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EN
Health care facility (In Polish ZOZ) is a basic, yet complex organizational and legal model within which, health service can be provided to patients in Poland. In the light of law ZOZ can receive funds from paid health benefits obtainable on the basis of bilateral agreement. Those contracts include agreement for the provision of health care service concluded between the service provider and the director of provincial department of National Health Fund (In Polish NFZ), commonly known as a contract. The subject of this paper is to present current legal basis and the rules for entering into agreement with National Health Fund by public and private health care facilities. The aim of this article is to attract the attention to the role of contract with NFZ as of the basic source of financing health care facilities and also to explain methods of financing health services awarded on the basis of contract.
EN
This article deals with three different approaches to health care consumption and financing that have evolved in health policy of developed countries. After classifying them, it focuses on public financing the necessary health care that should be universally available. Czech system of public health insurance has been established at the beginning of the 1990’s as a compromise between the institutional framework and aims, which were highly relevant during early phase of economic transformation. The article analyses the possibilities of transition from this system to earmarked health tax on personal income as a dominant source of health care financing, while preserving the current level of fiscal capacity for health budgets. Simultaneously the socio-economic consequences of such a system are discussed, while keeping social and health policy context relevant.
EN
The share of privately paid medical care is steadily increasing. Polish patients pay immediately for single services and may also privately conclude the contracts for medical insurance or subscription (steady access to complex private medical care). The aim of this paper is to draw the reader's attention to the possibilities a Polish patient has of obtaining complex private medical care. The paper describes the range of services which are guaranteed for all patients insured by National Health Fund (financed from public resources) and contracts of private health insurance and medical subscription.
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