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

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202 120 110 100 90 80 70 2800 2700 2600 2500 2400 2300 2200 2100 2000 Health systems in transition Hungary Fig. 7.2 NHIFA expenditure on acute hospital care (billion HUF, constant 1994 prices) 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: HCSO, 2009b. Fig. 7.3 Number of hospital discharges, 1989–2008 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: HCSO, 2009b. NHIFA expenditures on acute hospital care (billion HUF, constant 1994 prices) Number of hospital discharges
2800 2700 2600 2500 2400 2300 2200 2100 2000 Health systems in transition Hungary 203 Since the introduction of HDGs, however, a better measure of outputs in acute inpatient care is the total number of HDG points produced by hospitals (Fig. 7.4). In the HDG system, hospital cases are weighted according to complexity and costs – bypass surgery, for instance, is assigned more points than an appendectomy – and these points (not just the number of cases) are added up. In short, the HDG system considers not just the number, but the complexity of hospital cases; this is referred to as the case-mix. Comparing cost (that is, the HIF budget for acute inpatient care at constant prices) and output, acute inpatient care produced more output in terms of HDG points from the same budget in 2008 than in 1994 (Fig. 7.5). This also suggests that, by reducing the cost per unit of output, efficiency in acute hospitals increased by more than 15% during the period in question. Fig. 7.4 Sum of HDGs cost weights/points (thousands) 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: Information Centre for Health Care, 2010. Sum of HDG cost weights/points ('000)
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Health Systems in Transition Vol. 1
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Health Systems in Transition Péter
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Contents Preface
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Preface The Health Systems in Trans
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Acknowledgements The Health System
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Health systems in transition Hungar
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xii Health systems in transition Hu
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xiv Health systems in transition Hu
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Abstract Hungary has achieved a suc
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Executive summary Introduction Hung
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1. Introduction 1.1 Geography and s
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18 NATIONAL/CENTRAL LEVEL REGIONAL
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20 Health systems in transition Hun
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3. Financing 3.1 Health expenditure
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4. Physical and human resources 4.1
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120 100 80 60 40 20 0 Health system
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5.0 4.5 4.0 3.5 3.0 2.5 2.0 Health
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9 8 7 6 5 4 Health systems in trans
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5. Provision of services Health car
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10. Appendices 10.1 References Ád
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The Health Systems in Transition pr
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The European Observatory on Health
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