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

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Health systems in transition Hungary
● implements the right to health through the provision of labour safety, health care
within social security (Comments 2 and 4 of Article 70/D), regular physical activity,
environmental protection (Article 70/D, section 2) with the overall responsibility of
the central government (Article 35, section 1, point g)
5. Decree No. 113/1989. (XI. 15.) MT of the Ministerial Council on Social and Health
Enterprises and Decree No. 30/1989. (XI. 15.) SZEM of the Minister of Social Affairs &
Health on the Practice of Medicine, Clinical Psychology and Other Health and
Social Services
● allows for fully private providers to be established in the area of health and social
services
6. Act XLVIII of 1989 on the Social Insurance Fund’s Budget of 1990
(promulgated: 27/12/1989)
1990
● establishes the “fund exchange”: health services are financed from the
Social Insurance Fund.
1. Government Decree No. 49/1990. (IV. 12.) Korm. on the Scope of Duties and Authority
of the Minister of Welfare
2. Decree No. 14/1990. (IV. 17.) SZEM of the Minister of Social Affairs & Health on the
National Institute of Hospital and Medical Engineering (see also the Deed of Foundation
of the Institute for Medical and Hospital Engineering in Health Gazette 2000/7)
● describes the registration and licensing process for medical devices
3. ActLXV of 1990 on Local Government (promulgated: 14/08/1990) (see also Act
XX of 1991 on the Scope of Duties and Division of Authority between Local
Governments and their Organs, the Central Government Representatives and
Certain Centrally Controlled Organs)
● transfers ownership of most public health care facilities to local governments
(Article 107, section 1, point c)
● makes local governments responsible for supplying primary and secondary care to the
local population (territorial supply obligation) on the basis of the principal division of
tasks (Article 8, section 4 and Article 70, point b) and the principle of subsidiarity
(Article 69, section 2–6)
● sets the scope of territorial supply obligation and the catchment area of service
providers as the status quo, which can only be modified by an agreement between local
governments concerned (Act XX of 1991, Article 132; for primary care Article 129,
section 1 and Article 133, point l
4. Act LXXXVII of 1990 on Price Setting (promulgated 05/12/1990).
1991
1. Act XI of 1991 on the National Public Health and Medical Officer Service (promulgated:
09/04/1991) and Decree No. 7/1991. (IV. 26.) NM of the Minister of Welfare on the
Organisation and Operation of the National Public Health and Medical Officer Service
● establishes the Service as a state agency on the basis of the former public hygiene
stations, but tasks are defined according to the concept of modern public health, and
include the professional supervision of health care
● defines the structure and organs of the NPHMOS