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

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Health systems in transition Hungary
of models based on the financial incentives of potential efficiency savings is
heavily dependent on the balance between potential savings resulting from
the elimination of unnecessary services and the increased cost of addressing
previously unmet need.
Fig. 7.12
Average cost of cardiovascular care of high-risk patients with and without proper care
US dollar
35
30
25
20
15
10
5
0
14 USD
High risk patients with care
Source: Misszió Központ Kht, personal communication, 2003.
High risk patients without care
On the system level, however, care coordination makes more sense,
since it selectively tackles inefficiencies by addressing both the provision
of unnecessary services and the absence of necessary ones. In contrast,
non-selective interventions such as user charges, decrease cost by reducing both
superfluous and necessary provision, at least in the short term, by deterring
patients from utilizing health care. This is undesirable from the point of view
of both efficiency and equity.
7.6 Transparency and accountability
Cost of revascularisation
Other cardiological cost
Transparency and accountability in the Hungarian health care system are
unevenly developed for different areas of service provision and for different
actors. A comprehensive system for monitoring performance has not been
established, although the main reason for this is not a lack of routinely collected
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