Benefits and entitlements in the Hungarian health care system.
This contribution considers entitlements and benefits in the Hungarian health care system. After a brief introduction to the organizational structure of the system the decision-making processes are discussed in detail, including the most important actors, types and pieces of legislation, formal structures, decision-making criteria, and outputs in terms of benefit catalogues. Within the two main public financing systems (social insurance and tax-funded services) there are four types of regulatory regimes: (a) traditional political decision making, (b) price negotiations, (c) updating of classification systems for payment purposes, and (d) the procedure for the inclusion of registered medicines in the scope of the social health insurance system. As an example we discuss the benefit regulations and benefit catalogues in the category of services of curative care (HC.1) of the OECD classification of health services.
Gaal
Peter
P
Health Services Management Training Center, Semmelweis University, Budapest, Hungary. gaal@emk.sote.hu
D005380:Financing, Government / Q000458:organization & administration; D006291:Health Policy; D006292:Health Priorities / Q000458:organization & administration*; D006296:Health Services / Q000191:economics / Q000331:legislation & jurisprudence*; D006298:Health Services Administration; D006801:Humans; D006814:Hungary; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D005791:Patient Care