Health care reforms in Poland

Ognyanova, Diana

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URL http://edoc.vifapol.de/opus/volltexte/2012/4230/
Dokumentart: Bericht / Forschungsbericht / Abhandlung
Institut: Hertie School of Governance
Schriftenreihe: Working papers // Hertie School of Governance
Bandnummer: 9
Sprache: Englisch
Erstellungsjahr: 2008
Publikationsdatum: 21.11.2012
Originalveröffentlichung: http://www.hertie-school.org/fileadmin/images/Downloads/working_papers/9.pdf (2008)
SWD-Schlagwörter: Gesundheitswesen , Polen , Reform
DDC-Sachgruppe: Politik
BK - Basisklassifikation: 89.59 (Politische Prozesse: Sonstiges), 44.10 (Gesundheitswesen: Allgemeines), 15.72 (Polen)
Sondersammelgebiete: 3.6 Politik und Friedensforschung

Kurzfassung auf Englisch:

Health care reforms carried out in Poland since 1990 have led to the decentralization of ownership and financial and management responsibility of health care establishments; privatization of health care providers; stronger reliance on private expenditure on health care with rising out-of-pocket and informal payments; exclusion of some services from the package of universal health services; and restricted access to some health services in form of waiting lists. Even though the official aim of the reforms was to preserve a stateguaranteed egalitarian health care system while ensuring optimal use of resources by the introduction of market-type mechanisms, smaller than expected gains in efficiency, together with demographic and technological pressure on health care costs and a political and economic climate unable to significantly increase public spending, resulted in a more privatized and unequal system than intended. Hence, the reforms of the health system as part of the general transformation of the economy and the welfare state illustrate a shift towards a hybrid “post-communist European type” of welfare state which has inherited some features of the socialist regime, but is increasingly shaped by liberal ideas.


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