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Polish H ealth R esorts during political changes in Central Europe

Polish H ealth R esorts during political changes in Central Europe. Prof. dr hab. Irena Ponikowska Katedra i Klinika Balneologii i Chorób Przemiany Materii Akademii Medycznej w Bydgoszczy. Clinic of Balneology and Metabolic Diseases M edical University in Bydgoszcz , Poland. Head :

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Polish H ealth R esorts during political changes in Central Europe

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  1. Polish Health Resorts during political changes in Central Europe Prof. dr hab. Irena Ponikowska Katedra i Klinika Balneologiii Chorób Przemiany Materii Akademii Medycznej w Bydgoszczy

  2. Clinic of Balneology and Metabolic DiseasesMedical University in Bydgoszcz, Poland Head: Prof. dr hab. Irena Ponikowska Leśna 3 87-720 Ciechocinek tel. +48 54 283 3945 tel/fax +48 54 283 3915 e-mail: info@balneoklinika.com www.balneoklinika.com

  3. The principal activities of Clinic of Balneology • Didactics • Research activity • Health service

  4. Clinic of Balneology and Metabolic DiseasesActivities in Balneology and Physical Medicine in Poland • Clinic is a head office of Polish Balneological Consulting and Control Program • Seat of Polish Association of Balneology and Physical Medicine • It is a place where postgraduate education is curried on for the doctors from whole country • Clinic is an organization center of balneological congreses • Textbooks and „Polish Balneology”journal is publishedin Clinic • Clinic acts as an expert of projects of spa law, indications, recommendations • We work up the medical standard in balneology

  5. Polish institutions working on health resorts problems • Polish Balneological Consulting and Control Program(Head- prof. I.Ponikowska) • Polish Association of Balneology and Physical Medicine • Union of Polish Spas • „Polish Spas” Chamber of Commerce • Spa Communes Association

  6. POLISH SPAS

  7. Types of Medical Departmantsin Polish Spas • Health Resorts Hospital • Health Resorts Sanatorium • Health Resorts polyclinic • Department of natural treatment Kamień Pomorski

  8. Referring the patients to the medical health resorts treatment • Preparing case history and sending to the National Health Fund Health Insurance Doctor (F.D.) Remove of refers from waiting queue • review, check and confirmation of documents • determination of date and type of treatment (hospital, sanatorium) Doctor-specialist in balneology and physical medicine National Health Fund • mailing of refers to the patient, or signing him to the waiting queue PATIENT

  9. Finances of Health Resorts Treatment in Poland • National Health Fund- about 70% • Insurance Company –about 10% • Centers of Family Support- 5% • Agriculture Insurance Company – 5% • Private patients- about 10%

  10. Condition of polish Health Resorts Medicine (1)-substantial resources • Natural resources: mineral water, healing gas,peloides • 43 Health Resorts statutes • 350 Health Resorts Medical Departments • Health Resorts devices(salt graduation tower, walking taraces etc.) • Climate, landscape

  11. Condition of Polish Health Resorts (2 )non material resources • Medical, managers and other professional staff • Own medical specialization-Balneology and Physical Medicine • Polish Association of Balneology and Physical Medicine, and the other spa associations • Research attainments • Balneological methods and programs existing in health resorts • Publishing the own Polish Journal of Balneology • Working up medical standards in Health Resorts

  12. The principal activities carried out in Polish Health Resorts • Treatment of chronic diseases in Health Resorts (hospital, sanatorium, polyclinic) • Health Resorts prevention • Balneorehabilitation • Health promotion • Spa tourism

  13. Health Resorts privatization in Poland(1) In my OPINION (Prof. I. Ponikowska ) Health Resorts privatization almost every time decreasesthe quality of medical service !

  14. Privatization in Polish Health Resorts (2) Present status • Only one health resort was privatized in Poland • There are some private hotels in Health Resorts with minimal medical service Private Spa-Nałęczów Zdrój Private spa-hotel in Ciechocinek

  15. Our problem:How to preserve spa medicine in Health Resorts in Poland Improvement of financing by National Health Fund Preservation of traditional Health Resorts medicine • Improvement of quality medical service • Preservation of conventional methods inHealth Resorts medicine

  16. Research centers in Balneology • Clinic of Balneology • Polish Association of Balneology and Physical Medicine • Some physical medicine departments in Medical Universities

  17. Current activities in balneological sciencepresent state and requirements Present status Future requirements • International research works in EU structures should be curried out to work out EBM based treatment programs • Improving quality of research works done and publish them more frequently in IF journals • Research works and doctors thesis are curried out • Articles in polish journals are being published

  18. Research activities - Congresses Present status Future requirements • International congresses of balneology should be hold in Poland • Members of the Association should be taking part more often in other international congresses • Congress of Balneology is hold every 2 years by Balneological Association • Members of the Association taking part in others medical congress

  19. Education Activities specialization in Balneology and Physical Medicine • There is a separates pecialization for doctors- balneology and physical medicine • Postgraduate educationtakes 2 years and can be done by those who finished basic clinical specialization • There are 450 specialists in Balneology and Physical Medicine in Poland Doctors in-training

  20. Association of Polish Balneology and Physical Medicine Leśna 3 87-720 Ciechocinek tel.:+48-54-283-3945 fax:+48-54-283-3915 • Members of Association- 650 • Main activities of Association is to held congresses, publish “Polish Balneology Journal” (Balneologia Polska), taking part in education in balneology http://www.balneologia.maxi.pl

  21. What goes wrong in polish balneology nowdays (1) • Attempt to reduce medical services in Health Resorts, and to change them in recreation centers • Increasing amount and prosperity of nonconventional therapeutic methods • Low level of accommodation service • Lack of modern health resorts law

  22. What goes wrong in polish balneology nowdays (2) • Too low financial support of the medical service from National Health Fund • Lack of specific research and didactic center working for polish health resorts • Too few specialists in Balneology

  23. These problems which polish balneology has to cope with, I think are general for all spas in EUROPE so we should work to solve them together • Most difficult part is to find a BEST way to solve them

  24. Thank You!

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