Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
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246<br />
<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong><br />
● def<strong>in</strong>es the organizational structure (Articles 1–4) and the ma<strong>in</strong> tasks of the National<br />
Emergency Ambulance Service (Articles 5–7)<br />
19. Government Decree No. 323/2006. (XII. 23.) on the National Blood Supply Service<br />
20. Decree No. 53/2006 (XII.28.) EüM of the M<strong>in</strong>ister of the <strong>Health</strong> on the amendment of<br />
Decree No. 32/2004 (IV.26) ESzCsM of the M<strong>in</strong>istry of <strong>Health</strong>, Social and Family affairs<br />
● substantially decreases pharmaceutical reimbursement categories to be covered by the<br />
HIF (from 90% to 85%, 70% to 55% and 50% to 25%) and establishes new categories<br />
for specific conditions which are to be prescribed for by a specialist (now 90%, 70%<br />
and 50%) (Article 2, Sections 4–8)<br />
● regulates step pric<strong>in</strong>g for generics (Article 10, Section 2)<br />
21. Government Decree No. 361/2006. (XII. 28.) Korm. on the Implementation of Act<br />
CXXXII of 2006 on the Development of the <strong>Health</strong> Care Delivery System (the executive<br />
order of Act CXXXII of 2006)<br />
● provides detailed procedural rules regard<strong>in</strong>g the decision-mak<strong>in</strong>g process on specialist<br />
<strong>in</strong>patient care capacities<br />
22. Government Decree No. 362/2006. (XII. 28.) Korm. on the National Public <strong>Health</strong> and<br />
Medical Officer Service and the Designation of the Pharmaceutical Public<br />
Adm<strong>in</strong>istration Authority<br />
● regionalizes the organization of the National Public <strong>Health</strong> and Medical Officer Service<br />
(Article 4)<br />
● def<strong>in</strong>es the tasks of the NPHMOS (Articles 5–9, 10–14/B)<br />
23. Decree No. 57/2006. (XII.29.) EüM of the M<strong>in</strong>ister of <strong>Health</strong> on the Criteria of the<br />
Distribution of Specialist Care Capacities and of Access to Care<br />
2007<br />
● def<strong>in</strong>es the availability and access criteria to be met when decid<strong>in</strong>g on the distribution<br />
of specialist care capacities (Article 2)<br />
● stipulates that previous downsiz<strong>in</strong>g decisions have to be taken <strong>in</strong>to account <strong>in</strong> the<br />
decision mak<strong>in</strong>g process (Article 4).<br />
1. Decree No. 5/2007. (I. 24.) EüM of the M<strong>in</strong>ister of <strong>Health</strong> on the Price Marg<strong>in</strong>s of<br />
Subsidized Pharmaceuticals<br />
● <strong>in</strong>troduces a fixed retail marg<strong>in</strong> for medic<strong>in</strong>es over HUF 5 000 (about €20) on<br />
wholesale price (Article 2, section (2))<br />
2. Government Decree No. 35/2007 (III. 07.) on the amendment of Government decree<br />
No.217/1997 of December 1st on the enforcement of Law LXXXIII/1997 relat<strong>in</strong>g to the<br />
services provided for by statutory health <strong>in</strong>surance and the amendment of the<br />
Government Decree no. 43/1999 of March 3d relat<strong>in</strong>g to the specified rules of f<strong>in</strong>anc<strong>in</strong>g<br />
health services from the budget of the <strong>Health</strong> Insurance Fund)<br />
● establishes a procedure to control the HIF registration status of patients<br />
3. Government Decree No. 41/2007. (III. 13.) Korm. on Certa<strong>in</strong> Payment, Contract<strong>in</strong>g and<br />
Procedural Issues <strong>in</strong> Connection with the Implementation of Act CXXXII on the<br />
Development of the <strong>Health</strong> Care System<br />
4. Government Decree No. 63/2007. (III. 31.) Korm. on the Amendment of Certa<strong>in</strong> <strong>Health</strong><br />
Care Related Government Decrees and on the Compensation of the Visit Fee of Patients<br />
on Job Seek<strong>in</strong>g Allowance