IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe100-e110.html
   My bibliography  Save this article

Improving oncological care organization in Poland—The 2015 reform evaluation in the context of European experiences

Author

Listed:
  • Roksana Dela
  • Katarzyna Dubas‐Jakóbczyk
  • Ewa Kocot
  • Christoph Sowada

Abstract

Cancer is one of the leading causes of morbidity and mortality worldwide with a significant economic impact which has been increasing in recent decades. Numerous expert groups and/or international organizations have developed guidelines on how to build effective cancer control mechanisms, while in the European Union the majority of countries have developed national programmes. In Poland, cancer is the second leading cause of death. Compared with other European countries, Poland is characterized by a relatively low cancer incidence ratio, yet in terms of mortality and survival ratios, the situation is much worse than the average. On 1 January 2015, an oncological therapy fast track was implemented in Poland, popularly known as the “oncological package.” Its formal objectives were to improve access to and systemize the process of cancer diagnostics and treatment. The reform introduced some of the solutions existing in other European countries, including waiting time limits, patient pathways, multidisciplinary medical consultations, and a care coordinator position. The preliminary evaluation analyses suggest that after the reform implementation the average waiting time for diagnostics and treatment for patients covered by the new system was significantly shortened in comparison to those excluded. Further research evaluating the reform impact on quality and/or comprehensiveness of care are needed.

Suggested Citation

  • Roksana Dela & Katarzyna Dubas‐Jakóbczyk & Ewa Kocot & Christoph Sowada, 2019. "Improving oncological care organization in Poland—The 2015 reform evaluation in the context of European experiences," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 100-110, January.
  • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e100-e110
    DOI: 10.1002/hpm.2635
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2635
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hpm.2635?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kowalska, Iwona & Sagan, Anna & Mokrzycka, Anna & Zabdyr-Jamróz, Michał, 2015. "The first attempt to create a national strategy for reducing waiting times in Poland: Will it succeed?," Health Policy, Elsevier, vol. 119(3), pages 258-263.
    2. Atun, R & Ogawa, T & Martin-Moreno, JM, 2009. "Analysis of National Cancer Control Programmes in Europe," Working Papers 4204, Imperial College, London, Imperial College Business School.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mokrzycka, Anna & Kowalska-Bobko, Iwona & Sagan, Anna & Włodarczyk, W. Cezary, 2016. "The 2014 primary health care reform in Poland: Short-term fixes instead of a long-term strategy," Health Policy, Elsevier, vol. 120(11), pages 1226-1232.
    2. Anna Sagan & Iwona Kowalska-Bobko & Małgorzata Gałązka-Sobotka & Tomasz Holecki & Adam Maciejczyk & Martin McKee, 2022. "Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?," IJERPH, MDPI, vol. 19(15), pages 1-11, July.
    3. Badora-Musiał, Katarzyna & Sagan, Anna & Domagała, Alicja & Kowalska-Bobko, Iwona, 2021. "Testing the 2017 PHC reform through pilots: Strengthening prevention and chronic care coordination," Health Policy, Elsevier, vol. 125(2), pages 185-190.
    4. Igor Sheiman, 2019. "Maximum Waiting Times Guarantee In Russia: Does It Improve Access To Health Care?," HSE Working papers WP BRP 23/PSP/2019, National Research University Higher School of Economics.
    5. Polak, Paulina & Świątkiewicz-Mośny, Maria & Wagner, Aleksandra, 2019. "Much Ado about nothing? The responsiveness of the healthcare system in Poland through patients’ eyes," Health Policy, Elsevier, vol. 123(12), pages 1259-1266.
    6. Prades, Joan & Remue, Eline & van Hoof, Elke & Borras, Josep M., 2015. "Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes," Health Policy, Elsevier, vol. 119(4), pages 464-474.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e100-e110. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.