Development of Hungarian One-Day Surgical Care in the Public-Funded National Healthcare System From 2010 to 2023
Moderator
Dalma Pónusz-Kovács, MSc, University of Pécs, Budapest, Hungary
Speakers
Róbert Pónusz, MSc, PhD; Diána Elmer, BSc, MSc, PhD, University of Pécs, Faculty of Health Sciences, Pécs, Hungary; Tímea Csákvári, MSc; Luca F Kajos, MASc, MSc, University of Pécs, Doctoral School of Health Sciences, BUDAPEST, Hungary; Dora Endrei, MSc, PhD, MD; Imre Boncz, MSc, PhD, MD, University of Pécs, Pécs, Hungary
OBJECTIVES: The role of one-day surgery is pivotal in today's modern healthcare system. Technological advances and continuing price increases require cost-effective care alternatives that can support sustainable financing. In the 2010s, one-day surgery was marginal in Hungary, but its share among surgical cases has been increasing from 2015 onwards. This study aims to identify the development of one-day surgical care through key performance indicators from 2010 to 2023 in the publicly funded Hungarian healthcare system.
METHODS: The research database was provided by the National Health Insurance Fund Administration of Hungary, which has a monopoly status in Hungarian healthcare financing. The database included the number of patients, cases, and DRG cost-weights of one-day surgical procedures financed between 2010 and 2023 by DRG major groups and medical fields as well. The study determined the annual one-day surgical number of patients and cases, as well as DRG cost-weights. Furthermore, the Case-Mix Index (CMI) on annual basis, and by medical specialties was also evaluated.
RESULTS: In the study period, the health insurer accounted for a total of 3,082,294 patients, 3,533,462 cases and 1,990,856 DRG cost-weights for one-day surgical care. In 2023, a 2.13-fold increase in the number of patients, a 2.36-fold increase in number of cases, and a 3.30-fold increase in DRG cost-weights compared to 2010 was observed. In the CMI, a 1.39-fold increase was registered in the same period. The obstetrics-gynecology medical field delivered the largest number of patients (n=975,642), while the ophthalmology field performed exceptionally well in the number of cases (n=1,172,860) and DRG cost-weights (768,803). The CMI was the highest for the cardiology cases (CMI=1,112).
CONCLUSIONS: The key performance indicators related to one-day surgical care increased significantly over the study period. The rate of improvement declined in the years covered by COVID-19, but a spectacular rebound can be identified thereafter.
METHODS: The research database was provided by the National Health Insurance Fund Administration of Hungary, which has a monopoly status in Hungarian healthcare financing. The database included the number of patients, cases, and DRG cost-weights of one-day surgical procedures financed between 2010 and 2023 by DRG major groups and medical fields as well. The study determined the annual one-day surgical number of patients and cases, as well as DRG cost-weights. Furthermore, the Case-Mix Index (CMI) on annual basis, and by medical specialties was also evaluated.
RESULTS: In the study period, the health insurer accounted for a total of 3,082,294 patients, 3,533,462 cases and 1,990,856 DRG cost-weights for one-day surgical care. In 2023, a 2.13-fold increase in the number of patients, a 2.36-fold increase in number of cases, and a 3.30-fold increase in DRG cost-weights compared to 2010 was observed. In the CMI, a 1.39-fold increase was registered in the same period. The obstetrics-gynecology medical field delivered the largest number of patients (n=975,642), while the ophthalmology field performed exceptionally well in the number of cases (n=1,172,860) and DRG cost-weights (768,803). The CMI was the highest for the cardiology cases (CMI=1,112).
CONCLUSIONS: The key performance indicators related to one-day surgical care increased significantly over the study period. The rate of improvement declined in the years covered by COVID-19, but a spectacular rebound can be identified thereafter.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
HSD7
Topic
Health Service Delivery & Process of Care
Disease
STA: Surgery