title: [Restructuring the healthcare system: redesigning based on needs].
abstract: The main task of a healthcare system is the provision of the healthcare services demanded by the population. These needs are mostly defined by the epidemiological status, which has been significantly changed during the last century. Due to development of medical science and technology, the main health problems in modern industrial societies are related to chronic diseases rather than infectious diseases occurring at the beginning of the 20th century. However, healthcare services provided by health institutions are still reactive, formed as reactions to current conditions, and they are hardly suited to requirements related to chronic diseases. This paper outlines international and national healthcare models and their shortcomings, and it traces novel paths of a future solution. The structure of the optimal model is suited to systematically produce the services which are needed by the population, decisively in the case of chronic, non communicable diseases. This can significantly relieve the expensive, technology-based reactive care system, nevertheless, it can provide efficient services in case of tertiary prevention. The configuration of this system is cheap, there is no need of significant infrastructure, but needs massive human resource, so that it can be rationally designed in parallel with the constriction of the reactive care system.
authors.affiliation: Fővárosi Önkormányzat Budapest.
authors.forename: Tamás
authors.initials: T
authors.lastname: Szentes
authors.affiliation: Egyesített Szent István és Szent László Kórház Budapest.
authors.forename: István
authors.initials: I
authors.lastname: Vályi-Nagy
mesh_terms: D002908:Chronic Disease; D003141:Communicable Diseases / Q000453:epidemiology; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D011634:Public Health; D055512:Tertiary Prevention
keywords: betegségteher; chronic non-communicable disease; delivery of health care; disease burden; egészségügyi ellátórendszer; egészségügyi szolgáltatás; epidemiológia; health care reform; health service; krónikus nem fertőző betegségek