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The Health Care System in Poland

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  • Nathalie Girouard
  • Yutaka Imai

Abstract

This paper reviews the performance of Polish health care system from an economic perspective. High on the reform agenda of the government for several years, a new national health insurance system entered into force on 1 January 1999. This reform marked an important shift from a centrally controlled, budget-based system to a decentralised insurance-based system, operating through multiple regional funds and a special fund with nation-wide coverage. The reform is also intended to encourage the development of primary care services and in this context to promote the role of family doctors. However, the new system suffers from certain deficiencies and has not so far attracted active public support. This paper examines some of the efficiency problems, costs issues and equity concerns that remain to be addressed. It presents a series of policy options for further improvement of the system, including ways of enforcing harder budget constraints on health funds and better defining minimum ... Le présent document examine, dans une perspective économique, la performance du système de santé de la Pologne. La réforme des soins de santé figure depuis quelques années parmi les toutes premières priorités du gouvernement et un nouveau régime général d’assurance maladie obligatoire est entré en vigueur le 1er janvier 1999. Cette réforme et les mesures qui l’accompagnaient marquaient une nette rupture avec le passé, un système décentralisé, financé selon le principe d’une assurance, géré par l’intermédiaire de caisses régionales d’assurance maladie et par une caisse catégorielle supplémentaire se substituant au système antérieur, contrôlé par l’Etat et budgétisé. La réforme vise aussi à encourager le développement de services de soins primaires et à attribuer aux médecins de famille un rôle plus important. Cependant, le nouveau système s’est heurté à certaines difficultés entraînant un mécontentement croissant de l’opinion. Cette étude examine les problèmes d’efficience, de coût ...

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File URL: http://dx.doi.org/10.1787/265022143317
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Bibliographic Info

Paper provided by OECD Publishing in its series OECD Economics Department Working Papers with number 257.

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Date of creation: 21 Sep 2000
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Handle: RePEc:oec:ecoaaa:257-en

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Keywords: health; Poland; Pologne; santé;

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