Health Models – Financing and Effects: a Comparative Study of the Models in Poland and Italy
DOI:
https://doi.org/10.18778/2391-6478.S1.2023.03Keywords:
health system, healthcare system, Polish healthcare, Italian healthcare, healthcare in Poland, healthcare in Italy, health financingAbstract
The purpose of the article. The study brings a comparative analysis between health systems in Poland and Italy. It is aimed at fulfilling the subject literature using economic comparative analyses between different health systems as well as straight comparisons between Polish and Italian health systems. Moreover, another aim of the study is to find out some weak points and to point out some good practices of each of the analyzed health systems. The research question for the purpose of this study is as follows: what changes can be implemented to improve the efficiency of each of the analyzed health systems?
Methodology. The study is carried out on the background of health systems' theory. The critical literature review is conducted. A comparative analysis using such indicators as percentage of GDP and GDP per capita spent on financing health systems, healthcare spending components, life-expectancy data or Euro Health Consumer Index indicators are applied and analysed in the study.
Results of the research. Health systems in Poland and Italy in the latest decades were transformed in a completely different way. Healthcare in Poland is based mainly on health insurance premiums whereas in Italy financing of healthcare is based mainly on taxes. Among similarities between the systems a high level of responsibility designated to local authorities may be mentioned. The comparative analysis indicates that the situation of the Italian health system seems to be much better as compared to its Polish counterpart. Though, some solutions, aimed at improving health system efficiency, can be transferred from one system to another in case of both analyzed systems.
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References
Antoun J., Phillips F., Johnson T. (2011) Post‐soviet transition: improving health services delivery and management. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 78(3), pp. 436–448.
Google Scholar
DOI: https://doi.org/10.1002/msj.20261
Armocida B., Formenti B., Ussai S., Palestra F., Missoni E. (2020) The Italian health system and the COVID-19 challenge, The Lancet Public Health, 5(5).
Google Scholar
DOI: https://doi.org/10.1016/S2468-2667(20)30074-8
Arsenijevic J., Groot W. (2022) Health promotion policies for elderly – Some comparisons across Germany, Italy, the Netherlands and Poland, Health Policy, 126(1), pp. 69–73.
Google Scholar
DOI: https://doi.org/10.1016/j.healthpol.2020.01.013
Baldelli I., Gallo F., Crimi M., Fregatti P., Mellini L., Santi P., Ciliberti R. (2019) Experiences of patients with Poland syndrome of diagnosis and care in Italy: a pilot survey, Orphanet Journal of Rare Diseases, 14(1), pp. 1–15.
Google Scholar
DOI: https://doi.org/10.1186/s13023-019-1253-8
Beckfield J., Olafsdottir S., Sosnaud B. (2013) Healthcare systems in comparative perspective: classification, convergence, institutions, inequalities, and five missed turns, Annual Review of Sociology, pp. 127–146.
Google Scholar
DOI: https://doi.org/10.1146/annurev-soc-071312-145609
Brédart A., Razavi D., Robertson C., Batel-Copel L., Larsson G., Lichosik D., Meyza J., Schraub S., von Essen L., De Haes J.C.J.M. (2001) A comprehensive assessment of satisfaction with care: preliminary psychometric analysis in French, Polish, Swedish and Italian oncology patients, Patient education and counseling, 43(3), pp. 243–253.
Google Scholar
DOI: https://doi.org/10.1016/S0738-3991(00)00165-8
Brédart A., Robertson C., Razavi D., Batel‐Copel L., Larsson G., Lichosik D., Meyza J., Schraub S., von Essen L., De Haes J.C.J.M. (2003), Patients' satisfaction ratings and their desire for care improvement across oncology settings from France, Italy, Poland and Sweden, Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 12(1), pp. 68–77.
Google Scholar
DOI: https://doi.org/10.1002/pon.620
Busoi C. (2010) Health systems in the European Union. An overview, Fiziologia -Physiology, pp. 5–7.
Google Scholar
Böhm K., Schmid A., Götze R., Landwehr C., Rothgang H. (2013) Five types of OECD healthcare systems: empirical results of a deductive classification, Health policy, 113(3), pp. 258–269.
Google Scholar
DOI: https://doi.org/10.1016/j.healthpol.2013.09.003
Cervia S., Sawicka M., Sena B., Serapioni M. (2023) Looking at COVID-19 vaccine hesitancy through a macro perspective. A comparative study of Italy, Poland and Portugal, Partecipazione e Conflitto, 15(3), pp. 595–613.
Google Scholar
Cicchetti A., Gasbarrini A. (2016) The healthcare service in Italy: regional variability, European Review for Medical and Pharmacological Sciences, pp. 1–3.
Google Scholar
De Belvis A.G., Ferrè F., Specchia M.L., Valerio L., Fattore G., Ricciardi W. (2012) The financial crisis in Italy: implications for the healthcare sector, Health policy, 106(1), pp. 10–16.
