Health & Access to Care
Primary Care • NFZ • Prevention • Mental Health Support
Duration: 180 minut | Target group: Healthcare workers, medical assistants, social workers
⚠️ Important emergency numbers
112 - Emergency number | 999 - Ambulance | 116 117 - Medical information line
Workshop Goals
- Understanding the healthcare system in Poland
- Learning the role of primary care (GP) and NFZ
- Familiarity with preventive programmes
- Mental health support
- Practical tools for patients
🏥
Health competences
Training methods
- Interactive presentations
- Medical case simulations
- Practical workshops
- NFZ procedures analysis
- First‑aid exercises
- Mental‑health support techniques
15 mln
*****ów korzysta z POZ rocznie
6 tys
Primary care clinics in Poland
24/7
Availability of medical assistance
📅 Health Workshop Agenda
Module 1: Healthcare system in Poland
Introduction to the Polish healthcare system, NFZ structure, key concepts.
- Healthcare system structure
- Role of NFZ and insurance
- Patients’ rights
- Navigating the system
Module 2: Primary care (GP) — first line of care
Role of primary care GP, scope of services, referral procedures.
- GP responsibilities
- Registration and visits
- Referrals to specialists
- Prescriptions and reimbursed medicines
Moduł 3: Prevention i badania przesiewowe
NFZ prevention programmes, screenings, vaccinations, healthy lifestyle.
- Screening tests
- Vaccination programme
- Prevention chorób serca
- Healthy lifestyle promotion
Module 4: Mental‑health support
Access to psychological help, recognising problems, support techniques.
- Mental health
- Access to a psychologist/psychiatrist
- Crisis intervention
- Support techniques
📋 Materials Medyczne
Patient Card
Template patient information card with medical and contact details
Screening Calendar
Schedule of preventive screenings by age and sex
First Aid
Guide to basic first‑aid actions
Mental‑Health Test
Questionnaire for assessing mental health status
Medical Contacts
List of important phone numbers and facility addresses
Medication Diary
Sheet for tracking medications and dosing
📄 Patient Information Card
📊 Screening Calendar Profilaktycznych
Age | Women | Men | Frequency |
---|---|---|---|
20-39 lat | Cervical cytology, USG piersi, morfologia | Morfologia, cholesterol, ciśnienie | Every 3 years |
40-49 lat | + Mammography, cukier, EKG | + PSA, kolonoskopia, EKG | Every 2 years |
50-65 lat | + Densytometria, kolonoskopia | + Badanie prostaty, densytometria | Every year |
65+ lat | Kompleksowa ocena geriatryczna | Kompleksowa ocena geriatryczna | Every 6 months |
💡 Remember!
All preventive screenings under NFZ are free of charge. Contact your GP to book tests.
🆘 First‑Aid Basics
1. Resuscytacja krążeniowo-oddechowa (RKO)
- Check responsiveness - potrząśnij za ramiona, zawołaj
- Call for help - zadzwoń 112 lub poproś kogoś
- Position the person - na plecach, na twardym podłożu
- Open the airway - odchyl głowę, unieś brodę
- Check breathing - przez 10 sekund
- Start chest compressions - 30 uciśnięć, 2 oddechy
Rate: 100-120 uciśnięć/minutę | Depth: 5-6 cm
2. Recovery position
- Klęknij obok poszkodowanego
- Wyprostuj jego nogi
- Połóż jego rękę pod policzek
- Chwyć za kolano i obróć na bok
- Odchyl głowę do tyłu
- Monitoruj oddech i puls
⚠️ When NOT to perform CPR?
- When the person is breathing normally
- If a spinal injury is suspected (without training)
- In a dangerous place (fire, hazard)
🧠 Mental‑Health Questionnaire (PHQ‑9)
Over the past 2 weeks, how often have you been bothered by the following problems?
1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
Interpretation of results:
- 0-4 pkt: None or minimal depression
- 5-9 pkt: Mild depression
- 10-14 pkt: Moderate depression
- 15-19 pkt: Moderately severe symptoms
- 20-27 pkt: Severe depression
Note: This tool is for initial screening only. If results are concerning, consult a doctor or psychologist.
