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This paper examines within an international context, the healthcare system in Hungary. While the system resembles in many of its broad features those of other OECD countries, Hungarians have the lowest life expectancy in the OECD and its rate of increase over the last 20 years has been much slower than in the rest of the area. The Hungarian health system is relatively resource intensive and is characterised by high hospitalisation rates, an excess supply of specialists and perverse incentives both for doctors and hospital administrators. Budgetary rules prevent hospitals from properly amortising investments and limit their capacity to manage labour costs. Furthermore inadequate supervision of billing by the state administrator has led to a fraudulent inflation in both the number and the “seriousness” of treatments. Recent reforms have concentrated on containing costs but efforts to improve service delivery and health outcomes have been plagued by problems of institutional conflict ...
Le présent document examine, dans une perspective internationale, le système de santé de la Hongrie. Bien que ce système soit, à de nombreux égards, comparable à ceux des autres pays de l’OCDE, l’espérance de vie en Hongrie est la plus basse de la zone de l’OCDE et, lors des vingt dernières années, son taux d’amélioration a été nettement inférieur à celui des autres pays membres. Le système de santé hongrois est relativement gros consommateur de ressources et se caractérise par des taux élevés d’hospitalisation, une offre excédentaire de spécialistes et des incitations perverses aussi bien pour les médecins que pour les administrateurs d’établissements hospitaliers. Les règles budgétaires auxquelles sont soumis les hôpitaux ne leur permettent pas de prévoir et d’amortir correctement des investissements et limitent leur capacité à gérer leurs coûts salariaux, et en même temps, la surveillance insuffisante des procédures de facturation par l’administrateur public ont conduit à une ...
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I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
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