Impact of policy regulations on the functioning of hospitals in Poland during the COVID-19 pandemic: a qualitative analysis

Masłowski, Dariusz; Kulińska, Ewa; Salwin, Mariusz; Pawlas, Karolina; Kulińska-Jachowska, Karolina

doi:10.2478/ijme-2022-0012

Abstract

During the state of epidemic in Poland in 2020, all facilities providing medical services were subject to constant reorganization. Legal changes, which were introduced at a very rapid pace, did not allow the standardization of the work of the health service. Therefore, the assessment of the practical effects of the introduced legal measures is challenging due to the lack of fixed benchmarks. Accordingly, the research method used in the article is a survey conducted among employees of the Voivodeship Specialist Hospital in December 2020, in which 165 employees from different wards participated. For this purpose, the article presents the detailed description of policy regulations related to healthcare management introduced in Poland in 2020. Combining legal research and qualitative data allowed general conclusions to be drawn with regard to the quality assessment of the implemented policy measures from the perspective of healthcare professionals.

References

Ali, Y., Alradhawi, M., Shubber, N., Abbas, A.R. (2020), Personal protective equipment in the response to the SARS-CoV-2 outbreak – a letter to the editor on “World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)” (Int J Surg 2020; 76:71–6), International Journal of Surgery (London, England), Vol. 78, pp. 66–67, doi: 10.1016/j.ijsu.2020.04.051.
Open DOI Search in Google Scholar Back to article
Ardebili, M.E., Naserbakht, M., Bernstein, C., Alazmani-Noodeh, F., Hakimi, H., Ranjbar, H. (2021), Healthcare providers experience of working during the COVID-19 pandemic: a qualitative study, American Journal of Infection Control, Vol. 49, No. 5, pp. 547–554, ISSN 0196-6553, doi: 10.1016/j.ajic.2020.10.001.
Open DOI Search in Google Scholar Back to article
Chluska, J. (2021), The Intellectual Potential of Employees in Hospital Management, in: ECKM 2021 22nd European Conference on Knowledge Management, Coventry, UK, 2–3 September 2021, pp. 153–161.
Search in Google Scholar Back to article
Czarnowska, A., Kapica-Topczewska, K., Zajkowska, O., Adamczyk-Sowa, M., Kubicka-Bączyk, K., Niedziela, N., Warmus, P., Kalinowska-Łyszczarz, A., Kania, K., Słowik, A., Wnuk, M., Marona, M., Nowak, K., Bartosik-Psujek, H., Lech, B., Perenc, A., Popiel, M., Kucharska-Lipowska, M., Chorąży, M., Tarasiuk, J., Mirończuk, A., Kochanowicz, J., La-sek-Bal, A., Puz, P., Maciejowska, K., Wawrzyniak, S., Niezgodzińska-Maciejek, A., Pokryszko-Dragan, A., Gruszka, E., Budrewicz, S., Białek, M., Zwiernik, J., Michałowska, A., Nosek, K., Zwiernik, B., Lewańczyk, B., Brola, W., Kułakow-Ska, A. (2021), Symptoms after COVID-19 infection in individuals with multiple sclerosis in Poland. Journal of Clinical Medicine, Vol. 10, p. 5225, doi: 10.3390/jcm10225225.
Open DOI Search in Google Scholar Back to article
Debowska, A., Horeczy, B., Boduszek, D., Dolinski, D. (2020), A repeated cross-sectional survey assessing university students’ stress, depression, anxiety, and suicidality in the early stages of the COVID-19 pandemic in Poland, Psychological Medicine, Vol. 2020, pp. 1–4, doi: 10.1017/S003329172000392X.
Open DOI Search in Google Scholar Back to article
Demirhan, R., Çimenoğlu, B., Yılmaz, E. (2020), The effects of hospital organization on treatment during COVID-19 pandemic, Southern Clinics of Istanbul Eurasia, Vol. 31, No. 2, pp. 89–95, doi: 10.14744/scie.2020.32154.
