INHIBITORY EFFECT OF THE ENVIRONMENT FOR THE MANAGEMENT OF HUMAN CAPITAL OF PUBLIC HOSPITALS IN THE OPINION OF POLISH MANAGERS

The article refers to the researches carried out by the author concerning the problem of dysfunctionality identified in the public health care of many countries, in particular in the area of limitations occurring in the external environment and management of human resources in Polish public hospitals. The aim of this article is to present the opinion of hospital managers related to the negative impact of individual elements of external and internal environment on the effectiveness of human factor management in the examined entities, supported by questionnaire field studies conducted in Poland The questionnaire survey with the use of a survey sheet (based on the five-level Likert scale) was carried out in 2017 on a group of 80 directors of public hospitals and presidents of non-public hospitals from all over Poland. 58 persons from this group represented public entities, and 22 persons non-public units (a comparative group). The most important elements, negatively affecting human capital management in public healthcare institutions, included: trade unions, systemic conditions, financial policy created by the public payer, local politician at various levels and groups of interest.