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INTRODUCTION
Poland’shealthcaresystemissubjecttocontinualchange.Theorgani-
sationalandfunctionalchangesinthehealthcaresysteminitiatedinthe
1990sledtoslowbutprogressivedevelopmentofhealthcare.Asaresult
ofthesechanges,itbecamenecessaryforthewayhealthcareinstitutions
weremanagedtobeadaptedtomarketconditionsandtherulesofeco-
nomicalandeffectivemanagement.
Writtenbyateamofexpertsinhealthcaremanagement,thisbook
showshowtousetheavailablemanagementtoolsandhowtodirectthe
developmentofahospitalforthebenefitofbothitsmanagersandthe
establishingauthority.Thispublicationlooksatthestrategy,costsand
financesofhospitals,asubjectthatwillcertainlybeofinteresttoanyone
consideringthisareaasasourceofopportunitiesforimprovingboththe
financialsituationandcompetitivenessofPolishhospitals.
Chapter1discussesselectedissuesrelatingtotheproblemofstrategy
definitionandimplementationathealthcareproviders.
Chapter2dealswiththesystemforfundinghealthcareservices
providedatintensivecaredepartments.Differentmethodsforexamin-
ingpatients’healtharedescribedbasedonwhichdifferentmethodsfor
fundingsuchservicescanbedefined.
Chapter3isabroaddiscussionoftheuseofcostaccountinginthe
managementofhospitals.Theevolutionoftraditionalcostaccounting
andtheimportanceofthecostaccountingsystemcurrentlyusedatPolish
hospitalsaredescribed.Thetheoreticaldiscussioninthischapterisil-
lustratedwithapracticalexampleofananalysisandassessmentofthe
operationofahospital.
Chapter4isdevotedtobudgetingathealthcareproviders.This
methodofmanagingthefinancesofmedicalinstitutionsisincreasingly
appreciatedbyhospitalmanagersbecauseitbestshowsthestructureof
theactualcostsincurred.