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The 2015 emergency care reform in Poland: Some improvements, some unmet demands and some looming conflicts

Author

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  • Sagan, Anna
  • Kowalska-Bobko, Iwona
  • Mokrzycka, Anna

Abstract

Between 2006 and 2015, the Act on the State Emergency Medical System was the key act governing the organization, financing and provision of emergency care in Poland. From the moment it entered into force, it had been heavily criticized. The critique focused, among others, on the lack of provisions allowing for emergency medical services (EMS) to be performed outside the EMS units, the lack of a separate Act regulating the profession of a medical rescuer and the lack of a separate professional organization representing medical rescuers. As early as 2008 a team of specialists was set up to work on amending the Act and these works resulted in the draft Act on the State Emergency Medical System that was submitted to public consultations on 19 August, 2014. This draft was further reworked in 2015 and was signed by the President on 25 September of the same year. The Act addressed some of the shortcomings of the EMS legislation that was previously in place. However, the new Act did not meet the key demands of medical rescuers; namely, it did not introduce a separate legal act regulating this profession nor established a professional organisation representing their interests. An analysis of the vested interests of various groups of medical professionals indicates that these interests are likely to have influenced the final legislative outcome. The Act, as well as its implementing executive regulation from April 2016, may reduce support of certain medical professional groups during the Act’s implementation as well as create tensions between these groups, especially between medical rescuers and nurses.

Suggested Citation

  • Sagan, Anna & Kowalska-Bobko, Iwona & Mokrzycka, Anna, 2016. "The 2015 emergency care reform in Poland: Some improvements, some unmet demands and some looming conflicts," Health Policy, Elsevier, vol. 120(11), pages 1220-1225.
  • Handle: RePEc:eee:hepoli:v:120:y:2016:i:11:p:1220-1225
    DOI: 10.1016/j.healthpol.2016.09.009
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    References listed on IDEAS

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    1. Caroline Berchet, 2015. "Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand," OECD Health Working Papers 83, OECD Publishing.
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    Cited by:

    1. L’udmila Jánošíková & Peter Jankovič & Marek Kvet & Gaston Ivanov & Jakub Holod & Imrich Berta, 2022. "Reorganization of an Emergency Medical System in a Mixed Urban-Rural Area," IJERPH, MDPI, vol. 19(19), pages 1-17, September.
    2. Nowak-Zając, Katarzyna & Domagała, Alicja & Bielska, Iwona A. & Kowalska-Bobko, Iwona, 2024. "New paramedic scope of practice in Poland based on the 2022 reform," Health Policy, Elsevier, vol. 143(C).

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