SStatistics in health tatistics in health care politicscare politics

A risk of mistakeA risk of mistake

Acts of health care regulating Acts of health care regulating data collection/profilling in data collection/profilling in health servicehealth service Act of information system in health serviceAct of information system in health service Act stated on 27Act stated on 27thth August 2004 on benefits of August 2004 on benefits of

health care from public fundshealth care from public funds

Act stated on 23Act stated on 23rdrd January 2003 on January 2003 on comprehensive insurance in National Health comprehensive insurance in National Health Service J. of law from 2003 No. 45, item 391 Service J. of law from 2003 No. 45, item 391

Act stated on 30Act stated on 30th th August 1991 onAugust 1991 on Health Health Care Center J. of law from 1991, No. 91, item Care Center J. of law from 1991, No. 91, item 408408

Centers of data Centers of data collectioncollection in in

health servicehealth service

Clinical data derived from scientific literature Clinical data derived from scientific literature publications, thesisespublications, thesises

Clinical data from researchClinical data from research Data collectData collecteded byby National Health Service National Health Service Data collectData collecteded byby local goverment local goverment Data collectData collecteded byby Health Minister Health Minister Data collectData collecteded byby centers monitoring health centers monitoring health

service functioningservice functioning Data collectData collecteded byby non-goverment centers non-goverment centers

and organizations- Corporations, and organizations- Corporations, Foundations, Press Foundations, Press

Decision Centers influencing on Decision Centers influencing on performance volume in health performance volume in health

service service NNational specialistsational specialists LLocal specialists: regional and voivodiship-ocal specialists: regional and voivodiship-

derived derived Clinical Centers and InstitutesClinical Centers and Institutes National Health ServiceNational Health Service Medical companiesMedical companies Lobbyists- politiciansLobbyists- politicians

PPublic finansesublic finanses

National Health Service paymasterNational Health Service paymaster OOther sources of funding by ther sources of funding by

administrative boards/organs of administrative boards/organs of goverment goverment

Ministry of Health, Ministry of Works, Ministry of Health, Ministry of Works, Ministry of the Interior and Ministry of the Interior and AdministrationAdministration

Self-govermentsSelf-goverments Foundations and AssociationsFoundations and Associations

City located in county

A

City located in county

B

Contract for cardioverter implantation and coronography performance

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

CConclusiononclusion

Danger Danger related torelated to the Health Care the Health Care System CentralizationSystem Centralization

Administrative rule of ParkinsonAdministrative rule of Parkinson Ingeration of lobbing and politicsIngeration of lobbing and politics Deficency of change stabilisation Deficency of change stabilisation

systemsystem