Open DOI Search in Google Scholar Back to article
Garbey, M., Joerger, G., Furr, Sh., Fikfak, V. (2020). A model of workflow in the hospital during a pandemic to assist management, PLoS ONE, Vol. 15, No. 11, pp. e0242183.
Search in Google Scholar Back to article
Gostin, L. (2006), Public health strategies for pandemic influenza: ethics and the law, JAMA, Vol. 295, No. 14, 1700–1704, doi: 10.1001/jama.295.14.1700.
Open DOI Search in Google Scholar Back to article
He, Y., Liu, N. (2015), Methodology of emergency medical logistics for public health emergencies, Transportation Research Part E: Logistics and Transportation Review, Vol. 79, pp. 178–200, ISSN 1366-5545, doi: 10.1016/j.tre.2015.04.007.
Open DOI Search in Google Scholar Back to article
Hospital Information System (June 2021), [Online], retrieved from https://szpital.slask.eu:4433/page/1,raporty-szpitali.html?id=100 [1st June 2021].
Search in Google Scholar Back to article
Iversen, K., Bundgaard, H., Hasselbalch, R.B., Kristensen, J.H., Nielsen, P.B., Pries-Heje, M., Knudsen, A.D., Christensen, C.E, Fogh, K, Norsk, J.B., Andersen, O, Fischer, T.K., Jensen, C.A.J., Larsen, M., Torp-Pedersen, Ch., Rungby, J., Ditlev, S.B., Hageman, I., Møgelvang, R., Hother, Ch. E., Gybel-Brask, M., Sørensen, E., Harritshøj, L., Folke, F., Sten, C., Benfield, T., Nielsen, S.D., Ullum, H. (2020), Risk of COVID-19 in health-care workers in Denmark: an observational cohort study, The Lancet Infectious Diseases, Vol. 20, No. 12, pp. 1401–1408, ISSN 1473-3099, doi: 10.1016/S1473-3099(20)30589-2.
Open DOI Search in Google Scholar Back to article
Karakose, T., Malkoc, N. (2021), Psychological impact of the COVID-19 pandemic on medical doctors in Turkey, Social Behavior and Personality: an International Journal, Vol. 49, No. 1, pp. 1–10, Scientific Journal Publishers, doi: 10.2224/sbp.9890,
Open DOI Search in Google Scholar Back to article
Kargar, S., Pourmehd, M., Paydar, M.M. (2020), Reverse logistics network design for medical waste management in the epidemic outbreak of the novel coronavirus (COVID-19), Science of The Total Environment, Vol. 746, p. 141183, ISSN 0048-9697, doi: 10.1016/j.scitotenv.2020.141183.
Open DOI Search in Google Scholar Back to article
Kulińska, K. (2020). The role of language policy of state in crisis management: a case study on the example of access to information and public services in polish sign language during epidemic of SARS-Cov-2 W, in: Proceedings of the 35th International Business Information Management Association Conference (IBIMA), 1–2 April 2020, Seville, Spain. Education Excellence and Innovation Management: a 2025 Vision to Sustain Economic Development during Global Challenges/red. Khalid S. Soliman, 2020, s. 16353–16361, ISBN 978-0-9998551-4-0.
Search in Google Scholar Back to article
Ledwoń, P. (2020), Wybrane krajowe i unijne instrumenty prawne jako stymulatory mikroprzedsiębiorczości i konieczny interwencjonizm w okresie pandemii COVID-19, Ekonomia Społeczna nr 2/2020, pp. 107–114.
Search in Google Scholar Back to article
Lu, W., Wang, H., Lin, Y, Li, L. (2020), Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study, Psychiatry Research, Vol. 288, p. 112936, ISSN 0165-1781, doi: 10.1016/j.psychres.2020.112936.
Open DOI Search in Google Scholar Back to article
Malesza, M., Kaczmarek, M.C. (2021), Predictors of anxiety during the COVID-19 pandemic in Poland, personality and individual differences, Vol. 170, p. 110419, ISSN 0191-8869, doi: 10.1016/j.paid.2020.110419.
