Bariery reformy ekonomicznej w opiece zdrowotnej
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Date
1989
Authors
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Journal Title
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Publisher
Wydział Prawa i Administracji UAM
Title alternative
Bariers of economic reform in health care
Abstract
The present economic and financial system of health care was subject to
a general discussion which resulted in agreement as to the necessity of introducting
the economic reform also into that sphere. However, despite a wide range
of discussion and in spite of relatively deep engagement of the State authorities
into the economic and financial reform of health care, the extent of changes
which have already been implemented is still very small. It made the author
consider the barriers the economic reform meets in that sphere. The following
barriers in health care have been distinguished and analysed: political, balance,
psychological and conceptual.
A political barrier is expressed in a lack of a wider and more concrete shape
of future reformed socio-economic system, a background for health case system.
A balance barrier is expressed in terms of disproportions between economic potential
of the country and social expectations (resulting from health threats and
health consciousness and aspirations) with respect to the health care standard
offered by a new, reformed financial and economic system of health care. A psychological
barrier can be seen in anxieties or even fears — a more advanced
economic reform in health care brings about, the fears expressed at the same time
by potential patients, health care staff and authorities responsible for the functioning
of the health care system. Finally, a conceptual barrier is expressed in the
absence of a comprehensive, consistent and acceptable conception of a new, reformed
health care system and its management.
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Citation
Ruch Prawniczy, Ekonomiczny i Socjologiczny 51, 1989, z. 1, s. 215-235.