Transformation of the ownership structure in Polish healthcare and its effects
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Poland, like other countries with previously dominant state healthcare systems, has introduced ownership transformation in the healthcare structure. These changes, however, are being accomplished without a clearly defined state policy in this area. The aim of the present study was to assess the course and effects of ownership transformation in outpatient healthcare and hospitals. Data were collected from publications of the Central Statistical Office, which provided information on the numbers of outpatient healthcare institutions, medical practices, general hospitals, and services they provided. The healthcare ownership transformation has divided the medical services market into public and nonpublic providers. In addition, privatization of outpatient healthcare facilities precedes privatization of hospitals, outpatient institutions providing primary healthcare were privatized first; the subsequent stage included those providing specialized services, at first privatization of ambulatory medical infrastructure preceded privatization of services in urban areas, whereas in rural areas, privatization of services preceded structural privatization, privatization provides favorable conditions to improve territorial availability of outpatient healthcare in urban areas, medical practices, although numerous, are of little importance in providing services, the hospital ownership transformation is at its initial stage, and structural ownership transformation in the Polish healthcare system is subject to market rules.
1 - 12 - 2007
1 - 12 - 2007
- Department of Healh Care, Institute of Social Medicine, Medical University of Warsaw, 02-007, Warsaw, Poland
- Agency for Health Technology Assessment, 02-668, Warsaw, Poland
- Department of Cardiology, Regional Specialist Hospital, 26-617, Radom, Poland
- Department of Preventive Medicine and Hygiene, Institute of Social Medicine, Medical University of Warsaw, 02-007, Warsaw, Poland
-  The Journal of Laws, Vol. 91, (1991), art. 8, pp. 408 (in Polish).
-  The Journal of Laws, Vol. 28, (1997), art. 5, pp.153 (in Polish).
-  The Journal of Laws, Vol. 171, (1996), art. 3, pp.1397 (in Polish).
-  New Europe. Report on Transformation. XV Economic Forum. Krynica. Poland. 7–10 september 2005, pp. 43.
-  Statistical Yearbook CSO 2000–2005, CSO, Warsaw, 2000–2006 (in Polish
-  Regional Statistical Yearbook 2000–2006, CSO, Warsaw, 2000–2006 (in Polish).
-  Statistical Yearbook CSO 1999, CSO, Warsaw, 2000 (in Polish).
-  Regional Statistical Yearbook, CSO, Warsaw, 2000 (in Polish).
-  The Healthcare Market: 2005-01-04 11:39:50 (Website publication) (in Polish).
-  L. Balcerowicz: “Most urgent assignments - interview”, Universal Capitalist, Vol. 3(67), (1998), (in Polish).
-  D. Malinowska and E. Król-Kończewska: “Privatization on ruins. “Do it your own way” instead of ownership transformation programme”, Medical Guidelines, (2000), pp. 6–8 (in Polish).
-  A. Ostrowska: “From totalitarianism to pluralism in Poland. Problems of transformation on the health scene”, Eur J Public Health, Vol. 3(1), (1993), pp. 43–47. http://dx.doi.org/10.1093/eurpub/3.1.43[Crossref]
-  J. Nemec and N. Kolisnichenko: “Market-Based healthcare reforms in Central and Eastern Europe: lessons after ten years of change”, Int Rev Adm Sci, Vol. 71, No. 1, (2006), pp. 11–26. http://dx.doi.org/10.1177/0020852306061611[Crossref]
-  R. Omachel: “Making money on healthcare”, The Daily. 2006.05.26, p. 25 (in Polish)
-  The United States Department of Commerce, International Trade Administration, U.S.Commercial Service, Office of Export Promotion Services: “Healthcare Technologies Trade Mission to the Czech Republic, Hungary, and the Slovak Republic, September 13–17, 2004”, Federal Register, (2004), pp. 69–89.
-  M.I. Roemer: “Recent healthcare system development in Poland and Hungary”, J Commun Health, Vol. 19,3, (1994), pp. 153–163. http://dx.doi.org/10.1007/BF02260376[Crossref]
-  P. Romaniuk and K. Krajewski-Siuda: “The Heath care system in Lithuania-selected elements, evolution”, Vol. 60,3, Ann Acad Med Siles, (2006), pp. 264–268.
-  Parliamentary Assembly Of The Council Of Europe: The reform of healthcare systems in Europe: reconciling equity, quality and efficiency, 11 September 2003, Doc. 9903.
-  Statistical Yearbook of the Slovak Republic. Verde. Bratislava (2006), pp. 171
-  B. Lisowska: “Anin against Anin”, The Pulse of Medicine, Vol. 4(127), (2006), p. 4 (in Polish)
-  UNICEF TransMONEE database, WHO Regional Office for Europe, Health For All Data Base, June 2005.
-  Health For All Data Base, WHO 2004.
-  Ministry of Health Report: Healthcare Financing in Poland, Green Book, Warsaw, 2004 (in Polish).
-  A. Gozdowska: “Who’s afraid of ownership transformation?”, The Pulse of Medicine, Vol. 23, (2004), pp. 94 (in Polish).
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