The Impact of the COVID-19 Pandemic on the Financial Performance of Polish Public Hospitals Owned by Local and Regional Governments

Katarzyna Wójtowicz, Jan Wójtowicz, Damian Ujazda

Abstract


Theoretical background: The COVID-19 pandemic has put a great strain on healthcare systems and hospitals. Although the effects of COVID-19 have affected almost all aspects of the economies and health systems of most countries around the world, relatively little research has been done on the consequences of the pandemic on the financial performance of hospitals around the world. This literature gap is mainly the result of a short research period and difficulties in obtaining reliable and good quality empirical data. The review of the literature shows that the impact of the COVID-19 pandemic on the financial performance of hospitals is ambiguous. Most of them focused primarily on the first year of the pandemic and were mostly based on fragmentary financial data and sometimes only on the case study method.

Purpose of the article: The purpose of this article is to evaluate the impact of the COVID-19 pandemic on the financial performance of the largest public hospitals owned by local and regional governments. The research, covering mainly the years 2019–2021, was carried out based on financial statements obtained from 40 public hospitals in the form of independent public healthcare institutions (SPZOZ).

Research methods: To assess the impact of the COVID-19 pandemic on the financial performance of Polish hospitals, a ratio analysis was carried out. Due to the specificity of public health facilities, ratios included in the Ministry of Health Regulation of 12 April 2017 were used, which refer mainly to independent public healthcare facilities.

Main findings: The research revealed that the COVID-19 pandemic contributed to the deterioration of the financial performance of Polish public hospitals owned by local and regional governments. However, the impact was not dramatic, but only intensified the financial difficulties experienced by Polish hospitals before.


Keywords


financial performance; public hospitals; COVID-19 pandemic

Full Text:

PDF

References


Act of August 30, 1991 on healthcare institutions (Journal of Laws of 1991, no. 91, item 408).

Act of March 2, 2020 on special solutions related to the preventing, counteracting and combating COVID-19, other infectious diseases and emergencies caused by them (Journal of Laws of 2020, item 374).

Ahmed, J., Malik, F., Bin, A.T. et al. (2020). Availability of personal protective equipment (PPE) among US and Pakistani doctors in COVID-19 pandemic. Cureus, 12(6). doi:10.7759/cureus.8550

Bartsch, S.M., Ferguson, M.C., McKinnell, K.J. et al. (2020). The potential health care costs and resource use associated with COVID-19 in the United States. Health Affairs, 39(6), 927–935. doi:10.1377/hlthaff.2020.00426

Białoszewski, A.Z., Gołąb-Bełtowicz, D., & Raulinajtys-Grzybek, M. (2021). Organization of a hospital ward aimed at admitting patients with SARS-CoV-2: An economic and epidemiological perspective. International Journal of Environmental Research and Public Health, 18(18). doi:10.3390/ijerph18189446

Dobska, M. (2021). Zarządzanie w opiece zdrowotnej w czasie COVID-19. Poznań: Wyd. UEP.

Dubas-Jakóbczyk, K., Kocot, E., & Kozieł, A. (2020). Financial performance of public hospitals: A cross-sectional study among Polish providers. International Journal of Environmental Research and Public Health, 17(7). doi:10.3390/ijerph17072188

He, M., Jessri, M., & Zhang, H. (2022). The impact of COVID-19 on hospitals’ financial performance: Evidence from California hospitals. International Journal of Healthcare Management, doi:10.1080/20479700.2022.2118168

Kaye, A.D,. Okeagu, C.N. Pham, A.D. et al. (2021). Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives. Best Practice & Research Clinical Anaesthesiology, 35(3), 293–306. doi:10.1016/j.bpa.2020.11.009

Khullar, D., Bond, A.M., & Schpero, W.L. (2020). COVID-19 and the financial health of US hospitals. JAMA, 323(21), 2127–2128. doi:10.1001/jama.2020.6269

Ministry of Health. (2021). Założenia reformy podmiotów leczniczych wykonujących działalność leczniczą w rodzaju świadczenia szpitalne. Warszawa: Ministerstwo Zdrowia.

