteristics of medical deserts. It also identifies contributin...
Article
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Background: Improving the quality of hospital care is an important policy objective. Hospitals operate under pressure to contain costs and might face challenges related to financial deficits. The objective of this paper was to identify and map the available evidence on the association between hospital financial performance (FP) and quality of car...
Article
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The SARS-CoV-2 pandemic has put unprecedented pressure on the hospital sector around the world. It has shown the importance of preparing and planning in the future for an outbreak that overwhelms every aspect of a hospital on a rapidly expanding scale. We conducted a scoping review to identify, map, and systemize existing knowledge about the relati...
Article
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We provide an explorative and international comparison of the governance models of academic medical centres (AMCs). These centres face significant challenges, including disruptive external pressures and enduring financial conflicts pertaining to patient treatment, research and education. Therefore, we covered 10 European countries (Cyprus, Czechia,...
Article
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European Union (EU) structural funds aim at reducing economic and social disparities between the member states regions. The objectives of the study were to (1) provide a summary overview of all health related projects co-financed by EU structural funds in Poland between 2004 and 2020, (2) define the share of projects/funds devoted to infrastructure...
Article
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Background One of the most commonly used types of evaluation methods is cost-utility analysis (CUA), using the Quality Adjusted Life Year (QALY) indicator as a preference-based measure for assessing effects of a given programme. Such assessments are often translated into health-care provision priorities; therefore, effectively choosing the method o...
Conference Paper
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Background Hospitals operate under constant pressure to contain costs and improve the quality of care (Q). The potential association between hospital financial performance (FP) and Q can have two directions: (1) providers with better FP might have a greater capacity to maintain and/or improve Q; (2) a better Q might lead to better FP, i.e. increase...
Conference Paper
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Background Academic Medical Centers (AMCs) are organizations that link three functions: providing highly specialized medical services, teaching activities and conducting research. The aim of the study was to provide an international comparison of the governance and organization models of AMCs. The analysis covered 10 European countries (Cyprus, Cze...
Article
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(1) Under repressive policies, sex workers are at disproportionate risk for violence and sexually transmitted infections. The decriminalization of sex work provides increased social and health benefits to both sex workers and society. This is the first research that complements human rights-based messages with a quantifiable economic impact of such...
Article
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Background Hospitals operate under constant pressure to contain costs and improve the quality of care. The literature suggests that there is an association between health care providers’ financial performance and the quality of care. On the one hand, providers that are financially more stable might have better capacity to maintain reliable systems...
Technical Report
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The outbreak of the coronavirus disease Coronavirus (COVID-19) pandemic has delivered an enormous shock to the global economy, exacting a large human toll, shutting down major economic sectors, and deeply upending labor markets. The objective of this analysis is to identify pragmatic steps to improve hospital performance in Poland and propose actio...
Article
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The aim: The purpose of this study is the analysis of the financial situation of the institutes supervised by the Minister of Health in the period 2014-2018. Material and methods: The study group consisted of 10 institutes that conducted inpatient and / or outpatient medical activities in 2018. Data to analysis derived from financial statements of...
Conference Paper
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Background: there is growing evidence of a positive association between health care providers’ financial standing and the quality of care. In Poland, the instable financial situation and growing debt of public hospitals has been a source of concern for more than two decades now. The objectives were: (1) to compare the financial performance of publi...
Conference Paper
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Background Under repressive policies, sex workers are at disproportionate risk for violence, HIV, and sexually transmitted infections. The decriminalization of sex work between consenting adults provides increased social and health benefits to both sex workers and society at large. Proponents of decriminalization advocate for these added human righ...
Conference Paper
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Background Coordination of care provision has become an important health policy objective in numerous countries. In Poland, the function of cancer care coordinator (CCC) was introduced in 2015, under the oncological care organization reform, and they are mainly employed by hospital care providers. The objectives of the study were to: identify the s...
Article
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In Poland, as well as in many other countries around the world, hospitals constitute the cornerstone of health care provision. In 2020, hospitals stand at the frontline of the fight with the coronavirus pandemic, and are facing huge pressures. The issue of supporting the financial sustainability of the hospital sector has become especially importan...
Article
Full-text available
There is growing evidence of a positive association between health care providers' financial standing and the quality of care. In Poland, the instable financial situation and growing debt of public hospitals has been a source of concern for more than two decades now. The objectives of this paper were to compare the financial performance of public h...
Article
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To study physicians’ satisfaction with a multidimensional approach, the 4CornerSAT questionnaire to measure the career satisfaction of physicians was conceptualized in English and later adapted into Polish. In this study, we aimed to test the reliability and validity of the adapted 4CornerSAT questionnaire in Poland and confirm its the tetra-dimens...
Article
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This paper aims to: (1) provide a brief overview of hospital sector characteristics in 11 Central and Eastern European countries (Bulgaria, Czech Republic, Estonia, Croatia, Latvia, Lithuania, Hungary, Poland, Romania, Slovakia, Slovenia); (2) compare recent (2008 – 2019) hospital reforms in these countries; and (3) identify common trends, success...
