A teljesítményvolumen-korlát hatása a Pécsi Tudományegyetem Klinikai Központ intézmé nyi finanszírozására

Translated title of the contribution: Effects of performance-volume limit on the institutional financing of the Clinical Centre of the University of Pécs, Hungary

Dóra Endrei, Lajos Kollár, József Bódis, Gábor Imhof, Antal Zemplényi, Gábor Vas, I. Boncz

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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). Data and 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. Conclusion: The introduction of performance-volume limit considerably reduced the health insurance financing of CC UP between 2004 and 2008.

Original languageHungarian
Pages (from-to)1270-1274
Number of pages5
JournalOrvosi Hetilap
Volume151
Issue number31
DOIs
Publication statusPublished - Aug 1 2010

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Hungary
National Health Programs
Healthcare Financing
Delivery of Health Care
Health Insurance
Inpatients
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

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A teljesítményvolumen-korlát hatása a Pécsi Tudományegyetem Klinikai Központ intézmé nyi finanszírozására. / Endrei, Dóra; Kollár, Lajos; Bódis, József; Imhof, Gábor; Zemplényi, Antal; Vas, Gábor; Boncz, I.

In: Orvosi Hetilap, Vol. 151, No. 31, 01.08.2010, p. 1270-1274.

Research output: Contribution to journalArticle

Endrei, Dóra ; Kollár, Lajos ; Bódis, József ; Imhof, Gábor ; Zemplényi, Antal ; Vas, Gábor ; Boncz, I. / A teljesítményvolumen-korlát hatása a Pécsi Tudományegyetem Klinikai Központ intézmé nyi finanszírozására. In: Orvosi Hetilap. 2010 ; Vol. 151, No. 31. pp. 1270-1274.
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