Kozierkiewicz Adam, Trabka Wojciech, Romaszewski Artur, Gajda Krzysztof, Gilewski Dariusz
Jagiellonian University Medical College, Crakow, Poland.
Eur J Health Econ. 2005 Dec;Suppl(Suppl 1):58-65. doi: 10.1007/s10198-005-0320-3.
The subject of "health benefit basket" has been hotly debated for years among the Polish public, but until recently the debate has tended to be largely theoretical and abstract and therefore has lacked an effect on public policy. The situation changed in 2004, for two reasons: first the verdict of the Constitutional Tribunal invalidating the existing health insurance law and, second, Poland's accession to the European Union. The first problem was solved in part by defining a list of specific exclusions in the law and a promise to establish an institution for health technology assessment. The second issue remains open, although to some extend it is being dealt with legally by regulations issued from the Ministry of Health on acceptable waiting times for health services.
“健康福利篮子”这一话题在波兰公众中已争论多年,但直到最近,这场争论在很大程度上仍倾向于理论性和抽象性,因此对公共政策没有产生影响。2004年情况发生了变化,原因有两个:一是宪法法庭判定现行医疗保险法无效,二是波兰加入了欧盟。第一个问题通过在法律中定义一系列特定的排除条款以及承诺建立一个卫生技术评估机构得到了部分解决。第二个问题仍然悬而未决,尽管在某种程度上,卫生部发布的关于医疗服务可接受等待时间的规定正在从法律层面进行处理。