Google Scholar
DOI: https://doi.org/10.1016/j.healthpol.2012.04.003
Dlouhý M. (2016) International comparison of health system performance in Visegrad countries, Casopis Lekaru Ceskych, 155(5), pp. 242–246.
Google Scholar
Drożdżak Z., Melchiorre M. G., Perek-Białas J., Principi A., Lamura G. (2013) Ageing and long-term care in Poland and Italy: A comparative analysis. The Making of Aging Policy: Theory and Practice in Europe, Cheltenham, UK: Edward Elgar Publishing Limited, pp. 205–230.
Google Scholar
DOI: https://doi.org/10.4337/9781781952481.00016
EHCI (2023) Euro Health Consumer Index, Reports – from the years 2015–2018, Health Consumer Powerhouse, https://healthpowerhouse.com/ [Accessed: 10.08.2023].
Google Scholar
Freeman R., Frisina L. (2010) Health care systems and the problem of classification, Journal of Comparative Policy Analysi, 12(1–2), pp. 163–178.
Google Scholar
DOI: https://doi.org/10.1080/13876980903076278
Gańczak M., Miazgowski T., Kożybska M., Kotwas A., Korzeń M., Rudnicki B., Nogal T., Andrei C.L., Ausloos M., Banach M., Brazinova A., Constantin M.M., Dubljanin E., Herteliu C., Hostiuc M., Hostiuc S., Jakovljevic M., Jozwiak J.J., Kissimova-Skarbek K., Król Z.J., Mestrovic T., Miazgowski B., Kostova N.M., Naghavi M., Negoi I., Negoi R.I., Pana A., Rubino S., Sekerija M., Sierpinski R., Szponar L., Topor-Madry R., Vujcic I.S., Widecka J., Widecka K., Wojtyniak B., Zadnik V., Kopec J. A. (2020) Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries:
Google Scholar
A systematic analysis for the Global Burden of Disease Study 2017, PloS One, 15(3), pp. 1–29.
Google Scholar
Gazeta Wyborcza (2010) Kluczowy projekt Obamy uchwalony. Reforma zdrowia przeszła, http://wyborcza.biz/ [Accessed: 12.08.2023].
Google Scholar
Haczynski J., Ryc K., Skrzypczak Z., Suchecka J. (2017) Physician Resources in the Health System – Comparison of Poland and Selected European Countries, Problemy Zarzadzania, 15(69), pp. 53–66.
Google Scholar
DOI: https://doi.org/10.7172/1644-9584.69.4
Jaworzyńska M. (2016) A comparative analysis of the health system financing in Poland and selected countries, Economics and Sociology, 9(3), pp. 41–51.
Google Scholar
DOI: https://doi.org/10.14254/2071-789X.2016/9-3/4
Kludacz-Alessandri M. (2017) Model wyceny świadczeń zdrowotnych dla lecznictwa szpitalnego, Wolters Kluwer, Warszawa.
Google Scholar
Krzeczewski B. (2019) Strategie zarządzania płynnością finansową szpitali w Polsce, dysertacja doktorska, Repozytorium Uniwersytetu Łódzkiego.
Google Scholar
Krzeczewski B. (2013) Jednostka samorządu terytorialnego jako organ prowadzący szpital-porównanie i ocena sytuacji finansowej szpitali powiatowych i wojewódzkich w regionie łódzkim, Przedsiębiorczość i Zarządzanie, 14(8/1), pp. 271–284.
Google Scholar
La Foresta D., Dziadkiewicz A. (2020) Health planning and crisis management during the first wave of the pandemic: the case of Italy and Poland-comparative study, Gdańsk: Research Institute for European Policy.
Google Scholar
Lameire N., Joffe P., Wiedemann M. (1999) Healthcare systems – an international review: an overview, Nephrology Dialysis Transplantation, pp. 3–9.
Google Scholar
DOI: https://doi.org/10.1093/ndt/14.suppl_6.3
Lenio P. (2018) Źródła finansowania ochrony zdrowia w Polsce i we Włoszech, Acta Universitatis Wratislaviensis, No. 3867, Przegląd Prawa i Administracji, pp. 81–95.
Google Scholar
DOI: https://doi.org/10.19195/0137-1134.115.6
Lion K.M., Szcześniak D., Bulińska K., Evans S.B., Evans S.C., Saibene F.L., d'Arma A., Farina E., Brooker D.J., Chattat R., Meiland F.J.M., Dröes R.M., Rymaszewska J. (2020) Do people with dementia and mild cognitive impairments experience stigma? A cross-cultural investigation between Italy, Poland and the UK, Aging & Mental Health, 24(6), pp. 947–955.
Google Scholar
DOI: https://doi.org/10.1080/13607863.2019.1577799
Łuczak P. (2018), How do pension and healthcare systems frame long‐term care policy? Comparison of the Czech Republic and Poland, Social Policy & Administration, 52(7), pp. 1396–1409.
