1. Kapunk tárva, a szívünk még inkább! Miklós Lukacs nurse director, hospice coordinator e-mail: lukacsmik@gmail.com, hospice@freemail.hu Web: www.irgalmasokpecs.hu, www.pecshospice.hu HOME CARE IN HUNGARY CARE TRAINING PROGRAM BRUSSELS 08.-09. October 2012.

2. Kapunk tárva, a szívünk még inkább! TOPICS STATISTICAL DATA IN HUNGARY NURSING HOME CARE/HOSPICE CARE – STATISTIC, MILESTONES, STAFF FINANCING, TASKS ACCESS TO CARE

3. Kapunk tárva, a szívünk még inkább! STATISTICAL DATA IN HUNGARY

4. Kapunk tárva, a szívünk még inkább! STATISTICAL DATA IN HUNGARY ► Number of population: 10.076.581 ► Number of death: 135.732 ► Cancer death: 30.000 ► Number of care: 40.000 ► Number of ill: 2.500.000

5. Kapunk tárva, a szívünk még inkább! PEPSIPEPSI Physical Emotional Psychological Spiritual Inter Personal Calman (1993) WHY NURSING HOME CARE? WHY HOSPICE HOME CARE? The reduction of costly hospital care The social care needs of humános conditions. The reduction of costly hospital care – hospital care one day – 7-8000 HUF 29 EUR The social care needs of humános conditions.

6. Kapunk tárva, a szívünk még inkább! Nursing Care milestones ► 1990 – nursing home care concept ► 1993 - Hungarian nursing care movement is founded. ► 1996/1999 – Nursing Care minimum standards which gives official licences and special financing. (600 million HUF one year)

7. Kapunk tárva, a szívünk még inkább! 350 NURSING HOME CARE COVERAGE OF THE COUNTRY’S 95% COVERAGE OF THE NURSING HOME CARE ORGANIZATION Nursing Home Care= umbrella organization Hungarian Association for Home Care

8. Kapunk tárva, a szívünk még inkább! Hospice-Palliative milestones ► 1991 - Hungarian hospice movement is founded. ► 1997 - Hungarian Health Law declares the human right of palliative care and defines hospice care. ► 2002 - Palliative care guideline is launched ► 2004 - Hospice minimum standards which gives official licences and special financing. (800 million HUF one year) ► 2006 - Hospice is in the National Cancer Control Program

9. Kapunk tárva, a szívünk még inkább! COVERAGE OF THE HOSPICE CARE ORGANIZATION - 84 hospice organisation - 10 Inpatient Palliative Care Units, 162 beds - 69 Home care teams - 2 Nursing home 15 beds - 3 Consultant teams in Hospitals - 1 Hospice House, 10 beds Hospice organization = umbrella organization Hungarian Hospice Palliative Association Complex services Budapest Miskolc Pecs inpatient unit, hospice home care, hospital mobile team, day care centre, pain outpatient clinic, psycho- oncological outpatient clinic, telephone mental health service, bereavement service, education centre

10. Kapunk tárva, a szívünk még inkább! PATIENTS IN NURSING HOME/HOSPICE HOME CARE NURSING HOME CARE ► 40.000 PATINETS 800.000 VISIT ► Averige care time: 78 day HOSPICE CARE ► Patients: 7019 ► Inpatient Palliative Care Units: 2355 ► Hospice home care: 4086 ► Day centres: 449 ► 94% of patients have a cancer diagnosis ► Averige care time: 36 day ► Using beds: 79,6%

11. Kapunk tárva, a szívünk még inkább! STAFF IN NURSING HOME/HOSPICE HOME CARE NURSING HOME CARE ► 3000 PERSONS ► nurse ► physiotherapists HOSPICE CARE (multidisciplinary team) ► 1507 PERSONS ► doctors ► nurse ► physiotherapists ► psychologists and mental health experts ► volunteers ► priests ► social workers ► dietists ► coordinators ► occupational therapists ► bereavement counsellors

12. Kapunk tárva, a szívünk még inkább! ACCESS TO IN NURSING HOME/HOSPICE HOME CARE NURSING CARE ► physician recommends ► GP’s ordered ► patient's or family consent, compliance HOSPICE CARE ► physician recommends ► GP’s ordered ► patient's or family consent, compliance

13. Kapunk tárva, a szívünk még inkább! FINANCE IN NURSING HOME/HOSPICE HOME CARE NURSING CARE ► insurance pays for a day home care: 3200 HUF – 11 EUR – visit day, insurance- funded day vizit - 42 day ► insurance pays for a day nursing hospital care: 5600 HUF – 20 EUR care day HOSPICE CARE ► insurance pays for a day home care: 3840 HUF – 14 EUR – visit day, insurance- funded day vizit - 150 day ► insurance pays for a day hospice unit care: 9520 HUF – 34 EUR – care day

14. Kapunk tárva, a szívünk még inkább! TASKS IN NURSING HOME/HOSPICE HOME CARE NURSING CARE ► nursing tasks ► physiotherapist tasks ► speech therapy ► wound management HOSPICE CARE ► nursing tasks ► physiotherapist tasks ► symptom management ► Dieticians tasks ► Social task ► Spiritual tasks ► Psychical tasks ► Physician tasks

15. Kapunk tárva, a szívünk még inkább! Thank you for your attention!!