| Titre : | Health system review : Poland. : Revue du système de santé : Pologne. |
| Auteurs : | Anna Sagan ; W. BORKOWSKI ; et al. ; Dimitra Panteli ; European Observatory on Health Systems and Policies (Brussels, BEL) |
| Type de document : | Ouvrage |
| Editeur : | Copenhague [DNK] : OMS Bureau régional de l'Europe, 2011 |
| Collection : | Health systems in transition , num. vol. 13, n° 8. |
| Description : | 227p. pdf / tabl., graph., fig. |
| Langues: | Anglais |
| Mots-clés : | Système soins ; Organisation soins ; Dépense santé ; Financement soins ; Décentralisation ; Système santé ; Etat santé ; Economie santé ; Assurance maladie ; Planification sanitaire ; Régulation ; Démographie médicale ; Ressource humaine ; Offre soins ; Evaluation ; Dépense pharmaceutique ; Donnée statistique ; Synthèse connaissance ; Réforme ; Pologne |
| Résumé : | [BDSP. Notice produite par IRDES FR0xkI8E. Diffusion soumise à autorisation]. The Health system profiles (HiTs) are country-based reports that provide a detailed description of health systems and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems. They also describe the institutional framework, process, content, and implementation of health and health care policies, highlighting challenges and areas that require more in-depth analysis. Sections include : Geography and sociodemography ; Political and economic context ; Health status ; Organizational structure ; Decentralization and centralization ; Patient empowerment ; Health care financing ; Health expenditure ; Population coverage ; Pooling ; Purchasing ; Payment mechanisms ; Regulation and planning ; Physical and human resources ; Provision of services ; Public health ; Primary care ; Hospital care ; Emergency care ; Social care ; Palliative care ; Mental health care ; Dental care ; Pharmaceuticals ; Health care reforms ; Assessment of the health system. Extensive reform efforts have taken place in Poland since the start of political and economic transformation in 1989, including the first systemic changes in the health sector. The strongly centralized health system based on the Semashko model was replaced with a decentralized system of mandatory health insurance complemented with financing from state and territorial self-government budgets. The health status of the Polish population has improved substantially, but challenges remain. Prioritizing primary care and adopting new payment mechanisms such as diagnosis-related groups (DRGs), have been introduced in recent years but need to be expanded to other areas and intensified. Limited financing seems to be the biggest barrier in achieving accessible and good quality of health care services and in improving patient satisfaction with the system. |
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