The evaluation of the economic results of the restructuring of independent public health care centers subject to Lower Silesia region government

Bernadetta Fijałkowska

Abstract

The main objective of the PHD thesis is to assess the economic effects (effects, consequences and results) restructuring of independent public health care institutions subordinate to the local government of Lower Silesia in the years 2002-2011. Theoretical part of the dissertation presents an analysis of the issues related to the functioning and transformation of health systems in Poland and in the world. There are the three types of health care presented: supply, insurance and residual. Polish health care system has a unique character, combining the features of both the insurance model and the service model. Since the four reforms had been introduced, including: education, pensions, administration and health care, the health care system has been decentralized. As a result of the law of common health insurance system (O1.01.1999), the health care institutions began to function without debt. Unfortunately, the new laws did not secure a sufficient level of funding and was the main cause of increasing level of debt of medical institutions in following years. In 2001 there were entered in to force "Act 203" and on that basis should have been granted to all employees pay increases, worsening the financial condition of health care institutions. Funding from the National Health Fund was not sufficient for the purchase of medical equipment and apparatus, repairs and wages. In return it caused a lack of liquidity. To improve the financial condition, various forms of restructuring were carried out in stages. For the purposes of the thesis, the restructuring process in 2002-2010 was divided into three stages. The stages are based on empirical research. The results and impact of the research are presented and the conclusions are described in the thesis. The tasks of the health care are shaped by challenges and expectations arising from the National Health Program, the "medical Schengen area" as well as current needs. These changes are associated with the privatization of public services, on the other band, the introduction of the methodology of the private sector into the public sector. The author believes that in the coming years medical institutions will continue to borrow, and establishing bodies will have serious problems both on legal and financial terms.
Diploma typeDoctor of Philosophy
Author Bernadetta Fijałkowska
Bernadetta Fijałkowska,,
-
Title in EnglishThe evaluation of the economic results of the restructuring of independent public health care centers subject to Lower Silesia region government
Languagepl polski
Certifying UnitFaculty of Management, Information Systems and Finance (MISaF)
Disciplinenauki o zarządzaniu / nauki ekonomiczne(nauki ekonomiczne) / nauki społeczne()
Defense Date18-10-2013
End date21-11-2013
Supervisor Waldemar Dotkuś (MISaF / IR / KRFiK)
Waldemar Dotkuś,,
- Katedra Rachunkowości Finansowej i Kontroli

Internal reviewers Edward Nowak (MISaF / IR / KRC)
Edward Nowak,,
- Katedra Rachunku Kosztów, Rachunkowości Zarządczej i Controllingu
External reviewers Jolanta Chluska
Jolanta Chluska,,
-
Pages221
Keywords in EnglishDebt, restructuring, health care
Abstract in EnglishThe main objective of the PHD thesis is to assess the economic effects (effects, consequences and results) restructuring of independent public health care institutions subordinate to the local government of Lower Silesia in the years 2002-2011. Theoretical part of the dissertation presents an analysis of the issues related to the functioning and transformation of health systems in Poland and in the world. There are the three types of health care presented: supply, insurance and residual. Polish health care system has a unique character, combining the features of both the insurance model and the service model. Since the four reforms had been introduced, including: education, pensions, administration and health care, the health care system has been decentralized. As a result of the law of common health insurance system (O1.01.1999), the health care institutions began to function without debt. Unfortunately, the new laws did not secure a sufficient level of funding and was the main cause of increasing level of debt of medical institutions in following years. In 2001 there were entered in to force "Act 203" and on that basis should have been granted to all employees pay increases, worsening the financial condition of health care institutions. Funding from the National Health Fund was not sufficient for the purchase of medical equipment and apparatus, repairs and wages. In return it caused a lack of liquidity. To improve the financial condition, various forms of restructuring were carried out in stages. For the purposes of the thesis, the restructuring process in 2002-2010 was divided into three stages. The stages are based on empirical research. The results and impact of the research are presented and the conclusions are described in the thesis. The tasks of the health care are shaped by challenges and expectations arising from the National Health Program, the "medical Schengen area" as well as current needs. These changes are associated with the privatization of public services, on the other band, the introduction of the methodology of the private sector into the public sector. The author believes that in the coming years medical institutions will continue to borrow, and establishing bodies will have serious problems both on legal and financial terms.
KBN classificationekonomia
Thesis file
Fijałkowska_B_Ocena_Skutkow_Ekonomicznych_Restrukturyzacji_Samodzielnych.pdf 2,08 MB

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