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

104
Health systems in transition Hungary
Table 4.2
Geographic distribution of inpatient beds per 10 000 population in Hungary,
1990–2009 (selected years)
County/Region 1990 1995 2000 2005 2006 2007 2008 2009
Budapest 153.5 147.4 136.4 132.9 132.7 115.3 109.5 108.8
Pest 52.0 48.2 40.6 34.5 34.2 30.1 29.7 29.3
Central Hungary 120.9 113.6 100.1 93.0 92.3 80.2 76.4 75.7
Fejér 74.1 66.0 68.3 63.8 64.1 60.2 60.2 60.3
Komárom-Esztergom 87.3 75.5 65.8 65.7 67.0 61.0 61.2 61.6
Veszprém 101.3 96.5 85.4 86.3 87.1 84.0 84.3 84.6
Central Transdanubia 87.1 79.0 73.3 71.8 72.5 68.2 68.4 68.6
Győr-Moson-Sopron 106.2 90.9 84.4 77.9 77.7 72.1 71.2 71.0
Vas 102.9 92.5 74.7 72.1 72.4 69.7 69.9 70.3
Zala 104.9 93.3 90.6 86.4 85.9 71.1 71.4 71.3
Western Transdanubia 104.9 92.0 83.6 78.8 78.7 71.1 70.9 70.9
Baranya 104.8 97.8 91.7 87.0 86.5 80.7 81.1 79.0
Somogy 94.3 87.9 72.2 71.9 72.1 71.0 71.5 71.9
Tolna 87.6 69.3 66.7 68.1 68.6 65.9 66.6 67.3
Southern Transdanubia 97.0 87.2 78.8 77.1 77.2 73.7 74.3 73.7
Borsod-Abaúj-Zemplén 92.9 81.1 73.3 74.4 75.6 73.6 73.5 75.3
Heves 125.4 87.1 80.8 79.9 80.3 68.9 68.5 69.5
Nógrád 95.4 75.1 74.9 75.5 76.1 70.1 71.0 72.6
Northern Hungary 101.5 81.6 75.4 76.0 76.9 71.8 71.8 73.3
Hajdú-Bihar 79.9 77.6 77.6 78.4 78.6 68.7 68.9 69.1
Jász-Nagykun-Szolnok 88.1 73.4 69.7 65.9 66.9 64.0 63.9 65.3
Szabolcs-Szatmár-Bereg 83.8 73.2 70.8 70.3 70.9 68.4 69.1 69.7
Northern Great Plain 83.6 74.8 72.9 72.0 72.6 67.4 67.7 68.3
Bács-Kiskun 81.9 76.6 69.3 64.8 64.7 55.9 56.3 56.5
Békés 79.5 79.2 70.6 72.6 73.3 64.4 65.4 67.6
Csongrád 103.6 96.9 83.5 80.2 80.3 71.7 71.5 71.6
Southern Great Plain 88.0 83.7 74.1 71.9 72.1 63.4 63.7 64.4
Country total 100.9 91.2 82.6 79.6 79.7 72.1 71.2 71.4
Source: In part authors’ calculations based on HCSO, 2010f.
The general condition of the hospital infrastructure has been an issue for
some time because sufficient public resources have never been invested in
the refurbishment of buildings and equipment. A typical hospital has a large
number of separate, often old and outdated buildings, usually located on
different sites. According to a survey carried out in 2004 with the participation
of about 50% of hospitals (that is, 75 providers with altogether 44 499 beds), the
mean age of hospital buildings was 50.5 years (with a range of 45 to 62 years),
and the average number of buildings per hospital was 22 (Papp & Eőry, 2004).
Furthermore, in certain regions there were as few as 18 to 25 beds per building.
In 2005 the 109 municipal hospitals had 3157 buildings (29 per hospital) on 337
sites (on average more than three sites per hospital) (State Audit Office, 2005).