Status of psychosomatic Status of psychosomatic treatment in Poland - - PDF document

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Status of psychosomatic Status of psychosomatic treatment in Poland - - PDF document

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Status of psychosomatic Status of psychosomatic treatment in Poland and treatment in Poland and training needs in the scope of training needs in the scope of psychosomatics psychosomatics Bohdan W . W asilew ski W asilew ski Bohdan W .

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Status of psychosomatic Status of psychosomatic treatment in Poland and treatment in Poland and training needs in the scope of training needs in the scope of psychosomatics psychosomatics

Bohdan W . Bohdan W . W asilew ski W asilew ski

Psychosom atic I nstitute Psychosom atic I nstitute – – W arsaw W arsaw Departm ent of Psychosom atics, Sexology Departm ent of Psychosom atics, Sexology and Pathology of I nterpersonal Relations, and Pathology of I nterpersonal Relations, Medical University for Post Medical University for Post -

  • Graduate

Graduate T Training raining -

  • W arsaw

W arsaw

Assessment Assessment of

  • f the

the current current situation situation -

  • I

I

  • I n Poland,

I n Poland, psychosom atics rem ains unrecognized psychosom atics rem ains unrecognized as as a separate clinical discipline a separate clinical discipline

  • Over the last decade a

Over the last decade a fast fast increase increase can be observed can be observed in the num ber in the num ber of

  • f hospital and am bulatory

hospital and am bulatory psychosom atic facilities psychosom atic facilities

  • I n the last few years new departm ents have been

I n the last few years new departm ents have been form ed at universities or their scope expanded to form ed at universities or their scope expanded to include psychosom atic issues include psychosom atic issues

  • The Ministry of Health and Medical Cham bers

The Ministry of Health and Medical Cham bers ( Medical Self ( Medical Self-

  • Governm ent ) , have given prelim inary

Governm ent ) , have given prelim inary acceptance to a sub acceptance to a sub-

  • specialty in the scope of psycho

specialty in the scope of psycho-

  • ncology
  • ncology
  • Application for recognition of psychosom atics as the

Application for recognition of psychosom atics as the sub sub-

  • specialty

specialty is in final stage of preparation. is in final stage of preparation.

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Assessment of the current Assessment of the current situation situation -

  • II

II

Psychosom atic Health Care Facilities ( 2 0 0 5 ) : Psychosom atic Health Care Facilities ( 2 0 0 5 ) :

  • at

at general hospitals general hospitals – – 2 5 2 5 units units; ( for instance: ; ( for instance: Bia Bia ł łogard

  • gard,

, Ostro Ostrołę łęka ka , , Elbl Elblą ąg g, , Rzesz Rzeszó ów w , , Krak Krak ó ów w , , Gorz Gorzó ów w W lkp W lkp., ., W ars W arszaw a zaw a – – 2 units) 2 units)

  • at

at large psychiatric hospitals large psychiatric hospitals – – 1 1 1 1 units units ;( for instance: ;( for instance: Boles Bolesł ław iec aw iec, , Moraw ica Moraw ica , , Dziekanka Dziekanka, , Starogard Starogard Gda Gda ń ński ski, , Mi Mię ędzyrzecz dzyrzecz) )

  • as

as I ndependent Public Health Care Facilities I ndependent Public Health Care Facilities – – 1 4 1 4 units units; ; ( for instance: ( for instance: Ko Koł łobrzeg

  • brzeg,

, L Lę ębork bork , , Jas Jasł ło

  • ,

, Jaros Jarosł ław aw , Radom , , Radom , Suw a Suw a ł łki ki) )

  • as

as Private Health Care Facilities Private Health Care Facilities – – 1 9 1 9 units units; ( for instance: ; ( for instance: W arszaw a, Pozna W arszaw a, Pozna ń ń, , Ł Łó ód dź ź , , Katow ice Katow ice , , Bia Bia ł łystok ystok , , Kielce Kielce , , Radom , Radom , Bydgoszcz Bydgoszcz) )

The best psychiatric centers and units 2004 The best psychiatric centers and units 2004 Ranking by Ranking by; ; „ „Wprost Wprost” ”

1

  • 1. Instytut Psychiatrii i Neurologii w Warszawie, II Klinika Ps

. Instytut Psychiatrii i Neurologii w Warszawie, II Klinika Psychiatryczna, ychiatryczna, Warszawa Warszawa – – 100,0; *** 100,0; ***

  • 2. Instytut Psychiatrii i Neurologii w Warszawie, III Klinika
  • 2. Instytut Psychiatrii i Neurologii w Warszawie, III Klinika Psychiatryczna,

