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Konsekwencje urynkowienia usług medycznych w Polsce

100%
Wiśniewska B.
Acta Universitatis Lodziensis. Folia Sociologica
|
2003
|
issue 30
261-272
EN
Among changes that took place in Poland due to restructurisation of political and economical system in early ’90 was halthcare and its managament. Amount of changes that was to proceed causes big political, fmacial and social problems. Even grat reform that was lunched in 1999 didn’t help to make it better but started changes that can make Polish healthcare more effective. First time in Poland heathcare was treated like bussines, patients could choose doctor and hospital, before it depend on “zone” in wich patient lives. Act of reform started a new element in finacial managament of heathcare, social security found - regional, when patient was ordinary worker and branch when patient work as a soldier, police or other uniformed forces. Social security found (kasy chorych) was responsible for medical contracts, medecines and running of hospitals. New job was heathcare manager that has to negotiate, buy and sell heathcare like any other goods. Beside Register of Medical Services was created, it mayby helpful to analizę work of any hospitals, emergency units and familiy doctors to create it more effective and better. Thanks to work of register every doctor or health manager can reach any statistics datas that help to run heathcare as a kind of bussines. Biggest change was that now patient is the one who can choose best way of healing, hospital, doctor. Hospitals are trying to be better, bacause it’s the only way to get patient and money from the found. 1 april 2003 new act etablished National Heath Found that replaced Social Security Fond. As before it has 16 terytories of voivodship to manage and that’s the last but not least act of healthcare reform.
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