WYŻSZA SZKOŁA HANDLU I PRAWAWYŻSZA SZKOŁA HANDLU I PRAWAim. R.Łazarskiego im. R.Łazarskiego

w Warszawiew Warszawie

THE IMPLEMENTATION OF THE THE IMPLEMENTATION OF THE STRUCTURAL FUNDS IN THE POLISH STRUCTURAL FUNDS IN THE POLISH

HEALTH CARE SYSTEM: THE CASE OF HEALTH CARE SYSTEM: THE CASE OF THE HEALTH CARE UNIT IN WĘGRÓWTHE HEALTH CARE UNIT IN WĘGRÓW

by Magdalena Skóra

Pod opieką naukową blablabla

Warsaw 2009

Contents listContents list

1.1. Cohesion policyCohesion policy2.2. Law’s foundation of the structural fundsLaw’s foundation of the structural funds3.3. Polish Health Care SystemPolish Health Care System4.4. EU Funds for the health care in the financial perspective 2004-EU Funds for the health care in the financial perspective 2004-

200620065.5. Possibilities for the health care sector in the financial perspective Possibilities for the health care sector in the financial perspective

2007-20132007-20136.6. Characteristic of the health care unit in WęgrówCharacteristic of the health care unit in Węgrów7.7. Applied projectsApplied projects8.8. Future plansFuture plans

COHESION POLICYCOHESION POLICY

The cohesion policy for the period 2007-13 The cohesion policy for the period 2007-13 functions pursuant to functions pursuant to 'A new partnership for 'A new partnership for

cohesion in the enlarged Union: cohesion in the enlarged Union: convergence competitiveness cooperation'convergence competitiveness cooperation', ,

adopted by the European Commissionadopted by the European Commission. .

Cohesion Policy - objectives Cohesion Policy - objectives

Convergence and competitiveness Convergence and competitiveness

(82% of the total budget of the cohesion (82% of the total budget of the cohesion policy) policy)

• Regional competitiveness and employment Regional competitiveness and employment (16% of the total budget) (16% of the total budget)

• European territorial cooperationEuropean territorial cooperation (2,5% of the total budget).(2,5% of the total budget).

Cohesion Policy - objectivesCohesion Policy - objectives

TThe total budget of the cohesion policyhe total budget of the cohesion policy

amount €347,4 bnamount €347,4 bn.. Poland was granted €67,3 bnPoland was granted €67,3 bn The means are provided for five nationalThe means are provided for five national

operational programmes and sixteenoperational programmes and sixteen

regional operation programmes. regional operation programmes.

Cohesion Policy - objectivesCohesion Policy - objectives

To achieve the above objectives of theTo achieve the above objectives of the

Cohesion Policy three funding instrumentsCohesion Policy three funding instruments

are assigned:are assigned:

• The European Regional Development The European Regional Development FundFund

• The European Social FundThe European Social Fund

• The Cohesion FundThe Cohesion Fund

LAW’S FOUNDATION OF THE LAW’S FOUNDATION OF THE STRUCTURAL FUNDSSTRUCTURAL FUNDS

EU RegulationsEU Regulations

• TThe Cohesion Policy in Support of Growth and Jobs: he Cohesion Policy in Support of Growth and Jobs: Community Strategic Guidelines 2007-2013(COM 2005/0299)Community Strategic Guidelines 2007-2013(COM 2005/0299)

• TThe Lisbon Strategyhe Lisbon Strategy • The Council and the European Parliament Regulation No. The Council and the European Parliament Regulation No.

1080 of 5 July 2006 1080 of 5 July 2006 • The Council Regulation No. 1081 of 5 July 2006 concerning The Council Regulation No. 1081 of 5 July 2006 concerning

the European Social Fundthe European Social Fund • The Council and the European Parliament Regulation No. The Council and the European Parliament Regulation No.