Psychiatryczna, Warszawa Warszawa – – 99,3; *** 99,3; ***

  • 3. Instytut Psychiatrii i Neurologii w Warszawie, I Klinika P
  • 3. Instytut Psychiatrii i Neurologii w Warszawie, I Klinika Psychiatryczna

sychiatryczna Warszawa Warszawa – – 97,0;*** 97,0;***

  • 4. Katedra i Klinika Psychiatrii i Psychoterapii
  • 4. Katedra i Klinika Psychiatrii i Psychoterapii Ś

ŚAM w Katowicach, AM w Katowicach, Katowice Katowice – – 86,1;*** 86,1;***

  • 5. SP Szpital Kliniczny Nr 5 AM w Poznaniu, Klinika Psychiatr
  • 5. SP Szpital Kliniczny Nr 5 AM w Poznaniu, Klinika Psychiatrii Doros

ii Dorosł łych, ych, Pozna Poznań ń – – 84,0; * * * 84,0; * * *

  • 6. Szpital Uniwersytecki w Krakowie, Oddzia
  • 6. Szpital Uniwersytecki w Krakowie, Oddział

ł Kliniczny Kliniki Psychiatrii Kliniczny Kliniki Psychiatrii Doros Dorosł łych ych – – 81,6; *** 81,6; *** 7. 7. Wojew Wojewó ódzki Szpital Zespolony w Elbl dzki Szpital Zespolony w Elblą ągu, Oddzia gu, Oddział ł Psychiatryczny z Psychiatryczny z Pododdzia Pododdział łem Psychosomatycznym em Psychosomatycznym – – 74,3;* 74,3;*

  • 8. Klinika Psychiatrii AM w Lublinie, SP Szpital Kliniczny Nr
  • 8. Klinika Psychiatrii AM w Lublinie, SP Szpital Kliniczny Nr 1 w Lublinie

1 w Lublinie -

  • 65,7;***

65,7;***

  • 9. Centralny Szpital Kliniczny Uniwersytetu Medycznego w
  • 9. Centralny Szpital Kliniczny Uniwersytetu Medycznego w Ł

Łodzi, SP ZOZ

  • dzi, SP ZOZ

I i II Klinika Psychiatrii I i II Klinika Psychiatrii – – 63,9;*** 63,9;***

  • 10. Wojew
  • 10. Wojewó

ódzki Szpital dzki Szpital Br Bró ódnowski dnowski w Warszawie, SP ZOZ, w Warszawie, SP ZOZ, II Klinika Psychiatryczna AM w Warszawie II Klinika Psychiatryczna AM w Warszawie – – 60,1;*** 60,1;***

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Ranking Ranking -

  • Psychiatry

Psychiatry 2004 2004, , cont. cont.

11

  • 11. Centrum Pediatrii im. Jana Paw

. Centrum Pediatrii im. Jana Pawł ła II w Sosnowcu, Oddzia a II w Sosnowcu, Oddział ł Psychiatrii i Psychiatrii i Psychiatrii Wieku Rozwojowego Psychiatrii Wieku Rozwojowego – – 57,2;* 57,2;* 12.

  • 12. Samodzielny Publiczny Zak

Samodzielny Publiczny Zakł ład Opieki Zdrowotnej im. ad Opieki Zdrowotnej im. dr

  • dr. J.

. J. Psarskiego Psarskiego w Ostro w Ostrołę łęce, ce, Oddzia Oddział ł Psychosomatyczny Psychosomatyczny – – 54,1;* 54,1;* 13.

  • 13. Wojew

Wojewó ódzki Szpital Specjalistyczny im. L. dzki Szpital Specjalistyczny im. L. Rydygiera Rydygiera w Krakowie, w Krakowie, Oddzia Oddział ł Psychiatrii i Psychosomatyki Psychiatrii i Psychosomatyki – – 4 9 ,3 ;* 4 9 ,3 ;*

  • 14. SP Szpital Kliniczny w Bydgoszczy, Katedra i Klinika Psychi
  • 14. SP Szpital Kliniczny w Bydgoszczy, Katedra i Klinika Psychiatrii

atrii – – 47,8;*** 47,8;***

  • 15. Wojew
  • 15. Wojewó

ódzki Szpital Podkarpacki, Dzienny Oddzia dzki Szpital Podkarpacki, Dzienny Oddział ł Psychiatryczny Psychiatryczny Krosno Krosno – – 47,5;* 47,5;*

  • 16. Szpital Wojskowy z Przychodni
  • 16. Szpital Wojskowy z Przychodnią

ą SPZOZ w Elbl SPZOZ w Elblą ągu, Oddzia gu, Oddział ł Psychiatryczny Psychiatryczny – – 45,9; * 45,9; *

  • 17. Szpital Specjalistyczny w D
  • 17. Szpital Specjalistyczny w Dą

ąbrowie G browie Gó órniczej, Oddzia rniczej, Oddział ł Psychiatryczny Psychiatryczny – – 44,2; * 44,2; * 18.

