The article presents the evolution of cost accounting in the Polish health care system. There are presented the causal factors of poor quality cost information, and the characteristics of currently operating solutions is given. In the focus of considerations are: the nature and elements of the newly designed account system, based on the resources approach in which one of the main cost objects are DRG groups which, in turn, determines the considerable practicality of this system for the current medical entities management. The usefulness of cost accounting solutions in European countries, in the context of significant growth in the DRG funding, is also discussed.
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