Dylematy reformy systemu finansowania ochrony zdrowia

Abstract

Discussion on the reform of the economic-financial system in the health protection sector calls for evaluation of the present infrastructure in this sphere and its particular elements. Hence, there are presented in this article basic indices characterizing health protection in Poland and concerning its material base, cadres and financial outlay son it. Theoretical methods, forms and systems of financing that can be applied in the non-material sphere are discussed against this background. The above analysis is followed by evaluation of the proposed solutions taking into account, first of all, forms of financing, barriers connected with a possibility of introducing an objective system of financing mainly in the field of fixing costs and counting basic rates of charges for services. Some attention has been focussed, moreover, on the system of motivations . In the final part of the article, there is postulated a necessity of providing a precise answer to the following questions: - how to determine the base for prices of services in health protection? - how to obtain information on costs? - what measures should be made a reference point for costs? Without solving these problems, the reform being introduced now may become a costly experiment, which al lows only to change and not improve the economic-financial system in the health protection sphere.