INCREASE OF ONE-DAY SURGERY CASE NUMBERS IN LIGHT OF HEALTH CARE INSTITUTIONS - HUNGARIAN EXPERIENCES BETWEEN 2008-2017
Author(s)
Pónusz R1, Németh N2, Kovács D2, Molics B1, Boncz I2, Endrei D2
1University of Pécs, Pécs, BA, Hungary, 2University of Pécs, Pécs, Hungary
OBJECTIVES : One-day surgery has been available in Hungary since 1997, however the proliferation of this treatment was not so smooth according to the data of health insurance system. The aim of this study is to measure the utilization of one-day surgery in light of health care institutions in Hungary between 2008-2017. METHODS : The database of the research was provided by the National Health Insurance Fund of Hungary, and it contained all of the theoretically performed- and the actually performed one-day surgery cases and identification information related to health care institutes (name, financing code, type, localization) between 2008-2017. The increases of one-day surgery cases, the market share of each type of health care institution as well as the rate of performed and theoretically performed cases were measured in this research. RESULTS : During the analyzed period, approximately 2 million public financed one-day surgery cases were performed in Hungary (1,993,158 cases). The highest market share was at county hospitals in this regard (29%), although the town hospitals also had a significant market share (25%). The rate of performed and theoretically performed one-day surgery cases were also measured on a national level during 2008-2017, which was 51%. Town hospitals (57%) and universities (53%) exceeded the national rate. The increase of case numbers was the highest at national institutes during 2008-2017. (536%), however universities also had a significant increase in this regard (477%). The rate of theoretically performed and actually performed one-day surgery cases was 26% in 2010 and it increased up to 78% by 2017. CONCLUSIONS : Our results showed that most of the analyzed indicator increased in Hungary between 2008-2017. The financing techniques of one-day surgery has been advantageous for many health care institutions, since the middle of 2015, so it could verify the significant increase of the utilization of one-day surgery.
Conference/Value in Health Info
2019-05, ISPOR 2019, New Orleans, LA, USA
Value in Health, Volume 22, Issue S1 (2019 May)
Code
PNS86
Topic
Health Policy & Regulatory
Topic Subcategory
Insurance Systems & National Health Care, Pricing Policy & Schemes, Reimbursement & Access Policy
Disease
No Specific Disease