Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach
Over the past twenty years, the Polish health system has undergone several deep systemic changes. Poland spends more of its healthcare budget on inpatient hospital care than comparable countries, signaling an area of inefficiency that requires refo...
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| Format: | Policy Note |
| Language: | English en_US |
| Published: |
Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note http://hdl.handle.net/10986/19033 |
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okr-10986-19033 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO FINANCING ACCUMULATION OF DEBT ADDICTION ADDICTION THERAPY AGED AGING ANESTHESIA ARREARS BANKRUPTCY BIDS CAPITAL INVESTMENT CAPITAL INVESTMENTS CERTIFICATION CITIES CITIZENS CLINICS COMMERCIAL CODE COMMERCIAL LAW COMMERCIAL TERMS CONTINGENT LIABILITIES CONTRACTUAL RELATIONSHIP CREDIBILITY CREDITORS DEBT DEBT BURDEN DEBT CRISIS DEBT FORGIVENESS DEBT ISSUE DEBT ISSUES DEBT LEVELS DEBT RATIO DEBT RELIEF DEBT RESTRUCTURING DEBT SERVICING DEBT STOCK DEBTS DECENTRALIZATION DEFICITS DEMOGRAPHIC TRENDS DEPENDENCY RATIO DESCRIPTION DEVELOPMENTAL OPPORTUNITIES DIABETES DISEASES DISSEMINATION DISTRICTS ECONOMIC EFFICIENCY ECONOMIC GROWTH EMERGENCY MEDICAL SERVICES EMPLOYMENT EXPENDITURE FERTILITY FERTILITY RATE FINANCES FINANCIAL CONSTRAINTS FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL SUSTAINABILITY FUTURE POPULATION GOVERNMENT BUDGETS GROSS DOMESTIC PRODUCT GYNECOLOGY HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH EXPENDITURES HEALTH FACILITIES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH-CARE SYSTEM HOSPITAL ADMISSION HOSPITAL BEDS HOSPITAL BUILDINGS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HUMAN RESOURCES IMPROVEMENTS IN MANAGEMENT INCOME INFLATION INITIAL DEBT INPATIENT CARE INTEREST GROUPS INTERMEDIARIES INTERNATIONAL BANK INTERNATIONAL DEVELOPMENT INTERNATIONAL FINANCIAL CRISIS INTERNATIONAL STANDARDS INTERVENTIONS INVESTMENT DECISIONS INVESTMENT STRATEGY ISOLATION LACK OF INFORMATION LAWS LEASING LEGAL FRAMEWORK LEGAL STATUS LEVEL OF DEBT LEVEL OF DEBTS LIABILITY LIFE EXPECTANCY LIQUIDATION LIQUIDATIONS LIQUIDITY LIQUIDITY CONSTRAINTS LOAN LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POPULATION MARKET SHARES MEDIA ATTENTION MEDIA COVERAGE MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MIDWIFE MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL STRATEGY NEEDS ASSESSMENT NUMBER OF BIRTHS NURSE NURSES NURSING NURSING CARE OBSTETRIC SERVICES OCCUPANCY OLD-AGE OUTPATIENT CARE PATIENT PATIENTS PAYMENT SYSTEM PEDIATRICS PHYSICIANS POLICY DIALOGUE POLITICAL SUPPORT POPULATION TRENDS PRIMARY CARE PROGRESS PSYCHIATRIC HOSPITAL PSYCHIATRIC HOSPITALS PUBLIC DEBT PUBLIC FINANCES PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC INFORMATION QUALITY ASSURANCE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES REGIONAL HOSPITAL REGIONAL NETWORKS REGIONAL POPULATION REGULATORY FRAMEWORK REHABILITATION REPAYMENT RESOURCE ALLOCATION RETURN RURAL AREAS SAFETY SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SOCIAL SECTOR SOCIAL SERVICES SURGERY TAX TOTAL DEBT TOTAL DEBTS TRAINING OPPORTUNITIES TRANSITION ECONOMIES TRAUMA UNIONS WAR WELLNESS |
| spellingShingle |
ACCESS TO FINANCING ACCUMULATION OF DEBT ADDICTION ADDICTION THERAPY AGED AGING ANESTHESIA ARREARS BANKRUPTCY BIDS CAPITAL INVESTMENT CAPITAL INVESTMENTS CERTIFICATION CITIES CITIZENS CLINICS COMMERCIAL CODE COMMERCIAL LAW COMMERCIAL TERMS CONTINGENT LIABILITIES CONTRACTUAL RELATIONSHIP CREDIBILITY CREDITORS DEBT DEBT BURDEN DEBT CRISIS DEBT FORGIVENESS DEBT ISSUE DEBT ISSUES DEBT LEVELS DEBT RATIO DEBT RELIEF DEBT RESTRUCTURING DEBT SERVICING DEBT STOCK DEBTS DECENTRALIZATION DEFICITS DEMOGRAPHIC TRENDS DEPENDENCY RATIO DESCRIPTION DEVELOPMENTAL OPPORTUNITIES DIABETES DISEASES DISSEMINATION DISTRICTS ECONOMIC EFFICIENCY ECONOMIC GROWTH EMERGENCY MEDICAL SERVICES EMPLOYMENT EXPENDITURE FERTILITY FERTILITY RATE FINANCES FINANCIAL CONSTRAINTS FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL SUSTAINABILITY FUTURE POPULATION GOVERNMENT BUDGETS GROSS DOMESTIC PRODUCT GYNECOLOGY HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH EXPENDITURES HEALTH