DRG BASED EVALUATION OF TERTIARY LEVEL INPATIENT CARE IN HUNGARY
Author(s)
Gazsó T, Boncz I, Molics B, Ágoston I, Horváth L, Endrei D
University of Pécs, Pécs, Hungary
OBJECTIVES: Our objective is to determine the tendencies of the capacity for active inpatient care (the number of beds) and determining the DRG based performance volume limit (TVK) based on nationwide data on the one side and regarding the active inpatient care at tertiary level University Medical Centers on the other part. METHODS: The data derive from the DRG based financial database of the National Health Insurance Fund Administration, the only health care financing agency in Hungary. We examined the output volume capacity data of active inpatient care expressed in numbers (DRG cost-weight) and the data of capacity expressed in the number of beds for the period of 2013 and 2017. The financial ceiling of hospitals resulted from the performance volume limit/number of beds indicator has been determined. RESULTS: Regarding the number of active beds, the number of beds at Universities (in the period under review fell by -3.4%, -224 beds) and the others hospitals in the country (fell by -2.2%, -721 beds) continuous decline is observed with respect to the universities greater frequency. The performance volume limit -determined by the National Health Insurance Fund Administration- shows different trends. Universities experienced -4.4% decline in their financial budget. The others hospitals in Hungary realized an increase (+ 2.9%), but in the last year the volume decline to the 2013 level (-0.2% decrease). The performance volume limit calculated to one hospital bed decreased by 1.1% at University Medical Centers, from 64.4 to 63.7. CONCLUSIONS: Determining the performance volume limit is partly independent of the current capacities and the demand, since there are different trends in the data and getting the appropriate theraphy often takes a lot of time because of the long waiting lists. Supervising the performance volume limit based on needs and adjusting the capacities are required.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PHP9
Topic
Epidemiology & Public Health, Health Service Delivery & Process of Care
Topic Subcategory
Disease Classification & Coding, Health Care Research
Disease
Multiple Diseases