[Effects of performance-volume limit on the institutional financing of the Clinical Centre of the University of Pécs, Hungary].
The aim of our study is to demonstrate the effects of performance-volume limit (PVL) on the institutional financing of the Clinical Centre of the University of Pécs (CC UP).


METHODS
The data involved in the analysis are based on the reports towards the National Health Insurance Fund Administration (NHIFA), concerning the active inpatient care by specialist in the period between 2004 and 2008. We determined the real NHIFA reimbursement per weighted case number and the financial loss caused by the PVL. We analyzed the proportion of local health care obligation and urgency cases in comparison of various clinics.


RESULTS
The reimbursement per weighted case number of CC UP has been less than the pre-announced NHIFA amounts after the installation of PVL. During the examined 5 years, i.e. 2004-2008, the loss in case of CC UP has been up to 3.256 million HUF due to the PVL. Concerning the whole of CC UP it means that 25.3 % of the treated cases and 24.5 % of the executed weighted case number has been out of local health care obligation. Studying the ratio of urgency cases inside the total volume of medical attendance, it is represented that 31.5 % of the cases and 36.1 % of the weighted case numbers came from the treatment of urgency cases.


CONCLUSIONS
The introduction of performance-volume limit considerably reduced the health insurance financing of CC UP between 2004 and 2008.
Endrei
Dóra
D
Pécsi Tudományegyetem, Altalános Orvostudományi Kar, Klinikai Központ, Pécs. endrei.dora@pte.hu
Kollár
Lajos
L
Bódis
József
J
Imhof
Gábor
G
Zemplényi
Antal
A
Vas
Gábor
G
Boncz
Imre
I
D003953:Diagnosis-Related Groups / Q000191:economics*; D006742:Hospital Bed Capacity / Q000191:economics; D006785:Hospitals, University / Q000191:economics*; D006801:Humans; D006814:Hungary; D007348:Insurance, Health / Q000191:economics*; D012051:Reimbursement Mechanisms; D016526:Workload / Q000191:economics*