Article
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Objective: The aim: The purpose of this study is the analysis of the financial situation of the institutes supervised by the Minister of Health in the period 2014-2018. Patients and methods: Material and methods: The study group consisted of 10 institutes that conducted inpatient and / or outpatient medical activities in 2018. Data to analysis d...
Article
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Introduction: University hospitals constitute a unique group of health care organizations which traditionally link three functions: (1) providing highly specialized services, (2) teaching activities, and (3) conducting research. Objectives: To assess the level of carrier satisfaction among physicians working in three university hospitals in Pola...
Article
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Background Understanding physician satisfaction and the factors associated are relevant for physicians, their patients and decision makers. We conducted the first national-wide study evaluating the satisfaction of Polish doctors using a multidimensional approach. The aims of this study were to: 1) measure the career satisfaction of physicians worki...
Conference Paper
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Background Over the last few years, increased international attention has been paid to bridging the gap between health research and policy-making. The situation analysis on evidence-informed policy-making (EIP) in Poland aims to increase understanding of interactions among a country’s research and policy-making communities, to determine where and h...
Article
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Background Polish physicians migration has become a subject of interest in the context of current shortage of medical staff. The exact scale of migration is unknown due to insufficient data. The main goals of the study were to: 1) evaluate the scale of migration intentions among doctors working in Polish hospitals, 2) identify the key predictors an...
Book
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This analysis of the Polish health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. In late 2017, the Polish government committed to increase the share of public expenditures on health to 6% of GDP by 2024. If the GDP continues to grow in the ye...
Article
Background: Health workforce shortages could lead to burnout, excessive workload, dissatisfaction and consequently to migration. In Poland the exact scale of physician migration is unknown due to insufficient data. Methods: A quantitative, cross-sectional survey of physicians working in Polish hospitals was conducted between March and June, 2018...
Article
Full-text available
This analysis of the Polish health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. In late 2017, the Polish government committed to increase the share of public expenditures on health to 6% of GDP by 2024. If the GDP continues to grow in the ye...
Article
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Beginning in October 2017 a system of basic hospital service provision, popularly called the ‘hospitals network’ was implemented in Poland. It covered 594 hospitals out of a total number of approx. 920 operating in 2017. The regulation’s official objectives were to: “(1) improve the organization of services delivered by hospitals; (2) improve acces...
Article
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Physician satisfaction is a multidimensional concept associated with numerous factors. The objectives of the study were to evaluate the satisfaction of physicians practicing in hospitals in Poland and to identify factors associated with higher levels of satisfaction. A quantitative, cross-sectional survey of Polish hospitals was conducted between M...
Technical Report
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he aim of this report was to assess the policy options for investments in health in Poland in the context of the Roadmap to implement the 2030 Agenda for Sustainable Development, building on Health 2020, the European Policy for Health and Well-being. As background, national strategic documents incorporating the concept of health and well-being for...
Article
Objectives The primary objective was to assess the scale and consequences of the doctor deficit in Poland with the main focus on hospital care providers. To provide the background for the above, an analysis of the system level responses to the problem was also conducted. Data and methods A mixed‐method approach was used. We triangulated data colle...
Article
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Background: In the light of demographic developments health promotion interventions for older people are gaining importance. In addition to methodological challenges arising from the economic evaluation of health promotion interventions in general, there are specific methodological problems for the particular target group of older people. There ar...
Article
Capacity planning is a crucial component of modern health care governance. The aim of this paper is to analyze the requirements that need to be met to build effective hospital capacity planning mechanisms in Poland. In this context, the recent regulatory changes strongly influencing hospital sector functioning, including introduction of health care...
Article
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The aim of the article is to assess the private hospitals’ role and potential of development in the Polish health care system. Due to the general problem of lack of complex and good quality data on hospital sector functioning – the analyses are conducted based on fragmented data available from official statistics, regional sources and received from...
Article
Objectives: The SCORE model predicts the ten-year risk of cardiovascular mortality but it is still unknown whether applying the SCORE in clinical practice subsequently improves cardiovascular disease (CVD) outcomes. The objective of this study is to assess the effect of total cardiovascular risk estimation using the SCORE in preventing serious card...
Article
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Background: Healthy ageing and health promotion (HP) actions for older people have become an important health sector priority. At the same time, the application of economic evaluation methods in the field of health interventions in order to support allocative decision processes is of growing importance. The aims of the review were to analyze what...
Article
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The aim of the analysis was university hospitals' financial situation assessment in the year 2014 based on financial statements. The analysed group included 21 general university hospitals. The financial situation of the hospitals is diverse, however in case of more than 40% of units current financial liquidity level indicates risk of insolvency, w...
Article
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Background The support of health promotion activities for older people gains societal relevance in terms of enhancing the health and well-being of older people with a view to the efficient use of financial resources in the healthcare sector. Health economic evaluations have become an important instrument to support decision-making processes in many...
