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

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5.0<br />

4.5<br />

4.0<br />

3.5<br />

3.0<br />

2.5<br />

2.0<br />

<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong> 115<br />

and 2007, the task of collect<strong>in</strong>g and ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g data on physician registrations<br />

was the responsibility of the Hungarian Medical Chamber. S<strong>in</strong>ce then, the task<br />

has fallen with<strong>in</strong> the remit of the OHAAP.<br />

Other sources of data help provide a clearer picture. Us<strong>in</strong>g payroll data from<br />

44 089 <strong>in</strong>dividuals work<strong>in</strong>g <strong>in</strong> 130 public <strong>in</strong>stitutions to estimate the number of<br />

health professionals, the quarterly report of the NISHR from 2011 found that<br />

the absolute number of physicians work<strong>in</strong>g <strong>in</strong> <strong>in</strong>patient and outpatient care had<br />

dropped substantially between 2003 and 2010, fall<strong>in</strong>g from 19 503 to 16 913<br />

(NISHR, 2011a). Here it is important to note that this source did not take account<br />

of physicians who may have switched from the status of a public employee to<br />

that of a private entrepreneur while cont<strong>in</strong>u<strong>in</strong>g to work <strong>in</strong> the same hospital.<br />

Because private entrepreneurs do not appear on the hospital payroll, a large<br />

number of switches to the status of private entrepreneur could make a decl<strong>in</strong>e<br />

<strong>in</strong> the total number of physicians appear artificially large. Another factor to<br />

consider is that <strong>in</strong>creased professional mobility may contribute to the overall<br />

decl<strong>in</strong>e <strong>in</strong> the numbers of physicians <strong>in</strong> the near future (see section 4.2.2).<br />

Fig. 4.5<br />

Number of physicians per 1000 population <strong>in</strong> <strong>Hungary</strong> and selected countries,<br />

1990–2009 (or latest available year)<br />

Source: WHO Regional Office for Europe, 2011.<br />

Slovakia<br />

1990<br />

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008<br />

Czech Republic<br />

EU15<br />

EU27<br />

Physicians <strong>in</strong> <strong>Hungary</strong> are unevenly distributed, both <strong>in</strong> terms of geography<br />

and specialties. Exclud<strong>in</strong>g counties with medical universities, the average<br />

number of practis<strong>in</strong>g physicians was lowest <strong>in</strong> Békés County, with 1.5 physicians<br />

Austria<br />

<strong>Hungary</strong><br />

EU12<br />

Poland

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