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publication February 12, 2018

Integrated Health Care in Poland

The World Bank and the government of Poland are working together to pilot enhanced service-delivery integration across different levels of health care coverage and types of providers. These new measures aim to ensure that diagnostic, therapeutic, and rehabilitation care are focused on patient needs. A key objective of the pilots is to create a robust, patient-centric health care system at the local level - one with better prevention programs and effective IT solutions that is integrated with health care solutions at the national level. The pilots will serve as an element of wider, primary health care reform.

Model pilota 1: podręcznik implementacji


The purpose of Model 1 is to transform the existing primary care system into one that is comprehensive and that can ensure that primary health care and family physician teams are responsible for ushering their patients through the health care system. The primary objective of the model is to enhance, strengthen and tailor service-delivery to the needs of the chronically ill population through high-quality services and improved access to preventive and curative care at the primary care level.

Integrated Health Care in Poland: Pilot Model 2


The purpose of Model 2 is to improve the extent to which the health needs of the population are secured during outpatient care through the implementation of comprehensive, scheduled, continuous and integrated care. Ensuring optimum utilization of resources allocated to health services is also an aim of this model. Model 2 consists of enhanced primary health care, a wide variety of services from outpatient specialized care, extended prevention interventions, and ambulatory rehabilitation. Model 2 services could be offered by one facility or a group of cooperating facilities or consortium.

Integrated Health Care in Poland: Pilot Model 3


The objective of Model 3 is to address the lack of integration and continuation of care between different levels of healthcare and ad-hoc social care services, which can particularly affect older people after hospitalization. The aim is to propose a service delivery model that facilitates care being delivered as close to home as possible in the shortest amount of time. Model 3 will implement care plans for the elderly, improve the quality of care, facilitate access to indispensable diagnostics, reduce the number of unnecessary consultations with specialists and hospital admissions, reduce polypharmacotherapy, and improve the use of resources available at the local level.  


The World Bank will support the Government on a detailed work plan to monitor the implementation of an integrated care pilot project. Evaluating the pilot project will require novel monitoring and economic evaluation methods that incorporate the realities of evaluating complex interventions.

The World Bank support would include providing the Government with the evidence on determining the effect of the pilot on the household service utilization and evaluating the capacity of providers to deliver quality services, with the end goal of determining economic feasibility of scaling up integrated health care in Poland.