Article
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Background: Poland has one of the highest cervical cancer mortality rates in Europe. It is related to the problem of late diagnosis and low attendance rate in screening programs. The objective of the study has been to assess the annual production loss due to the cervical cancer morbidity and mortality in Poland in 2012. The outcomes have been to p...
Article
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Economic evaluation of public health programs – review of international guidelines - Within the last decades an interest in using economic evaluation methods in health care sector is rapidly growing. In many countries methodologi-cal guidelines and recommendation on using economic analyses for health care interventions assessment were developed. Me...
Article
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Background. The SCORE model was developed in 2003 and it predicts the ten-year risk of cardiovascular mortality in individuals without preexisting artherosclerotic diseases. Still it is unknown whether applying the SCORE in clinical practice subsequently improves CVD outcomes. Aim of the review. To assess the effect of total cardiovascular risk est...
Article
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Ewaluacja programu zdrowotnego jest jednym z ważniejszych elementów jego realizacji. W wielu krajach opracowano i wdrożono zalecenia dotyczące procesu ewaluacji, z których najbardziej znana i najczęściej przywoływana jest matryca ewaluacji Framework of Program Evaluation in Public Health, opracowana przez U.S. Centers for Disease Control and Preven...
Article
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The article aim is the analysis of the practical aspects of the community health programmes realization and the provision of recommendations in this field. The presented statistics indicate a high level of difficulty in construction of effective health programmes by the local government units (42% of the health programme projects in 2012 were negat...
Article
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Background. In Poland and other Central-Eastern European countries non-systematic and bureaucratic approach to assessing quality of care is still prevalent. Its purpose is to impose penalties and punishment. Modern quality improvements methods are not implemented on a large scale. A critical expression of this state of affairs is the lack of indica...
Article
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The aim of the article is to present the education process of medical doctors and its influence on shortages of physicians in Poland. The authors present the current data on physicians supply in Poland in an international comparison and describe the stages of doctor education process on both medical studies and post graduate levels. Emphasis is put...
Article
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Hospital sector in the United States – basic characteristics and current financial challenges The aim of this article is to present the basic characteristics of the U.S. hospital sector (with an emphasis on structure, utilization level and the system of financing) as well as its current challenges and reform trends. Hospitals in the U.S. constitute...
Article
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The article provides a comparison of methods of hospital services' supply coordination in three European countries: the United Kingdom (on England example), Germany and France. The coordination methods are defined as both the processes of planning the current hospital services supply levels (e.g. number of hospitals' beds by speciality) and regulat...
Article
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The article presents the analysis of European Union structural funds' role in financing investments in Polish heath care sector. The analysis includes investments in physical assets (mainly equipment, renovations) as well all projects related to human capital (education). Distinguishing features of EU co-financed investments projects are presented....
Article
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Celem artykułu jest ocena skali oraz skutków procesu komercjalizacji i prywatyzacji w odniesieniu do sektora stacjonarnej opieki zdrowotnej w Polsce. W pierwszej części przedstawiono analizę problemów definicyjnych związanych z pojęciami komercjalizacji i prywatyzacji w kontekście systemu opieki zdrowotnej. Skala procesu komercjalizacji została prz...
Article
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The aim of the article is to assess the consequences of the commercialization and privatization of the inpatient heath care units in Poland. In the first part the analysis of the terms ‘commercialization and privatization’ definitions in the health care context was presented. The scope of the commercialization was assessed based on the number of pu...
Article
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Aims: The aims of this study were (1) to explore physicians' self-reported treatment of patients with dyslipidemia and (2) to identify intercountry differences and associations between physicians' characteristics and treatment patterns. Methods: A cross-sectional survey was performed in primary health care in 9 Central and Eastern European count...
Book
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The present study is based on the extended and updated analysis conducted for a report “Sources of inefficiency and financial deficits in Poland's health care system”, commissioned in 2007 by the World Health Organization Regional Office for Europe, as a part of the Biennial Collaborative Agreement (BCA) with the Polish Ministry of Health. The aim...
Article
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The aim of the article is to present the scope of determinants influencing hospitals' functioning in Europe with emphasize put on the health sector human recourses issue. Multiplicity of the functions realized by the hospitals units relates to the plurality of determinants which influence their present situation as well as long-term transformation...
Article
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Celem artykułu jest przedstawienie zakresu stosowania pojęcia efektywności w odniesieniu do systemu ochrony zdrowia, jak również występujących w ramach tego sektora metod i koncepcji jej pomiaru. W pierwszej części artykułu dokonano próby systematyzacji pojęcia efektywności – kontekstów jego stosowania oraz przypisywanych mu znaczeń. W kolejnej czę...
Article
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The aim of this study is to explore the views of family physicians/general practitioners about the most important competences in health promotion and diseases prevention and areas where these competences might be below the desired level. A qualitative, descriptive study, combining two data collection techniques, was conducted in two Eastern Europea...