REVIEW PAPER
Workforce transformation in the Polish healthcare system: a historical overview
More details
Hide details
1
Zakład Medycyny Społecznej i Zdrowia Publicznego, Warszawski Uniwersytet Medyczny, Polska
2
Faculty of Political Science and International Studies, University of Warsaw, Polska
These authors had equal contribution to this work
Corresponding author
Katarzyna Bochniak
Zakład Medycyny Społecznej i Zdrowia Publicznego, Warszawski Uniwersytet Medyczny, Pawińskiego 3a, 02-106, Warszawa, Polska
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
The healthcare system in Poland is experiencing dynamic staffing changes. Understanding the
structure of medical personnel, particularly doctors, is crucial for conducting long-term health policy.
The aim of this review is to demonstrate the quantitative and structural changes within the population of doctors in Poland over recent decades, and to identify the most important staffing trends, such as the feminization of the profession, generational shifts, and regional inequalities.
Review methods:
A review of statistical data was conducted published by, among others, Statistics Poland, the Ministry
of Health, and the Supreme Medical Chamber, as well as international institutions (including the Organisation for Economic Co-operation and Development – OECD). Historical data from 1930–2025 were included. The results are presented broken down into selected thematic areas.
Brief description of the state of knowledge:
An increase in the number of doctors has been observed. The indicator of the number of doctors per capita is also growing, but it still remains lower than in most European Union countries. The proportion of women in the profession exceeds 59%, confirming the ongoing feminization process. The age
structure has rejuvenated, but the proportion of doctors of retirement age remains significant. The staff is unevenly distributed geographically, with a predominance in large urban centres.
Summary:
The data confirm the need to conduct staffing policies based on current statistics, taking into account
regional disproportions and demographic changes. Actions increasing the attractiveness of the profession and effective planning of staff distribution are necessary.
REFERENCES (48)
1.
Ustawa z dnia 5 grudnia 1996 r. o zawodach lekarza i lekarza dentysty. DzU 1997, Nr 28, poz. 152.
2.
Ustawa z dnia 15 lipca 2011 r. o zawodach pielęgniarki i położnej. DzU 2011, Nr 174, poz. 1039.
3.
Ustawa z dnia 10 grudnia 2020 r. o zawodzie farmaceuty. DzU 2021, poz. 97.
4.
Ustawa z dnia 25 września 2015 r. o zawodzie fizjoterapeuty. DzU 2015, poz. 1994.
5.
Ustawa z dnia 27 lipca 2001 r. o diagnostyce laboratoryjnej. DzU 2001, Nr 100, poz. 1083.
6.
Ustawa z dnia 1 grudnia 2022 r. o zawodzie ratownika medycznego oraz samorządzie ratowników medycznych. DzU 2022, poz. 2705.
7.
Ustawa z dnia 8 czerwca 2001 r. o zawodzie psychologa i samorządzie zawodowym psychologów. DzU 2001, Nr 73, poz. 763.
8.
Ustawa z dnia 17 sierpnia 2023 r. o niektórych zawodach medycznych. DzU 2023, poz. 1972.
9.
Feliksiak M. Oceny działalności instytucji publicznych w marcu. Komunikat z badań nr 39/2023. Centrum Badania Opinii Społecznej (CBOS)
https://www.cbos.pl/PL/publika... (access: 2025.05.27).
11.
Główny Urząd Statystyczny. Bank Danych Lokalnych – Kadra medyczna: lekarze i lekarze dentyści wg płci (personel pracujący). Główny Urząd Statystyczny (GUS)
https://bdl.stat.gov.pl/bdl/me... (access: 2026.03.17).
12.
Kędzierski M. Zestawienie liczbowe lekarzy i lekarzy dentystów wg wieku, płci i tytułu zawodowego z uwzględnieniem podziału na lekarzy wykonujących i nie wykonujących zawodu. Naczelna Izba Lekarska (NIL)
https://nil.org.pl/uploaded_fi... (access: 2025.05.27).
15.
Organisation for Economic Co-operation and Development (OECD), European Commission. Health at a Glance: Europe 2024: State of Health in the EU Cycle. Paris: OECD Publishing.
https://doi.org/10.1787/b3704e....
18.
Sowada C, Sagan A, Kowalska-Bobko I. Poland: Health System Summary, 2022. WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies. Copenhagen; 2022.
19.
Nieszporska S. Polityka państwa a sektor ochrony zdrowia w Polsce. Ekonomiczne Problemy Usług. 2014;113:81–91.
20.
AmCham EU. At a turning point: Healthcare systems in Central and Eastern Europe. Brussels: American Chamber of Commerce to the European Union; 2021.
21.
Romaniuk P, Szromek AR. The evolution of the health system outcomes in Central and Eastern Europe and their association with social, economic and political factors: an analysis of 25 years of transition. BMC Health Serv Res. 2016;16(95).
https://doi.org/10.1186/s12913....
22.
Zapata T, Azzopardi Muscat N, Falkenbach M, et al. Workforce planning in healthcare: what’s needed now? Eurohealth. 2023;29(1):6–10.
24.
Polska Agencja Rozwoju Przedsiębiorczości. Branżowy Bilans Kapitału Ludzkiego – Branża: opieka zdrowotna i pomoc społeczna. Raport z I edycji badań. Warszawa: PARP; 2023.
25.
