Zdrowie Publiczne 2008 118(4);448-452 Original Article
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Changes in public procurement structure of public health sector enentities in 1996-2006
Since 1995 the public procurement system has constituted one of the basic systems giving the guarantee for effi cient expenditure of public fi nancial means. The assisting mechanism here is a sub-system in the form of public procurement market, where supply is dependent on demand i.e. quantity of tenders directed to the market by public health care centres. Public entities of health care sector, as non-profi t ones, run their business activity basing on facilities (apparatuses and equipment) they hold of; this makes orders for this type of assortment quite significant.
Since 2004 the necessity of adjusting construction infrastructure to EU standards (e.g. adaptation of accommodations aimed at instalment of up-to-date apparatuses, maintenance works on footways, etc.) and fi nancial means from the European Union also raised quantity of orders for construction works. Still, the number of orders for services slightly goes down in years 2003-2006, what is produced, among others, by the fact that entities of health care sector are withdrawing from outsourcing, especially catering one. Infl uencing the supply development, quantity of issued orders makes public procurement market play a pro-effi cient and competitive role.
Establishing the cause and effect dependencies (their volume) between the quantity of issued bid announcements, time of contract execution, and, criteria applied for tenders assessment, allows to determine that insuffi cient amount of public fi nancial means owned by health care sector entities forces their management to make alternative choices among various categories of orders (construction works/deliveries/ services); what is more, the criteria applied by ordering parties for tenders appraisal may affect development/stagnation of competitiveness.