1082 of 5 July 2006 1082 of 5 July 2006 • The Council Regulation No. 1083 of 11 July 2006 The Council Regulation No. 1083 of 11 July 2006

• The Council Regulation No. 1084 of 11 July 2006 The Council Regulation No. 1084 of 11 July 2006

• The Commission Regulation No. 1828 of 8 December 2006The Commission Regulation No. 1828 of 8 December 2006

Polish regulationsPolish regulations

• National Development Strategy of 26 November 2006National Development Strategy of 26 November 2006 • The National Cohesion Strategy, National Strategic The National Cohesion Strategy, National Strategic

Plan for 2007-2013Plan for 2007-2013 Rural Development and National Rural Development and National Strategic Plan for FisheriesStrategic Plan for Fisheries

• The National Reform Programme for 2008-2011The National Reform Programme for 2008-2011 • The Act of 6 December 2006 on the rules of The Act of 6 December 2006 on the rules of

conducting the development policyconducting the development policy • The amended Act of public financingThe amended Act of public financing • The Public Orders Law of 29 January 2004. The Public Orders Law of 29 January 2004. • The Act of public orders The Act of public orders

POLISH HEALTH CARE POLISH HEALTH CARE SECTORSECTOR

• base on the public sector (2,670 public health care base on the public sector (2,670 public health care institutions) and the private sector (13,870 non-public institutions) and the private sector (13,870 non-public health care institutions), including 611 public hospitals health care institutions), including 611 public hospitals and 170 non-public onesand 170 non-public ones

• is is financed from several sourcesfinanced from several sources: : health insurance health insurance premiums within the public health insurance systempremiums within the public health insurance system is is the most importantthe most important

POLISH HEALTH CARE POLISH HEALTH CARE SECTORSECTOR

• Highly qualified medical, Highly qualified medical, scientific and teaching staffscientific and teaching staff

• High efficiency of the sector in High efficiency of the sector in relation to the available fundsrelation to the available funds

• The existence of nation-wide The existence of nation-wide health insurancehealth insurance

• High potential for the High potential for the absorption of modern absorption of modern technologiestechnologies

• Low level of the health care Low level of the health care financingfinancing

• Depreciation of the health care Depreciation of the health care infrastructure, sanitary infrastructure, sanitary transport and diagnostic and transport and diagnostic and therapeutic equipment, which therapeutic equipment, which threatens health of patientsthreatens health of patients

• Allocation of healthy care Allocation of healthy care resources disproportionate to resources disproportionate to health care needshealth care needs

• Lack of integrated information Lack of integrated information system in the health sectorsystem in the health sector

• Unspecified standards in the Unspecified standards in the field of accessibility of servicesfield of accessibility of services

EU FUNDS IN THE FINANCIAL EU FUNDS IN THE FINANCIAL PERSPECTIVE 2004-2006PERSPECTIVE 2004-2006

The usage of the EU funds in the The usage of the EU funds in the financial perspective 2004-2006financial perspective 2004-2006

• 466 projects were realized within the health care sector466 projects were realized within the health care sector• They were realized in frames ofThey were realized in frames of

- SPO Rural Development- SPO Rural Development – 456 projektów – 456 projektów

- SOP Improvement of the competitiveness of - SOP Improvement of the competitiveness of

enterprises - 2 projektyenterprises - 2 projekty

- SOP Human Resorce - SOP Human Resorce – 2 projekty– 2 projekty

- Integrated Regional Development Programme – 6 - Integrated Regional Development Programme – 6 projektów projektów

• Total worth of projects: 708 135 908 złTotal worth of projects: 708 135 908 zł• The amount of the EU financing:473 585 228,17 złThe amount of the EU financing:473 585 228,17 zł

The usage of the EU funds in the The usage of the EU funds in the financial perspective 2004-2006financial perspective 2004-2006

3523

61

8

37

19

53

25 3024

17

56

20 24 2013

010203040506070

Ilość realizowanych projektów w poszczególnych województwach

Regional analysis of health protection projects for Regional analysis of health protection projects for 2004-20072004-2007

