Evidence map›Paper›PMID 41399908›Full record

ArticleInternational journal of occupational medicine and environmental health2025

Barriers to mental health treatment in Polish employer-based health plans: insurance limitations and policy gaps.

Agata Olearczyk, Kuba Sękowski, Mateusz Jankowski, Andrzej Silczuk

Abstract read
In one paragraph

Article in International journal of occupational medicine and environmental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Agata OlearczykSGH Warsaw School of Economics, Warsaw, Poland (Health Innovation Unit).
Kuba SękowskiCentre of Postgraduate Medical Education, Warsaw, Poland (Department of Population Health, School of Public Health).
Mateusz JankowskiCentre of Postgraduate Medical Education, Warsaw, Poland (Department of Population Health, School of Public Health).
Andrzej SilczukMedical University of Warsaw, Warsaw, Poland (Department of Community Psychiatry).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe current employment market faces many challenges, both from the employers' perspective and that of employees. One of the key health challenges is employees' mental health. Poland has over 17.6 million of active workforce, but each year the number of sick leaves due to mental disorders and occupational burnout is rising, and so are the costs. This leads to lower incomes, higher utilization of medical services, higher spending on medications, and higher social transfers, impacting the country's economy and individuals' quality of living. This research aims to present the current market practice, gaps, and limitations in the coverage of mental health services available through employee medical plans, as well as to provide epidemiological characteristics of sick leave due to mental health issues in Poland. MATERIAL AND

methodsThis analysis included general terms and conditions of insurance companies providing employee medical plans (group health insurance) available on their websites. Mental health cover and exclusions of liability were analyzed using 6 different criteria. Epidemiological data on sick leaves (absenteeism) were derived from the annual reports published by the Polish Social Insurance Institution.

resultsAll insurance companies introduce strong limitations on mental health cover. The gaps apply to the number of packages that cover consultations with psychologists and psychiatrists, as well as the number and type of visits. Most insurers cover no more than 4 visits with a psychologist and psychiatrist per year, excluding psychotherapy (with 1 exception). The main exclusions of liability include treatment of mental illnesses or behavioral disorders and treatment of addiction. There is no coverage for the costs of medications.

conclusionsThe offer for mental health treatment through employee medical plans is strongly limited and does not cover the actual needs. Employees must seek treatment through the public sector or pay out of pocket for services with limited income during sick leave. Int J Occup Med Environ Health. 2025;38(6):654-63.

Indexed as

Health Benefit Plans, EmployeeHealth Services AccessibilityInsurance CoverageMental DisordersMental Health ServicesHealth PolicyHumansPolandSick Leaveburnouthealth insurancehealth promotionmental healthworkforceworkplace

Identifiers

PMID41399908
PMCPMC12742643

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.