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Implementation of the 2011 Therapeutic Activity Act: Will commercialization improve the financial performance of Polish hospitals?

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  • Sagan, Anna
  • Sobczak, Alicja

Abstract

The Therapeutic Activity Act that came into force on 1 July 2011 was aimed at achieving a large-scale transformation of public hospitals into Commercial Code companies. The change of the legal form, from a public entity to a for-profit company, was expected to improve the poor economic efficiency of the public hospital sector. However, the mere change of the legal form does not guarantee a better financial performance of hospitals and thus the success of the Act. In many cases, deep internal changes are needed to achieve improvements in the financial performance of particular hospitals. In addition, a set of other measures at the national and regional levels, such as the mapping of health needs of the population, have to accompany the legal transformations in order to improve the efficiency of the hospital sector. The recent slowdown in the rate of the transformations is another factor that renders the success of the Act uncertain.

Suggested Citation

  • Sagan, Anna & Sobczak, Alicja, 2014. "Implementation of the 2011 Therapeutic Activity Act: Will commercialization improve the financial performance of Polish hospitals?," Health Policy, Elsevier, vol. 118(2), pages 153-158.
    • Handle: RePEc:eee:hepoli:v:118:y:2014:i:2:p:153-158
    DOI: 10.1016/j.healthpol.2014.09.017
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    Citations

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    Cited by:

    1. Vakulenko Veronika & Mattei Giorgia, 2023. "Reforming the Public Sector in Eastern European and Former Soviet Union Countries: A Systematic Literature Review," Central European Journal of Public Policy, Sciendo, vol. 17(1), pages 55-79, June.
    2. Sowada, Christoph & Kowalska-Bobko, Iwona & Sagan, Anna, 2020. "What next after the ‘commercialization’ of public hospitals? Searching for effective solutions to achieve financial stability of the hospital sector in Poland," Health Policy, Elsevier, vol. 124(10), pages 1050-1055.
    3. Buczak-Stec, Elżbieta & Goryński, Paweł & Nitsch-Osuch, Aneta & Kanecki, Krzysztof & Tyszko, Piotr, 2017. "The impact of introducing a new hospital financing system (DRGs) in Poland on hospitalisations for atherosclerosis: An interrupted time series analysis (2004–2012)," Health Policy, Elsevier, vol. 121(11), pages 1186-1193.
    4. Justyna Rój, 2020. "Inequality in the Distribution of Healthcare Human Resources in Poland," Sustainability, MDPI, vol. 12(5), pages 1-27, March.
    5. Kosycarz, Ewa & Dędys, Monika & Ekes, Maria & Wranik, Wiesława Dominika, 2023. "The effects of provider contract types and fiscal decentralization on the efficiency of the Polish hospital sector: A data envelopment analysis across 16 health regions," Health Policy, Elsevier, vol. 129(C).

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