Neurology 2009 Hungary: a survey of the neurological capacities, their utilization and about neurologists based on the 2009 reports of the institutions
Prof. Dániel Bereczki
11 slide(s) – English – 2011-09-10
Background: Detailed information on the quantitative and qualitative features and the regional distribution of current neurological services at the national level is necessary for the planning of health care provision for the future.
Methods: We present the characteristics of the current neurological services analyzing the database of the National Health Insurance Fund for 2009. This database is exceptionally large and detailed compared to similar data sources in Europe.
Results: Neurological capacities significantly decreased from 2004: the originally 3733 neurological hospital beds decreased to 2812 by year 2009. Of the 179 hospitals in Hungary 55 has neurological beds in 74 active and 18 rehabilitation neurological wards and a further 42 hospital offers only outpatient neurological service. Neurological outpatient service is also offered in Hungary by 88 independent outpatient centers. There is an over fivefold difference among counties in capacities: the number of inhabitants per hospital neurological bed ranges between 2,167 to 13,017 and the number of inhabitants per 1 neurologist outpatient hour between 495 to 2,663. Of the 1,310 board certified neurologists in Hungary, only 834 participated at least once during the year in exclusively neurological service. The gross mean income of a 30-hour-per-week average neurological outpatient practice based on performance reports was 871 thousand HUF (about 4350 USD or 3160 EUR) per month.
Conclusions: In recent years the neurological capacities significantly decreased and fragmented in Hungary, they do not correspond regionally to the number of population to be served, and their profitability does not cover the conditions of self sufficient operation.