Voivodeship The total value of projects in PLN million

The value of EU contribution in PLN million

Dolnośląskie 62.68 42.79

Kujawsko-Pomorskie 44.33 31.79

Lubelskie 68.20 48.92

Lubuskie 27.66 18.86

Łódzkie 40.58 29.03

Małopolskie 59.64 41.06

Mazowieckie 91.73 66.53

Opolskie 22.09 16.00

Podkarpackie 65.95 43.40

Podlaskie 40.91 26.83

Pomorskie 29.90 21.03

Śląskie 91.19 55.41

Świętokrzyskie 44.93 32.11

Warmińsko-Mazurskie 52.85 28.31

Wielkopolskie 74.82 53.85

Zachodniopomorkie 37.95 27.20

FINANCIAL PERSPECTIVE FINANCIAL PERSPECTIVE 2007-20132007-2013

The division of the means from the cohesion policy The division of the means from the cohesion policy in Poland in the financial perspective in Poland in the financial perspective

2007-20132007-2013

Source: Pełka in: Oręziak, (2008) Source: Pełka in: Oręziak, (2008) Finansowanie rozwoju regionalnego w PolsceFinansowanie rozwoju regionalnego w Polsce , Wyd. Wyższej Szkoły Handlu i , Wyd. Wyższej Szkoły Handlu i Prawa, p.216. Prawa, p.216.

0.8%516.7OP Technical Assistance

1.0%557.7OP European Territorial Co-operation

3.4%2 273.8OP Eastern Poland Development

12.4%8 254.9OP Innovative Economy

14.6%9 707.2OP Human Capital

24,9%16 555.616 Regional Operational Programmes

41.9%27 913.7OP Infrastructure and Environment

Percentage of the total

amount

Amount in m EUROperational Programme

REGIONAL OPERATIONAL REGIONAL OPERATIONAL PROGRAMME FOR PROGRAMME FOR

MAZOWIECKIE VOIVODESHIPMAZOWIECKIE VOIVODESHIP

Total Allocation: 1831,5Total Allocation: 1831,5Priority EU funds (ERDF)

Regional Operational Programme Mazowieckie Voivodship

1 831 496 698,00

I. Creating conditions for innovational potential development and entrepreneurship for Mazovia region

430 401 731,00

II. Fastening of e-development of Mazowieckie region

205 127 627,00

III. Regional transport system 538 460 023,00

IV. Environment, threats preventing and Power engineering

197 801 647,00

V. Strengthening the role of cities in regional development

89 743 340,00

VI. Usage of the natural and cultural sources for the development of tourism and recreation

150 182 726,00

VII. Creating and increasing the human capital conditions

164 834 703,00

VIII. Technical assistance 54 944 901,00

ROP MV Measure 7.1. - ROP MV Measure 7.1. - Infrastructure for Health and Life Infrastructure for Health and Life

Security Security The main aimThe main aim:: to develop accessibility and quality of the health to develop accessibility and quality of the health

care in the region. care in the region. The support for the projects aimed at concentrating on the The support for the projects aimed at concentrating on the

development of the open and closed health care infrastructure, development of the open and closed health care infrastructure, both portable and ambulatory, supplying medical equipment. both portable and ambulatory, supplying medical equipment.

The taken actions will lead to equalization of the disparities in the The taken actions will lead to equalization of the disparities in the

equipment of the units on the regional level and to providing equipment of the units on the regional level and to providing

services on the highest level. services on the highest level.

Predicted outcomePredicted outcome

RTG and endoskopy. The number of patients using the infrastructure RTG and endoskopy. The number of patients using the infrastructure

modernized within the projects would be 90,000 and the number of modernized within the projects would be 90,000 and the number of

examinations taken – 500,000. examinations taken – 500,000.

Predicted allocation for the 7.1. Measure is:Predicted allocation for the 7.1. Measure is:

• 61,240,953 EUR from the European funds,61,240,953 EUR from the European funds,

• 10,807,227 EUR from country’s public 10,807,227 EUR from country’s public means,means,

• 18,000,000 EUR from private means.18,000,000 EUR from private means.

