Php21 the Effect of the Introduction of Visit Fee on the Number of Patient-Visits to Outpatient Care Departments in Hungary

Boncz, I; Nagy, J.; Kőrösi, László; Kövi, Rita; Molnar, Adrian; Kiss, Zsuzsanna Soósné; Kriszbacher, I; Varga, Siniša; Sebestyén, A.

doi:10.1016/s1098-3015(10)66263-8

Cited by 14 publications

(21 citation statements)

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“…Also, we do not find any short‐term change in the probability of paying informally in general. This supports previous empirical evidence that the introduction of visit fees is more effective as a policy tool to reduce service use and saving public resources than in decreasing informal payments (Boncz et al , ; Mihályi, ; Nagy et al , ; Kőrösi et al , ). Despite of this, one of the policy goals of the introduction of the visit fee in Hungary in 2007 was to deal with informal payments, which questions the adequacy of this goal.…”

Section: Resultssupporting

confidence: 88%

“…It is probable that more time is needed to observe any change in the behaviour of consumers and providers. Although, the decrease in healthcare utilisation was noticeable right after the implementation of the visit fee (Boncz et al, 2008;Nagy et al, 2008;Kőrösi et al, 2009), we do not observe such reduction in informal payments on a short-run. Moreover, we do not account for the effect of exemptions from patient payments because we do not have data on whether the respondent was eligible for exemptions.…”

Section: Resultscontrasting

confidence: 71%

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Informal payments for healthcare services and short‐term effects of the introduction of visit fee on these payments in Hungary

Baji

Pavlova

Gulàcsi

et al. 2011

Health Planning & Management

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The objective of this paper is to study the short-term effects of the introduction of the visit fee in Hungary in 2007 on informal patient payments. We present the pattern of informal payments in primary, out-patient specialist and in in-patient care in the period before and shortly after the visit fee was introduced. We also analyse whether in the short run, the introduction of visit fee decreased the probability of paying informally. For the analysis, we use a dataset for a representative sample of 2500 respondents collected in 2007 shortly after the introduction of the visit fee, which contains data on informal payments for healthcare services. According to our results, 9% of the patients paid informally during their last visit to GP (2 Euros on average), 14% paid informally for specialist care (35 Euros on average) and 50% paid informally for hospitalisation (58 Euros on average). We find a significant reduction in the probability of paying informally only for elderly patients in case of in-patient care. Our results suggest that informal payments are widely spread in Hungary, especially in in-patient care. The short run potential of the introduction of the visit fee to reduce informal payments seems to be minor.

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Section: Resultssupporting

confidence: 88%

Section: Resultscontrasting

confidence: 71%

Informal payments for healthcare services and short‐term effects of the introduction of visit fee on these payments in Hungary

Baji

Pavlova

Gulàcsi

et al. 2011

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…Evidence shows that during the period of visit fee, health care utilization decreased by 15-20% in GP and outpatient services as well as days spent in hospital [13][14][15]. However, we have to highlight that other elements of the complex reforms could have also contributed to the decrease in the number of visits and days spent in hospital.…”

Section: Background: the Case Of User Fees In Hungarymentioning

confidence: 87%

User fees for public health care services in Hungary: Expectations, experience, and acceptability from the perspectives of different stakeholders

et al. 2011

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“…A magyar egészségügyi rendszer felépítésének [17][18][19][20][21][22], működésének [23][24][25][26][27][28] és finanszírozásának további részletei [29][30][31][32][33][34][35] máshol publikálásra kerültek.…”

Section: Táblázat)unclassified

A neuromusculoskeletalis rehabilitáció szakmapolitikai indikátorai Magyarországon

et al. 2019

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Introduction: With the increasing number of the incidence of neuromusculoskeletal and brain circulation disorders, there is a higher demand for neuromusculoskeletal rehabilitation care. Aims: The aim of our study is to analyse the performance indicators of neuromusculoskeletal rehabilitation care in Hungary financed by the statutory public health insurance system. Methods: Data were derived from the financial database of the National Health Insurance Fund of Hungary. We analysed the period between 2014 and 2017. We investigated the distribution of neuromusculoskeletal rehabilitation hospital beds, the patient turnover and patients’ pathways. We analysed the regional inequalities in the access to (hospital beds) and utilization (number of patients) of rehabilitation care. Results: In 2017, there were 6798 publicly financed neuromusculoskeletal rehabilitation hospital beds in Hungary (6.94 beds/10 000 population). We observed the lowest number of hospital bed in Komárom-Esztergom (1.5 beds/10 000 population), Somogy (2.0) and Pest (2.7) counties. We found the highest number of hospital beds in Zala (12.6), Győr-Moson-Sopron (12.2) and Baranya (11.5) counties. The more than 2-fold difference in the utilization (Komárom-Esztergom: 52.3 patients/10 000 population; Győr-Moson-Sopron: 136 patients/10 000 population) confirms regional inequalities. Between 2014 and 2017, the annual number of patients showed an increasing tendency, while the average length of stay varied between 21.8 and 22.4 days/patient. The correlation coefficient between hospitals beds and the number of patients was very high (0.798). Conclusion: We found significant regional inequalities in the access to and utilization of neuromusculoskeletal rehabilitation. Orv Hetil. 2019; 160(Suppl 1): 13–21.

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Php21 the Effect of the Introduction of Visit Fee on the Number of Patient-Visits to Outpatient Care Departments in Hungary

Cited by 14 publications

References 0 publications

Informal payments for healthcare services and short‐term effects of the introduction of visit fee on these payments in Hungary

Informal payments for healthcare services and short‐term effects of the introduction of visit fee on these payments in Hungary

User fees for public health care services in Hungary: Expectations, experience, and acceptability from the perspectives of different stakeholders

A neuromusculoskeletalis rehabilitáció szakmapolitikai indikátorai Magyarországon

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