RESEARCH PAPER
Comparison of the quality of night paediatric urgent care in rural and urban areas of Lublin Province, eastern Poland – Appraisals by parents of children requiring medical attention
 
More details
Hide details
1
Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Poland
2
Department of Paediatric Endocrinology and Diabetology, Medical University of Lublin, Poland
 
Ann Agric Environ Med 2017;24(1):75–81
KEYWORDS:
ABSTRACT:
Introduction:
The quality of primary medical care for children in Poland is unsatisfactory. In the ranking known as ‘the European Health Consumer Index’, Poland (taking the patient point of view on healthcare quality) is classified on the 27th position out of the 33 possible. The unsolved problems concern inter alia the quality and availability of night paediatric urgent care.

Objective:
The aim was assessing the quality as well as the level of satisfaction with the night paediatric urgent care in the Lublin Province of eastern Poland.

Material and Methods:
The materials for this study consisted of 540 parents of children aged 6–16 years benefiting from night paediatric urgent medical assistance in Lublin Province. The survey was conducted using the Original Survey Questionnaire.

Results:
Inhabitants of the Lublin Province (regardless of place of residence) generally assessed the quality and accessibility of night paediatric urgent care facilities as only satisfactory. Inhabitants living in rural areas have worse access to night paediatric urgent care facilities because of having to travel greater distances, and receive less comprehensive medical assistance than inhabitants living in more urbanized areas, and they are more often referred to hospital emergency departments. During the past five years, both the availability and quality of night paediatric urgent care did not change significantly.

Conclusions:
Inhabitants of the Lublin Province (regardless of place of residence) generally assessed the quality as well as accessibility of night paediatric urgent care facilities as only satisfactory. Rural residents have more reasons for dissatisfaction than urban dwellers. Both the quality and availability of such medical care needs to be improved.

CORRESPONDING AUTHOR:
Witold Kołłątaj   
Department of Paediatric Endocrinology and Diabetology, Medical University of Lublin, Poland
 
REFERENCES (27):
1. Borek E, Libura M, Chwiałkowska A, Kołodziej M, Turkiewicz J. Profilaktyka pediatryczna w Polsce z perspektywy rodziców małych dzieci. Warszawa: Fundacja My Pacjenci, Fundacja NUTRICIA; 2014 (in Polish).
2. Żyra M [ed]. Central Statistical Office. Health and Health Care in 2013. Warsaw: Central Statistical Office; 2014. http://www.stat.gov.pl/ (access 25.11.2015).
3. GUS. ZD-3. Sprawozdanie z ambulatoryjnej opieki zdrowotnej. Portal sprawozdawczy GUS www.stat.gov.pl. Kraków 2013 (in Polish). http://form.stat.gov.pl/formul... (access 25.11.2015).
4. Falkowska E, Telusiewicz-Pacak A [ed.]. Dzieci w Polsce. Dane, liczby, statystyki. Warszawa: Polski Komitet Narodowy UNICEF; 2013 (in Polish).
5. Huk-Wieliczuk W, Wdowiak L. State of health of adolescents in eastern regions of Poland. Podlasie regionchild. Ann Agric Environ Med. 2006; 13(1): 39–43.
6. Sagan A, Panteli D, Borkowski W, Dmowski M, Domański F, Czyżewski M, et al. Poland: Health system review. Health Systems in Transition, 2011; 13(8): 1–193.
7. CSIOZ. Dostępność świadczeń zdrowotnych w opinii Polaków – raport z badań. [Access to health care in opinion of Poles – research report]. Warsaw: Centrum Systemów Informacyjnych Ochrony Zdrowia [Centre for Health Information Systems]; 2008 (in Polish).
8. Rodakowska E, Wilczyńska-Borawska M, Bagińska J, Stokowska E. Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland. Ann Agric Environ Med. 2013; 20(2): 325–328.
9. Charzyńska-Gula M, Sygit K, Sygit M, Goździewska M, Dobrowolska B, Gałęziowska E. Problems of health education in rural areas in Poland. Ann Agric Environ Med. 2013; 20(3): 515–522.
10. Termedia. Średnia wieku polskich pediatrów to… 58 lat. Menadżer Zdrowia. Warszawa, 2011. http://www.termedia.pl/mz/Sred... (access 25.11.2015).
11. Markowski T, Marszał T. Metropolie, obszary metropolitalne, metropolizacja. Problemy i pojęcia podstawowe. Komitet Przestrzennego Zagospodarowania Kraju PAN. Warszawa, 2006 (in Polish).
12. StatSoft, Inc. (2012). STATISTICA (data analysis software system), version 10.0. www.statsoft.com. (Site_License/luB9721um.php).
13. Manderson L. Disability, global legislation and human rights. Development. 2004; 47(2): 29–35.
14. Carr-Hill RA. The measurement of patient satisfaction. J Public Health Med. 1992; 14: 236–249.
15. Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002; 6: 1–244.
16. Hudak PL, Wright JG. The characteristics of patient satisfaction measures. Spine. 2000; 25: 3167–3177.
17. Ross CK, Stewart CA, Sinacore JM. A comparative study of seven measures of patient satisfaction. Med Care. 1995; 33: 392–406.
18. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med. 2001; 52: 609–620.
19. Al-Doghaither AH, Abdelrhman BM, Saeed AAW, Al-Kami AAl, MCommH, Majzoub MM. Patients’ Satisfaction With Primary Health Care Centers Services In Kuwait City, Kuwait Family Community Med. 2001; 8(3): 59–65.
20. Al-Hoqail IA, Abdalla AM, Saeed AA, Al-Hamdan NA, Bahnassy AA. Pilgrims satisfaction with ambulatory health services in Makkah, 2008. J Family Community Med. 2010; 17(3): 135–140.
21. Raivio R, Jääskeläinen J, Holmberg-Marttila D, Mattila KJ. Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care – a 14-year follow-up questionnaire study. BMC Family Practice. 2014; 15: 98.
22. Bleich SN, Özaltin E, Murrayc CJL. How does satisfaction with the health-care system relate to patient experience? Bull World Health Organ. 2009; 87(4): 271–278.
23. OECD.stat. Health expenditure and financing. http://stats.oecd.org/index.as... (access 25.11.2015).
24. WHO. World health report 2010. Health Systems Financing. WHO, 2011. http://www.who.int/healthsyste... (access: 2015.11.15).
25. OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing.http://dx.doi.org/10.1787/heal... (access: 2015.11.15).
26. Suchecka J (ed.). Finansowanie ochrony zdrowia. Wybrane zagadnienia. Warszawa: Wolters Kluwer; 2011: 23–64.
27. Suchecka J. Ekonomia zdrowia i opieki zdrowotnej. Warszawa: Wolters Kluwer; 2010: 13–69.
eISSN:1898-2263
ISSN:1232-1966