Direct output volume indices for Health in Hungary KONDORA Szilárd Hungarian Central Statistical Office (HCSO), economist

Introduction Work began in September 2003 Valuable results for: Education Health Other attempts: Public administration Recreational, cultural, sporting activities

Background for Health – basic public task Should be organized by government Funded from SS contributions Available for everyone living in Hungary Linked to previous insured status

Providers Freedom for running a venture Hospitals, outpatients Most of them budgetary institutions Other services Most of them private corporations

Classification of providers Public owned providers GG units Private owned providers Mostly NPISH units Providers with legal nonprofit status GG units at in- and outpatient services NPISH units at other activities

The financing scheme Health Insurance Fund Administration Budgetary institution Purchasing health services through Health Care Fund (de facto monopoly) Arrangement should be concluded Entering a contract is open for every provider Services free of charge at the point of delivery

The financing scheme as a framework Separating the financing directed towards diverse owned providers Focusing on GG units Resulting the share of government in volume

Volume indices Volume indicators are specified Constant price volumes are constructed Weighted together with suitable unit costs

Scope of activities incorporated 9 activity series Active and chronic care (inpatient services) Outpatient services CT, MRI General practitioners Kidney dialysis Ambulance Dentists Home nursing

Coverage and weights Ratio of constant/current price Missing elements 61% for 2000 Missing elements Social work with and without accommodation If incorporated: ratio would raise above 80% 3 large activity series (weights for 2000) Active care (68%) Chronic care (8%) Outpatient services (18%)

In- and outpatient services

Quarterly estimation Sufficient volume indicators for inpatient and outpatient services T+40 days Promising results