Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
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192<br />
<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong><br />
Table 7.2<br />
Comparison of responsiveness (%) <strong>in</strong> <strong>in</strong>patient and outpatient care <strong>in</strong> <strong>Hungary</strong><br />
and selected countries, 2002<br />
Doma<strong>in</strong> Croatia<br />
Czech<br />
Republic <strong>Hungary</strong> Slovakia Slovenia<br />
Average across<br />
countries<br />
Inpatient care (overall) 50.9 76.3 68.3 68.7 68.9 66.9<br />
prompt attention 42.5 73.8 45.0 70.7 61.0 57.8<br />
dignity 64.3 82.2 79.2 79.7 79.3 77.2<br />
communication 55.6 72.6 74.8 79.7 70.9 71.8<br />
autonomy 31.6 56.7 62.8 56.4 57.1 53.9<br />
confidentiality 54.0 77.6 69.9 74.0 74.6 70.0<br />
choice of provider 54.3 78.7 64.2 60.6 60.4 63.5<br />
quality of basic amenities 43.8 79.5 57.2 58.9 66.2 60.1<br />
social support 61.0 87.4 92.8 70.9 80.8 79.6<br />
Outpatient care (overall) 62.6 79.1 74.0 66.0 71.5 69.7<br />
prompt attention 45.1 66.4 33.2 46.8 49.6 47.8<br />
dignity 76.5 90.6 89.5 82.7 82.8 84.2<br />
communication 77.1 85.3 86.7 76.0 77.2 79.9<br />
autonomy 47.9 65.4 75.2 49.6 64.1 58.1<br />
confidentiality 70.5 80.9 83.2 74.3 75.1 75.9<br />
choice of provider 63.9 85.0 83.2 74.3 75.1 75.9<br />
quality of basic amenities 57.4 80.1 69.1 54.9 65.7 63.5<br />
Source: Vitrai, 2007.<br />
A Eurobarometer survey address<strong>in</strong>g perceptions on patient safety and quality<br />
of care <strong>in</strong> 2009 seems to confirm the dissatisfaction of Hungarian citizens<br />
with the health system <strong>in</strong> general. Accord<strong>in</strong>g to the survey, 22% of Hungarian<br />
respondents perceived the quality of care as very bad and an additional 50%<br />
as bad. As a result, <strong>Hungary</strong> ranked 26th among the 27 Member States of<br />
the EU, surpass<strong>in</strong>g only Greece. Accord<strong>in</strong>gly, 67% of Hungarian respondents<br />
considered quality of care <strong>in</strong> <strong>Hungary</strong> worse than <strong>in</strong> other EU Member States,<br />
while only 2% believed it to be better (European Op<strong>in</strong>ion Research Group,<br />
2010).<br />
Accord<strong>in</strong>g to a report on 10 years of patient rights representative activity,<br />
the number of patient compla<strong>in</strong>ts <strong>in</strong>creased from 6750 <strong>in</strong> 2000 to 11 297 <strong>in</strong><br />
2009(Foundation for the Rights of Patients, 2010). In 2009, patient rights<br />
representatives covered 144 <strong>in</strong>patient care providers and 28 polycl<strong>in</strong>ics with<br />
regular office hours. Of patient rights compla<strong>in</strong>ts, 42% were related to hospital<br />
care, 25.2% to outpatient specialist care and 15.8% to primary care (a notable<br />
<strong>in</strong>crease from 11.0% <strong>in</strong> 2008). As <strong>in</strong> previous years, violation of the right to<br />
health care was the most common compla<strong>in</strong>t with 37%. Accord<strong>in</strong>g to the annual<br />
report of the Parliamentary Commissioner for Civil Rights, overall 9.6% of