The National Health Insurance Fund of Hungary established a project for developing a quality indicator system monitoring the quality of health care services. The aim of this issue is to analyze the ratio of caesarean sections in international comparison and also showing the within country inequalities. Data were derived from the financial database (1999-2002) of the National Health Insurance Fund (NHIF), which came from the performance records of the health services providers (mainly hospitals) contracted by the Fund. International data came from the "Health for All" database of the World Health Organization (WHO). The results show that between 1999-2002 the caesarean section rate varied between 21,3-23,6% in Hungary. The caesarean section rate was as follows at various progressivity levels: medical universities 28,4-30,4%, county hospitals 20,3-23,2%, city hospitals of Budapest 22,3-25,1 %, city hospitals other than Budapest 18,5-20,8%. The average incidence ranged from 13-15% to 35-40% at the city hospitals of Budapest. The county hospitals had a range from 13-15% to 35-40% while the city hospitals other than Budapest had a range of 10-12% to 34-37%. We can conclude that the caesarean section rate in Hungary shows similar trends to the international ones. We should underline the great differences within the same progressivity levels. Development of the quality indicator system might strengthen the purchasing role of the National Health Insurance Fund. With introduction of the indicators we can expect that the health care institutions - within a self-assessment process - will review their services and data reporting process thus the great differences might show a reduction.
|Translated title of the contribution||Evaluation of caesarean section rates from the point of view of the purchaser|
|Number of pages||5|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Jun 15 2005|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology