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Challenges and changes in the Polish healthcare system


  • Ewa Orlewska

    () (Centre for Pharmacoeconomics Warsaw Poland, Corvinus University of Budapest Health Economics and Technology Assessment Research Centre Budapest Hungary)


The healthcare reform package submitted to the Polish parliament could lead to a radical and fundamental change in existing business models and in the rules on marketing activities. The most important provisions introduced by the new Reimbursement Act are: fixed markups and prices of reimbursed medicines, introduction of a pay-back system, risk-sharing mechanisms, tax on income from reimbursements, a maximum (total) reimbursement budget, new therapeutic and economic criteria for various levels of reimbursement. Undoubtedly the planned changes will improve the functioning of the reimbursement procedure by increasing the transparency of the process. Challenges facing health policy in Poland are not unique: similar have been identified in Hungary. Owing to the similarities between both countries in healthcare systems, clinical practice patterns and economic indicators, it seems to be reasonable to develop partnerships in creating relevant regional databases and registries, and in examination of the generalisability and transferability of health technology assessment findings.

Suggested Citation

  • Ewa Orlewska, 2011. "Challenges and changes in the Polish healthcare system," Society and Economy, Akadémiai Kiadó, Hungary, vol. 33(3), pages 575-594, December.
  • Handle: RePEc:aka:soceco:v:33:y:2011:i:3:p:575-594
    Note: I would like to thank the reviewers for their useful comments on the first version of the paper and the professors at the University of Debrecen who helped my scientific development with their reflections and comments on my previous papers.

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    More about this item


    healthcare system; reform; pharmaceutical policy; Poland;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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