Searching for the Optimal Method of Financing Hospital Emergency Departments—Comparison of Polish and Selected European Solutions

Anna Tyrańska-Fobke, Marlena Robakowska, Daniel Ślęzak, Katarzyna Pogorzelczyk and Andrzej Basiński
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Anna Tyrańska-Fobke: Department of Public Health & Social Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Marlena Robakowska: Department of Public Health & Social Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Daniel Ślęzak: Department of Medical Rescue, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Katarzyna Pogorzelczyk: Independent Researcher, 8200 Aarhus, Denmark
Andrzej Basiński: Department of Medical Rescue, Medical University of Gdańsk, 80-210 Gdańsk, Poland

IJERPH, 2022, vol. 19, issue 3, 1-12

Abstract: Hospital emergency departments are units of the State Medical Rescue system in Poland, which was established to help people in a state of a health emergency. The aim of this study is to develop an optimal method of financing emergency departments in Poland. The study used Polish data from 2016–2019 on the financing of services at the Clinical Emergency Department of the University Clinical Center in Gdańsk. For benchmarking and mathematical modeling, data for the Czech Republic, Germany and Latvia was used. The results of the analysis shows significant differences, to the disadvantage of Clinical Emergency Department, between the potential contract values in the tested models and the actual amounts of funds transferred by the National Health Fund Pomeranian Voivodeship Branch for the activities of Clinical Emergency Department under the concluded contracts. The introduction of co-payment on the part of patients reporting to the emergency departments with minor ailments that do not require hospitalization generates financial revenues, but does not significantly improve the financial results of the analyzed ward. However, it may be educational for patients in terms of raising their awareness of the correct place to seek assistance in the event of a sudden illness.

Keywords: hospital emergency departments; financing; overcrowding (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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