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  • 1 Jagiellonian University Collegium Medicum Department of Health Economics and Social Security, Institute of Public Health, Faculty of Health Sciences Kraków Poland
  • | 2 Maastricht University Department of Health Services Research, CAPHRI; Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences Maastricht The Netherlands
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In Poland, the low level of health care financing from public funds is becoming increasingly voiced and accepted as an argument not only for increasing health insurance contributions, but also for extending the scope of private funding. The objective of this paper is to analyze the level and structure of out-of-pocket expenditure in Poland as well as health care consumer characteristics influencing payments for health care and willingness to pay. The analysis relies on two main sources of micro data: the household budget surveys of the Central Statistical Office of Poland and a representative survey carried out in Poland in 2010. The results indicate that in the structure of out-of-pocket expenditure, spending on pharmaceuticals dominates (up to 80% of total out-of-pocket expenditure on health). The out-of-pocket expenditure on services most often refers to paying for out-patient specialists’ services, rehabilitation services and dental care, often in the private sector. Out-of-pocket expenditures are highest among population groups with high health needs (elderly, disabled, chronically ill) but also among individuals with high income. Polish consumers do not object to co-payments for health services with good quality and quick access. Greater stated willingness to pay characterizes younger people, those with higher income and better health.

  • Baji, P. — Pavlova, M. — Gulácsi, L. — Groot, W. (2011): User Fees for Public Health Care Services in Hungary: Expectations, Experience, and Acceptability from the Perspectives of Different Stakeholders. Health Policy 102(2–3): 255–262.

    Groot W. , 'User Fees for Public Health Care Services in Hungary: Expectations, Experience, and Acceptability from the Perspectives of Different Stakeholders ' (2011 ) 102 Health Policy : 255 -262.

    • Search Google Scholar
  • Golinowska, S. (2010): Oplaty nieformalne w ochronie zdrowia. Perspektywa i doswiadczenia Polskie [Informal Payments in Health Care. Polish Perspective and Experiences]. Zeszyty Naukowe Ochrony Zdrowia Zdrowie Publiczne i Zarzbdzanie 2010/1: 12–28.

  • Golinowska, S. — Czepulis-Rutkowska, Z. — Sowa, A. (2001): Wydatki Ludnosci na Ochronê Zdrowia [Population’s Expenses on Health Care]. Polityka Spoleczna 10/2001: 6–11.

  • Golinowska, S. — Tambor, M. — Sowada, Ch. (2010): Wprowadzenie doplat pacjentów do swiadczem opieki zdrowotnej finansowanych ze srodków publicznych — opinie glównych uczestników polskiego systemu opieki zdrowotnej [Introduction of Patient Payments for Publicly Financed Health Care Services — Opinions of the Main Polish Health Care System’s Stakeholders]. Zeszyty Naukowe Ochrony Zdrowia Zdrowie Publiczne i Zarzbdzanie 2010/1: 54–61.

  • GUS (2000): Ochrona zdrowia w gospodarstwach domowych w 1999 r. [Health Protection in Households in 1999]. Warszawa: GUS.

    '', in Ochrona zdrowia w gospodarstwach domowych w 1999 r , (2000 ) -.

  • GUS (2003–2010): Podstawowe dane z zakresu ochrony zdrowia. Informacje i opracowania statystyczne [Basic Data Concerning Health Care. Statistical Information and Studies]. Warszawa: GUS.

    '', in Podstawowe dane z zakresu ochrony zdrowia. Informacje i opracowania statystyczne , (2003 ) -.

  • GUS (2004): Ochrona zdrowia w gospodarstwach domowych w 2003 r. [Health Protection in Households in 2003]. Warszawa: GUS.

    '', in Ochrona zdrowia w gospodarstwach domowych w 2003 r , (2004 ) -.

  • GUS (2007): Ochrona zdrowia w gospodarstwach domowych w 2006 r. [Health Protection in Households in 2006]. Warszawa: GUS.

    '', in Ochrona zdrowia w gospodarstwach domowych w 2006 r , (2007 ) -.

  • GUS (2011): Ochrona zdrowia w gospodarstwach domowych w 2010 r. [Health Protection in Households in 2010]. Warszawa: GUS.

    '', in Ochrona zdrowia w gospodarstwach domowych w 2010 r , (2011 ) -.

  • Jane, F. (2004): Poverty, Out-of-pocket Payments and Access to Health Care: Evidence from Tajikistan. Social Science & Medicine 58(2): 247–258.

    Jane F. , 'Poverty, Out-of-pocket Payments and Access to Health Care: Evidence from Tajikistan ' (2004 ) 58 Social Science & Medicine : 247 -258.

    • Search Google Scholar
  • Kozierkiewicz, A. — Trbbka, W. — Romaszewski, A. — Gajda, K. — Gilewski, D. (2005): Definition of the’ Health Benefit Basket’ in Poland. European Journal of Health Economics 6(Supplement 1): 58–65.

