Health care in Poland

Last updated

National Health Fund logo NFZ logo.svg
National Health Fund logo
Healthcare spending vs life expectancy for some countries in 2007 Life expectancy vs spending OECD.png
Healthcare spending vs life expectancy for some countries in 2007

Health care in Poland is insurance based, delivered through a publicly funded health care system called the Narodowy Fundusz Zdrowia, which is free for all the citizens of Poland provided they fall into the "insured" category (usually meaning that they have health insurance paid for by their employer, or are the spouse or child of an insured person). According to Article 68 of the Polish Constitution everyone has a right to have access to health care. Citizens are granted equal access to the publicly funded healthcare system. In particular, the government is obliged to provide free health care to young children, pregnant women, disabled people, and the elderly. [1] However, private health care use is very extensive in Poland. Patients who are uninsured have to pay the full cost of medical services. According to a study conducted by CBOS in 2016, out of 84% patients taking part in the survey, 40% declared use of both private and public health services, 37% use only public health care, and 7% use only private health services. 77% of all responders declared using private health care is caused by long waiting for public health care services. [2]

Contents

Financing and health expenses

The main financing source is health insurance in the National Health Fund. Citizens are obligated to pay insurance fees (redistributed tax) which is 9% deducted from personal income (7,75% is deducted from the tax, 1,25% covered by insured goes directly to the National Health Fund). The national budget covers around 5% of all health care expenses. Since 2007 emergency rescue services are financed in total from the national budget. About 70% of health expenses in Poland are covered by the National Health Fund, with the remaining 30% coming from private health insurance. [3]

Structure

The management of the public health system is divided between the Minister of Health and three levels of territorial self-government. It has been suggested that this delays response to problems. [4]

The structure of the health system in Poland is regulated by these laws: [5] [6] [7]

LegislationAct no
The Act on Medical Activity (pol. Ustawa o działalności leczniczej)Dz.U. z 2018 r. poz. 160
The Act on Public Funding of Health Care Services (pol.Ustawa o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych)Dz.U. z 2018 r. poz. 1510
The Act on Patients Rights and Patients Ombudsman (pol. Ustawa o prawach pacjenta i Rzeczniku Praw Pacjenta)Dz.U. z 2017 r. poz. 1318

The Narodowy Fundusz Zdrowia is the National Health Fund of Poland.

Health service providers

Inflancka Street Hospital in Warsaw, 2015 Szpitak Inflancka 2015.jpg
Inflancka Street Hospital in Warsaw, 2015

Primary care

The basis of the healthcare system is the primary care physician, who is most commonly a specialist in family health. They are responsible for conducting treatment and taking preventive actions for assigned patients. If sickness requires the intervention of a specialist, the first contact doctor issues referral to a hospital or other health care unit. Primary care surgeries are open from Monday to Friday from 8:00 a.m. to 6:00 p.m. At other times the Narodowy Fundusz Zdrowia has contracts with 24-hour medical service units. Addresses and telephone numbers of units providing 24 hour-medical service are available in primary healthcare surgeries. A referral is not needed for oncology, gynecology, psychiatry, dentistry, or sexually transmitted diseases. Not all dental treatment is covered by the health insurance scheme. [8]

Control and supervising institutions

Access to health services

Primary care (Polish: POZ
) room in Lodz 20200204 074817 Wojewodzka Stacja Ratownictwa Medycznego w Lodzi - Poradnia POZ.jpg
Primary care (Polish : POZ) room in Lodz
Life expectancy in Poland Life expectancy by WBG -Poland.png
Life expectancy in Poland

According to The Act 240 dated 27.08.2004 about Health Care Public Funding, access to health care services can be provided if patient is able to confirm having health insurance by presenting a document such as an Insurance card, an Insurance card for employee family members or a Pensionary card [9]

Referral is required to get access to:

Referral is not required for patients:

Emergency medical services

Ambulance in Poland Mercedes ambulance PICT0112.jpg
Ambulance in Poland

Emergency Medical Services (Polish : Ratownictwo Medyczne, RM) in Poland are a service of public, pre-hospital emergency healthcare, including ambulance service, provided by the individual Polish cities and counties. Services are typically provided by the local, publicly operated hospital, and are generally funded by the government of Poland. In a number of cases, hospitals contract the services to private operators. In addition to publicly funded services, there are a variety of private-for-profit ambulance services operating independently.

Problems

The health care system in Poland has had problems for many years. According to the Euro health consumer index 2018, Poland was on 32nd place out of 35. [10] The main problems listed in Health Consumer Index 2016 are:

See also

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References

  1. "PolishConstitution". Polish Parliament. Archived from the original on 1 June 2019. Retrieved 23 April 2013.
  2. "Korzystanie ze świadczeń i ubezpieczeń zdrowotnych" [Using benefits and health insurance](PDF) (in Polish). August 2016. Archived (PDF) from the original on 2018-03-28. Retrieved 2018-09-11.
  3. "Kampania 17 Celów - Cele Zrównoważonego Rozwoju w biznesie" (PDF). 18 August 2020. Archived (PDF) from the original on 9 September 2018. Retrieved 9 September 2018.
  4. "Poland HiT (2019)". European Observatory. 2019. Archived from the original on November 23, 2019. Retrieved 10 July 2019.
  5. "Obwieszczenie Marszałka Sejmu Rzeczypospolitej Polskiej z dnia 8 grudnia 2017 r. W sprawie ogłoszenia jednolitego tekstu ustawy o działalności leczniczej".[ permanent dead link ]
  6. "Obwieszczenie Marszałka Sejmu Rzeczypospolitej Polskiej z dnia 20 lipca 2018 r. W sprawie ogłoszenia jednolitego tekstu ustawy o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych".
  7. "Obwieszczenie Marszałka Sejmu Rzeczypospolitej Polskiej z dnia 8 czerwca 2017 r. W sprawie ogłoszenia jednolitego tekstu ustawy o prawach pacjenta i Rzeczniku Praw Pacjenta". Archived from the original on 2019-12-15. Retrieved 2018-09-09.
  8. "General information concerning access to health care during a temporary stay in Poland". NFZ. 29 January 2015. Archived from the original on 9 December 2018. Retrieved 8 December 2018.
  9. "EWUŚ - czy mam prawo do świadczeń?". Archived from the original on 2018-09-08. Retrieved 2018-09-09.
  10. "Polska na 32. Miejscu w Europejskim Konsumenckim Indeksie Zdrowia | Obserwator Finansowy: Ekonomia, debata, Polska, świat". 6 March 2019. Archived from the original on 21 October 2020. Retrieved 13 October 2020.