The Impact of One-Day Surgery Performance Indicators on Hospital Capacities in Hungary
Author(s)
Róbert Pónusz, MSc, PhD1, Dalma Pónusz-Kovács, MSc1, Diána Elmer, MSc, PhD1, Tímea Csákvári, MSc, PhD2, Luca Fanni Kajos, MSc1, Dora Endrei, MSc, PhD, MD1, Imre Boncz, MSc, PhD, MD1.
1Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary, 2Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Zalaegerszeg, Hungary.
1Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary, 2Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Zalaegerszeg, Hungary.
Presentation Documents
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 impact of one-day surgical care on public hospital capacities from 2013 to 2023 in the 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 hospital beds, the bed occupancy rate, the type of caregiver institution, and the number of surgical cases between 2013 and 2023. The study determined the annual change of hospital beds, the bed occupancy rates, and the number of surgical cases (breakdown by the type of caregiver institution). During the research, the market share of one-day surgical cases and its impact on hospital beds was evaluated.
RESULTS: The number of hospital beds in 2023 was 22% lower than in 2013 (-11,398 beds), while average bed occupancy decreased over almost the entire study period. The number of surgical cases increased by 2% (n=13,274) between 2013-2023, although cases in one-day surgery were 42% higher than in 2013 (n=92,379). In 2023, the market share of one-day surgery cases was already 40%. County hospitals performed the highest number of one-day surgery cases (n=2,614,282). There is an inverse correlation between the number of one-day cases and the number of hospital beds (r=-0.384). A significant relationship was found between the type of hospital and the number of one-day surgical cases (p<0.05).
CONCLUSIONS: The key performance indicators related to one-day surgical care increased remarkably however, the impact of one-day surgical cases is not significant on the hospital bed capacities.
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 hospital beds, the bed occupancy rate, the type of caregiver institution, and the number of surgical cases between 2013 and 2023. The study determined the annual change of hospital beds, the bed occupancy rates, and the number of surgical cases (breakdown by the type of caregiver institution). During the research, the market share of one-day surgical cases and its impact on hospital beds was evaluated.
RESULTS: The number of hospital beds in 2023 was 22% lower than in 2013 (-11,398 beds), while average bed occupancy decreased over almost the entire study period. The number of surgical cases increased by 2% (n=13,274) between 2013-2023, although cases in one-day surgery were 42% higher than in 2013 (n=92,379). In 2023, the market share of one-day surgery cases was already 40%. County hospitals performed the highest number of one-day surgery cases (n=2,614,282). There is an inverse correlation between the number of one-day cases and the number of hospital beds (r=-0.384). A significant relationship was found between the type of hospital and the number of one-day surgical cases (p<0.05).
CONCLUSIONS: The key performance indicators related to one-day surgical care increased remarkably however, the impact of one-day surgical cases is not significant on the hospital bed capacities.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
HSD6
Topic
Health Service Delivery & Process of Care
Disease
STA: Surgery