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

3. Total population

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

5. Male Female

6. Infant mortality (death/1 000 live births)

7. Life expectancy at birth (males)

8. Alcohol consumption Liters per capita (population aged 15+)

9. Tobacco consumption (% of population who are daily smokers)

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

11. GASTROINTESTINAL MORTALITY
Hungary
EU average

12. The drug related problems

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

14. Total expenditure on health (Per capita US$ PPP)

15. Public expenditure on health (% Total expenditure on health)

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

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

18. Total expenditure on pharmaceuticals (% Total expenditure on health)

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

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

21. Budget (1000 HUF)

22. Who pay the bill?

23. 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)

24. 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.)

25. Practising physicians (density/1 000 population)

26. 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

27. 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

28. CT, MR in Hungary
69 CT + 25 MR

29. Acute care beds (per 1000 habitants)

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

31. Discharge rate (per 100 000 population)

32. Average length of stay

33. Disability pension