Poles are increasingly aware of the challenges posed by brain diseases—one in four has someone in their close circle affected by such issues. However, the healthcare system struggles to meet the growing demand. The shortage of specialists has resulted in longer wait times for neurologists and psychiatrists. While private consultations are an alternative, they remain unaffordable for many. Scientific societies and NGOs emphasize the need for not only national strategies but also a comprehensive European plan for brain health.
“There’s significant discussion in the Polish healthcare system about the challenges in neurology and psychiatry. The issues are similar and widespread—long waiting lists, limited access to neurologists and psychiatrists, and difficulties in diagnosis and treatment for thousands of patients. Another major challenge is the privatization of this sector. Patients face a choice: months-long waits for public care or private treatment, which many cannot afford. Low reimbursement rates for neurological and psychiatric services further restrict access, narrowing the options available in outpatient and hospital care,” explains Izabella Dessoulavy-Gładysz, President of Mental Power – Foundation for Brain Health.
Poor Access to Public Care
A survey conducted by ARC Rynek i Opinia for Mental Power reveals that access to public neurological and psychiatric care is rated poorly by Poles. Only 11% consider it good, while about three-quarters cite difficulties and long wait times as significant barriers. One major issue is the insufficient number of specialists.
“Neurological and psychiatric societies highlight a critical shortage of new doctors in these fields. Neurology was designated a priority field two years ago, leading to a slight increase in training numbers. However, the shortage remains severe, with the average age of neurologists in Poland exceeding 50. This lack of generational replacement falls short of addressing current societal needs,” adds Dessoulavy-Gładysz.
The Widespread Impact of Brain Diseases
Brain diseases are among the most prevalent health issues. ARC data shows that 48% of Poles know someone affected by brain-related ailments, and 26% have someone close to them dealing with such conditions. According to the European Academy of Neurology, over 40% of Europeans suffer from neurological disorders.
“This is largely due to living in environments that heavily strain our nervous systems—pollution, fast-paced lifestyles, insufficient sleep, and high stress levels. The pandemic highlighted these issues further, while excessive use of social media, gaming, and other modern technologies exacerbates the burden. Our brains aren’t adapted to these conditions, leading to numerous abnormalities, diseases, and nervous system inflammations,” notes Dessoulavy-Gładysz.
The number of people affected by neurodegenerative diseases is also rising. According to Poland’s Supreme Audit Office, dementia affects 24–35 million people globally, with 4.5 million new cases annually. The number of patients doubles every 20 years, meaning that by 2040, neurodegenerative diseases could affect approximately 80 million people worldwide. Alzheimer’s disease accounts for 70% of all dementia cases.
“Environmental and lifestyle factors are driving the increase in these diseases, even among younger populations. Conditions like multiple sclerosis, a neurodegenerative disease, are particularly concerning as they affect individuals at the peak of their professional and personal lives. While the exact causes of many neurological diseases remain unknown, ongoing research and the challenges of modern living contribute significantly to the burden,” Dessoulavy-Gładysz adds.
A Global and European Challenge
The statistics demonstrate that brain health is not just a challenge for Poland’s healthcare system but a global issue. Scientific societies advocate for making brain health a priority for the entire European Union, backed by adequate funding. In Poland, expectations are high for progress in brain health initiatives during the country’s presidency of the EU Council.
“We are working to establish a coalition for brain health, actively engaging with the Neurological and Psychiatric Societies. We are determined to make significant strides in this area this year,” says Dessoulavy-Gładysz.
Poland’s Ministry of Health has made children’s and youth mental health a priority during its EU presidency, which lasts until the end of June. Discussions with EU institutions since January 2024 have already yielded initial results, ensuring that mental health remains a focus beyond Poland’s presidency. Recommendations and guidelines for supporting mental health across member states will be prepared as part of the presidency’s summary.
“Europe undoubtedly needs a comprehensive approach to brain health and a European plan for addressing it. Countries like Belgium, Norway, Finland, Switzerland, and Germany are already working on national brain health strategies. Poland should follow suit, developing a strategy similar to the national oncology or cardiology plans,” concludes Dessoulavy-Gładysz.