Importance of public participation in decision-making process in healthcare system illustarted with an example of the development of American and Polish scope of health benefit basket.

ABSTRACT

UNLABELLED The process of the development of health benefit basket may serve as a good example of decision-making process in the healthcare system which is based on public participation. OBJECTIVE: Comparative analysis of development and implementation of health benefit basket in Poland and the USA. MATERIAL AND METHODS: On a basis of the literature review, following questions were studied, i.e. What is the origin of health benefit basket development in the USA and Poland? What was the role of pubic opinion in determining the range of health benefit basket in both countries? What criteria were employed to determine the range of health benefit basket in both countries? What conclusions can be drawn for Poland from the USA experience of determining the range of health benefit basket? RESULTS: Irrespective of the similarities in the origin of health benefit basket development, both countries approached this issue differently. In the USA, the approach based on social dialogue and patient's perspective was selected while in Poland the perspective of public payer predominated. CONCLUSIONS: The transparency of principles and social dialogue constitute the fundamental elements of effective process of health benefit basket development and implementation which is both required and generally unpopular modification.