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INDICATORS

ECHIM Final Report

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HUNGARY<br />

Data availability by Country Report: 66% of ECHI shortlist indicators are available<br />

in international data sources. The availability is quite equal for all ECHI shortlist<br />

sections except for Demographic and Socio-Economic factors, in which data for almost<br />

all indicators are available.<br />

Data availability by ECHIM Survey: 67% of ES indicators are available at the national<br />

level. The availability is generally best for Health Status indicators; for most of them<br />

there are both register and HIS data available. Most available Health Care data are from<br />

registers, while Health Determinants data are mostly derived from HIS. Instead, there<br />

have not been national HES in Hungary. Most missing indicators are particularly those<br />

based on HES, and also some control-type indicator data are missing.<br />

Data availability in European context: Data availability in Hungary is below the<br />

European average, particularly concerning ES. Still, the overall situation is very typical<br />

in European context: extensive registers and HIS, but no HES. The poor availability of<br />

control-type indicator data is the most important single reason for the below-average<br />

availability figures.<br />

Overall situation of data sources: The most important health data sources and their<br />

respective remits are the Central Statistical Office (CSO; www.ksh.hu, demography<br />

and mortality), National Sick Fund (OEP, www.oep.hu, primary care, outpatient<br />

and inpatient service data), National Centre for Epidemiology (OEK, www.oek.hu,<br />

infectious diseases), National Cancer Institute (www.oncol.hu, cancer register), National<br />

Centre for Health Care Audit and Inspection (OSZMK; www.oszmk.hu, National<br />

Health Survey 2000 & 2003) and the University of Debrecen; www.unideb.hu, general<br />

practitioners’ morbidity sentinel station data on chronic diseases). Aggregated data from<br />

most of the institutions are reported to and published by the CSO. The cooperation<br />

between the institutions is on an ad hoc basis – there is no coordinative function in<br />

place. International reporting goes via the CSO and the National Institute for Strategic<br />

Health Research (ESKI, www.eski.hu).<br />

Health reporting: OSZMK publishes various reports online, but in Hungarian only.<br />

The National Public Health Update is the only one in English.<br />

Main problems: Public health and health monitoring areas are not in the focus of<br />

health policy. The developments of recent years (e.g. inclusion of health surveys<br />

in the monitoring system, regular health reporting, coordination of the activities of<br />

the different institutions) slowed down, and the necessary legal, political and finacial<br />

170

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