HEALTH INSURANCE-RELATED ASPECTS OF HOME-BASED PARENTERAL NUTRITION IN HUNGARY

Author(s)

Gresz M1, Endrei D2, Csákvári T3, Danku N2, Sebestyén A4, Horváth L2, Boncz I2
1National Healthcare Service Center, Budapest, Hungary, 2University of Pécs, Pécs, Hungary, 3University of Pécs, Zalaegerszeg, Hungary, 4National Health Insurance Fund Administration, Pécs, Hungary

OBJECTIVES: In Hungary, home-based parenteral nutrition has been financed by the social insurance system since January 2013. Our objective was to analyse the system of financing home-based parenteral nutrition. METHODS: Data used in our analysis were taken from the financing database of the National Health Insurance Fund Administration. Period analysed included years between 2013-2015. Patients receiving home-based parenteral nutrition were assigned a code ’OENO 88744’ of International Classification of Procedures in Medicine. RESULTS: According to the database of the National Health Insurance Fund Administration, reimbursement was given to 53 patients since January 2013, on the basis of home-based parenteral nutrition. Thirteen patients were under 18, the oldest was 73 years old. Twenty-one organisational units from 14 institutions reported cases of home-based parenteral nutrition. Szent György Hospital of Fejér County, Szent Imre Hospital from Budapest and Semmelweis University reported 76% of the patients and 78% of the days on parenteral nutrition. Twenty-two of the patients on home-based parenteral nutrition received a Hickman catheter and 18 were inserted a central venous line. Mean reimbursed nutrition units per patient were 25/month. Out of 9736 nutrition units, 6 patients were reported to receive more than two units daily ( 490 nutrition units in total). Thirty-two of the patients on home-based parenteral nutrition were reported to have had resection of the small intestine, 11 required an ileo- or jejunostoma, and 12 had undergone small intestine surgery. The most common main diagnosis was bowel insufficiency caused by Type 1 short bowel syndrome in 46% of the cases. CONCLUSIONS: As the data suggest, current patient numbers in Hungary are significantly lower from what had been procrastinated to be around 100-150 according to population size by international statistics. After the possibilities of reimbursement were created, the patients received planned parenteral nutrition.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHP241

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Health Care Research

Disease

Multiple Diseases

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