    Gilewski D. , 'Definition of the’ Health Benefit Basket’ in Poland ' (2005 ) 6 European Journal of Health Economics : 58 -65.

    • Search Google Scholar
  • Musgrove, P. (1996): Public and Private Roles in Health: Theory and Financing Patterns. World Bank Discussion Paper No. 339. Washington, DC: The World Bank.

    Musgrove P. , '', in Public and Private Roles in Health: Theory and Financing Patterns , (1996 ) -.

  • OECD (2011a): Health at a Glance 2011: OECD Indicators 2011. Paris: OECD.

    '', in Health at a Glance 2011: OECD Indicators 2011 , (2011 ) -.

  • OECD (2011b): Health Data 2011. Paris: OECD.

    '', in Health Data 2011 , (2011 ) -.

  • Pauly, M. V. (2007): The Demand for Health Insurance: Insights from Theory and Voluntary Markets in Less-developed Countries. In: Preker, A. S. et al. (eds): Private Voluntary Health Insurance in Development. Friend or Foe? Washington, D.C.: The World Bank.

    Pauly M. V. , '', in Private Voluntary Health Insurance in Development. Friend or Foe? , (2007 ) -.

  • Pavlova, M. — Groot, W. — van Merode, G. (2004): Willingness and Ability of Bulgarian Consumers to Pay for Improved Public Health Care Services. Applied Economics 36(10): 1117–1130.

    Merode G. , 'Willingness and Ability of Bulgarian Consumers to Pay for Improved Public Health Care Services ' (2004 ) 36 Applied Economics : 1117 -1130.

    • Search Google Scholar
  • Pavlova, M. — Groot, W. — van Merode, G. — Project Team (2011): Is There a Place for an Increased Reliance on Patient Charges in Central and Eastern European Countries? Scripta Scientifica Medica 43(7).

  • Shakarishvili, G. (2006): Poverty and Equity in Healthcare Finance: Analyzing Post-Soviet Healthcare Reform. Budapest: Local Government and Public Service Reform Initiative Open Society Institute.

    Shakarishvili G. , '', in Poverty and Equity in Healthcare Finance: Analyzing Post-Soviet Healthcare Reform , (2006 ) -.

  • Stepurko, T. — Pavlova, M. — Gryga, I. — Groot, W. (2010): Empirical Studies on Informal Patient Payments for Health Care Services: A Systematic and Critical Review of Research Methods and Instruments. BMC Health Services Research 10(1): 273.

    Groot W. , 'Empirical Studies on Informal Patient Payments for Health Care Services: A Systematic and Critical Review of Research Methods and Instruments ' (2010 ) 10 BMC Health Services Research : 273 -.

    • Search Google Scholar
  • Stepurko, T. — Pavlova, M. — Gryga, I. — Groot, W. (2011): Informal Patient Payments and Public Attitudes towards these Payments: Evidence from Six CEE Countries. Scripta Scientifica Medica 43(7): 143–146.

    Groot W. , 'Informal Patient Payments and Public Attitudes towards these Payments: Evidence from Six CEE Countries ' (2011 ) 43 Scripta Scientifica Medica : 143 -146.

    • Search Google Scholar
  • Tambor, M. — Pavlova, M. — Golinowska, S. — Sowada, Ch. — Groot, W. (2011a): Inability to Pay for Health Care Services in Six CEE Countries: Bulgaria, Hungary, Lithuania, Poland, Romania, Ukraine. Seminar “Out-of-pocket Payments and Health Care Reforms”, Corvinus University of Budapest, Budapest, Hungary, 16–18 May.

  • Tambor, M. — Pavlova, M. — Woch, P. — Groot, W. (2011b): Diversity and Dynamics of Patient Cost-sharing for Physicians’ and Hospital Services in the 27 European Union Countries. The European Journal of Public Health, 21(5): 585–590.

    Groot W. , 'Diversity and Dynamics of Patient Cost-sharing for Physicians’ and Hospital Services in the 27 European Union Countries ' (2011 ) 21 The European Journal of Public Health : 585 -590.

    • Search Google Scholar
  • Wagstaff, A. — van Doorslaer, E. (2003): Catastrophe and Impoverishment in Paying for Health Care: With Applications to Vietnam 1993–1998. Health Economics 12(11): 921–933.

    Doorslaer E. , 'Catastrophe and Impoverishment in Paying for Health Care: With Applications to Vietnam 1993–1998 ' (2003 ) 12 Health Economics : 921 -933.

    • Search Google Scholar
  • Xu, K. — Evans, D. — Carrin, G. — Aguilar-Rivera, A. M. — Musgrove, P. — Evans, T. (2007): Protecting Households from Catastrophic Health Spending. Health Affairs 26(4): 972–983.

    Evans T. , 'Protecting Households from Catastrophic Health Spending ' (2007 ) 26 Health Affairs : 972 -983.

    • Search Google Scholar
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Editor-in-chief: Balázs SZENT-IVÁNYI

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