Tools of innovative public procurement in health care in Poland

This paper sets out to map the issues of innovation in public procurement in Poland with specific reference to health care and presents case studies of Polish hospitals using an innovative approach to public procurement. It is based on the analysis of secondary data collected using Internet search engines, introductory research conducted in hospitals which have recently used innovative procurement tools (e.g. technical dialogue and competitive dialogue) and the experience of two Polish hospitals involved in projects aimed at increasing the efficiency of procurement through innovations, described in a case study form. Although innovative procurement in Poland is at an early stage of development, it is also a topic of growing interest to both public authorities and hospitals and some hospitals are adopting new procurement methods such technical and competitive dialogue. However, barriers to the adoption of new procurement approaches are evident and these delay this process of adoption. Barriers encountered include the conservative organizational culture of hospitals, lack of awareness and know-how and a lack of trust and understanding of new procurement approaches.