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A risk of mistake. S tatistics in health care politics. Acts of health care regulating data collection/profilling in health service. Act of information system in health service Act stated on 27 th August 2004 on benefits of health care from public funds
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A risk of mistake Statistics in health care politics
Acts of health care regulating data collection/profilling in health service Act of information system in health service Act stated on 27th August 2004 on benefits of health care from public funds Act stated on 23rd January 2003 on comprehensive insurance in National Health Service J. of law from 2003 No. 45, item 391 Act stated on 30th August 1991 onHealth Care Center J. of law from 1991, No. 91, item 408
Centers of data collection in health service Clinical data derived from scientific literature publications, thesises Clinical data from research Data collectedby National Health Service Data collectedby local goverment Data collectedby Health Minister Data collectedby centers monitoring health service functioning Data collectedby non-goverment centers and organizations- Corporations, Foundations, Press
Decision Centers influencing on performance volume in health service National specialists Local specialists: regional and voivodiship-derived Clinical Centers and Institutes National Health Service Medical companies Lobbyists- politicians
Public finanses National Health Service paymaster Other sources of funding by administrative boards/organs of goverment Ministry of Health, Ministry of Works, Ministry of the Interior and Administration Self-goverments Foundations and Associations
Contract for cardioverter implantation and coronography performance City located in county B City located in county A Distance 60 km It owns contract for coronography performance, implantationof stents and pacemakes- it is called early cardiologic intervention It owns contract for pacemakes implantation- it owns cardiologic unit with appropriate protection
Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits: 1) Access of service recipients to information on given and planned healthcare benefits 2) Transfer of information by service providers to SIM on given, giving and planned healthcare service 3) Exchange between service providers of data included in electronic medical documentation if it is necessary to enable therapy continuation
Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits: Exchange of electronic documents between service providers in order to carry out diagnostic procedures An acces of subjects cataloging medical records in the area of persuing tasks and received privilages to data transformed in SIM by Platform of On-Line availablance of Services and Digital Resource An acces of territorial self-goverment units to the transformed in SIM data allowing to implement task on the equal access to health care for residents
Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits on: An acces of voivodes to data basic for persuation of tasks included in item 10 of the act stated on 27th august 2004 on healthcare benefits founded from public finances An acces of competent minister of health to data necessary to persue tasks included in item 11 of the act 1 stated on 27th August 2004 on healthcare service founded from public finanses. Center of Medical Postgraduate Education on the basis of regulations on medical doctor and dentist professions, nurse and midwife professions, laboratory diagnostics, National Medical Rescue regulations- pharmaceutical law, relevant to data regulated by these rules
Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that especially permits: Center of Postgraduate Education of Nurses and Midwifes on the basis of professions of nurses and midwifes relevant to data regualated by these rules Service providers relevant to medical employee Paymasters, mentioned in the item 2 /no(9), in the area of data for service providers and employess of the service provider, enableing the control of the agreement performance on healthcare service
Conclusion Danger related to the Health Care System Centralization Administrative rule of Parkinson Ingeration of lobbing and politics Deficency of change stabilisation system