📞 Ważne Medical Contacts
Emergency numbers
- 112 - Emergency number (całodobowo)
- 999 - Ambulance Ratunkowe
- 998 - Fire brigade
- 997 - Police
Medical information
- 116 117 - Medical information line
- 800 190 590 - NFZ helpline
- 22 572 77 77 - Centrum Onkologii
Psychological support
- 116 123 - Phone Zaufania (całodobowo)
- 800 70 2222 - Phone dla Dzieci i Młodzieży
- 22 484 88 01 - Blue Line (violence)
- 801 889 880 - Support line for seniors
Type of facility | When to go | Waiting time |
---|---|---|
Primary care (GP) | Routine health problems, referrals | 1-7 dni |
Emergency Department | Emergencies, injuries, severe pain | Natychmiast |
Specialist | Issues requiring specialist care | 2-12 miesięcy |
Out‑of‑hours care | Health problems outside GP opening hours | 1-3 godziny |
💊 Medication Diary
Medicine name | Dose | Frequency | Time of day | Notes |
---|---|---|---|---|
⚠️ Important rules for taking medicines:
- Always follow doctor’s instructions
- Do not discontinue treatment on your own
- Check expiry dates
- Store medicines as recommended
- Inform your doctor about all medicines you take
👨⚕️ Guide dla Trenera Medycznego
Materials i sprzęt potrzebny:
- Projektor/ekran do prezentacji medycznych
- CPR manikin
- Training defibrillator (AED)
- First‑aid kit
- Printed medical forms (3 copies per person)
- Training stethoscopes
- Blood pressure monitors
- Thermometers
- Flipchart z markerami
Training room setup:
- Space for practical exercises (min. 2 m² per person)
- CPR mats
- Access to a sink and disinfectants
- Tablica/flipchart widoczny dla wszystkich
- Dostęp do internetu (sprawdzanie procedur NFZ)
Trainer requirements:
- Medical education or first‑aid certificate
- Knowledge of NFZ procedures
- Experience working with patients
- Communication skills
Module goals:
- Zrozumienie struktury polskiego systemu zdrowia
- Poznanie roli NFZ w finansowaniu opieki
- Znajomość praw pacjenta
- Umiejętność nawigacji w systemie
Detailed flow (45 min):
- Introduction (10 min) - Powitanie, cele, oczekiwania uczestników
- Interactive presentation (20 min) - Struktura systemu, NFZ, ubezpieczenia
- Practical exercise (10 min) - Sprawdzanie statusu ubezpieczenia online
- Discussion and questions (5 min) - Wyjaśnienie wątpliwości
Key information to convey:
- NFZ - The National Health Fund (NFZ) finances services
- Ubezpieczenie - mandatory for all working people
- Patients’ rights - access to information, choice of doctor, consent to treatment
- Procedury - how to book a visit, how to file a complaint
Materials pomocnicze:
- Schemat struktury systemu zdrowia
- Lista oddziałów NFZ
- Karta praw pacjenta
- How to use the patient portal
Module goals:
- Zrozumienie roli lekarza POZ
- Poznanie zakresu świadczeń POZ
- Umiejętność rejestracji i umawiania wizyt
- Znajomość procedur skierowań
Detailed flow (45 min):
- Prezentacja (15 min) - Rola POZ, zakres świadczeń
- Symulacja (20 min) - Umawianie wizyty, rozmowa z lekarzem
- Analiza przypadków (10 min) - Kiedy iść do POZ, a kiedy na izbę przyjęć
Scope of GP services:
- Podstawowa diagnostyka i leczenie
- Prevention i szczepienia
- Referrals to specialists
- Recepty na leki
- Sick notes
- Care for chronically ill patients
Tips for the trainer:
- Emphasise the importance of regular check‑ups
- Explain the difference between a planned and urgent visit
- Discuss teleconsultation procedures (especially after COVID‑19)
- Encourage building a relationship with the GP
Module goals:
- Poznanie programów profilaktycznych NFZ
- Zrozumienie znaczenia badań przesiewowych
- Znajomość kalendarza szczepień
- Healthy lifestyle promotion
Detailed flow (45 min):
- Prezentacja (15 min) - Programy profilaktyczne, badania przesiewowe
- Workshop (20 min) - Planowanie badań według wieku
- Dyskusja (10 min) - Bariery w profilaktyce, jak je pokonać
Main preventive programmes:
- Mammography - kobiety 50-69 lat, co 2 lata
- Cervical cytology - kobiety 25-59 lat, co 3 lata
- Colonoscopy - 50-65 lat, co 10 lat
- Vaccinations - według kalendarza szczepień
Healthy lifestyle promotion:
- Regular physical activity (min. 150 min/week)
- Healthy diet (vegetables, fruit, whole grains)
- Avoid tobacco and limit alcohol
- Regular check‑ups
- Stress management
Module goals:
- Recognising mental‑health problems
- Knowledge of available support
- Ability to provide psychological first aid
- Stress‑coping techniques
Detailed flow (45 min):
- Introduction (10 min) - Mental health, statystyki
- Warsztat (25 min) - Rozpoznawanie objawów, techniki wsparcia
- Zasoby (10 min) - Gdzie szukać pomocy, kontakty
Warning signs:
- Prolonged sadness or low mood
- Withdrawal from social activities
- Sleep or appetite problems
- Concentration difficulties
- Thoughts of death or suicide
First aid psychiczna:
- Listen - bez oceniania, z empatią
- Ensure safety - fizyczne i emocjonalne
- Connect with help - specjalista, linia wsparcia
- Encourage self‑help - zdrowe nawyki
Stress‑coping techniques:
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