VISION: sustainable healthcare above divisions

MISSION: integrating hospitals – together we can achieve more

Our old web site, 2011-2016, please click here: http://www.federacjaszpitali.pl/24.html


This web sub-page presents basic information about the Polish Hospital Federation and Poland’s healthcare in English language (US spelling). Please use online translating machine to read more information that is given in Polish language. News are posted regularly, in Polish only.

Polish Hospital Federation (PFSz) was founded in Warsaw on 10.10.2011 and was admitted as the full member to the European Hospital and Healthcare Federation HOPE on 19.11.2011 at the meeting of the Board of Governors in Dusseldorf. PFSz was admitted as the associate member (2020) and then full member at the meeting of the Governing Council (online) of the International Hospital Federation IHF in June 2021.








Polish Hospital Federation (PFSz) joined the International Hospital Federation IHF on 11 Jun 2020.







Phone number for contacts 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
Supervision: PFSz Supreme Council, PFSz General Meeting
Number of associated hospitals: > 280 direct hospital members, 300 indirect – associate hospitals, overall with over 160 K beds and over 600 K staff
approximately 80% of hospital resources in Poland
Group membership or signed cooperation agreements with local and specific type (i.e. county, private) hospital organizations and healthcare managers associations

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

Number of supporting members: 60+

pfsz.org web site visits: over 1200 per day, visitors: over 230 per day (21.10.2021-22.10.2022)

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



Polish Hospital Federation

Polska Federacja Szpitali (PFSz)


Nongovernmental organization of hospitals founded in 2011 on the initiative of Jaroslaw J. Fedorowski – physician, healthcare manager and university professor. PFSz legal status is: employers’s organization. Hospitals are regular members, companies and private persons are supporting members. Direct membership covers over 280 hospitals. Supportive members are quite numerous, reaching well over 60. PFSz has cooperation agreements with local and sectorial hospital associations in Poland. Based on direct and indirect membership, PFSz is acting as an umbrella federation covering over 550 hospitals nationwide. Tthere are 585 hospitals in the National Hospital Network and few hundreds more, predominantly rather small, mostly short stay hospital entities outside of the Network in Poland. PFSz is a voting member of the tri-party social dialogue committee for healthcare on the national level. PFSz is a full member of the large cross-sectorial employer’s organization called Employers of Poland.

PFSz is the full member of the European Hospital and Healthcare Federation HOPE.

PFSz became the associate member of the International Hospital Federation #IHF in June 2020 and the full member of IHF in June 2021

PFSz takes active role in consultations with the decision makers, trade unions, patient associations, medical professional organizations and other stakeholders of the healthcare system as the voice of hospitals and their managers. Other areas of activity include promotion of innovation, research, coordination of charity for hospitals, education and organization of conferences, support of young healthcare managers, cooperation with media, quality improvement of medical care and special projects related to healthcare market.

Warszawa, 02 Jun 2020, updated 22 Oct 2022








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

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

The beginning of the new post-socialist economical system started in 1989. Until 1998 almost all healthcare was financed from the general state budget. from 1999 – III 2003 a universal health insurance system functioned based on 17 so called “sickness funds” and then in 2003 a single payer model with National Health Fund “Narodowy Fundusz Zdrowia” (NFZ) was established. NFZ is the single national payer for health care services. It receives funds from special taxation called health premiums. calculation of healthcare premiums is complicated and depends on the personal income, form of employment and special circumstances (i.e. for farmers). National Health Fund is supervised by the Ministry of Health. It acts not for profit and is divided into 16 provincial departments that manage contracting with 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 2 decades health care system in Poland has been divided into 4 main sectors of healthcare:

  • Primary Health Care “POZ” (Primary care physician acts as a “gate keeper” to higher levels of the healthcare system). This sector is composed of many small private practices and some hospital based primary care centers
  • Specialized Out-Patient Care “AOS” (mostly referral based) This sector is mixed, there are many private group specialty practices and publicly owned clinics, mostly multispecialty. Some are attached to hospitals, more are free standing.
  • Inpatient Health Care (Hospitals)
  • Emergency Health (public system called national Emergency care System with many modern ambulances and over 20 modern medical helicopters.
  • and several special areas like
    • Long-Term healthcare, rehabilitation facilities, home care and hospices
    • Psychiatric hospitals and outpatient care
    • Health Resorts, “sanatoriums”

In the last decade over 580 hospitals (defined as facilities with 24/7 emergency care services and inpatient care) and several hundred of short stay / day surgery hospitals have been in operation in Poland. Most of hospitals are publicly owned, acting as non-profit organizations, or incorporated (90% of those with emergency care services and 24/7 inpatient care) while most of other hospitals are private. Majority of hospitals provide services financed from public funds administered by the National Health Fund.

