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

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dc.contributor.authorWorld Bank
dc.date.accessioned2014-07-28T22:08:05Z
dc.date.available2014-07-28T22:08:05Z
dc.date.issued2014-04
dc.description.abstractOver 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.identifierhttp://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note
dc.identifier.doi10.1596/19033
dc.identifier.urihttps://hdl.handle.net/10986/19033
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO FINANCING
dc.subjectACCUMULATION OF DEBT
dc.subjectADDICTION
dc.subjectADDICTION THERAPY
dc.subjectAGED
dc.subjectAGING
dc.subjectANESTHESIA
dc.subjectARREARS
dc.subjectBANKRUPTCY
dc.subjectBIDS
dc.subjectCAPITAL INVESTMENT
dc.subjectCAPITAL INVESTMENTS
dc.subjectCERTIFICATION
dc.subjectCITIES
dc.subjectCITIZENS
dc.subjectCLINICS
dc.subjectCOMMERCIAL CODE
dc.subjectCOMMERCIAL LAW
dc.subjectCOMMERCIAL TERMS
dc.subjectCONTINGENT LIABILITIES
dc.subjectCONTRACTUAL RELATIONSHIP
dc.subjectCREDIBILITY
dc.subjectCREDITORS
dc.subjectDEBT
dc.subjectDEBT BURDEN
dc.subjectDEBT CRISIS
dc.subjectDEBT FORGIVENESS
dc.subjectDEBT ISSUE
dc.subjectDEBT ISSUES
dc.subjectDEBT LEVELS
dc.subjectDEBT RATIO
dc.subjectDEBT RELIEF
dc.subjectDEBT RESTRUCTURING
dc.subjectDEBT SERVICING
dc.subjectDEBT STOCK
dc.subjectDEBTS
dc.subjectDECENTRALIZATION
dc.subjectDEFICITS
dc.subjectDEMOGRAPHIC TRENDS
dc.subjectDEPENDENCY RATIO
dc.subjectDESCRIPTION
dc.subjectDEVELOPMENTAL OPPORTUNITIES
dc.subjectDIABETES
dc.subjectDISEASES
dc.subjectDISSEMINATION
dc.subjectDISTRICTS
dc.subjectECONOMIC EFFICIENCY
dc.subjectECONOMIC GROWTH
dc.subjectEMERGENCY MEDICAL SERVICES
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURE
dc.subjectFERTILITY
dc.subjectFERTILITY RATE
dc.subjectFINANCES
dc.subjectFINANCIAL CONSTRAINTS
dc.subjectFINANCIAL HEALTH
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL SUSTAINABILITY
dc.subjectFUTURE POPULATION
dc.subjectGOVERNMENT BUDGETS
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGYNECOLOGY
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH REFORMS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH-CARE SYSTEM
dc.subjectHOSPITAL ADMISSION
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL BUILDINGS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALS
dc.subjectHUMAN RESOURCES
dc.subjectIMPROVEMENTS IN MANAGEMENT
dc.subjectINCOME
dc.subjectINFLATION
dc.subjectINITIAL DEBT
dc.subjectINPATIENT CARE
dc.subjectINTEREST GROUPS
dc.subjectINTERMEDIARIES
dc.subjectINTERNATIONAL BANK
dc.subjectINTERNATIONAL DEVELOPMENT
dc.subjectINTERNATIONAL FINANCIAL CRISIS
dc.subjectINTERNATIONAL STANDARDS
dc.subjectINTERVENTIONS
dc.subjectINVESTMENT DECISIONS
dc.subjectINVESTMENT STRATEGY
dc.subjectISOLATION
dc.subjectLACK OF INFORMATION
dc.subjectLAWS
dc.subjectLEASING
dc.subjectLEGAL FRAMEWORK
dc.subjectLEGAL STATUS
dc.subjectLEVEL OF DEBT
dc.subjectLEVEL OF DEBTS
dc.subjectLIABILITY
dc.subjectLIFE EXPECTANCY
dc.subjectLIQUIDATION
dc.subjectLIQUIDATIONS
dc.subjectLIQUIDITY
dc.subjectLIQUIDITY CONSTRAINTS
dc.subjectLOAN
dc.subjectLOCAL GOVERNMENT
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOCAL POPULATION
dc.subjectMARKET SHARES
dc.subjectMEDIA ATTENTION
dc.subjectMEDIA COVERAGE
