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

Health systems in transition Hungary 201
Table 7.4
Selected performance indicators, 1989 –2008 (selected years)
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Population (‘000) 10 421 10 375 10 373 10 374 10 365 10 350 10 337 10 321 10 301 10 280 10 253 10 222 10 200 10 175 10 142 10 117 10 098 10 077 10 066 10 045
Number of approved hospital beds per 1 000 population* 10.03 10.09 9.96 9.74 9.99 9.77 9.01 9.01 8.16 8.19 8.24 8.24 7.94 7.95 7.90 7.91 7.94 7.96 7.20 7.11
Number of acute hospital beds per 1 000 population* 7.06 7.12 7.06 6.92 – 7.10 6.27 6.24 5.68 5.73 5.64 5.64 6.05 6.03 5.98 5.97 5.97 5.94 4.45 4.42
Number of chronic hospital beds per 1 000 population* 2.97 2.97 2.90 2.82 – 2.67 2.74 2.77 2.49 2.46 2.60 2.61 1.89 1.92 1.92 1.94 1.97 2.02 2.75 2.69
9.76 9.83 9.71 9.50 9.69 9.44 8.96 8.87 8.10 8.15 8.19 8.16 7.89 7.90 7.77 7.87 7.88 7.92 7.14 7.07
Number of hospital beds in operation per 1 000
population*
Number of discharged patients (‘000) 2 277 2 258 2 279 2 272 2 280 2 335 2 387 2 467 2 482 2 530 2 556 2 610 2 655 2 708 2 749 2 777 2 800 2 716 2 423 2 508
Number of hospital cases per 1 000 inhabitants 219 218 220 220 221 227 233 242 244 250 253 256 261 267 271 275 278 270 241 250
Average length of stay acute care (days) 9.9 9.9 9.7 9.5 9.5 9.0 8.6 8.0 7.6 7.3 7.0 6.7 7.0 6.9 6.7 6.5 6.3 6.1 5.6 5.5
Average length of stay chronic care (days) 32.4 32.2 31.9 30.1 – 27.1 26.9 26 24 23.4 22.3 22.2 31.3 30.5 31.4 31.5 31.8 32.2 27 27.4
Bed occupancy acute care (%) 75.9 74.9 74.0 73.6 67.6 71.6 71.9 74.4 77.8 75.8 73.5 72.5 76.9 77.8 77.2 76.6 75.7 70.3 69.2 75.3
Bed occupancy chronic care (%) 86.7 84.6 84.8 83.2 80.9 80.6 81.3 86.2 86.2 84.8 85.0 87.3 86.3 86.5 87.2 87 85.9 75.5 80.9
Sum of HDG cost weights / points (‘000) – – – – – 2 078 2 279 2 449 2 271 2 478 2 271 2408 2 264 2 532 2 702 2 594 2 691 2 609 2 285 2 406
CMI (case-mix-index) – – – – – 1.027 1.070 1.110 1.085 1.153 1.060 1.096 1.013 1.077 1.135 1.084 1.107 1.109 1.137 1.173
NHIFA expenditures on acute hospital care including
– – – – – 86.08 100.38 119.83 140.82 165.26 189.54 198.91 223.17 265.08 337.80 345.53 369.90 376.58 355.10 378.61
special payment category (billion HUF)
Of which payed by HDGs (billion HUF) – – – – – 83.47 96.88 116.07 135.27 159.46 182.48 191.11 214.86 254.71 327.21 332.62 354.72 360.97 336.11 354.87
Of which special payment category (billion HUF) – – – – – 2.61 3.50 3.76 5.55 5.80 7.06 7.80 8.30 10.37 10.59 12.92 15.18 15.61 18.99 23.75
Health Care Price Index (% of previous year) 117.0 128.9 135.0 123.0 122.5 118.8 128.2 123.6 118.2 114.3 110.0 109.8 109.2 105.3 104.7 106.8 103.6 103.9 108.0 106.1
NHIFA expenditures on acute hospital care
– – – – – 86.08 75.57 73.25 72.22 74.49 77.49 73.91 76.10 85.67 105.12 100.05 102.99 100.87 86.97 86.54
(billion HUF constant 1994 prices)**
Hospital mortality (%) 3.4 3.4 3.3 3.5 – 3.4 3.3 3.2 3.1 3.1 3.1 2.9 2.8 2.8 2.9 2.8 2.8 2.8 3.2 3.1
SDR appendicitis (0–64 years per 10 000 inhabitants) 2.4 2.4 2.4 2.7 3.4 1.4 1.8 1.3 1.6 1.5 2.0 0.6 1.4 1.0 1.4 1.3 1.5 1.4 1.2 1.1
SDR hernia (0–64 years per 10 000 inhabitants) 12.5 12.0 10.5 9.5 10.8 10.1 9.0 8.7 7.7 7.4 8.9 6.9 6.1 6.8 9.2 6.8 7.5 7.7 8.6 7.9
Number of non-diagnostic referrals to outpatient
– 133.4 – – – – 196.9 – – 263.2 279.1 301.7 307.5 325.5 342.3 363.8 382.8 443.6 529.7 570.9
specialist care by family physicians per 1 000 population
Number of referrals to hospital inpatient care by family
– 20.8 – – – 26.0 25.8 26.8 30.0 34.5 33.7 34.7 34.9 36.2 38.1 40.9 41.3 43.4 41.7 43.0
physicians per 1 000 population
NHIFA payment per HDG cost weight (point) at constant – – – – – 41 424 33 159 29 911 31 802 30 059 34 122 30 694 33 613 33 829 38 906 38 571 38 272 38 659 38 059 35 972
1994 prices (HUF)
NHIFA payment per HDG cost weight (point) as % of 1994 – – – – – 100.0 80.0 72.2 76.8 72.6 82.4 74.1 81.1 81.7 93.9 93.1 92.4 93.3 91.9 86.8
Source: HCSO, 2009b; Information Centre for Health Care, 2010; WHO Regional Office for Europe, 2010.
*Excluding beds of the Ministry of Justice, till 1993 without the beds of the Ministry of Internal Affairs and Ministry of Defence;
**Health care price deflator.