In 2017, the hospital sector in Poland changed significantly.  The national network of hospitals was voted in favor by the Polish Parliament in May of 2017. The new network was fully implemented in October 2017.

National Hospital Network, called officially the System of Fundamental Hospital Care Coverage, commonly known as the “Hospital Network” divides hospitals into 6 levels, all providing emergency care and inpatient services 24/7, some of them only care related to their specialty profile (oncology, pulmonary and pediatric).

General hospitals:

  • 1-st level (with 4 basic departments: surgery, internal medicine, gynecology and obstetrics, and pediatrics) – mainly county hospitals, up to 42% privately owned or with mixed ownership – operational model
  • 2-nd level (hospitals having 4 basic departments plus 2 specialized departments) – larger county and some city hospitals, some privately owned
  • 3-rd level (hospitals having 4 basic departments plus 6-8 specialized departments) – larger regional hospitals, all publicly owned

And 3 specialized levels:

  • Children’s hospitals
  • Oncological hospitals and Pulmonology hospitals
  • Nationwide hospitals (university hospitals and national research medical institutes)

Additionally, oncology, which is the priority discipline for the State is financed without cap limits.

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

These hospitals are financed by general budgets assigned to them by the National Health Fund. Such budgets may be revised every few months depending on productivity.There is also some financing related to procedures (fee-for-service), outside of global budgets, it depends on the type of hospital and its place in the National Network

Hospitals outside the Network may apply for contracts with the National Health Fund, however the amount of money available for that is only around 10 % of the total public financing of hospital care of 66 bln PLN (amount planned for 2023). The 90% of total hospital care budget is dedicated to in-Network hospitals. The other hospital network related regulation is a restriction on purchasing more than 51% of shares in public hospitals (only those that are incorporated) by private investors.

Most private hospitals are out of the Network, these are mostly procedure oriented ambulatory surgery or one-day surgery centers, without emergency care and not operating 24/7. There are 72 privately owned (or with mixed, >50% ownership, or publicly owned hospital infrastructure but operated by private companies) hospitals in the National Hospital Network – most at level 1, some at level 2.

The other reform of the Poland’s health care system was the implementation of publicly owned entities as the only providers in the National Emergency Health Care System (Comprehensive emergency care model established in 2006 allowed also private companies to operate in the system).

In 2019, the nationwide e-prescription and e-referral system, followed by the patient’s internet account were implemented. Telemedicine has rapidly developed since 2020 and is now very popular in outpatient care 

Accordingly to the 2023 National Health Fund budget, the total value of publicly financed healthcare services is going to reach 144 bln PLN. Private financing of healthcare is predicted to reach close to 70 bln PLN in 2023. Central Office of Statistics reports that the total value of financing of healthcare in Poland amounted to 173 bln PLN, equalling 6.6% of GDP in 2021, 47 bln PLN were private financing out of which, 33 bln PLN were direct out-of-pocket payments (19% of the total healthcare payments) and 14 bln PLN were employer sponsored pre-paid care and private healthcare insurance. Private healthcare financing in 2021 was 27% of the total healthcare financing.
Interestingly, in 2023, only 1.4 bln PLN is the amount planned to cover the administrative costs of the National Health Fund. Poland’s National Health Fund is one of the least costly healthcare financing institutions in the world, as its administration amounts only to 1% of the total budget.

updated 22 Oct 2022



“PFSz” 2011-2017

17.01.2017 Jaroslaw J. Fedorowski, PFSz President, among 20 most influential people in Polish healthcare system.

Accordingly to the ranking called “Lista STU” just released by the Pulse of Medicine Journal, Jaroslaw J. Fedorowski, President of the Polish Hospital Federation was listed among 20 most influential people in Polish healthcare system (ranked at 19). The list included 100 most influential persons.

click on http://www.federacjaszpitali.pl/14.html 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)