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

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264<br />

<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong><br />

2 <strong>Organization</strong> and governance: provides an overview of how the health<br />

system <strong>in</strong> the country is organized, governed, planned and regulated, as<br />

well as the historical background of the system; outl<strong>in</strong>es the ma<strong>in</strong> actors<br />

and their decision-mak<strong>in</strong>g powers; and describes the level of patient<br />

empowerment <strong>in</strong> the areas of <strong>in</strong>formation, choice, rights, compla<strong>in</strong>ts<br />

procedures, public participation and cross-border health care.<br />

3 F<strong>in</strong>anc<strong>in</strong>g: provides <strong>in</strong>formation on the level of expenditure and the<br />

distribution of health spend<strong>in</strong>g across different service areas, sources of<br />

revenue, how resources are pooled and allocated, who is covered, what<br />

benefits are covered, the extent of user charges and other out-of-pocket<br />

payments, voluntary health <strong>in</strong>surance and how providers are paid.<br />

4 Physical and human resources: deals with the plann<strong>in</strong>g and distribution of<br />

capital stock and <strong>in</strong>vestments, <strong>in</strong>frastructure and medical equipment; the<br />

context <strong>in</strong> which IT systems operate; and human resource <strong>in</strong>put <strong>in</strong>to the<br />

health system, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>formation on workforce trends, professional<br />

mobility, tra<strong>in</strong><strong>in</strong>g and career paths.<br />

5 Provision of services: concentrates on the organization and delivery<br />

of services and patient flows, address<strong>in</strong>g public health, primary care,<br />

secondary and tertiary care, day care, emergency care, pharmaceutical<br />

care, rehabilitation, long-term care, services for <strong>in</strong>formal carers, palliative<br />

care, mental health care, dental care, complementary and alternative<br />

medic<strong>in</strong>e, and health services for specific populations.<br />

6 Pr<strong>in</strong>cipal health reforms: reviews reforms, policies and organizational<br />

changes; and provides an overview of future developments.<br />

7 Assessment of the health system: provides an assessment based on the<br />

stated objectives of the health system, f<strong>in</strong>ancial protection and equity<br />

<strong>in</strong> f<strong>in</strong>anc<strong>in</strong>g; user experience and equity of access to health care; health<br />

outcomes, health service outcomes and quality of care; health system<br />

efficiency; and transparency and accountability.<br />

8 Conclusions: identifies key f<strong>in</strong>d<strong>in</strong>gs, highlights the lessons learned from<br />

health system changes; and summarizes rema<strong>in</strong><strong>in</strong>g challenges and future<br />

prospects.<br />

9 Appendices: <strong>in</strong>cludes references, useful web sites and legislation<br />

The quality of HiTs is of real importance s<strong>in</strong>ce they <strong>in</strong>form policy-mak<strong>in</strong>g<br />

and meta-analysis. HiTs are the subject of wide consultation throughout the<br />

writ<strong>in</strong>g and edit<strong>in</strong>g process, which <strong>in</strong>volves multiple iterations. They are then<br />

subject to the follow<strong>in</strong>g.

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