[Show abstract][Hide abstract] ABSTRACT: The aim of our study is to demonstrate the effects of performance-volume limit (PVL) on the institutional financing of the Clinical Centre of the University of Pécs (CC UP). Data and methods: The data involved in the analysis are based on the reports towards the National Health Insurance Fund Administration (NHIFA), concerning the active inpatient care by specialist in the period between 2004 and 2008. We determined the real NHIFA reimbursement per weighted case number and the financial loss caused by the PVL. We analyzed the proportion of local health care obligation and urgency cases in comparison of various clinics. Results: The reimbursement per weighted case number of CC UP has been less than the pre-announced NHIFA amounts after the installation of PVL. During the examined 5 years, i.e. 2004-2008, the loss in case of CC UP has been up to 3.256 million HUF due to the PVL. Concerning the whole of CC UP it means that 25.3 % of the treated cases and 24.5 % of the executed weighted case number has been out of local health care obligation. Studying the ratio of urgency cases inside the total volume of medical attendance, it is represented that 31.5 % of the cases and 36.1 % of the weighted case numbers came from the treatment of urgency cases. Conclusion: The introduction of performance-volume limit considerably reduced the health insurance financing of CC UP between 2004 and 2008.
[Show abstract][Hide abstract] ABSTRACT: In Hungary, the history of the health technology assessment (HTA) dates back to 1993 when HTA and related activities started by professional initiatives. The legal background, institutionalization, and training capacities were created between 1998 and 2004. The main challenges for HTA in Hungary are partly similar to the ones in countries with a developed economy; no question it is time for cost-effectiveness. However, there are very important differences as well, that is why transferability and adaptability issues have to be considered. This article describes the characteristic features of the Hungarian healthcare system, the history and the current role of HTA, and the most important challenges.
No preview · Article · Jul 2009 · International Journal of Technology Assessment in Health Care
[Show abstract][Hide abstract] ABSTRACT: The onset of cardiovascular diseases, such as an acute myocardial infarction (AMI) shows certain circadian and seasonal variation. The development of vascular diseases may also be influenced by age and sex. The purpose of our study was to find out whether a weekly variation or a seasonal variation could be found in the occurrence of a heart attack in the group of women. We have carried out a retrospective analysis among women with the diagnosis of AMI (n=32,345) admitted to hospitals between 2000 and 2004 in Hungary, grouped in age groups below and above the age of 50. Data was collected from the data base of the National Health Insurance Fund according to the International Classification of Diseases (ICD I21, I22). With consideration to seasonal variation, the peak period of AMI was during Spring, with the lowest number of events during Summer months. There was significant difference between numbers of events in each season (p<0.01). The weekly peak period of AMI morbidity was found on the first day of the week, Monday; showing a gradually decreasing tendency until the last day of the week, Sunday (p<0.01). No significant difference was found between the two age-groups regarding seasonal or weekly variation. In summary, the results of our study suggest that AMI incidence in women shows a characteristic variation regarding seasons and the days of the week, which should be taken into consideration in the development of prophylaxis strategies.