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“The most representative hospital organization in Poland”

Polish Hospital Federation was founded in Warsaw on 10.10.2011 and was admitted as a full member of the European Hospital and Healthcare Federation on 19.11.2011 at the meeting of the Board of Governors in Dusseldorf


Contact in English:; +48 509 754 724

Legal status: nongovernmental organization of hospital employers, registered at the National Court Registry KRS

Governance: PFSz President, PFSz Executive Board, PFSz Managing Director
Supervision: PFSz High Council, PFSz General Meeting
Number of associated hospitals: 210, over 65 K beds and over 130 K staff
approximately 1/3 of hospital resources in Poland

all hospital models, sizes and reference levels in Poland are represented

Number of supporting members: 25

Web site visits: over 300 per day (Dec 2018)

PFSz President: Jaroslaw J. Fedorowski, Univ.Prof., MD, PhD, MBA, FACP, FESC, FPAMC


Constitution of the Republic of Poland (art. 68) /OJ1997, No 78 item 483/guarantees:

  • “Everyone has the right to health care”
  • “Public authorities guarantee citiziens, regardless of their material status, an equal access to health care services financed from public funds.”

The beginning of the system started in 1989 and then until 1998 national health system was financed by state budget, from 1999 – III 2003 functioned universal health insurance (17 sickness funds) and then from IV 2003 – X 2004 National Health Fund “Narodowy Fundusz Zdrowia” (NFZ) was established. NFZ is a key, national payer for health care serviced from public funds, the institution is supervised by Ministry of Health, acts not for profit, is divided into 16 regional branches, which organize contracting for healthcare providers.

Until now the system was based on Act of 27th August 2004 on health benefits financed from public funds, the Act of 30th August 1991 on health care institutions, the Act of 8 th September on Public Emergency Healthcare System.

For the past 13 years health care system in Poland has been delivered at 4 main levels of healthcare:

  • Primary Health Care (Primary care physician acts as a “gate keeper” to higher levels of the healthcare system)
  • Specialized Out-Patient Care (mostly referral based)
  • Inpatient Health Care (Hospitals)
  • Emergency Healthcare System
  • and some special areas like
    • Long-Term healthcare, rehabilitation hospitals, nursing and care related units, hospices
    • Psychiatric hospitals
    • Health Resorts, “sanatorium”

In the last decade over 760 hospitals (with emergency care services) and several hundred of short stay / day surgery hospitals have been in operation in Poland. Most of hospitals are public (90% of those with emergency care services) while most of other hospitals are private. Majority of hospitals provide services financed from public funds.

In 2017, the hospital sector in Poland is changing significantly.  The national network of hospitals has been in plans for the past 10 years and was finally voted on by the Polish Parliament in may of 2017.  The new network will start on 1st October 2017.

National Hospital Network, called officially the System of Fundamental Hospital Care Coverage, commonly known as “Hospital Network” divides hospitals into 6 levels, all providing emergency care services 24/7.

General hospitals:

  • 1-st level (with 4 basic units: surgery, internal diseases, gynecology and obstetrics and pediatrics) – mainly county hospitals
  • 2-nd level (hospitals having 4 basic units plus 2 specialized units) – larger county and some city hospitals
  • 3-rd level (hospitals having 4 basic units plus 6-8 specialized units) – regional hospitals

And 3 specialized levels:

  • Children’s hospitals
  • Oncological hospitals and Pulmonology hospitals
  • Nationwide hospitals

Additionally, oncology, which is the priority discipline for the state is going to be financed without any limits.

The list of hospitals approved to the Hospital Network will be presented on 27th of June, 2017.

These hospitals will be financed by general budgets assigned to them by the National Health Fund – the institution, which will be replaced by 17 voivodeship (provincial) health departments supervised by Ministry of Health in 2018. Such budgets may be revised every 3 months.

Hospitals, which will exist outside the Network may apply for contracts with National Health Fund, but the amount of money dedicated for such contracting will be ca 9 % of total money in whole public financing for hospital care (currently 30 bln PLN). The 91% of hospital care budget will be dedicated to hospitals as a “lump sum”. The other change in Polish health care system is a ban on buying more than 51% of shares in public hospitals by private investors.

Healthcare experts anticipate that most private hospitals will not enter the Network and after that there will be 2 separate sectors of the healthcare system in Poland: public sector financed by public funds and private hospitals with no access to public funds.

The other reform of Polish health care system is introducing state owned providers as the only partners of the National Emergency Health Care System (Emergency care system established in 2006 allowed private companies operating in the system).

And finally, at the beginning of 2018 there will be an introduction of the e-prescription and at the same year e-medical work excuse. These are first symptoms of major information technology changes in the Polish health care system. 


“PFSz” 2011-2016

click on or on the picture below to see information about PFSz in English at older version of our web site (2011-2016)

European Hospital and Healthcare Federation HOPE: Board of Governors 2011

from left: HOPE CEO Pascal Garel (F), HOPE Governor Jaroslaw J. Fedorowski (PL), HOPE President Georg Baum (D)