People are trusting scientific expertise less and less, and increasingly rely on what can euphemistically referred to as the “wisdom of the crowds.” What are the effects of this, and what might be done about it?
The aim of this research was to evaluate the microbiological indoor air contamination level in chosen facilities of the primary health-care for adults and children. The total numbers of mesophilic bacteria, staphylococci, coli-group bacteria and moulds in both surgery rooms and patients’ waiting rooms were determined. Air samples were collected with a MAS 100 impactor and the concentration of microorganisms was estimated by a culture method. The microbiological air contamination level was diverse: the number of mesophilic bacteria ranged from 320 to 560 CFU/m3, number of staphylococci - 10-305 CFU/m3, coli group bacteria - 0-15 CFU/m3 and moulds - 15-35 CFU/m3. The bacteriological contamination level of the air in examined community health centers was higher than described in the literature for hospitals and exceeded the acceptable values proposed for the surgery objects.
The aim of this paper is to analyse whether the medical rehabilitation segment is an important part of the entire Polish healthcare system, and if the medical rehabilitation services are provided with adequate levels of financing and management. The study reviews published literature and legal acts, and undertakes an analysis of data acquired from international and national health data repositories. In Poland there exists no coordination between medical, vocational and social rehabilitation or between the rehabilitation delivered by the health resort facilities. There is an observed lack of coordination among public fund payers. The described lack of coordination influences not only patient treatments (it is difficult to measure outputs and outcomes), but also makes summarizing the total expenditures on curative rehabilitation more difficult. Even though numerous countries spend a smaller or comparable amount of money on rehabilitation (per patient), funds allocated to rehabilitation in Poland (expressed in PPS) are over seven times lower than in France, about five times lower than in Austria and Belgium, and three times lower than in the Netherlands.
The problem of hazardous medical waste resulting from the provision of healthcare services by healthcare institutions is becoming increasingly relevant in the context of the need to ensure environmental protection and safety to human life and health. This requires efficient management of waste in order to minimise its level of hazard. The most common problems in this respect are found at the stage of the temporary storage of hazardous medical waste, as confirmed by irregulari-ties reported over the last six years at healthcare institutions in the 388 (16.4%) from the Great Poland Province voivodship, which is the third voivodship in terms of hazardous medical waste generation in Poland. Violations of sanitary and building regulations in the storage of hazardous medical waste could lead to widespread infection and infectious diseases in humans and to the environment. This should be prevented through the introduction of continuing education for the personnel having direct contact with waste and for the management staff of healthcare institutions with a view to fostering awareness and responsibility regarding sanitary security and environmen-tal protection.