Bes JM, Flinterman LE, González AI, et al. Recruitment and retention of general practitioners in European medical deserts: a systematic review. Rural Remote Health. 2023;23:7477.
https://doi.org/10.22605/RRH74....
26.
Ozegowski S. Effective policy mechanisms for an equitable geographical distribution of general practitioners: a qualitative comparative analysis of the accessibility of primary care in Europe. J Health Serv Res Policy. 2013; 18(3): 151–159.
https://doi.org/10.1177/135581....
27.
Dellinger EP, Pellegrini CA, Gallagher TH. The aging physician and the medical profession: a review. JAMA Surg. 2017;152(10):967–971.
https://doi.org/10.1001/jamasu....
28.
Paszkowska M. System ochrony zdrowia w Polsce – zmiana modelu. Problemy Zarządzania. 2017;15(3):25–41. https:/ doi.org/10.7172/1644-9584.69.2.
29.
Ustawa z dnia 6 lutego 1997 r. o powszechnym ubezpieczeniu zdrowotnym. DzU 1997, Nr 28, poz. 153.
30.
Ustawa z dnia 27 sierpnia 2004 r. o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych. DzU 2004, Nr 210, poz. 2135.
31.
Domagała A, Dubas-Jakóbczyk K, Gonzalez AI, et al. Addressing medical deserts in Europe: lessons from a comparative analysis. Health Expect. 2026;29:e70606.
https://doi.org/10.1111/hex.70....
32.
Małyszko K, Pędziński B, Maślach D, et al. Medical staff in Poland in 2012–2022: challenges related to the distribution of human resources. Ann Agric Environ Med. 2024;31(3):382–387.
https://doi.org/10.26444/aaem/....
33.
Michalska K, Domagała A. Addressing the health workforce crisis in Poland from the key stakeholders’ perspectives – a qualitative study. BMC Health Serv Res. 2025;25:1121.
https://doi.org/10.1186/s12913....
34.
Kupis R, Michalik B, Polak M, et al. Specialty choices among new generation of doctors – insights from a Polish survey study. Sci Rep. 2024;14:27855.
https://doi.org/10.1038/s41598....
35.
Ogliari G, Masud T, Herghelegiu AM, et al. Educational needs in geriatric medicine among health care professionals and medical students in COST Action 21122 PROGRAMMING: mixed-methods survey protocol. JMIR Res Protoc. 2025;14:e64985.
https://doi.org/10.2196/64985.
36.
Kupis R, Michalik B, Duque S, et al. Future Polish specialists—anything but a geriatrician. A pilot survey among young Polish doctors. In: Abstracts of the 19th Congress of the European Geriatric Medicine Society;2023; Eur Geriatr Med. 2023;14(Suppl 1): S21.
https://doi.org/10.1007/s41999....
37.
Kupis R, Perera I, Domagała A, et al. Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes. BMC Med Educ. 2025; 25:444.
https://doi.org/10.1186/s12909....
38.
Michalska K, Gonzalez-Aquines A, McVey L, et al. From recruitment to retention of young doctors: a comparative analysis of policies in Poland and the United Kingdom. Health Policy. 2026;164:105513.
https://doi.org/10.1016/j.heal....
39.
Małyszko K, Pędziński B, Maślach D, et al. Crisis-time efficiency in Eastern Poland’s regional hospitals (2015–2024): a data envelopment analysis. Front Health Serv. 2026;6:1715091.
https://doi.org/10.3389/frhs.2....
40.
Michalska K, Gonzalez Gonzalez AI, Likic R, et al. IT solutions for health workforce shortages: improving administrative processes and care access—a comparative study of five European countries. Eur J Public Health. 2026;36(1): 56–63.
https://doi.org/10.1093/eurpub....
41.
Najwyższa Izba Kontroli. Informacja o wynikach kontroli: zasoby kadry medycznej w systemie ochrony zdrowia (sygn. KZD.430.007.2022). Warszawa: NIK; 2023.
42.
Eurofound. Measures to tackle labour shortages: Lessons for future policy. Dublin: European Foundation for the Improvement of Living and Working Conditions. Eurofound
https://www.eurofound.europa.e... (access: 2025.06.22).
43.
European Parliament. Healthcare sector: addressing labour shortages and working conditions. Agenda Briefing 10-02-2025. European Parliament
https://www.europarl.europa.eu... (access: 2025.06.22).
44.
Al-Btoush A, El-Bcheraoui C. Challenges affecting migrant healthcare workers while adjusting to new healthcare environments: a scoping review. Human Resources for Health. 2024;22(1):56.
https://doi.org/10.1186/s12960....
45.
D᾽Andreamatteo A, Neri F, Antonucci G, et al. Immigration, policies of integration and healthcare expenditure: a longitudinal analysis of the INHS (2002–2018). Health Policy. 2024;142:104960.
https://doi.org/10.1016/j.heal....
47.
Ministerstwo Zdrowia. Baza Analiz Systemowych i Wdrożeniowych (BASIW) – model popytowo-podażowy lekarzy
http://basiw.mz.gov.pl/ (access: 2026.03.09).
48.
Naczelna Izba Lekarska. Polska na drodze do marnowania miliarda złotych rocznie na kształcenie nadmiarowych lekarzy – stanowisko NIL
https://nil.org.pl/aktualnosci... (access: 2026.03.09).