Abstract
The health care renumeration poses a great challenge for both politicians and policymakers. During the beginning of the 1990s, following the end of communism in Hungary, the reform of health care began with the introduction of the primary health care (PHC), specifically with general practitioner (GPP)/family medicine (FM) care. The basis of the renumeration was the age-adjusted capitation built upon the free choice of doctors, while social security renumeration was built on a mixed system. Several pros and cons have been highlighted, but the underlying principle has proved to be simple and effective. Comparison of the European and Hungarian characteristics, analysis of data in the present patient care report as well as in the years preceding the release of the aforementioned document, these confirm that the method of capitation-based remuneration is a fundamental, easy, and unmanipulable method. It places minimal weight on social security and comes with little costs. Orv Hetil. 2019; 160(27): 1057-1063.
Highlights
Az alapellátás terén olyan strukturális változtatás szükséges, amely nem teljes rendszerében változtatja meg az egész ségügyi alapellátást, hanem lehetővé teszi, hogy a rosszabbul ellátott területeken – elsősorban kistérségi szinten – le hetővé váljék más gyakorlatok alkalmazása
During the beginning of the 1990s, following the end of communism in Hungary, the reform of health care began with the introduction of the primary health care (PHC), with general practitioner (GPP)/family medicine (FM) care
The basis of the renumeration was the age-adjusted capitation built upon the free choice of doctors, while social security renu meration was built on a mixed system
Summary
A korkorrigált fejkvóta (kapitáció) a háziorvosi (alapellátási) finanszírozás alapja. Comparison of the European and Hungarian characteristics, analysis of data in the present patient care report as well as in the years preceding the release of the aforementioned document, these con firm that the method of capitation-based remuneration is a fundamental, easy, and unmanipulable method. It places minimal weight on social security and comes with little costs. Az alapellátás meghatározó része a háziorvosi ellátás, melynek működése minden európai országban kihat az egészségügyi ellátórendszerre [2]. Ez 15 éven belül várhatóan 3138 háziorvos utánpótlását igény li; 2018-ra a helyzet romlása mérséklődött, de sürgős intervenciót igénylővé vált [4]
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