Zdrowie Publiczne 2009 119(2);179-183 Review Article
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The healthcare system in Poland and the basket of guaranteed healthcare services
Summary
For many years the health care system in Poland has been
struggling with same problems: poor funding of personnel,
hospitals running into debts, limited access to medical
services, long waiting lists, corruption and a decline in the
value of the technical infrastructure. The main reason for
this is the dissonance between the level of funds allocated
to pay for medical services and the required volume of such
services. The best solution to this situation (based on the
experiences of other European countries) is to implement
a package of guaranteed health care services.
Successive governments have been working continuously
on the creation of a package of health care services. Unfortunately,
it should be noted, that this work depends to a
large degree on political conditions, and the completion of
many initiatives, founded on both theoretical and practical
bases, is often impossible.
The implementation of a new method of accounting
for hospital use – Diagnosis Related Groups (JGP), which
makes the registration and description of treatment processes
possible both in the clinical sense and also in terms
of cost categories, seems to be a good sign. It allows to
determine the actual costs of medical procedures.
The aim of this work is to show the progress of activities
towards the implementation of a basket of guaranteed
health care services in the Polish health care system, as well
as to summarise the steps that have been taken as a part
of this initiative.



