波兰长期护理服务的战略评估

© 2024 International Bank for Reconstruction and Development /The World Bank1818 H Street NWWashington DC 20433Telephone: 202-473-1000Internet: www.worldbank.org This work is a product of the staff of The World Bank with external contributions.The findings, interpretations, and conclusions expressed in this work do not necessarily reflectthe views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy, completeness, or currency of the data includedin this work and does not assume responsibility for any errors, omissions, or discrepancies in theinformation, or liability with respect to the use of or failure to use the information, methods,processes, or conclusions set forth. The boundaries, colors, denominations, and other informationshown on any map in this work do not imply any judgment on the part of The World Bankconcerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver ofthe privileges and immunities of The World Bank, all of which are specifically reserved. Rights and Permissions The material in this work is subject to copyright. Because The World Bank encouragesdissemination of its knowledge, this work may be reproduced, in whole or in part, fornoncommercial purposes as long as full attribution to this work is given. Any queries on rights and licenses, including subsidiary rights, should be addressed to World BankPublications, The World Bank, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625;e-mail: pubrights@worldbank.org. Cover photo: Istockphoto ACKNOWLEDGMENTS The report was prepared under a Reimbursable Advisory Services (RAS)agreement, signed in March 2023 between the World Bank andthe Ministry of Development Funds and Regional Policy in Poland.The work was led by Anna Kozieł (Senior Health Specialist, World Bank)who was assisted by a broad team of subject matter experts, includingAnna Król-Jankowska, Agnieszka Sowa-Kofta, Jakub Stokwiszewski,Anna Dzikowska, Adrienne McManus, Andi Orlowski, Alejandro GonzalezAquines, Julia Nowicka, Marta Miller, Wiktoria Sobotka, and RenataJeziółkowska. The report was prepared under the strategic guidance and direction ofRekha Menon (Practice Manager), Tania Dmytraczenko (PracticeManager), Mukesh Chawla (Chief Adviser), Marcus Heinz (CountryRepresentative), and Barbara Skwarczyńska (Program Assistant) fromthe World Bank. The authors would like to take this occasion to record a deep sense ofgratitude for the Ministry of Development Funds and Regional Policy,Ministry of Family, Labour and Social Protection, the Ministry of Healthand the National Health Fund for their invaluable advice and supportthroughout the preparation of the report. This work would not havebeen possible without their active involvement and strategic oversight. Finally, we would like to recognize the participants of numerousmeetings and workshops during which the recommendationsproposed within the report were openly discussed. We have learneda lot throughout this process and have hopefully done justice to all thesuggestions that we have received during the preparation of this report. ACRONYMS AND ABBREVIATIONS QALYQuality-adjusted life yearsRDPFamily care home (a smaller-size LTCF)/Rodzinne Domy PomocySHASystem of Health AccountsSHARESurvey of Health, Ageing and Retirement in EuropeSWOTStrengths, Weaknesses, Opportunities, and ThreatsTCNThird-Country NationalUNUnited NationsUOCare services/Usługi opiekuńczeWHOWorld Health OrganizationYLDYears of healthy life lost to disabilityYLLYears of life lostZER MSWiAPension and Disability Insurance Institution of the Ministryof Internal Affairs and Administration/Zakład Emerytalno-Rentowy Ministerstwa Spraw Wewnętrznych i AdministracjiZOLCare and Treatment Facility (health sector)/Zakład Opiekuńczo-LeczniczyZPONursing and Care Facility (health sector)/Zakład Pielęgnacyjno-OpiekuńczyZUSSocial Security Agency in Poland/Zakład Ubezpieczeń Społecznych CONTENTS Acknowledgments..........................................................................................................................................3 Acronyms and Abbreviations..................................................................................................................4 Executive Summary.......................................................................................................................................16 Demographic, Health, and Social Context...................................................................................39Demographic transition....................................................................................................................39Health status of the elderly in Poland......................................................................................41Socioeconomic and cultural con