Lege Artis Medicinae

[Analysis of utilization and territorial distribution of Hungary’s waiting list reduction programme ]

PÓNUSZ Róbert1, BONCZ Imre2, KOVÁCS Dalma1, CSONKA Diána3, GAZSÓ Tibor4, MOLICS Bálint5, LUDMAN István6, ENDREI Dóra2

MARCH 31, 2022

Lege Artis Medicinae - 2022;32(03)

DOI: https://doi.org/10.33616/lam.32.011

Journal Article

[In Hungary, the systematic waiting-list reduction program (“X” financing code) started in 2015 aiming to significantly reduce the waiting times of most relevant waiting lists services. The aim of this study was to evaluate the utilization and the territorial distribution of cases financed under the “X-code” between 2015 and 2018. We designed a retrospective and quantitative research on data of the Hungarian National Health Insurance Fund. Relevant data contained all publicly financed X-code cases between 2015 and 2018. Since 2015, this code covered the financing of services related to the waiting list reduction program. Processed data informed about patients (age, sex, residency at county level), involved health care facilities (name, type and location among the counties) as well as all provided medical interventions. In the study period 27,716 cases (mean age 68.05 years) were financed, the majority of patients (63.1%) was female. Case numbers per 10,000 inhabitants were the highest in Counties Baranya (84.63), Somogy (60.17), and Zala (58.89). 71.6% of patients received primary care in their residence county. The most frequent intervention was cataract surgery. During Hungary’s waiting list reduction program high number of patients received medical services. We found significant inequalities in utilization of waiting lists interventions and in the institutional engagement.]

AFFILIATIONS

  1. Pécsi Tudományegyetem, Egészségtudományi Kar, Egészségbiztosítási Intézet
  2. Pécsi Tudományegyetem Egészségtudományi Kar, Egészségbiztosítási Intézet, Pécsi Tudományegyetem Klinikai Központ
  3. Eötvös Loránd Tudományegyetem, Természettudományi Kar, Földrajz- és Földtudományi Intézet
  4. Pécsi Tudományegyetem, Kancellária, Egészségügyi Gazdálkodási Igazgatóság, Egészségbiztosítási Osztály
  5. Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet
  6. Debreceni Egyetem, Klinikai Központ, KK, Elnöki Hivatal, Kontrolling és Betegdokumentációs Osztály

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