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL SPECIALTIES
dc.subjectMIDWIFE
dc.subjectMINISTRY OF HEALTH
dc.subjectMODERNIZATION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL STRATEGY
dc.subjectNEEDS ASSESSMENT
dc.subjectNUMBER OF BIRTHS
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING CARE
dc.subjectOBSTETRIC SERVICES
dc.subjectOCCUPANCY
dc.subjectOLD-AGE
dc.subjectOUTPATIENT CARE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPAYMENT SYSTEM
dc.subjectPEDIATRICS
dc.subjectPHYSICIANS
dc.subjectPOLICY DIALOGUE
dc.subjectPOLITICAL SUPPORT
dc.subjectPOPULATION TRENDS
dc.subjectPRIMARY CARE
dc.subjectPROGRESS
dc.subjectPSYCHIATRIC HOSPITAL
dc.subjectPSYCHIATRIC HOSPITALS
dc.subjectPUBLIC DEBT
dc.subjectPUBLIC FINANCES
dc.subjectPUBLIC FUNDS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC INFORMATION
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF SERVICES
dc.subjectQUALITY SERVICES
dc.subjectREGIONAL HOSPITAL
dc.subjectREGIONAL NETWORKS
dc.subjectREGIONAL POPULATION
dc.subjectREGULATORY FRAMEWORK
dc.subjectREHABILITATION
dc.subjectREPAYMENT
dc.subjectRESOURCE ALLOCATION
dc.subjectRETURN
dc.subjectRURAL AREAS
dc.subjectSAFETY
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVISION
dc.subjectSERVICE QUALITY
dc.subjectSOCIAL SECTOR
dc.subjectSOCIAL SERVICES
dc.subjectSURGERY
dc.subjectTAX
dc.subjectTOTAL DEBT
dc.subjectTOTAL DEBTS
dc.subjectTRAINING OPPORTUNITIES
dc.subjectTRANSITION ECONOMIES
dc.subjectTRAUMA
dc.subjectUNIONS
dc.subjectWAR
dc.subjectWELLNESS
dc.titlePoland - Improving the Financial Sustainability of the Hospital Sector : Towards a Systemic Approachen
dc.title.alternativePolska - Poprawa finansowej stabilnosci szpitali : w kierunku podejscia systemowego - raport strategicznyen
dspace.entity.typePublication
okr.date.disclosure2014-05-22
okr.date.doiregistration2025-05-07T10:43:12.184598Z
okr.doctypeEconomic & Sector Work::Policy Note
okr.docurlhttp://documents.worldbank.org/curated/en/2014/04/19550113/poland-improving-financial-sustainability-hospital-sector-poland-towards-systemic-approach-policy-note
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.guid200981468092357399
okr.guid405781468095988521
okr.identifier.externaldocumentum000442464_20140522121623
okr.identifier.internaldocumentum19550113
okr.identifier.report88263
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/05/22/000442464_20140522121623/Rendered/PDF/882630PRIORITY0aper0Poland020140ENG.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryPoland
okr.sectorPublic Administration, Law, and Justice :: Sub-national government administration
okr.sectorPublic Administration, Law, and Justice :: Public administration- Health
okr.sectorHealth and other social services :: Health
okr.themeEconomic management :: Debt management and fiscal sustainability
okr.themePublic sector governance :: Managing for development results
okr.themeHuman development :: Health system performance
okr.topicHealth Monitoring and Evaluation
okr.topicFinance and Financial Sector Development::Debt Markets
okr.topicHousing and Human Habitats
okr.topicHealth Systems Development and Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicCommunities and Human Settlements
okr.unitHealth and Nutrition (ECSH1)
okr.volume1 of 1
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