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Inhalt des Dokuments

Poland - Health system review.

Sagan A, Panteli D, Borkowski W, Dmowski M, Domanski F, Czyzewski M, Gorynski P, Karpacka D, Kiersztyn E, Kowalska I, Ksiezak M, Kuszewski K, Lesniewska A, Lipska I, Maciag R, Madowicz J, Madra A, Marek M, Mokrzycka A, Poznanski D, Sobczak A, Sowada C, Swiderek M, Terka A, Trzeciak P, Wiktorzak K, Wlodarczyk C, Wojtyniak B, Wrzesniewska-Wal I, Zelwianska D, Busse R
Health Systems in Transition 13(8): 1-193




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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