The Hungarian Health Care System

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The Hungarian Health Care System

• Pál GÉHER MD
• Hospitaller Brothers of St. Johns of God,
  Budapest

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(No Transcript)
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Total population
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Population aged 65 years old ( of total
population)
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Male Female
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Infant mortality(death/1 000 live births)
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Life expectancy at birth(males)
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Alcohol consumptionLiters per capita (population
aged 15)
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Tobacco consumption( of population who are
daily smokers)
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LOST YEAR (expected 70)
TU
Other
CV
GI
RESP
EXTERNAL
INFECT
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GASTROINTESTINAL MORTALITY
Hungary
EU average
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The drug related problems
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AIDS in Hungary

• Nearly 3000 HIV person (mainly homosexuals)
• 422 AIDS cases since 1986
• 247 died

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Total expenditure on health (Per capita US
PPP)
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Public expenditure on health( Total expenditure
on health)
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Out-of-pocket payments (Per capita, US PPP)
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Total expenditure on in-patient care( Total
expenditure on health)
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Total expenditure on pharmaceuticals ( Total
expenditure on health)
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The Hungarian Health Care System

• Primary Care
• Occupational medicine
• Sport medicine
• Dentist
• Secondary Care
• Tertiary Care

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Health Care Financing

• National Health Insurance Fund
• Obligatory taxation for employed
• (11 of the income monthly fix sum)
• Total population covered (pensioner, children)

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Budget - 2002(1000 HUF)
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Who pay the bill?
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The content of the basket

• Full coverage primary, secondary and tertiary
  care
• Co-payment (pharmaceuticals, spa treatment,
  medical device, plastic surgery)
• Temporary sick leave (65 for one year)
• Disability pension
• Reimbursement (travel cost)

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The Health Care System

• Mixed ownership (private, local council, state)
• Running costs covered by the Health Insurance
  Fund
• Capital costs covered by the owner (central and
  local budgets, etc.)

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Practising physicians(density/1 000 population)
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Primary care

• 6500 primary care physicians
• 1800 habitants/physician
• 1500 pediatrists (towns)
• self-employed 98
• payment basic rate (30)capitation
• no co-payment in any case
• 42 billion Ft/year

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Secondary Care

• Specialist care (venerology, pulmonology,
  psychiatry, oncology)- mainly employed personel
• 34 specialities-16,5 million working hours/year
• 456 institutions
• 64 million cases/year (25 labXray)
• 1000 HUF (4 euro)/case
• 74 billion Ft/year - fee for service

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CT, MR in Hungary
69 CT 25 MR
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Acute care beds(per 1000 habitants)
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Hospital ownership

• Local council 116 hospitals, 61 000 beds
• Ministry of Health 21 hospitals, 14 000 beds
• Other ministries 12 hospitals, 4 000 beds
• Church 9 hospitals, 1700 beds
• Foundation, others 19 hospitals, 500 beds
• Private 1 hospital, 70 beds

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Discharge rate(per 100 000 population)
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Average length of stay
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Disability pension