This document provides information about administrative reform in Poland and is part of a series published by the Centre for Administrative Innovation in the Euro-Mediterranean Region.
This paper presents some aspects of the ongoing reform of Polish Heath Care System. The purpose is not offer an exhaustive view of the reform but simply to underline elements of innovation that could be retraced back to the recent Public Administrative Reforms. Beyond its internal efficiency problems, costs issues and equity, the Health Care System, like other public services, is influenced by the general reform process required above all for new European Countries. The European Union was consistent in its demand to new accession countries to prepare adequately for the transition by "increasing capacity" in public administration and enhancing "good governance" levels. That has required strong planning and a faster adoption of a broad list of reforms in Public Administration: organizational and structural modernization; reduction of public expenditure; gain of citizens' trust and their participation through decentralization institutional process; high quality in public services; good levels of motivation and liability in public servants. So, in designing its reforming health program, the Polish Government followed both European strategic advisers and the need to grant efficiency to a comprehensive health care system. It has included changes in four major areas: institutional setting (decentralization); financing and provider payment (public private mix), health care delivery and consumer behaviour (health care quality).