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Economic approach to OHS in Poland. New economic observations. BSN, Tallin, November 2002

Economic approach to OHS in Poland. New economic observations. BSN, Tallin, November 2002. Izabela Rydlewska-Liszkowska NIOM, Lodz, Poland. New economic observations: OHS in Poland. Selected economic characteristics of OHS in Poland: 1. P resent state of OHS financing legal regulation s

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Economic approach to OHS in Poland. New economic observations. BSN, Tallin, November 2002

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  1. Economic approach to OHS in Poland.New economic observations.BSN, Tallin, November 2002 Izabela Rydlewska-Liszkowska NIOM, Lodz, Poland

  2. New economic observations: OHS in Poland Selected economic characteristics of OHS in Poland: 1. Present state of OHS financing • legal regulations Occupational Health Services Act from 1997 Public Finance Act from 1999 Labour Code Act with the amendments from 1991 Health Care Organizations Act from 1991

  3. New economic observations: OHS in Poland 1.Present state of OHS financing (cont.) • Two levels of financing: • regional level (Regional Occupational Health Services Centers-23 units) • and primary level (OHS primary units – 8829) 2. Supply side of OHS: • public sector (regional units and given number of primary units ), • and private sector (primary units only )

  4. New economic observations: OHS in Poland 3. Demand side of OHS: • enterprises registered in REGON system (different forms) – 434 523 • Enterprises without legal personality and partnerships • economically active persons - 17 300 thous. • Employed persons - 15 000 thous. • Persons working in hazardous conditions - 143 per 1000 paid employees • .....

  5. New economic observations: OHS in Poland 4. Economic tools (legal regulation or good practice) • Cost accounting • Pricing of OHS services • Financial planning (business plans) • Financial analysis • Economic appraisal

  6. New economic observations: OHS in Poland 5. Sources of economic information on OHS • National Health Account (results of implementation) • Programme of statistical studies in public statistics field for 2002 (Main Statistical Office) • Financial reports from OHS units • Research projects carried out in NIOM, Lodz (results)

  7. New economic observations: OHS in Poland Examples/results OHS funding The structure of fundingsources in Regional OHSCenters in 2001 (%) - Central government: 14,0 – 45,5 - Local self-governments: 7,4 – 97,0 - Employers: 3,0 – 56,0 - Health insurance institutions: 8,0 – 52,0 - Other: 0,4 – 18,0

  8. New economic observations: OHS in Poland Examples/results OHS funding • Why companies play such important role in financing ROHSCif preventive examinations are obligatory activity ofOHS primary units financed by companies? • The answer is simple: ROHSCs provide, partly, the same activities like primary units do. Are they supervising bodies for themselves?

  9. New economic observations: OHS in Poland Examples/results OHS funding • Participation of social health insurance in OHS financing. • OHS units have independent status • The OHS providers referring to their legally institutional independence combine the statutory functions with other activities going beyond the first one (e.g. curative medicine) . • That is why the specialists have suspected that it may reduce the quality of the statutoryOHS functions

  10. New economic observations: OHS in Poland Examples/results OHS providers • OHS market: supply side • first analysis in Poland for 2001- different legal forms of providers: public OHS units – 25% (ROHSC – 4%) private OHS units – 75% (private practice – 31%)

  11. New economic observations: OHS in Poland OHS providers Structure of unit cost of occupational disease diagnosis (%) - first analysis in Poland for 2001 ROHSCs Person. cost Material cost Overhead cost A 14,99 0.98 84,43 B 95,96 2,64 1,40 C 15,50 2,41 82,09 D 24,49 1,55 73,96 E 61,40 0,47 38,13 F 51,11-21,15 9,34-4,62 39,95-74,23

  12. New economic observations: OHS in Poland OHS providers Structure of unit cost of consultation (%) - first analysis in Poland for 2001 ROHSCs Person. cost Material cost Overhead cost A 14,60 0,97 84,43 B 38,65 7,58 53,77 C 15,50 2,41 82,09 D 84,84 - 15,16 E 62,26 12,56 22,18 F 79,00-30,18 20,88-10,69 9,12-59,13

  13. New economic observations: OHS in Poland Economic tools • Cost accounting • Pricing of services • Financial planning and analysis • Economic appraisal

  14. New economic observations: OHS in Poland Implementation/examples • Financial planning on case mix basis • Best practice in cost accounting • Cost centres • Services standards • and …

  15. New economic observations: OHS in Poland Implementation/examples • information system on OHS as the component of the National Health Account according to OECD standards; • economic appraisal of OHS activities (SMEs)

  16. New economic observations: OHS in Poland Thank you for your attention. Questions and remarks are welcome

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