This article discusses the process of changes in health care, shows the specific dependencies in the process of political transformation and commercialization, as well as the effects of changes in the health sector. Systemic changes noticeable in the past and nowadays are visible throughout the country. Their results are very diverse. There is also a kind of discord between the course of changes and the level of implementing acquired assumptions. The expression of the above is a widening commercialization process and the search for a reasonable model of progressive changes. In the process of socio-economic systemic transformation many different and unusual phenomena, generally defined by law, are recognized. Typically, these latter are a source of growing socio-economic and political tension. They refer to the organizational units of health care, their size, objectification, and management. The process of reforming the health care system emphasizes the subjectivity of the health care market. However, the health care system still requires transformations in order to eliminate its weaknesses. The need to ensure the availability of services and health services at the highest possible level of knowledge, medical art and the principles of good practice are emphasized as well. Further changes in the system should promote motivating managerial contacts. Implementation of the goals will be possible thanks to different forms of grants, participating, in the fully-paid service market, and searching for the new funding. Analysis of material, financial and personal resources points to the need to self-finance medical facilities on the grounds of cost accounting based on public and private benefits.

Key words: changes, systemic transformations, organizations, health care.