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

Health systems in transition Hungary 229
● lists services which are excluded from public finance
15. Decree No. 48/1997. (XII. 17.) NM of the Minister of Welfare on Dental Services which
Can Be Utilized in the Frame of the Statutory Health Insurance
16. Decree No. 49/1997. (XII. 17.) NM of the Minister of Welfare on Infertility Treatments
which Can Be Utilized in the Frame of the Statutory Health Insurance
17. Decree No. 51/1997 (XII. 18.) NM of the Minister of Welfare on Preventive and Early
Diagnostic Services that Can be Utilized in the Frame of Social Health Insurance System
and on the Certification of Participation in Screening Programmes
● lists compulsory (Article 3, section (2), point a), Annex, Part I) and discretionary
screening programmes (Annex, Part II)
18. Government Decree No. 284/1997 (XII. 23.) Korm. on the Fees for Certain Health
Services which Can Be Utilized with Co-payments Only
● determines the amount of co-payment for certain services, e.g for dental care
(Article 2 and Annex 1), and the full fee for services which are not covered by the
statutory (social) health insurance (medical examination for driving and shotgun
licences, blood alcohol test, detoxification, forensic health status determination)
19. Act CLIII of 1997 on the Social Insurance Fund Budget of 1998 (promulgated:
23/12/1997)
● determines the main methods of provider payment (e.g. dental care in Article 25,
section (2))
● stipulates that the HIF cover only the recurrent costs of health services (the so-called
curative-preventive services) (Article 6, section (2))
20. Act CLIV of 1997 on Health (promulgated: 23/12/1997)
● sets up the general framework for health care including patient rights, the organization
of the health care system, major actors and responsibilities for health care (Article 143).
● declares that every patient has a right to life-saving or preserving health care
interventions (Article 6) and to proper, continually accessible and equitable health
services according to health status, which are set in a properly defined legal framework
(Article 7)
● regulates the obligations (Article 26) and rights of patients, including the right to health
care provision (Article 6–9), to human dignity (Article 10), to maintaining personal
contacts (Article 11), to interrupt medical interventions and to leave the medical
institution (Article 12); to information (Articles 5 (3) and 13), including refusal of
information (14), to autonomy (Articles 5 (3) and 15–19), to prior consent
(Article 15/3 and 15/4), to refuse provision of services (Article 20–21), to be privy to
and in possession of medical documentation (Article 24), to privacy (25)
● establishes the institutions of patient right representatives (Article 30–33), arbitration
(Article 34), hospital supervisory councils (Article 156, section 1–5) and hospital
ethical committees (Article 156, section 1–2, 6–7) as well as the procedure of
investigating patient complaints (Article 29) and addressing medical negligence
(Article 140/A)
● establishes the National Health Council (Article 148, 149)
● introduces the National Health Promotion Programme, to be approved by the National
Assembly (Article 146)
● determines the services which have to be financed from the central government budget
(Article 142, section 2, high cost, high tech interventions – point d)