Health Systems in Transition - Hungary - World Health Organization ...

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Health systems in transition Hungary
currently used mainly in the long-term treatment of psychiatric patients (see
section 5.7). The care these hospitals provide should not be confused with
same-day surgery.
Table 4.1 provides simple descriptive statistics on the number of 155 inpatient
care providers and their capacities. The average capacity was 470 beds, and the
total number of beds operated by each provider ranged from 10 to 2166. The
largest provider was Semmelweis University in Budapest, and the smallest were
two hospice and chronic care providers, each of which had 10 beds. About 70%
of all providers had fewer than 500 beds. Larger hospitals (that is, hospitals
with more than 1000 beds) include four universities with medical faculties,
four municipal hospitals, the Military Hospital in Budapest, 13 large county
hospitals, and a large municipal hospital in Borsod county. Six inpatient care
providers had only acute beds, whereas 45 had only chronic capacities (although
8 of these 45 also provided same-day elective surgery). The rest had a mixed
profile with both acute and chronic beds. The average acute capacity was 415
beds, while the corresponding figure for chronic care was 186 beds in 2009.
The largest chronic care provider in 2009 was a municipal hospital in Budapest,
with 795 chronic beds.
Table 4.1
Number and size of inpatient care providers in Hungary, 2009
Size of inpatient care providers (in beds )
Other providers Hospitals
80– 150– 250– 500– 1000– 1500–
Type of provision
Acute care
10–19 20–79 149 249 499 999 1499 1999 2000+
Number of providers 0 18 17 11 30 20 9 1 1
% of providers 0.0% 16.8% 15.9% 10.3% 28.0% 18.7% 8.4% 0.9% 0.9%
Cumulative number 0 18 35 46 76 96 105 106 107
Cumulative %
Chronic care
0.0% 16.8% 32.7% 43.0% 71.0% 89.7% 98.1% 99.1% 100.0%
Number of providers 8 32 38 31 29 8 – – –
% of providers 5.5% 21.9% 26.0% 21.2% 19.9% 5.5% – – –
Cumulative number 8 40 78 109 138 146 – – –
Cumulative %
Total
5.5% 27.4% 53.4% 74.7% 94.5% 100.0% – – –
Number of providers 7 23 13 19 44 23 13 9 1
% of providers 4.6% 15.1% 8.6% 12.5% 28.9% 15.1% 8.6% 5.9% 0.7%
Cumulative number 7 30 43 62 106 129 142 151 152
Cumulative % 4.6% 19.7% 28.3% 40.8% 69.7% 84.9% 93.4% 99.3% 100.0%
Source: Authors’ calculations based on NHIFA, 2010.