O potrzebie zmian instytucjonalnych w ochronie zdrowia
On the need for institutional changes in health care

Summary/Abstract: The state of the Polish health care system is not satisfactory. In the elaboration the author discussesthe need for introduction of institutional changes in the health care system in Poland in the contextof various problems and challenges. The most important of them are the following: the changingdemographic situation (ageing population, migration of the Poles abroad), the shortage of medicalpersonnel, the differences in their territorial placement and problem of availability of medical servicesand the occurrence of queues to specialists.Also the issue of the dominating conflict of interest in health care was taken and the difficulties inreaching an agreement concerning the nature of introduced changes by various groups of stakeholders.A review was made of the ways of financing the health system in Poland from the perspectiveof history – beginning from the end of the World War II to the creating of the National Health Fundin 2003.Also attention was paid to the problem of the lack of coherence of the laws regulating the Polishsystem of health care and the occurrence of the phenomenon of softened responsibility.Next the author analysed the planned changes within the framework of the reform proposed bythe minister of health Mr. Konstanty Radziwiłł. Their main assumption is the change of the model offinancing of the health care system and liquidation of the National Health Fund.

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