FACILITIES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH-CARE SYSTEM HOSPITAL ADMISSION HOSPITAL BEDS HOSPITAL BUILDINGS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HUMAN RESOURCES IMPROVEMENTS IN MANAGEMENT INCOME INFLATION INITIAL DEBT INPATIENT CARE INTEREST GROUPS INTERMEDIARIES INTERNATIONAL BANK INTERNATIONAL DEVELOPMENT INTERNATIONAL FINANCIAL CRISIS INTERNATIONAL STANDARDS INTERVENTIONS INVESTMENT DECISIONS INVESTMENT STRATEGY ISOLATION LACK OF INFORMATION LAWS LEASING LEGAL FRAMEWORK LEGAL STATUS LEVEL OF DEBT LEVEL OF DEBTS LIABILITY LIFE EXPECTANCY LIQUIDATION LIQUIDATIONS LIQUIDITY LIQUIDITY CONSTRAINTS LOAN LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POPULATION MARKET SHARES MEDIA ATTENTION MEDIA COVERAGE MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MIDWIFE MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL STRATEGY NEEDS ASSESSMENT NUMBER OF BIRTHS NURSE NURSES NURSING NURSING CARE OBSTETRIC SERVICES OCCUPANCY OLD-AGE OUTPATIENT CARE PATIENT PATIENTS PAYMENT SYSTEM PEDIATRICS PHYSICIANS POLICY DIALOGUE POLITICAL SUPPORT POPULATION TRENDS PRIMARY CARE PROGRESS PSYCHIATRIC HOSPITAL PSYCHIATRIC HOSPITALS PUBLIC DEBT PUBLIC FINANCES PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC INFORMATION QUALITY ASSURANCE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES REGIONAL HOSPITAL REGIONAL NETWORKS REGIONAL POPULATION REGULATORY FRAMEWORK REHABILITATION REPAYMENT RESOURCE ALLOCATION RETURN RURAL AREAS SAFETY SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SOCIAL SECTOR SOCIAL SERVICES SURGERY TAX TOTAL DEBT TOTAL DEBTS TRAINING OPPORTUNITIES TRANSITION ECONOMIES TRAUMA UNIONS WAR WELLNESS World Bank Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| geographic_facet |
Europe and Central Asia Poland |
| description |
Over the past twenty years, the Polish
health system has undergone several deep systemic changes.
Poland spends more of its healthcare budget on inpatient
hospital care than comparable countries, signaling an area
of inefficiency that requires reform ahead of demographic
trends. Ownership of public hospital facilities is
fragmented between different levels of government, leading
to multiple stakeholders and a lack of accountability.
Poland has made significant progress in rationalizing its
hospital system and reducing the number of beds, but the
reform agenda remains unfinished as evidenced by the
continuing debt issue. This note outlines a path to
improving the financial sustainability of the hospital
sector in Poland. The anatomy of the debt problem is
examined and major obstacles to financial health are
systematically reviewed. The root causes of barriers are
analyzed from a managerial as well as a health system
perspective, including the role of regulatory and financing
constraints. In making the case for change, the report also
discusses how secular trends, for instance in population
health and service delivery, need to be taken into account
as plans to reshape the hospital system are being
formulated. Preliminary recommendations are made
distinguishing: (i) system-level changes which will require
national-level policy interventions, and (ii) options for
Voivodships and facility managers to work better within the
existing system and enhance the chances of selecting no
regret move investments. |
| format |
Economic & Sector Work :: Policy Note |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| title_short |
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| title_full |
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| title_fullStr |
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| title_full_unstemmed |
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach |
| title_sort |
poland - improving the financial sustainability of the hospital sector : towards a systemic approach |
| publisher |
Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note http://hdl.handle.net/10986/19033 |
| _version_ |
1764443182405255168 |
| spelling |
