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

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54 Health systems in transition Hungary established by this law: the right to provision of care; the right to human dignity; the right to maintain personal contacts while under treatment in hospital; the right to stop or refuse treatment and leave the medical institution providing the care; the right to autonomy and to give informed consent; the right to get to know the patient file; the right to privacy and the right to submit a complaint to the providers or to the owner of the providers (1997/20). To enforce these rights, the institution of patient representatives was created by Act CLIV of 1997 on Health, with the aim of supporting patients in accessing their medical files and formulating their complaints, to represent the patient for the providers and to inform medical professionals of the change of the regulation regarding patient rights (1997/20), but the new institutional framework started in the organization framework of the NPHMOS as of July 2000 with the implementation of the regulation of the then Minister of Health (1999/14). After the resolution of the National Assembly in 2002 (2002/2), representation of the rights of the patients and citizens participating in social welfare programmes were integrated in one public foundation, while the representatives were employed and supervised by the Foundation for the Rights of Patients, Social Service Beneficiaries and Children (2004/1). With respect to hospitals, the representative has the obligation to work one full day in the hospital per week and also to be available for consulting hours once a week in the regional office of the Foundation (2004/1). According to the report of the Foundation, there were 52 patients’ right representatives of the Foundation covering 144 hospitals and 29 outpatient providers. The report evaluated the cooperation with the management of the providers as effective, and the visibility of the contact information of the representative is 98% (Foundation for the Rights of Patients, Social Service Beneficiaries and Children, 2009). The representatives work mostly with case management in 45% of their working hours and with patient information in 20%. The Foundation handled 11 297 complaints in 2009, most of which addressed breaches of the right to health care provision but there is an increasing trend of breaches of the right to human dignity (Foundation for the Rights of Patients, Social Service Beneficiaries and Children, 2009). These findings were confirmed by the observation of the members of the National Health Council, who concluded that the current implementation of the regulation should be improved and that the most critical areas are the right to human dignity, the right to information and the right to proper care (National Health Council, 2010). They called for the evaluation, development and restructuring of the institutional mechanism of patient rights.
Health systems in transition Hungary 55 2.9.4 Complaint procedures In addition to patient rights representatives, there are parallel procedures for handling patients’ complaints. Act CLIV of 1997 on Health introduced the institution and procedures of arbitration via so-called arbitration councils to resolve disputes between patients and health care providers without going to court (1997/20); the procedure was regulated in detail in 2000 (2000/9). The complaint of the patients must be investigated by the provider, which must inform the patient on the findings within a maximum of 30 days, and which must regulate the procedure at the institutional level (1997/20). Furthermore, patients can turn to the so-called councils or the chambers of medical professionals that apply professional/ethical procedures when they examine cases of negligence, and can apply their own disciplinary measures. Also, it is possible to submit complaints to the departments of the State Secretariat for Healthcare or to turn to the Parliamentary Commissioner for Civil Rights or, finally, to initiate criminal proceedings. Currently, it is unknown to what extent patients use these alternative mechanisms. 2.9.5 Public participation Patient associations are growing in number and influence. In 2000, there were over 80 organizations active in various fields of health and health care (Lengyel, unpublished data, 2009). Their participation has been institutionalized in waiting list committees, in the National Health Council and in hospital supervisory councils (1997/20, 1998/24, 1998/25, 1998/28). Members of the National Health Council have said that it is important to create closer links between government bodies concerned with health, patients’ associations and patient representatives (National Health Council, 2010), whose opinion is only weakly represented in the system, partly because the traditionally self-regulatory aspects of the archetypal SHI system do not exist in Hungary. The 2638 foundations and associations active in health care in Hungary in 2005 represented only 4.7% of the total number of non-governmental organizations (NGOs) working in Hungary that year (Péntek, 2009). There have been several surveys on public satisfaction that investigated the level of satisfaction with the medical treatment available in the country. In 2007 the Gallup Organization, at the request of the Health and Consumer Protection Directorate-General, measured patient satisfaction across EU Member States, and the findings showed that compared both to the EU15 average (89%) and the EU27 average (83%) only 52% of Hungarians were satisfied with care received
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Health Systems in Transition Vol. 1
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Health Systems in Transition Péter
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Contents Preface
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Preface The Health Systems in Trans
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Acknowledgements The Health System
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Health systems in transition Hungar
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xiv Health systems in transition Hu
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Abstract Hungary has achieved a suc
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Executive summary Introduction Hung
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1. Introduction 1.1 Geography and s
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5. Provision of services Health car
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6. Principal health reforms 6.1 Ana
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8. Conclusions Since the mid-1990s,
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The Health Systems in Transition pr
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The European Observatory on Health
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