The state of finances in health care stirs a lot of interest among both politicians
as well as experts. Unfortunately, despite improvements made
in recent years, there is still a lack of thorough knowledge in this field.
For this reason the Ministry of Health has commissioned a report called
“Green Book II” on the financial situation in the health sector.
The report presents first and foremost a diagnosis of the financial situation
of health care in Poland. However, it also contains some recommendations
that are the result of analyses and prognosis of income and
expenses of health care in Poland in the next decades.
Over 60% percent of the health care’s income comes from premiums
– which is a source of income of great dynamics. Another significant
source of income is made up of funds designated for health care out of
household budgets. The remaining sources of income come from the
country’s budget, state’s budget as well as from employers.
Health care expenses since the year 2004 clearly show a tendency to
rise, what is worrisome is the drop in expenses connected with public
health such as, for example, education.
In Poland the share of expenses for public health in GDP (gross domestic
product) has been constant figure for many years, and is one of the
lowest in Europe.
The report, “Green Book II” also sheds light on two important occurrences:
the disproportion of the development of separate segments of
the system as well as the permanent debts of care givers.
Unfortunately, according to the prognosis the gap between income and
expenses in health care will widen.
In light of the results of the analyses conducted so far, the basic problem
regarding the functioning of the health care sector is the lack of.
keywords in Polish:
finanse ochrony zdrowia, przychody ochrony zdrowia, składka zdrowotna, wydatki na zdrowie, koszty systemu ochrony zdrowia, zadłużenie w sektorze zdrowotnym, prognoza przychodów i wydatków zdrowotnych
keywords in English:
health care finance, health care revenue, health insurance contribution, health care expenditure, health care costs, debts in the health care system, projection of health revenue and health expenditure
affiliation:
Wydział Nauk o Zdrowiu : Instytut Zdrowia Publicznego