Industry 4.0 solutions have penetrated the healthcare sector, thus creating challenges that healthcare entities should meet. For this, a proper relationship between human resource management (HRM) within healthcare entities and Healthcare 4.0 is needed. In addition, organizations mainly focus on HRM practices, yet organizational issues are overlooked. In this context, the aim of the article was to analyze and evaluate the involvement and roles of key HRM actors, such as line managers and human resource (HR) specialists (HR departments) within strategic healthcare entities, namely hospitals. It was also important to identify the potential of hospitals to meet the requirements of Healthcare 4.0. A study was performed on a group of 285 Polish hospitals. Five respondents were recruited from each hospital. The total population amounted to 1425 interviewees. Due to the complexity of the research, it was outsourced. The results of the analysis identified that hospitals largely engage line managers in medical personnel management. However, a lack of managerial competence may become a major barrier in coping with challenges created by Healthcare 4.0. Organizational solutions do not support the strategic role of HR specialists; their anchoring in the organizational structures limits the possibility to support the changes required for the transformation towards Healthcare 4.0.

Healthcare sector is considered as the knowledge-based sector and because of this innovation and creativity should be regarded as prerequisite for the survival and growth of the organizations which perform their activities within the sector. In this context development of pro-innovative culture within hospitals becomes crucial. In search for tools allowing to create the culture employees appraisal becomes an interesting tool to be further investigated. Due to the fact the main aim of the paper is to investigate the relationships between the employee appraisal system and innovation in the context of the organizational culture in the hospitals. Study was carried in eight public hospitals located in two voivodships in Poland. Not only qualitative but also quantitative data was analyzed in order to identify usefulness of employees appraisal as the tool of pro-innovative culture creation.

A B S T R A C T Over the past decade, theoretical and empirical research on the various aspects of human resources (HR) within the healthcare (HC) sector has grown extensively due to its' strategic importance in the sector. There is a visible tendency among researchers to pursue an effective human resource management (HRM) strategies, methods, and tools. Countries implement policies which should increase the amount and competences of employees within healthcare. Providers of HC services (i.e. hospitals) tend to enforce modern HRM solutions adapted from business organisations to attract, retain and develop HR. However, these seem not be as effective as they could (Hyde et al., 2013). Because of this, authors approached a researched reality from the point of view of a contextual paradigm, assuming that HRM solutions to be effective should match the reality of HC providers (Pocztowski, 2008). The aim of the research was to detect determinants which might influence the management of medical personnel in hospitals and identify the possible strength of these determinants so a more adjusted organisational and human resource management strategy could be elaborated. The list of possible determinants of hospital operations as the result of meta-analysis was elaborated. The list created the basis for interviews conducted among stakeholders and experts. Respondents were asked to appraise the factors with the usage of numerical scale considering their influence on medical personnel management in hospitals (physicians, nurses and others). In total, there were 28 interviews completed. The general conclusion which can be drawn from the analysis of these data is that hospitals should reorient their HRM practices in such the way that not only the quantitative but also the qualitative aspect of performance would be properly handled. This paper draws from HRM theory (contextual approach), stakeholder theory, and healthcare management theory, adding new insight to each in the context of the HC sector. Identification of most important factors which influence hospitals could allow the providers to elaborate HRM strategy adjusted to external circumstances. K E Y W O R D S organisational environment, human resource management, hospitals, stakeholders

Internationalization has become an integral part of organizations. This trend has no nationality. Predictions for the future indicate that internationalization will continue to grow, as companies from developing countries and emerging markets enter the global economy. Yet internationalization is just one trait characterizing contemporary organizations. Another is the tendency of successful organizations to build their competitive advantage using the unique features of human capital. The relationship between these two practices justifies the growing importance of managing human resources on an international scale. This paper aims to extend the knowledge of performance management practices as implemented by companies developing their international operations. This paper explores the importance of two issues. First, there continues to be a dearth of information on how to configure the performance management (PM) system during the transformation that accompanies internationalization in international human resource management literature. Second, in the area of international publications, there is a shortage of information dedicated to human resource management issues from developing countries, especially Poland -one of the fastest growing economies in the UE, ranked ninth among the top places in the world for outsourcing. As the direct investment activities of Poland are becoming more visible, especially in European Union countries, this paper focuses on an examination of these issues.

The past twenty years are the time of fundamental changes in Polish economy. It transformed from centrally planned economy to free market one. This concerns almost all sectors also the healthcare one, where the changes have become more dynamic within the last decade. The main aims of the sector reform were to commercialize public entities and to increase the role of private healthcare providers. Presently, both of the objectives are almost fulfilled and because of that competition has increased. This requires implementation of modern methods of management, which are in fact concentrated on intangible resources, such as human resources rather than tangible ones. Considering the challenges that are faced by healthcare providers the paper is dedicated to performance management regarded as the strategic and inseparable element of the human resources management system. The aim of the paper is to diagnose the condition of the PM in the healthcare providers and when applicable propose a set of improvements.