Polish Journal of Public Health

¹ Fresenius Nephrocare Polska Sp. z o.o.

² Department of Public Health, II Faculty of Medicine with English Division, Medical University of Lublin

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​ 10.12923/j.0044-2011/122-4/a.05

Introduction. An indispensable organisational precondition for the provision of health services is that the entity providing medical treatment possesses a specific technical infrastructure. Thus, the technical infrastructure constitutes an integral element of health services, including haemodialysis.

Aim. Creating a model of financing the costs of development and maintenance of the technical infrastructure of healthcare providers, especially dialysis centres.

Material and methods. The author has presented a definition of health services and the definitions and components of the technical infrastructure of a dialysis centre. Basing on the literature and her own data obtained from 73 dialysis centres of the Fresenius Nephrocare Polska Group, she has created a theoretical model of the haemodialysis centre.

Results. The model includes all elements of the technical infrastructure and forms the point of departure for a qualitative and quantitative definition of cost elements required in order to take into consideration a calculation of the price of the services.

Conclusions. The quality of the technical infrastructure of the entity providing medical treatment and participating in the international exchange of health services shall constitute an important element, determining its position on the market. Therefore, the commencement of work on a cohesive and efficient model of financing the costs of development and maintenance of the technical infrastructure of entities providing medical treatment in the Polish health care system is an absolute necessity.