en
Studia Iuridica

From Decentralization to Privatization. The Case of the Polish Hospital System

2016, 68, No. 1

Dawid Sześciło

0000-0001-6682-879X

Warsaw University

DOI

-

Publication date

20.03.2017

Publishing model

open access

License type

CC BY 4.0 Int.

Field

Law

Discipline

law

Language of publication

English

Downloads

PDF 647 KB

Article

Number of views:58

Number of downloads:12

Crossref citations:0

Altmetric score:0

Abstract

Decentralization and privatization have been the key elements of the new public management agenda for reshaping public services. Both trends have also affected the area of health services, with particular focus on hospital management. This paper describes the process of decentralization of healthcare and hospital governance in Poland for recent decades and discusses whether the increasing role of local and regional governments in hospital management has triggered the process of privatization of healthcare units. Deriving from statistical data and qualitative assessment, it concludes that while privatization of hospitals in one of the important trends in the Polish health policy, its scope is limited by several obstacles of economic, political and social nature.

Keywords:

decentralization,privatization,hospital management,new public management

Bibliography

Andrisani P. J., Hakim S., Savas E. S., Introduction, (in:) P. J. Andrisani, S. Hakim, E. S. Savas (eds.), The New Public Management: Lessons from Innovating Governors and Mayors, New York 2002

Bankauskaite V., Saltman R. B., Central issues in the decentralization debate, (in:) R. Saltman B., V. Bankauskaite, K. Vrangbӕk (eds.), Decentralization in health care, London 2007

Blank R. H., Burau V., Comparative Health Policy, London 2013

Council of the Ministers of the Republic of Poland, National Development Strategy 2030. Third Wave of Modernity, Warszawa 2013

Council of the Ministers of the Republic of Poland, National Health Programme 2007–2015, Warszawa 2007

Davey K., Decentralization in CEE Countries: Obstacles and Opportunities, (in:) G. Peteri (ed.), Mastering Decentralization and Public Administration Reforms in Central and Eastern Europe, Budapest 2002

Dicke L. A., Boonyarak P., Ensuring Accountability in Human Services: The Dilemma of Measuring Moral and Ethical Performance, (in:) H. G. Fredericton, R. K. There (eds.), Ethics in Public Management, New York 2005

Gaynor M., Moreno-Serra R., Propper C., Can competition improve outcomes in UK health care? Lessons from the past two decades, “Journal of Health Services Research & Policy” 2012, 17(suppl 1)

Hart J., Central Agencies and Departments: Empowerment and Coordination, (in:) B. G. Peters, D. J. Savoie (eds.), Taking Stock. Assessing Public Sector Reforms, Montreal 2005

Heintzman R., Juillet L., Searching for new instruments of accountability: New political governance and the dialectics of accountability, (in:) H. Bakvis, M. D. Jarvis (eds), From new public management to new political governance, Montreal 2012

Magellan, Sytuacja finansowa szpitali w Polsce, Warszawa 2014

Meier K. J., Hill G. C., Bureaucracy in the Twenty-First Century, (in:) E. Ferlie, L. Lynn, C. Pollitt (eds.), The Oxford Handbook of Public Management, Oxford 2005

Najwyższa Izba Kontroli, Działalność szpitali samorządowych przekształconych w spółki kapitałowe, Warszawa 2015

Najwyższa Izba Kontroli, Informacja o wynikach kontroli przekształceń własnościowych wybranych szpitali w latach 2006–2010, Warszawa 2011

Øverbye E., Disciplinary Perspectives, (in:) F. G. Castles, S. Leibfried, J. Lewis, H. Obinger, C. Pierson (eds.), The Oxford Handbook of the Welfare State, Oxford 2010

Piekara A., Aksjologiczne i pragmatyczne aspekty samorządu terytorialnego, “Samorząd Terytorialny” 1991, No. 1–2

Pollitt C., Bouckaert G., Public management reform: A comparative analysis, Oxford 2004

Regulski J., Kulesza M., Droga do samorządu. Od pierwszych koncepcji do inicjatywy Senatu (1981–1989), Warszawa 2009

Rondinelli D. A., Nellis J. R., Cheema G. S., Decentralization in Developing Countries: A Review of Recent Experience, “World Bank Staff Working Papers” 1983, No. 581

Sowada, C., Zadłużenie publicznych szpitali w Polsce w latach 2005–2014. Nierozwiązany problem zobowiązań wymagalnych, “Zdrowie Publiczne i Zarządzanie” 2014, No. 3

Wójcik M., Przekształcanie formy organizacyjnoprawnej szpitali na podstawie regulacji zawartych w ustawie o działalności leczniczej. Nowe wyzwanie i odpowiedzialność samorządów terytorialnych, (in:) E. Nojszewska (ed.), System ochrony zdrowia. Problemy i możliwości ich rozwiązań, Warszawa 2011