Open DOI Search in Google Scholar Back to article
Map of Coronavirus Infections (June 2021), [Online], retrieved from https://www.gov.pl/web/koronawirus/mapa-zarazen-koronawirusem-sars-cov-2 [20th June 2021].
Search in Google Scholar Back to article
Muldoon, K.A., Denize, K.M., Talarico, R., Fell, D.B., Sobiesiak, A., Heimerl, M., Sampsel, K. (2021), COVID-19 pandemic and violence: rising risks and decreasing urgent care-seeking for sexual assault and domestic violence survivors, BMC Medicine, Vol. 19, p. 1.
Search in Google Scholar Back to article
Peiffer-Smadja, N., Lucet, J.-C., Bendjelloul, G., Bouadma, L., Gerard, S., Choquet, C., Jacques, S., Khalil, A., Maisani, Casalino, E., Descamps, D., Timsit, J.-F., Yazdanpanah, Y., Lescure, F.-X. (2020), Challenges and issues about organizing a hospital to respond to the COVID-19 outbreak: experience from a French reference centre, Clinical Microbiology and Infection, Vol. 26, No. 6, pp. 669–672, ISSN 1198-743X, doi: 10.1016/j.cmi.2020.04.002.
Open DOI Search in Google Scholar Back to article
Rossetti, M.D., Buyurgan, N., Pohl, E. (2012), Medical supply logistics, in: R. Hall, (Ed.), Handbook of healthcare system scheduling. international series in operations research & management science, Vol. 168. Springer, Boston, MA, doi: 10.1007/978-1-4614-1734-7_10.
Open DOI Search in Google Scholar Back to article
Sartini, M., Del Puente, F., Oliva, M., Carbone, A., Blasi Vacca, E., Parisini, A., Boni, S., Bobbio, N., Feasi, M., Battistella, A., Pontali, E., Cristina, M.L. (2021), Riding the COVID waves: clinical trends, outcomes, and remaining pitfalls of the SARS-CoV-2 pandemic: an analysis of two high-incidence periods at a hospital in Northern Italy. Journal of Clinical Medicine, Vol. 10, p. 5239, doi: 10.3390/jcm10225239.
Open DOI Search in Google Scholar Back to article
Turris, S.A, Lund, A., Bowles, R.R., Camporese, M. Green, T. (2017), Patient presentations and medical logistics at full and half ironman distance triathlons, Current Sports Medicine Reports, Vol. 16, No. 3, pp. 137–143, doi: 10.1249/JSR.0000000000000367.
Open DOI Search in Google Scholar Back to article
Urooj, U., Ansari, A., Siraj, A., Khan, S., Tariq, H. (2020), Expectations, fears and perceptions of doctors during COVID-19 pandemic, Pakistan Journal of Medical Sciences, Vol. 36, No. COVID19-S4, pp. S37–S42, doi: 10.12669/pjms.36.COVID19-S4.2643.
Open DOI Search in Google Scholar Back to article
Xiang, Y.-T., Zhao, Y.-J., Liu, Z.-H., Li, X.-H., Zhao, N., Cheung, T., Chee, H. (2020), The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform, International Journal of Biological Sciences, Vol. 16, No. 10, 1741, doi: 10.7150/ijbs.45072.
Open DOI Search in Google Scholar Back to article
Yu, H., Sun, X., Solvang, W.D., Zhao, X. (2020), Reverse logistics network design for effective management of medical waste in epidemic outbreaks: insights from the Coronavirus Disease 2019 (COVID-19) outbreak in Wuhan (China), International Journal of Environmental Research and Public Health, Vol. 17, p. 1770, doi: 10.3390/ijerph17051770.
Open DOI Search in Google Scholar Back to article
Zhai, Y., Li, Y. (2017), The research on influencing factors of medical logistics cost based on ISM model, in: MATEC Web of Conferences, Vol. 100, 02030, doi: 10.1051/matecconf/201710002030.
Open DOI Search in Google Scholar Back to article

Impact of policy regulations on the functioning of hospitals in Poland during the COVID-19 pandemic: a qualitative analysis

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