I NEQUALITIES IN FINANCING AND HEALTH CARE ACCESS. Prof. AE dr hab. Aldona Frączkiewicz-Wronka Mgr Przemysław Kotowski Akademia Ekonomiczna Katowice

USOLVED PROBLEMS IN CONTEMPORARY HEALTHCARE SYSTEMS: constantly rising and therefore hard to control and estimate costs of healthcare, strong relationship between costs and actual health needs of the society, strong relationship between costs and qality and quantity of healtcare services, strong relationship between system elements funcioning and economic development.

THE MAIN CAUSES OF MISERABLE SITUATION IN POLISH HEALTHCARE SYSTEM: insufficient public resources earmarked for financing main health care objectives, significant rise of health needs among society, discrepancy between scheduled and realized investmens, low level of salaries influencing motivation drop and low quality of medical service, arising health services access barriers, poor efficiency of work, system based on supply of services than on demand for health care.

THE RESEARCH INTO VARIOUS HEALTHCARE FUNCTIONING ASPECTS; EXAMPLE OF SECTORIAL RESEARCH This research enables: defining criterias for social policy evaluation, defining criterias for health policy evaluation, economic effectiveness evaluation of pursued actions.

AIM – TO FIND: What should modern healthcare system be to include: changes in societys awareness, globalization, functioning of the free market.

WHOs STRATEGY HEALTH FOR EVERYONE EMPHASIZES THE IMPORTANCE OF EQUALITY IN EVERY HEALTH POLICY ASPECT Defines equality as: equal health care access for those with the same health needs, equal quality of health care service, effective use of resources and work serving health.

THE AIM OF POLISH NATIONAL HEALTH PROGRAMME : Equalization of teritorial and social differences in the field of health care. According to NHP one should follow the rules of: equality accessibility

REALIZATION OF FORMULATED STIPULATIONS NEEDS TO: be taken into consideration in long-term social policy, ensuring every citizen with health safety, The most important health safet factors: safe and efficient medical technologies, safety measures in case of emergency, the guarantee of free access to health care services without any barriers.

EQUALITY IN HEALTH CARE IS DEFINED AS: vertical horizontal

HOUSEHOLDS HEALTH AND MEDICAL EXAMINATION EXPENDITURES (in zł.) Dolnośląskie Kujawsko-Pomorskie Lubelskie Lubuskie Ł ó dzkie Małopolskie Mazowieckie Podkarpackie Świętokrzyskie Opolskie Śląskie Wielkopolskie Pomorskie Warmińsko-Mazurskie Podlaskie Zachodnio-Pomorskie max min

HOUSEHOLDS HEALTH AND MEDICAL EXAMINATION EXPENDITURES

HOUSEHOLDS EXPENDITURES ON TREATMENT IN PUBLIC HOSPITAL (in zł.) Dolnośląskie Kujawsko-Pomorskie Lubelskie Lubuskie Ł ó dzkie Małopolskie Mazowieckie Podkarpackie Świętokrzyskie Opolskie Śląskie Wielkopolskie Pomorskie Warmińsko-Mazurskie Podlaskie Zachodnio-Pomorskie max min

HOUSEHOLDS EXPENDITURES ON TREATMENT IN PUBLIC HOSPITAL

HOUSEHOLDS EXPENDITURES ON DRUGS (in zł.) Dolnośląskie Kujawsko-Pomorskie Lubelskie Lubuskie Ł ó dzkie Małopolskie Mazowieckie Podkarpackie Świętokrzyskie Opolskie Śląskie Wielkopolskie Pomorskie Warmińsko-Mazurskie Podlaskie Zachodnio-Pomorskie max min

HOUSEHOLDS EXPENDITURES ON DRUGS

STRUCURAL FUNDS IN HEALTH CARE

R EGIONAL HEALTH POLICY IS AIMED AT SOLVING SOCIAL CASES AT THE LOCAL LEVEL. I N VOIVODSHIP CASE THIS WOULD BE TYPICAL PROBLEMS FOR REGION. I N CASE OF DISTRICTS AND MUNICIPALITIES THIS ACTIVITY WILL HAVE SIMPLE AND LOCAL CHARACTER.

Regional health policy focuses on regionals typical needs and way to satisfy them, but only at the local level there is the best combination of needs and funds.

ZPORR The strategic objective is to: set up conditions for growing competition among regions, preventing marginalization to enable long-term country development ( social, economical), Integration with EU

The action is adressed to regional entities The action relates to lower range institutios – the local ones.

T HE ACTION projects PLN

T HE ACTION Modernization and purchase of new medical equipment (Górnośląskie Centrum Rehabilitacji im. Gen. J. Ziętka) – ,50 pln. Buiildings modernization (Państwowy Zakład Opiekuńczo-Leczniczy w Międzybrodziu – ,82 pln. Modernization of operating suite (Samodzielny Publiczny Szpital Kliniczny im. A. Mielęckiego ŚIAM – ,00 pln.

T HE A CTION projects PLN

P ODDZIAŁANIE The purchase of MRI (SP ZZOZ Zagórze w Sosnowcu) – ,00 pln Jaworzno hospital modernization (Szpital Miejski w Jaworznie) ,00 pln. Modernization of anaesthesiology and intensive care ward (Szpital Miejski w Siemianowicach Śląskich) – ,00 pln.

T HE ACTION R EGIONAL HEALTH CARE INFRASTRUCTURE IS AIMED AT : Medical service quality improvement especially in highly specialized hospitals. Reducing regional disproportions in medical infrastructure, Quality and accessibility improvement of lifesaving system.

T HANK YOU FOR YOUR ATTENTION.