[Economic aspects of functioning of the occupational health services. Proposed directions of the changes].
In Poland for several years a reform of the health and social care systems has been a subject of discussion. However, more attention has been paid to the problems pertaining to health policy than to modification of economic and financial system. This refers also to occupational health service (OHS), its role and place in industrial plant in general and in the system of social benefits offered by a given economic subject in particular. One of the main issues discussed is effectiveness of OHS functioning. It is particularly important in view of high differentiation of unit costs (e.g. in Occupational Health Care Complexes), The highest cost per one employee covered by the care was six times higher than the lowest noted, whereas the current cost per one consultation in out-patient OHS unit was "only" three times lower--in the most effective in this respect Occupational Health Care Complex-as compared to the highest cost recorded. The similar phenomenon was also observed as regards the costs covered from the budget calculated per one employee covered by the care and per one consultation. The paper presenting a problem of OHS functioning, with particular regard to financing its activities, contributes to the discussion on improvement of economic and financial system of health care in Poland. It also recommends some possible solutions of most effective use of the financial means allocated for OHS activities in new economic situation in our country.
Smoleń
M M
MM
Samodzielnej Pracowni Ekonomiki Zdrowia Instytutu Medycyny Pracy.
D003365:Costs and Cost Analysis; D005102:Health Expenditures / Q000639:trends*; D006291:Health Policy / Q000191:economics* / Q000639:trends; D006801:Humans; D009786:Occupational Health Services / Q000191:economics* / Q000639:trends; D009787:Occupational Medicine / Q000191:economics* / Q000639:trends; D011044:Poland
Ekonomiczno-finansowe aspekty funkcjonowania przemysłowej słuzby zdrowia. Proponowane kierunki zmian.