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

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

3. 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

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

5. 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

6. 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

7. 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

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

9. 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

10. 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%)

11. In- and outpatient services

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