  • 18. Szpital Wolski im. dr A. Gosty

Szpital Wolski im. dr A. Gostyń ńskiej SPZOZ w Warszawie, Oddzia skiej SPZOZ w Warszawie, Oddział ł Psychiatryczno Psychiatryczno-

  • Psychosomatyczny

Psychosomatyczny – – 39,0;* 39,0;*

  • 19. Wojew
  • 19. Wojewó

ódzki Szpital Neuropsychiatryczny dzki Szpital Neuropsychiatryczny im. O.

  • im. O. Bielawskiego

Bielawskiego w Ko w Koś ścianie cianie – – 36,4; * * 36,4; * *

  • 20. Samodzielny Publiczny Zesp
  • 20. Samodzielny Publiczny Zespó

ół ł Zak Zakł ład adó ów Opieki Zdrowotnej w Opieki Zdrowotnej w Nowej D w Nowej Dę ębie, bie, Oddzia Oddział ł Psychiatryczny Psychiatryczny – – 36,2; * 36,2; *

Legend: Legend: *** *** Medical Academy Clinic / Psychiatric Institute Medical Academy Clinic / Psychiatric Institute ** ** Psychiatric Hospital Psychiatric Hospital * * Diversified Hospital with psychiatric unit Diversified Hospital with psychiatric unit

Assessment of the current Assessment of the current situation situation -

  • III

III

  • Assessm ent of Out

Assessm ent of Out -

  • Patients Clinics and other

Patients Clinics and other am bulant facilities for psychosom atic treatm ent am bulant facilities for psychosom atic treatm ent

There is There is no facility category for psychosom atic treatm ent in no facility category for psychosom atic treatm ent in classifications of the National Health Fund classifications of the National Health Fund ( the only health ( the only health insurance payer in Poland) . As a result of the above, a insurance payer in Poland) . As a result of the above, a num ber of am bulatory psychosom atic treatm ent facilities num ber of am bulatory psychosom atic treatm ent facilities had to change their nam es in order to retain financing, had to change their nam es in order to retain financing, w ithout reference to the w ording w ithout reference to the w ording „ „psychosom atic psychosom atic” ”. An . An exam ple is the exam ple is the „ „ Psychosom atic and Fam ily Assistance Psychosom atic and Fam ily Assistance Unit Unit ” ” at the Provincial Children at the Provincial Children’ ’s Hospital s Hospital in W arsaw . in W arsaw . I n connection thereto the drafting of a I n connection thereto the drafting of a current listing current listing

  • f psychosom atic treatm ent facilities is very difficult.
  • f psychosom atic treatm ent facilities is very difficult.
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Assessment Assessment of

  • f the

the current current situation situation IV IV

  • In the scope of complex pre

In the scope of complex pre-

  • disability

disability rehabilitation financed by the Social Insurance rehabilitation financed by the Social Insurance Institute, the category of Institute, the category of psychosomatic psychosomatic rehabilitation rehabilitation was recently introduced to the was recently introduced to the catalogue of contract services. catalogue of contract services.

  • In the framework of offers for 2004, specific

In the framework of offers for 2004, specific conditions were defined that applicant's must conditions were defined that applicant's must meet and by a competition procedure service meet and by a competition procedure service providers were selected, with whom contracts providers were selected, with whom contracts were signed. were signed.

Training needs in the scope of Training needs in the scope of psychosomatics psychosomatics

  • Standardization

Standardization

  • f teaching primary knowledge
  • f teaching primary knowledge

and skills in the scope of psychosomatic aspects and skills in the scope of psychosomatic aspects

  • f diagnosis and therapy in the program of
  • f diagnosis and therapy in the program of

medical specializations medical specializations ( ( European standards European standards ) )

  • Undertaking a

Undertaking a program of teaching clinical program of teaching clinical psychosomatics psychosomatics (as a sub (as a sub-

  • specialty / skill)

specialty / skill)

  • Initiating an

Initiating an accelerated program accelerated program of teaching

  • f teaching

clinical psychosomatics clinical psychosomatics for employees for employees working working at psychosomatic units at psychosomatic units and clinics and clinics