Contracting services with medical doctors as a form of employment and remuneration – the polish experience

Contracting medical services is becoming a more and more popular form of remuneration of doctors. The principles of rewarding defined in civil contracts in Poland are similar in both public and non-public entities that depend on the kind of contract concluded. The main aim of the research was carrying out an evaluation of the advantages and dangers related to civil contracts as a form of employment and remuneration of doctors in medical health care units. Detailed aims included the identification of the types of remunerations for doctors and defining the determinants of the remunerations of the doctors on civil contracts against the background of the analogical employees. The managers of health care units participated in the study. The research was conducted in two stages. At the first stage, the questionnaire survey method was applied and since the readiness of healthcare entities in Poland to participate in this kind of research is systematically declining, the number of questionnaires obtained in 2014 was far from satisfactory; so, the method of expert interview came into use. The reform of the healthcare system in Poland was the reason of the necessity of looking at labor costs more carefully. This led to the process of increasing the flexibility of employment in different forms of contracting health services with doctors.