PHP4 - The Analysis of the Number of Same-Day Surgery Cases in 2015 in Hungarian Hospitals

Abstract

Over the past few years one day surgery has become more specific in health care systems throughout the world. This study analyzed the available same-day surgical procedures in the Hungarian health care system in the year 2015. Data were derived from the financial database of National Institute of Health Insurance Fund Administration and covering the year of 2015. We applied the usual performance indicators by comparing the actual number of same-day surgical interventions to the theoretical number of same-day surgical intervention which could have been performed by the hospitals among ideal circumstances. The number of cases was used to establish the rate of same-day surgical procedures. Hungarian hospitals were classified into the following groups: university clinical centers, county hospitals, city hospitals, specialized hospitals, Budapest’s hospitals, children’s hospitals and national health care institutes. 62.29% of the achievable same-day surgeries was accounted for by the publicly funded institutes in Hungary in 2015. We found that the rate of the above interventions was the highest in specialized hospitals (98.82%). The rate of the achievable same-day surgery’s case number was 60.03% in university clinical centers, which is lower than that in county hospitals (61.38%) and the city hospitals (66.90%), on the other hand, it is higher than the rate of Budapest’s hospitals (55.49%), children’s hospitals (50.66%), and national health care institutes (28.23%). Our results showed that in 2015 the specialized hospitals performed the most, while the national health care institutes performed the least case numbers regarding same-day surgeries in Hungary.