Rydlewska-Liszkowska Izabela
Nofer Institute of Occupational Medicine, Department of Health Care Organization, 8 Teresy Street, Lodz 90-950. Poland.
Int Arch Occup Environ Health. 2002 Oct;75 Suppl:S10-3. doi: 10.1007/s00420-002-0352-2. Epub 2002 Jul 4.
Financing occupational health services (OHS) at the regional and basic level is an important issue in view of the transformation process going on in OHS in Poland. The Occupational Health Services Act from 1997, The Public Finance Act from 1999 and The Labour Code Act with amendment have been regulated by the new principles of financing. The organizational structures and the financial system have been changed since 1 January 1998. The process is still being continued. The gaps between information systems of past and present financial data enforced the examination of the current situation in regard to the structure of financing and internal allocation of financial means.
The studies of OHS funding were carried out by the Nofer Institute of Occupational Medicine in Lodz. The data were collected and analysed for the period 1998-2000. They included full accessible statistics on OHS funding in Poland. The information on the financing system was collected by a questionnaire mailed to directors of OHS centres, and was supplemented by direct contact with directors.
Sources of OHS financing in Poland are as follows: local government, state budget, companies, social health insurance institutions (since 1 January 1999 a social health insurance system has been implemented), OHS providers (as primary units), other sources. Analyses of their structures in a given period were conducted. The role of companies and social health insurance institutions in financing Regional Occupational Health Services Centres (ROHSCs) was considered in relation to the existing law regulation.
鉴于波兰职业健康服务（OHS）正在进行的转型过程，在地区和基层层面为职业健康服务提供资金是一个重要问题。1997年的《职业健康服务法》、1999年的《公共财政法》以及经修订的《劳动法》已依据新的融资原则进行了规范。自1998年1月1日起，组织结构和财务系统发生了变化。这一过程仍在继续。过去和当前财务数据信息系统之间的差距促使对融资结构和财务手段内部分配的现状进行审查。
罗兹的诺费尔职业医学研究所对职业健康服务的资金情况进行了研究。收集并分析了1998 - 2000年期间的数据。这些数据包括波兰职业健康服务资金的完整可获取统计信息。关于融资系统的信息通过邮寄给职业健康服务中心主任的问卷收集，并通过与主任的直接联系进行补充。
波兰职业健康服务的融资来源如下：地方政府、国家预算、公司、社会健康保险机构（自1999年1月1日起实施社会健康保险制度）、职业健康服务提供者（作为基层单位）、其他来源。对给定时期内它们的结构进行了分析。根据现行法律法规，考虑了公司和社会健康保险机构在为地区职业健康服务中心（ROHSCs）融资方面的作用。