THE OPERATIONAL PROGRAMME THE OPERATIONAL PROGRAMME INFRASTRUCTURE AND ENVIRONMENTINFRASTRUCTURE AND ENVIRONMENT

Distribution of the funds within the Infrastructure Distribution of the funds within the Infrastructure and the Environment Operational Programme.and the Environment Operational Programme.

29411176

588250

1058905

724110681176

982802

411176

0 1000 2000 3000 4000 5000 6000 7000 8000 9000

Water management and wastewater treatment

Waste disposal and protection of the land surface

Flood control

Projects adapting enterprises to environmental protection requirements

Nature conservancy and fostering ecological awareness

Trans-European transport networks TEN-T

Environmentally Friendly Transport

Safe transport and transport networks

Road infrastructure in Eastern Poland

Environmentally friendly energy infrastructure

Energy security

Culture and cultural heritage

Medical rescue infrastructure

Allocation of funds in euro million

Priority Axis XII for health carePriority Axis XII for health care

• reducing the mortality rate and reducing the mortality rate and consequences of complications caused by consequences of complications caused by accidents and other sudden health and life-accidents and other sudden health and life-threatening situations. threatening situations.

• increasing quality and access to specialized increasing quality and access to specialized and highly specialized medical servicesand highly specialized medical services

• equipequippingping with proper means of sanitary with proper means of sanitary transporttransport

THE OPERATIONAL PROGRAMME HUMAN THE OPERATIONAL PROGRAMME HUMAN CAPITALCAPITAL

IIt concentrates ont concentrates on::

• employment, employment, • education,education,• social integration, social integration, • development of the adaptation potential of development of the adaptation potential of

employees and enterprises, employees and enterprises, • development of human resources on rural areas, development of human resources on rural areas, • creation of efficient and effective public creation of efficient and effective public

administration of all levels, administration of all levels, • health promotion of human resources.health promotion of human resources.

second Priority - development of human second Priority - development of human resources and adaptation potential of resources and adaptation potential of

enterprises and improvement in the health enterprises and improvement in the health

condition of working persons.condition of working persons.

It aims at creating proper health security, It aims at creating proper health security, developing and ideal environment for improving developing and ideal environment for improving and keeping ideal health conditions of employeesand keeping ideal health conditions of employees, , strengthening social cohesion and reducing areas strengthening social cohesion and reducing areas of social exclusionof social exclusion by providing indispensable by providing indispensable social services in supporting access to social services in supporting access to employment for persons excluded from the labour employment for persons excluded from the labour market or threatened by such exclusion. market or threatened by such exclusion.

THE HEALTH CARE UNIT IN THE HEALTH CARE UNIT IN WĘGRÓWWĘGRÓW

EU Funds Public funds

The increase in the quality of the services provided by replacing and purchasing of the high quality diagnostics equipment for the Powiat Hospital and Local Clinic in Węgrów

835 499,00 zł 147 441, 00 zł

The increase of quality and accessibility to medical services for the inhabitants of the węgrowski poviat by creating the tomography laboratory and the purchase of the new equipment

1 801 220, 51 317 878,52 zł

The increase in accessibility and quality of the health care by adjusting to the regulations, the Internal Diseases Care Ward of the Health Care Unit in Węgrów

1 772 411,60 312 778,52

The increase of the medical services of the EMS, due to, the purchase of the new ambulance with medical appliances and equipment for radio contact and satellite navigation for the Emergency Medical Care Unit in Węgrów

337 866,00 73614,00

Applied projectsApplied projects

Future plansFuture plans

The project assumes the training for the Health Care Unit staff. The project assumes the training for the Health Care Unit staff. Two different subjects of training will be offered:Two different subjects of training will be offered:

1. English in medicine 1. English in medicine 2. Specialized training for the staff who will deal with the new 2. Specialized training for the staff who will deal with the new

high technology equipment and for those who are expected to high technology equipment and for those who are expected to analyze the data and pictures made on the new devices.analyze the data and pictures made on the new devices.

Estimated value of each project: 50.000 PLNEstimated value of each project: 50.000 PLN

Thank You very much for your attention!!!Thank You very much for your attention!!!