okr-10986-190332021-04-23T14:03:50Z Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach World Bank ACCESS TO FINANCING ACCUMULATION OF DEBT ADDICTION ADDICTION THERAPY AGED AGING ANESTHESIA ARREARS BANKRUPTCY BIDS CAPITAL INVESTMENT CAPITAL INVESTMENTS CERTIFICATION CITIES CITIZENS CLINICS COMMERCIAL CODE COMMERCIAL LAW COMMERCIAL TERMS CONTINGENT LIABILITIES CONTRACTUAL RELATIONSHIP CREDIBILITY CREDITORS DEBT DEBT BURDEN DEBT CRISIS DEBT FORGIVENESS DEBT ISSUE DEBT ISSUES DEBT LEVELS DEBT RATIO DEBT RELIEF DEBT RESTRUCTURING DEBT SERVICING DEBT STOCK DEBTS DECENTRALIZATION DEFICITS DEMOGRAPHIC TRENDS DEPENDENCY RATIO DESCRIPTION DEVELOPMENTAL OPPORTUNITIES DIABETES DISEASES DISSEMINATION DISTRICTS ECONOMIC EFFICIENCY ECONOMIC GROWTH EMERGENCY MEDICAL SERVICES EMPLOYMENT EXPENDITURE FERTILITY FERTILITY RATE FINANCES FINANCIAL CONSTRAINTS FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL SUSTAINABILITY FUTURE POPULATION GOVERNMENT BUDGETS GROSS DOMESTIC PRODUCT GYNECOLOGY HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH EXPENDITURES HEALTH FACILITIES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH-CARE SYSTEM HOSPITAL ADMISSION HOSPITAL BEDS HOSPITAL BUILDINGS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HUMAN RESOURCES IMPROVEMENTS IN MANAGEMENT INCOME INFLATION INITIAL DEBT INPATIENT CARE INTEREST GROUPS INTERMEDIARIES INTERNATIONAL BANK INTERNATIONAL DEVELOPMENT INTERNATIONAL FINANCIAL CRISIS INTERNATIONAL STANDARDS INTERVENTIONS INVESTMENT DECISIONS INVESTMENT STRATEGY ISOLATION LACK OF INFORMATION LAWS LEASING LEGAL FRAMEWORK LEGAL STATUS LEVEL OF DEBT LEVEL OF DEBTS LIABILITY LIFE EXPECTANCY LIQUIDATION LIQUIDATIONS LIQUIDITY LIQUIDITY CONSTRAINTS LOAN LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POPULATION MARKET SHARES MEDIA ATTENTION MEDIA COVERAGE MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MIDWIFE MINISTRY OF HEALTH MODERNIZATION MORBIDITY MORTALITY NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL STRATEGY NEEDS ASSESSMENT NUMBER OF BIRTHS NURSE NURSES NURSING NURSING CARE OBSTETRIC SERVICES OCCUPANCY OLD-AGE OUTPATIENT CARE PATIENT PATIENTS PAYMENT SYSTEM PEDIATRICS PHYSICIANS POLICY DIALOGUE POLITICAL SUPPORT POPULATION TRENDS PRIMARY CARE PROGRESS PSYCHIATRIC HOSPITAL PSYCHIATRIC HOSPITALS PUBLIC DEBT PUBLIC FINANCES PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC INFORMATION QUALITY ASSURANCE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES REGIONAL HOSPITAL REGIONAL NETWORKS REGIONAL POPULATION REGULATORY FRAMEWORK REHABILITATION REPAYMENT RESOURCE ALLOCATION RETURN RURAL AREAS SAFETY SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SOCIAL SECTOR SOCIAL SERVICES SURGERY TAX TOTAL DEBT TOTAL DEBTS TRAINING OPPORTUNITIES TRANSITION ECONOMIES TRAUMA UNIONS WAR WELLNESS Over the past twenty years, the Polish health system has undergone several deep systemic changes. Poland spends more of its healthcare budget on inpatient hospital care than comparable countries, signaling an area of inefficiency that requires reform ahead of demographic trends. Ownership of public hospital facilities is fragmented between different levels of government, leading to multiple stakeholders and a lack of accountability. Poland has made significant progress in rationalizing its hospital system and reducing the number of beds, but the reform agenda remains unfinished as evidenced by the continuing debt issue. This note outlines a path to improving the financial sustainability of the hospital sector in Poland. The anatomy of the debt problem is examined and major obstacles to financial health are systematically reviewed. The root causes of barriers are analyzed from a managerial as well as a health system perspective, including the role of regulatory and financing constraints. In making the case for change, the report also discusses how secular trends, for instance in population health and service delivery, need to be taken into account as plans to reshape the hospital system are being formulated. Preliminary recommendations are made distinguishing: (i) system-level changes which will require national-level policy interventions, and (ii) options for Voivodships and facility managers to work better within the existing system and enhance the chances of selecting no regret move investments. 2014-07-28T22:08:05Z 2014-07-28T22:08:05Z 2014-04 http://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note http://hdl.handle.net/10986/19033 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ Washington, DC Economic & Sector Work :: Policy Note Europe and Central Asia Poland |