Publication:
Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach

dc.contributor.author World Bank
dc.date.accessioned 2014-07-28T22:08:05Z
dc.date.available 2014-07-28T22:08:05Z
dc.date.issued 2014-04
dc.description.abstract Over the past twenty years, the Polish health system has undergone several deep systemic changes. Poland spends more of its healthcare budget on inpatient hospital care than comparable countries, signaling an area of inefficiency that requires reform ahead of demographic trends. Ownership of public hospital facilities is fragmented between different levels of government, leading to multiple stakeholders and a lack of accountability. Poland has made significant progress in rationalizing its hospital system and reducing the number of beds, but the reform agenda remains unfinished as evidenced by the continuing debt issue. This note outlines a path to improving the financial sustainability of the hospital sector in Poland. The anatomy of the debt problem is examined and major obstacles to financial health are systematically reviewed. The root causes of barriers are analyzed from a managerial as well as a health system perspective, including the role of regulatory and financing constraints. In making the case for change, the report also discusses how secular trends, for instance in population health and service delivery, need to be taken into account as plans to reshape the hospital system are being formulated. Preliminary recommendations are made distinguishing: (i) system-level changes which will require national-level policy interventions, and (ii) options for Voivodships and facility managers to work better within the existing system and enhance the chances of selecting no regret move investments. en
dc.identifier http://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note
dc.identifier.uri http://hdl.handle.net/10986/19033
dc.language English
dc.language.iso en_US
dc.publisher Washington, DC
dc.rights CC BY 3.0 IGO
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject ACCESS TO FINANCING
dc.subject ACCUMULATION OF DEBT
dc.subject ADDICTION
dc.subject ADDICTION THERAPY
dc.subject AGED
dc.subject AGING
dc.subject ANESTHESIA
dc.subject ARREARS
dc.subject BANKRUPTCY
dc.subject BIDS
dc.subject CAPITAL INVESTMENT
dc.subject CAPITAL INVESTMENTS
dc.subject CERTIFICATION
dc.subject CITIES
dc.subject CITIZENS
dc.subject CLINICS
dc.subject COMMERCIAL CODE
dc.subject COMMERCIAL LAW
dc.subject COMMERCIAL TERMS
dc.subject CONTINGENT LIABILITIES
dc.subject CONTRACTUAL RELATIONSHIP
dc.subject CREDIBILITY
dc.subject CREDITORS
dc.subject DEBT
dc.subject DEBT BURDEN
dc.subject DEBT CRISIS
dc.subject DEBT FORGIVENESS
dc.subject DEBT ISSUE
dc.subject DEBT ISSUES
dc.subject DEBT LEVELS
dc.subject DEBT RATIO
dc.subject DEBT RELIEF
dc.subject DEBT RESTRUCTURING
dc.subject DEBT SERVICING
dc.subject DEBT STOCK
dc.subject DEBTS
dc.subject DECENTRALIZATION
dc.subject DEFICITS
dc.subject DEMOGRAPHIC TRENDS
dc.subject DEPENDENCY RATIO
dc.subject DESCRIPTION
dc.subject DEVELOPMENTAL OPPORTUNITIES
dc.subject DIABETES
dc.subject DISEASES
dc.subject DISSEMINATION
dc.subject DISTRICTS
dc.subject ECONOMIC EFFICIENCY
dc.subject ECONOMIC GROWTH
dc.subject EMERGENCY MEDICAL SERVICES
dc.subject EMPLOYMENT
dc.subject EXPENDITURE
dc.subject FERTILITY
dc.subject FERTILITY RATE
dc.subject FINANCES
dc.subject FINANCIAL CONSTRAINTS
dc.subject FINANCIAL HEALTH
dc.subject FINANCIAL MANAGEMENT
dc.subject FINANCIAL SUSTAINABILITY
dc.subject FUTURE POPULATION
dc.subject GOVERNMENT BUDGETS
dc.subject GROSS DOMESTIC PRODUCT
dc.subject GYNECOLOGY
dc.subject HEALTH CARE
dc.subject HEALTH CARE PROVIDERS
dc.subject HEALTH CARE SYSTEM
dc.subject HEALTH EXPENDITURES
dc.subject HEALTH FACILITIES
dc.subject HEALTH OUTCOMES
dc.subject HEALTH PROBLEMS
dc.subject HEALTH REFORMS
dc.subject HEALTH SECTOR
dc.subject HEALTH SERVICE
dc.subject HEALTH SERVICE PROVIDERS
dc.subject HEALTH SERVICES
dc.subject HEALTH SPECIALIST
dc.subject HEALTH SYSTEM
dc.subject HEALTH SYSTEMS
dc.subject HEALTH-CARE SYSTEM
dc.subject HOSPITAL ADMISSION
dc.subject HOSPITAL BEDS
dc.subject HOSPITAL BUILDINGS
dc.subject HOSPITAL CARE
dc.subject HOSPITAL MANAGEMENT
dc.subject HOSPITAL SERVICES
dc.subject HOSPITALS
dc.subject HUMAN RESOURCES
dc.subject IMPROVEMENTS IN MANAGEMENT
dc.subject INCOME
dc.subject INFLATION
