Przegla̧d epidemiologiczny
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Multicenter Study Comparative Study
Management of respiratory tract infections in primary care in Poland--results of the happy audit 2 project.
The Polish results of the international Happy Audit 2 project are reported which objective was to present therapeutic decisions made by general practitioners (especially antibiotics prescribed) and diagnostic methods applied to patients with respiratory tract infections (RTI). ⋯ Comparing the results of Happy Audit 2 in Poland and other project's participants, the major differences consist in rare use of phenoxymethylpenicillin in favour of amoxicillin and macrolides as well as infrequent use of additional testing in diagnosis of RTIs in Poland.
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To describe the epidemiological situation of imported malaria in Poland in 2012 as compared with previous years. ⋯ The number of cases of imported malaria in Poland remained at a low level, similar to that observed in previous years. A large number of delayed diagnoses (more than half of the reported cases) and another case of fatal outcome in the course of malaria indicate still low awareness of malaria threat among both travelers and primary care physicians.
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The paper presents the new framework for health policy adopted in September 2012 during the 62nd session of World Health Organization (WHO) Regional Committee for Europe as the strategy "Health 2020". Four priority areas for policy action as well as prerequisites for achieving two interlinked strategic objectives; improving health for all and reducing health inequalities as well as improving leadership and participatory governance for health are presented and discussed.
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Falls among elderly people causing hospitalization are considered one of the most important public health problems. Our objective was to analyse fall related hospital admissions among seniors (> or = 65 years old) in Poland in 2010. The analyses were conducted with regard to gender, place of residence and age. Additionally, the health consequences of falls among elderly people were studied. Injuries and other consequences of external causes, were expressed in the form of three-character ICD-10 codes representing the underlying disease (S00-T98). ⋯ A comparison of results of research conducted, among other countries, in the United States, The Netherlands, and Denmark, as well as Polish demographic prognosis, has shown that an increase of fall related hospital admissions among senior citizens is to be expected in Poland in oncoming years.
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Historical Article
To govern the health or to make the bills of mortality--this is the question for public health in Poland.
In the article important moments in the development of public health at the global scale were presented, assuming that postwar evolution proceeded in two fundamental phases: the first--events which occurred to the proclamation of the Ottawa Charter and introduction of 'new public health' and the second--situations reported after Ottawa to the present time. The current challenges for public health in Poland were also discussed. It was proposed to differentiate two dimensions of public health capacity: internal (ad intra), which is with regard to the power centre, condition within the environment and external (ad extra), which refers to the relation with surroundings and population and enables to deliver sustain services and programmes. The possible strategies aiming at increasing ad intra capacity were also indicated.