The Hungarian Health Care System Pál GÉHER MD Hospitaller Brothers of St. John’s of God, Budapest

Total population

Population aged +65 years old (% of total population)

Male Female

Infant mortality (death/1 000 live births)

Life expectancy at birth (males)

Alcohol consumption Liters per capita (population aged 15+)

Tobacco consumption (% of population who are daily smokers)

LOST YEAR (expected 70) Other TU CV GI RESP EXTERNAL INFECT

GASTROINTESTINAL MORTALITY Hungary EU average

The drug related problems

AIDS in Hungary Nearly 3000 HIV+ person (mainly homosexuals) 422 AIDS cases since 1986 247 died

Total expenditure on health (Per capita US$ PPP)

Public expenditure on health (% Total expenditure on health)

Out-of-pocket payments (Per capita, US$ PPP)

Total expenditure on in-patient care (% Total expenditure on health)

Total expenditure on pharmaceuticals (% Total expenditure on health)

The Hungarian Health Care System Primary Care Occupational medicine Sport medicine Dentist Secondary Care Tertiary Care

Health Care Financing National Health Insurance Fund Obligatory taxation for employed (11% of the income + monthly fix sum) Total population covered (pensioner, children)

Budget - 2002 (1000 HUF)

Who pay the bill?

The content of the basket Full coverage: primary, secondary and tertiary care Co-payment (pharmaceuticals, spa treatment, medical device, plastic surgery) Temporary sick leave (65 % for one year) Disability pension Reimbursement (travel cost)

The Health Care System Mixed ownership (private, local council, state) Running costs covered by the Health Insurance Fund Capital costs covered by the owner (central and local budgets, etc.)

Practising physicians (density/1 000 population)

Primary care 6500 primary care physicians 1800 habitants/physician 1500 pediatrists (towns) self-employed 98 % payment: basic rate (30%)+capitation no co-payment in any case 42 billion Ft/year

Secondary Care Specialist care (venerology, pulmonology, psychiatry, oncology)- mainly employed personel 34 specialities-16,5 million working hours/year 456 institutions 64 million cases/year (25% lab+Xray) 1000 HUF (4 euro)/case 74 billion Ft/year - fee for service

CT, MR in Hungary 69 CT + 25 MR

Acute care beds (per 1000 habitants)

Hospital ownership Local council: 116 hospitals, 61 000 beds Ministry of Health: 21 hospitals, 14 000 beds Other ministries: 12 hospitals, 4 000 beds Church: 9 hospitals, 1700 beds Foundation, others: 19 hospitals, 500 beds Private: 1 hospital, 70 beds

Discharge rate (per 100 000 population)

Average length of stay

Disability pension