Planning of Polish physician workforce - Systemic inconsistencies, challenges and possible ways forward

Health Policy. 2018 Feb;122(2):102-108. doi: 10.1016/j.healthpol.2017.11.013. Epub 2017 Dec 1.

Abstract

Background: Poland has the lowest number of physicians per 1000 population (2.2/1000) in the EU. This is accompanied by a considerable migration rate of Polish physicians to other EU countries (estimated at above 7%). Among other consequences, this results in waiting lists and unmet health needs.

Objective: The aim of this article is an identification of the main challenges for physician workforce planning in Poland.

Methods: The authors analysed national and international documents, reports, official statements, publications and statistical databases.

Main findings: In Poland health workforce planning is inadequate and insufficient. There is no formal structure and no strategy regarding human resource planning or regular forecasts for the health workforce, which results in many negative effects for the healthcare system. Currently the shortage of physicians in some specialties is becoming one of the most important reasons for limited access to care and lengthening the average wait time.

Conclusions: To improve this situation operational and strategic actions should be undertaken without unnecessary delay. Effective and close cooperation between key stakeholders is needed. Health workforce planning needs to become one of the key building blocks of the Polish health system's reforms, strongly connected to the other functions of the health system. It is essential for Poland to follow available good practices in health workforce planning.

Keywords: Education; Health workforce; Medical; Migrations; Physicians; Workforce planning.

MeSH terms

  • Delivery of Health Care*
  • Forecasting
  • Health Planning*
  • Health Workforce*
  • Humans
  • Physicians / supply & distribution*
  • Poland