Cent Eur J Public Health 2006, 14(1):25-29 | DOI: 10.21101/cejph.b0046
Privatisation of Hospitals in Poland - Barriers and Opportunities
- Department of Health Policy, Faculty of Public Health, Medical University of Silesia, Bytom, Poland
The paper discusses the question of privatisation of the in-patient care sector in Poland. The references to the general reforming processes are made, as well as the legal context of ownership changes is presented. First part of the article describes the forms of privatisation applied in Poland, such as privatisation of the management, partial privatisation, functional privatisation and total privatisation. The basic data concerning legal regulations currently being in force is also included. Legal status is an important obstacle for the process of privatisation, since the regulations are incoherent and ambiguous. The project of Commercialisation and Privatisation of Independent Public Health Care Facilities Law was presented in 2001, but the political situation was unfavourable for such a regulation. The paper discusses also the potential profits that may be gathered during the privatisation, which may be proved by the experiences in the field of out-patient care, as well as the examples of other countries. It is stated that success of privatisation depends on changes in the structure of sources of financing health care system. The last part of the article describes the previous course of privatisation processes of in-patient sector. Presently about 18% of hospitals in Poland are private facilities, but their role in the system is marginal. The case of hospital in Więcbork, which was the first bankrupt private hospital in Poland, is presented as the example of dangers caused by the invalid law. The final conclusion is that there is an urgent need in Poland to create clear and coherent legal frames for the privatisation of hospitals, as well as harmonisation of the changes with general reforms of the health care system.
Klíčová slova: privatisation, restructurisation, hospitals, in-patient care, Poland
Vloženo: 29. srpen 2005; Zveřejněno: 1. březen 2006 Zobrazit citaci
Reference
- Csonka A. Hungary makes slow progress in health-system reform. Lancet. 2004 Jun 12;363(9425):1957-60.
Přejít k původnímu zdroji...
- Network of health establishments. Prague: Institute of Health Information and Statistics of the Czech Republic; 2004. (In Czech.)
- Bed care. Prague: Institute of Health Information and Statistics of the Czech Republic; 2004. (In Czech.)
- Health Care Systems in Transition. Czech Republic. Copenhagen: European Observatory on Health Care Systems; 2000.
- Watson N. Central Europe dabbles in private health. Lancet. 2004 Nov 13-19;364(9447):1745-6.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kłos K. Assumptions of the privatisation of regional independent public health care facilities in Malopolska. Krakow: Office of the Malopolskie Voivodeship Marshall; 2000. (In Polish.)
- Jaworska-Łuczak B. Privatisation in health care in Poland - analysis of the present state and future prognosis. Zdrow Publiczne. 2002;112(1):93-101. (In Polish.)
- Kleszcz H. Market approach. Szpital Polski. 2004;4:II-III. (In Polish.)
- Ostrowski T, Wdowiak L. Privatisation of health care in Poland. Zdrow Publiczne. 2002;112(1):86-92. (In Polish.)
- Walaszkiewicz B. I will buy a hospital in province. Newsweek Polska. 2004;39:24. (In Polish.)
- Włodarczyk C. Health reforms. Universal problem. Krakow: Jagiellonian University Publishing Office; 2003. (In Polish.)
- Golinowska S. The health care system after three years of reforming - a synthetic report. In: Golinowska S, editor. Health care in Poland after the reform. Warsaw: Centre for Socio-Economic Analyses; 2002. p. 11-42. (In Polish.)
- Rondinelli D, Nellis J, Shabbir Cheema G. Decentralization in developing countries: a review of recent experience. Washington D.C.: World Bank; 1983.
- Bossert T. Analyzing the decentralization of health care systems in developing countries: decision space, innovation and performance. Soc Sci Med. 1998;47(10):1513-27.
Přejít k původnímu zdroji...
- Krajewski-Siuda K, Romaniuk P. Why the National Health Fund could be implemented? Zdrowie i Zarządzanie. 2004;1(VI):36-42. (In Polish.)
- Dercz M, Izdebski H. How to privatise independent public health care facilities due to current law regulations. Warsaw: Ministry of Health. (In Polish.)
- Woźniak Z, Drozdowski R, Godlewska K. Analysis and the assessment of the chances to implement the project of theLaw on Commercialisation and Privatisation of the Public Health Care. Unpublished analysis performed within the Political Cabinet of the Minister of Health in 2001. (Owned by authors.) (In Polish.)
- Bonifrater Order Hospital in Krakow Website [cited 2005 June 9]. Available from: http://www.bonifratrzy.krakow.pl/indexf770.html.
- Statistical Bulletin of the Ministry of Health. Warsaw: The Centre of the Computer Systems in Health Care; 2005. (In Polish.)
- Walewski P. In colour bedding. Polityka. 2005; 17. (In Polish.)
- Polish Private Hospitals Association Website [cited 2005 June 9]. Available from: http://www.szpitale.org/czlonkowie.php.
- The report on financing health care in Poland - The Green Book. Warsaw: Ministry of Health; 2004. (In Polish.)
- The statement of the Polish Private Hospitals Association of 24.10.2003 [cited 2005 June 9]. Available from: http://www.szpitale.org/info7.php.