Google Scholar
DOI: https://doi.org/10.1111/spol.12399
Matson J. L., Matheis M., Burns C.O., Esposito G., Venuti P., Pisula E., Misiak A., Kalyva E., Tsakiris V., Kamio Y., Ishitobi M., Goldin, R. (2017) Examining cross-cultural differences in autism spectrum disorder: A multinational comparison from Greece, Italy, Japan, Poland, and the United States, European Psychiatry, vol. 42, pp. 70–76.
Google Scholar
DOI: https://doi.org/10.1016/j.eurpsy.2016.10.007
Michalak J. (2013), Czy system ochrony zdrowia może być efektywny? Studia Ekonomiczne. Zeszyty Naukowe Uniwersytetu Ekonomicznego w Katowicach, pp. 205–215.
Google Scholar
Miszczyńska K. (2019) Efektywność funkcjonowania szpitali publicznych w Łodzi, Wydawnictwo Uniwersytetu Łódzkiego, Łódź.
Google Scholar
DOI: https://doi.org/10.18778/8142-494-3
Miszczyńska K., Miszczynski P.M. (2021) Measuring the efficiency of the healthcare sector in Poland–a window-DEA evaluation, International Journal of Productivity and Performance Management, 71(7), pp. 2743–2770.
Google Scholar
DOI: https://doi.org/10.1108/IJPPM-06-2020-0276
Mosiewicz J. (2022) Comparison of health care systems in Poland and Great Britain by Poles staying temporarily in Great Britain prior to the COVID pandemic, Annals of Agricultural and Environmental Medicine, 29(4), pp. 588–591.
Google Scholar
DOI: https://doi.org/10.26444/aaem/157461
NHF (2023) The National Health Fund in Poland, https://www.nfz.gov.pl/dla-pacjenta/nasze-zdrowie-w-ue/ [Accessed: 02.08.2023].
Google Scholar
Nojszewska E., Malinowski W., Sikorski S. (2017) Komercyjne świadczenie usług medycznych przez szpitale publiczne, Wolters Kluwer, Warszawa
Google Scholar
OECD data, https://stats.oecd.org/, [Accessed: 14.08.2023].
Google Scholar
Pastusiak R., Krzeczewski B. (2012) Analiza mechanizmów finansowania ochrony zdrowia – model holenderski a model polski, Acta Universitatis Lodziensis, Folia Oeconomica, vol. 266, pp. 53–67.
Google Scholar
Pforr C., Locher C., Volgger M., Białk-Wolf A. (2020) The nexus between medical tourism and health policy: a comparative case analysis of Australia, Germany, Italy and Poland, International Journal of Tourism Policy, 10(3), pp. 244–261.
Google Scholar
DOI: https://doi.org/10.1504/IJTP.2020.111289
Rice N., Smith P. C. (2001) Capitation and risk adjustment in health care financing: an international progress report, The Milbank Quarterly, 79(1), pp. 81–113.
Google Scholar
DOI: https://doi.org/10.1111/1468-0009.00197
Schmid A., Cacace M., Gotze R., Rothgang H. (2010) Explaining health care system change: problem pressure and the emergence of “hybrid” health care systems, Journal of Health Politics, Policy and Law, 35(4), pp. 455–486.
Google Scholar
DOI: https://doi.org/10.1215/03616878-2010-013
Selden T.M., Sing M. (2008) The distribution of public spending for health care in the United States, Health Affairs, 27(5), pp. 349–359.
Google Scholar
DOI: https://doi.org/10.1377/hlthaff.27.5.w349
Tenbensel T., Eagle S., Ashton T. (2012) Comparing health policy agendas across eleven high income countries: islands of difference in a sea of similarity, Health Policy, 106(1), pp. 29–36.
Google Scholar
DOI: https://doi.org/10.1016/j.healthpol.2012.04.011
Urbaniak M. (2014) Aspekty publicznoprawne organizacji i finansowania ochrony zdrowia
Google Scholar
w Republice Włoskiej, Towarzystwo Naukowe Organizacji i Kierownictwa Dom Organizatora.
Google Scholar
Van der Zee J., Kroneman M.W. (2007) Bismarck or Beveridge: a beauty contest between dinosaurs, BMC Health Services Research, 7(94), pp. 1–11.
Google Scholar
DOI: https://doi.org/10.1186/1472-6963-7-94
Wendt C. (2009) Mapping European healthcare systems: a comparative analysis of financing, service provision and access to healthcare, Journal of European Social Policy, 19(5), pp. 432–445.
Google Scholar
DOI: https://doi.org/10.1177/0958928709344247
Zawada A., Kolasa K., Kronborg C., Rabczenko D., Rybnik T., Lauridsen J. T., Ceglowska, U., Hermanowski T. (2017) A comparison of the burden of out‐of‐pocket health payments in Denmark, Germany and Poland, Global Policy, pp. 123–130.
Google Scholar
DOI: https://doi.org/10.1111/1758-5899.12331
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