Ministry of Health. (2022). Zadłużenie SPZOZ. Retrieved from https://www.gov.pl/web/zdrowie/zadluzenie-spzoz

Ministry of Justice. (2022). Viewing of financial documents. Retrieved from https://ekrs.ms.gov.pl/rdf/pd/search_df

Mitsuya, H. (2020). Fight against COVID-19 but avoid disruption of services for other communicable diseases (CDs) and noncommunicable diseases (NCDs). Global Health & Medicine, 2(6), 343–345. doi:10.35772/ghm.2020.01111

Mulholland, R.H, Wood, R., Stagg, H.R. et al. (2020). Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: An interrupted time-series analysis. Journal of the Royal Society of Medicine, 113(11), 444–453. doi:10.1177/0141076820962447

Naruć, W. (2022). The impact of the COVID-19 pandemic on the financial and asset situation of Polish infectious diseases hospitals. WSEAS Transactions on Business and Economics, 19, 542–554. doi:10.37394/23207.2022.19.49

OECD. (2022). Health at a Glance 2021. OECD Indicators.

Ordinance no. 32/2020/DSOZ of the President of the National Health Fund of March 8, 2020 on the reporting rules and conditions for the settlement of healthcare services related to preventing, counteracting and combating COVID-19.

Ordinance of the Minister of Health of September 4, 2020 amending the ordinance on general terms and conditions of contracts for the provision of healthcare services (Journal of Laws of 2020, no. item 1548, as amended).

Palinkas, L.A., Horwitz, S.M., Green, C.A., Wisdom, J.P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533–544. doi:10.1007/s10488-013-0528-y

Regulation of the Minister of Health of April 12, 2017 on the economic and financial indicators necessary to prepare an analysis and forecast of the economic and financial situation of independent public health care institutions (Journal of Laws of 2017, item 832).

Sagan, A., & Sobczak, A. (2014). Implementation of the 2011 Therapeutic Activity Act: Will commercialization improve the financial performance of Polish hospitals? Health Policy, 118(2), 153–158. Retrieved from https://www.sciencedirect.com/science/article/pii/S0168851014002632?via%3Dihub

Shin, J.S., Takada, D., Morishita, T. et al. (2020). Economic impact of the first wave of the COVID-19 pandemic on acute care hospitals in Japan. PLoS One, 15(12). doi:10.1371/journal.pone.0244852

Skóbel, B., & Sekuła, K. (2022). Czy planowana ustawa o modernizacji i poprawie efektywności szpitalnictwa uzdrowi system ochrony zdrowia w Polsce? Związek Powiatów Polskich.

Sowada, C., Sagan, A., Kowalska-Bobko, I., Badora-Musial, K., Bochenek, T., Domagala, A. et al. (2019). Poland: Health system review. Health Systems in Transition, 21(1), 1–234.

Stańczak-Strumiłło, K., & Kotapski, R. (2021). Zarządzanie finansami w podmiotach leczniczych. Gdańsk: Wyd. UG.

Takaku, R., & Yokoyama, I. (2022). The financial health of “swing hospitals” during the first COVID-19 outbreak. Journal of the Japanese and International Economies, 65. doi:10.1016/j.jjie.2022.101218

Trybunał Konstytucyjny. (2019). Wyrok Trybunału Konstytucyjnego z dnia 20 listopada 2019 r. sygn. akt K 4/17. Retrieved from: http://prawo.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20190002331

Waitzberg, R., Gerkens, & Dimova, A. et al. (2022). Balancing financial incentives during COVID-19: A comparison of provider payment adjustments across 20 countries. Health Policy, 126(5), 398–407.

Wee, L.E.I., Sim, X.Y.J. Conceicao, E.P. et. al. (2020). Containing COVID-19 outside the isolation ward: The impact of an infection control bundle on environmental contamination and transmission in a cohorted general ward. American Journal of Infection Control, 48(9), 1056–1061. doi:10.1016/j.ajic.2020.06.188

WHO. (2020). The Impact of the COVID-19 Pandemic on Noncommunicable Disease Resources and Services: Results of a Rapid Assessment.

World Bank. (2014). Poland. Improving the Financial Sustainability of the Hospitals Sector – Towards a Systemic Approach. Retrieved from http://documents.worldbank.org/curated/en/200981468092357399/pdf/882630PRIORITY0aper0Poland020140ENG.pdf




DOI: http://dx.doi.org/10.17951/h.2022.56.3.187-204
Date of publication: 2022-12-09 11:19:16
Date of submission: 2022-10-07 19:04:55


Statistics


Total abstract view - 845
Downloads (from 2020-06-17) - PDF - 0

Indicators



Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Katarzyna Wójtowicz, Jan Wójtowicz, Damian Ujazda

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.