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

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208 Health systems in transition Hungary Fig. 7.9 Variation in use of prescription drugs for diabetes (age and sex standardized), 2002–2003 Source: Belicza, 2004. Fig. 7.10 Variation in use of antibiotics (age and sex standardized), 2002–2003 Source: Belicza, 2004. 115 to 135.1 (12) 105 to 115 (28) 95 to 105 (50) 85 to 95 (32) 67.5 to 85 (28) 115 to 121 (7) 105 to 115 (38) 95 to 105 (67) 85 to 95 (33) 81.2 to 85 (5)
Health systems in transition Hungary 209 Fig. 7.11 Variation in 30-day mortality (%) in patients with acute myocardial infarction according to county of the hospital of first admission, 2008 Vas Zala Source: Belicza, 2008. Gyor-M-S Veszprém Somogy Komárom-E Baranya Fejér Tolna Budapest Nógrád Pest Bács-Kiskun Csongrád Borsod-A-Z During the late 1990s and the 2000s, there were a few attempts to address these problems comprehensively by entrusting one actor with the coordination of care. The earliest of these initiatives was the CCS, which was launched as a pilot programme in 1999 and eventually eliminated in 2008 (2008/9). The CCS assigned the care coordination function to health care providers on the basis of financial incentives and covered more than 20% of the population of the country (about 2.2 million inhabitants) in 2005. The project was criticized mainly for lack of transparency as well as inequitable distribution (State Audit Office, 2008a) (see also subsection Coordination in health care in section 6.1.1). One of the most important issues identified by the CCS is the manifestation of previously unmet need due to the improvement of care activities by the care coordinators. Relevant findings suggest that the early identification and proper care of patients with chronic diseases does not generate savings in the short term (Fig. 7.12). Although the cost of care for cardiovascular patients identified by screening programmes was lower on average, the total cost was higher, because these patients accessed high-cost interventions (such as Percutaneous Coronary Intervention [PCI]) on time. Undiagnosed and not properly cared for patients, on the other hand, did not, either because they succumbed to their condition or because they were past the critical time period indicated for the intervention. This finding also suggests that the sustainability Heves J-N-Szolnok Békés Hajdú-Bihar Szabolcs-Sz-B 23.7 to 26.7 (5) 20.9 to 23.7 (5) 18.1 to 20.9 (3) 15.3 to 18.1 (3) 12.5 to 15.3 (4)
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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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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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3. Financing 3.1 Health expenditure
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4. Physical and human resources 4.1
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5.0 4.5 4.0 3.5 3.0 2.5 2.0 Health
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5. Provision of services Health car
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The Health Systems in Transition pr
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The European Observatory on Health
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