Privatisation of hospitals in Poland--barriers and opportunities.
The paper discusses the question of privatisation of the in-patient care sector in Poland. The references to the general reforming processes are made, as well as the legal context of ownership changes is presented. First part of the article describes the forms of privatisation applied in Poland, such as privatisation of the management, partial privatisation, functional privatisation and total privatisation. The basic data concerning legal regulations currently being in force is also included. Legal status is an important obstacle for the process of privatisation, since the regulations are incoherent and ambiguous. The project of Commercialisation and Privatisation of Independent Public Health Care Facilities Law was presented in 2001, but the political situation was unfavourable for such a regulation. The paper discusses also the potential profits that may be gathered during the privatisation, which may be proved by the experiences in the field of out-patient care, as well as the examples of other countries. It is stated that success of privatisation depends on changes in the structure of sources of financing health care system. The last part of the article describes the previous course of privatisation processes of in-patient sector. Presently about 18% of hospitals in Poland are private facilities, but their role in the system is marginal. The case of hospital in Wiecbork, which was the first bankrupt private hospital in Poland, is presented as the example of dangers caused by the invalid law. The final conclusion is that there is an urgent need in Poland to create clear and coherent legal frames for the privatisation of hospitals, as well as harmonisation of the changes with general reforms of the health care system.
Krajewski-Siuda
Krzysztof
K
Department of Health Policy, Faculty of Public Health, Medical University of Silesia, Bytom, Poland. zpz@slam.katowice.pl
Romaniuk
Piotr
P
D003695:Delivery of Health Care; D018166:Health Care Reform; D006779:Hospitals, Public / Q000458:organization & administration*; D011044:Poland; D011320:Primary Health Care; D011332:Privatization / Q000331:legislation & jurisprudence*