dc.subject INITIAL DEBT
dc.subject INPATIENT CARE
dc.subject INTEREST GROUPS
dc.subject INTERMEDIARIES
dc.subject INTERNATIONAL BANK
dc.subject INTERNATIONAL DEVELOPMENT
dc.subject INTERNATIONAL FINANCIAL CRISIS
dc.subject INTERNATIONAL STANDARDS
dc.subject INTERVENTIONS
dc.subject INVESTMENT DECISIONS
dc.subject INVESTMENT STRATEGY
dc.subject ISOLATION
dc.subject LACK OF INFORMATION
dc.subject LAWS
dc.subject LEASING
dc.subject LEGAL FRAMEWORK
dc.subject LEGAL STATUS
dc.subject LEVEL OF DEBT
dc.subject LEVEL OF DEBTS
dc.subject LIABILITY
dc.subject LIFE EXPECTANCY
dc.subject LIQUIDATION
dc.subject LIQUIDATIONS
dc.subject LIQUIDITY
dc.subject LIQUIDITY CONSTRAINTS
dc.subject LOAN
dc.subject LOCAL GOVERNMENT
dc.subject LOCAL GOVERNMENTS
dc.subject LOCAL POPULATION
dc.subject MARKET SHARES
dc.subject MEDIA ATTENTION
dc.subject MEDIA COVERAGE
dc.subject MEDICAL CARE
dc.subject MEDICAL EQUIPMENT
dc.subject MEDICAL SERVICES
dc.subject MEDICAL SPECIALTIES
dc.subject MIDWIFE
dc.subject MINISTRY OF HEALTH
dc.subject MODERNIZATION
dc.subject MORBIDITY
dc.subject MORTALITY
dc.subject NATIONAL HEALTH INSURANCE
dc.subject NATIONAL LEVEL
dc.subject NATIONAL STRATEGY
dc.subject NEEDS ASSESSMENT
dc.subject NUMBER OF BIRTHS
dc.subject NURSE
dc.subject NURSES
dc.subject NURSING
dc.subject NURSING CARE
dc.subject OBSTETRIC SERVICES
dc.subject OCCUPANCY
dc.subject OLD-AGE
dc.subject OUTPATIENT CARE
dc.subject PATIENT
dc.subject PATIENTS
dc.subject PAYMENT SYSTEM
dc.subject PEDIATRICS
dc.subject PHYSICIANS
dc.subject POLICY DIALOGUE
dc.subject POLITICAL SUPPORT
dc.subject POPULATION TRENDS
dc.subject PRIMARY CARE
dc.subject PROGRESS
dc.subject PSYCHIATRIC HOSPITAL
dc.subject PSYCHIATRIC HOSPITALS
dc.subject PUBLIC DEBT
dc.subject PUBLIC FINANCES
dc.subject PUBLIC FUNDS
dc.subject PUBLIC HEALTH
dc.subject PUBLIC HEALTH CARE
dc.subject PUBLIC HOSPITALS
dc.subject PUBLIC INFORMATION
dc.subject QUALITY ASSURANCE
dc.subject QUALITY OF CARE
dc.subject QUALITY OF SERVICES
dc.subject QUALITY SERVICES
dc.subject REGIONAL HOSPITAL
dc.subject REGIONAL NETWORKS
dc.subject REGIONAL POPULATION
dc.subject REGULATORY FRAMEWORK
dc.subject REHABILITATION
dc.subject REPAYMENT
dc.subject RESOURCE ALLOCATION
dc.subject RETURN
dc.subject RURAL AREAS
dc.subject SAFETY
dc.subject SERVICE DELIVERY
dc.subject SERVICE PROVISION
dc.subject SERVICE QUALITY
dc.subject SOCIAL SECTOR
dc.subject SOCIAL SERVICES
dc.subject SURGERY
dc.subject TAX
dc.subject TOTAL DEBT
dc.subject TOTAL DEBTS
dc.subject TRAINING OPPORTUNITIES
dc.subject TRANSITION ECONOMIES
dc.subject TRAUMA
dc.subject UNIONS
dc.subject WAR
dc.subject WELLNESS
dc.title Poland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approach en
dc.title.alternative Polska - Poprawa finansowej stabilnosci szpitali : w kierunku podejscia systemowego - raport strategiczny en
dspace.entity.type Publication
okr.date.disclosure 2014-05-22
okr.doctype Economic & Sector Work :: Policy Note
okr.docurl http://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note
okr.globalpractice Social, Urban, Rural and Resilience
okr.globalpractice Finance and Markets
okr.globalpractice Health, Nutrition, and Population
okr.identifier.externaldocumentum 000442464_20140522121623
okr.identifier.internaldocumentum 19550113
okr.identifier.report 88263
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/05/22/000442464_20140522121623/Rendered/PDF/882630PRIORITY0aper0Poland020140ENG.pdf en
okr.region.administrative Europe and Central Asia
okr.region.country Poland
okr.sector Public Administration, Law, and Justice :: Sub-national government administration
okr.sector Public Administration, Law, and Justice :: Public administration- Health
okr.sector Health and other social services :: Health
okr.theme Economic management :: Debt management and fiscal sustainability
okr.theme Public sector governance :: Managing for development results
okr.theme Human development :: Health system performance
okr.topic Health Monitoring and Evaluation
okr.topic Finance and Financial Sector Development :: Debt Markets
okr.topic Housing and Human Habitats
okr.topic Health Systems Development and Reform
okr.topic Health, Nutrition and Population :: Population Policies
okr.topic Communities and Human Settlements
okr.unit Health and Nutrition (ECSH1)
okr.volume 1 of 1
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