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Poster Abstracts

A proposal to implement incentive systems for local authorities to prevent the further occurrence of excess non-covid deaths during the covid 19 pandemic COVID-19 pandemic

Authors:

Artur Prusaczyk ,

Department of Pharmacoeconomics, Institute Of Mother And Child, Warsaw, Poland Medical and Diagnostic Centre, PL
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Pawel Zuk,

Medical and Diagnostic Centre, PL
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Sabina Karczmarz,

Medical and Diagnostic Centre, PL
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Marika Guzek,

Medical and Diagnostic Centre, PL
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Magdalena Bogdan

Department of Social Medicine and Public Health, Medical University of Warsaw, PL
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Abstract

Introduction: The prolonged Covid-19 pandemic and the growing accumulation of Europeans` and especially Poles' health problems require urgent systemic measures to implement effective preventive healthcare in the population. In the last report "State of Health in the EU: Poland - Country Health Profile 2021", issued jointly by the OECD and the European Observatory on Health Systems and Policies, it was noted that the excess mortality in Poland in 2020 was one of the highest in the EU. The number of preventable deaths is significantly higher than the average, and the death rate from preventable causes by medical intervention is higher.

Theory: During the pandemic, the number of health services provided to patients unrelated to COVID-19 decreased, especially during the increase in the number of infections, leading to a gap in the implementation of prophylactic programmes, in particular oncological screening and cardiovascular diseases prophylaxis. On our own data, we found that during the most significant increase in the number of infections, the execution of preventive programs fell even to 0% -20% of the appropriate number, despite the facilitation of the implementation of these programs by integrated care organizations. These numbers increased to around 45-50% during the decline in the case of the disease, but never reached pre-pandemic or target numbers according to WHO value of at least 65% of coverage. This suggests that the excess deaths could possibly be the result of an increasing percentage of out-of-care patients.

Highlights: The Polish government has implemented successful competitions "The Most Resilient Commune", "Growing Immunity" in the field of vaccination Covid-19 for local communities. Significant cash prizes were offered to the best municipalities. Similarly, in 2010-2013, the ""Healthy Commune"" competitions were carried out successfully to increase the number of people applying for preventive examinations for neoplastic diseases - for screening tests: mammography, cytology and colonoscopy organized by the National Health Fund and the National Program Against Cancer. We propose the use of the same model and a proposal of financial incentives for the best municipalities achieving the highest percentage results in the implementation of currently available preventive programs.

An additional proposed activity with financial incentives for municipalities could be supporting digitization in health care - helping patients to set up individual patient accounts that are necessary for the operation of e-health, allowing for appropriate training of the cooperation of health care units with local governments in the event of threats and crises in order to successfully achieve a common goal.

Conclusions: Introducing measurability of effects and direct and understandable for all people simple translation into the financial condition of the local municipality, where the target patients live could allow to achieve the best possible cost-effectiveness ratios for the intervention preventing non-covid excess deaths.

Implications for applicability: Competition between municipalities in the country / local communities, simple in structure, with easily measurable effects, can be used in each country and in various fields to increase the health of the population, not only during the COVID-19 pandemic.

How to Cite: Prusaczyk A, Zuk P, Karczmarz S, Guzek M, Bogdan M. A proposal to implement incentive systems for local authorities to prevent the further occurrence of excess non-covid deaths during the covid 19 pandemic COVID-19 pandemic. International Journal of Integrated Care. 2022;22(S3):466. DOI: http://doi.org/10.5334/ijic.ICIC22386
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Published on 04 Nov 2022.

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