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Preparation and implementation of the oncology package

Audit Id 1544888903977
Title Preparation and implementation of the oncology package
Title in original language

Przygotowanie i wdrażanie pakietu onkologicznego

Polish

Year 2017
Subject

Health and Social Care (incl. Welfare Benefits)

Type

Performance

Type of performance

Performed by single SAI

Comments Though the implementation of the oncology package shortened the waiting time for health services in case of patients with issued oncology diagnosis and treatment cards, it did not significantly improve, in the audited period, the areas determining effectiveness of the oncologic treatment, i.e.: - detection of the disease at its possible earliest stage and provision of access to services within the package for all patients qualifying due to the diagnosis, - precise diagnosis and consequently application of optimal therapeutic procedures, - complexity and quality of the provided health services. Only part of patients received the oncology diagnosis and treatment cards – those who were qualified due to the diagnosis. Moreover, access to the health services within the package was limited, as only part of healthcare entities concluded contracts for their provision within the package, and not all of them actually executed such contracts. Not all oncology diagnosis and treatment cards were issued by primary healthcare practitioners. Some of them were also issued to patients previously diagnosed in course of the specialized out-patient or in-patient care, as well as privately. The diagnosis process within the package was mostly conducted in hospitals, so after the cancer had been confirmed, and not in lower units of the system, which were supposed to detect cancer at an early stage of the disease, according to the assumed objectives. Healthcare entities provided services of diverse quality. Treatment of patients in some of the audited hospitals was undertaken without prior complex immunohistochemical and molecular tests.
Country

Poland

Materials

Audit report

Polish

Download report
Contact
International Relations Unit
wsm@nik.gov.pl
http://nik.gov.pl/en
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