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

Prezentacja na temat: "I NEQUALITIES IN FINANCING AND HEALTH CARE ACCESS. Prof. AE dr hab. Aldona Frączkiewicz-Wronka Mgr Przemysław Kotowski Akademia Ekonomiczna Katowice."— Zapis prezentacji:

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

2 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.

3 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.

4 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.

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

6 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.

7 THE AIM OF POLISH NATIONAL HEALTH PROGRAMME 2006-2015: Equalization of teritorial and social differences in the field of health care. According to NHP one should follow the rules of: equality accessibility

8 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.

9 EQUALITY IN HEALTH CARE IS DEFINED AS: vertical horizontal

10 HOUSEHOLDS HEALTH AND MEDICAL EXAMINATION EXPENDITURES (in zł.) 2000200320052007 Dolnośląskie434452542448 Kujawsko-Pomorskie258423390323 Lubelskie352333467382 Lubuskie290261358466 Ł ó dzkie 220296574584 Małopolskie199443414294 Mazowieckie336944527374 Podkarpackie174528455361 Świętokrzyskie293333301244 Opolskie252398366391 Śląskie312441537427 Wielkopolskie234366529318 Pomorskie238508407375 Warmińsko-Mazurskie181330317258 Podlaskie214394400371 Zachodnio-Pomorskie227414245349 max434944574584 min174261245244

11 HOUSEHOLDS HEALTH AND MEDICAL EXAMINATION EXPENDITURES

12 HOUSEHOLDS EXPENDITURES ON TREATMENT IN PUBLIC HOSPITAL (in zł.) 2000200320052007 Dolnośląskie115 336 492 198 Kujawsko-Pomorskie28 3 30 - Lubelskie142 79 87 - Lubuskie266 3 65 - Ł ó dzkie 86 83 117 - Małopolskie128 173 135 - Mazowieckie229 565 86 - Podkarpackie148 2 32 - Świętokrzyskie58 100 257 - Opolskie883 5 17 - Śląskie112 5 267 - Wielkopolskie111 158 81 67 Pomorskie102 4 108 173 Warmińsko-Mazurskie226 2 84 - Podlaskie297 1 29 - Zachodnio-Pomorskie80 4 1777 - max8835651777198 min2811767

13 HOUSEHOLDS EXPENDITURES ON TREATMENT IN PUBLIC HOSPITAL

14 HOUSEHOLDS EXPENDITURES ON DRUGS (in zł.) 2000200320052007 Dolnośląskie246 284 330 359 Kujawsko-Pomorskie208 260 261 276 Lubelskie243 312 347 341 Lubuskie243 239 305 316 Ł ó dzkie 320 258 311 353 Małopolskie229 291 343 345 Mazowieckie284 314 347 362 Podkarpackie237 255 356 345 Świętokrzyskie254 237 301 321 Opolskie246 260 294 342 Śląskie250 298 268 298 Wielkopolskie213 262 291 287 Pomorskie235 261 274 290 Warmińsko-Mazurskie179 252 236 289 Podlaskie238 252 317 296 Zachodnio-Pomorskie218 209 229 289 max320314356362 min179209229276

15 HOUSEHOLDS EXPENDITURES ON DRUGS

16 STRUCURAL FUNDS IN HEALTH CARE

17 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.

18 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.

19 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

20 The action 1.3.2. is adressed to regional entities The action 3.5.2. relates to lower range institutios – the local ones.

21 T HE ACTION 1.3.2. 36 projects 38 095 388 PLN

22 T HE ACTION 1.3.2. Modernization and purchase of new medical equipment (Górnośląskie Centrum Rehabilitacji im. Gen. J. Ziętka) – 2 929 366,50 pln. Buiildings modernization (Państwowy Zakład Opiekuńczo-Leczniczy w Międzybrodziu –2 599 925,82 pln. Modernization of operating suite (Samodzielny Publiczny Szpital Kliniczny im. A. Mielęckiego ŚIAM –2 520 450,00 pln.

23 T HE A CTION 3.5.2. 24 projects 19 858 338 PLN

24 P ODDZIAŁANIE 3.5.2. The purchase of MRI (SP ZZOZ Zagórze w Sosnowcu) –3 037 500,00 pln Jaworzno hospital modernization (Szpital Miejski w Jaworznie) - 953 698,00 pln. Modernization of anaesthesiology and intensive care ward (Szpital Miejski w Siemianowicach Śląskich) – 2 398 106,00 pln.

25 T HE ACTION 7.3.1 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.

26 T HANK YOU FOR YOUR ATTENTION.