title: [Co-payment for public health care services--public opinion survey].
abstract: One of the solutions aimed at improving the functioning of the healthcare system in Poland is to introduce patients' co-payment for public healthcare services. In all countries where the healthcare system is at a high level there already exists a co-payment system and it is regarded by many specialists as a necessary and indispensable condition for the proper functioning of healthcare. The aim of this study was to show respondents' attitudes and opinions regarding the proposal of introduction co-payments as and additional form of financing medical care. The questionnaire survey covered a group of 2,409 persons (50.7% men and 49.3% women). Most respondents, despite the overall rising dissatisfaction with the quality and availability of medical services do not see the need for co-payments. The opinion about the implementation of co-payments. The opinion about the implementation of co-payments depends on many factors, to the most important belong age, education, place of residence and income. More often, the co-payments is in favour of young people in good health condition, who live in big cities, having a university degree and determining their financial situation as good. Before the introduction of co-payment - certain social groups, which would be exempt from additional fees, should be specified. To the highest costs that patients are able to carry belong: paying for a home visit of family doctor or specialist, for surgical procedures, and for complex tests performed during the hospital stay (including computed tomography, magnetic resonance imaging).
authors.affiliation: Klinika Endokrynologii Uniwersytetu Medycznego w Lublinie. marekderkacz@interia.pl
authors.forename: Marek
authors.initials: M
authors.lastname: Derkacz
authors.forename: Iwona
authors.initials: I
authors.lastname: Chmiel-Perzyńska
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Buczak-Stec
authors.forename: Izabela
authors.initials: I
authors.lastname: Pachuta
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Kowal
authors.forename: Ewelina
authors.initials: E
authors.lastname: Grywalska
authors.forename: Patrycja
authors.initials: P
authors.lastname: Pinkowska
authors.forename: Joanna
authors.initials: J
authors.lastname: Pawlos
authors.forename: Natalia
authors.initials: N
authors.lastname: Bednarczyk
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kuszewski
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003669:Deductibles and Coinsurance / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D005382:Financing, Personal / Q000191:economics* / Q000706:statistics & numerical data; D015276:Health Care Rationing / Q000191:economics*; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D019458:Insurance Coverage / Q000191:economics* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D011639:Public Opinion; D012923:Social Class; D011795:Surveys and Questionnaires; D055815:Young Adult