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Csákvári T, Pónusz-Kovács D, Kajos LF, Elmer D, Pónusz R, Kovács B, Várnagy Á, Kovács K, Bódis J, Boncz I. Prevalence and Annual Health Insurance Cost of Endometriosis in Hungary-A Nationwide Study Based on Routinely Collected, Real-World Health Insurance Claims Data. Healthcare (Basel) 2023; 11:healthcare11101448. [PMID: 37239734 DOI: 10.3390/healthcare11101448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/28/2023] [Accepted: 05/15/2023] [Indexed: 05/28/2023] Open
Abstract
Endometriosis is a disease that is often diagnosed late and that may lead to significant reduction in quality of life and serious complications (e.g., infertility). We aimed to assess the prevalence and the annual, nationwide health insurance treatment cost of endometriosis in Hungary using a quantitative, descriptive, cross-sectional method, focusing on the year 2019. We used claims data obtained from the Hungarian National Health Insurance Fund Administration (NHIFA). Patient numbers, total and age-specific prevalence, annual health insurance expenditure, and the distribution of costs across age groups were determined. The NHIFA spent a total of HUF 619.95 million (EUR 1.91 million) on endometriosis treatment. The highest number of patients and prevalence (10,058 women, 197.3 per 100,000) were found in outpatient care. In acute inpatient care, prevalence was substantially lower (23.5 per 100,000). Endometriosis, regardless of its type, affects 30-39-year-olds in the highest number: 4397 women (694.96 per 100,000) in this age group were affected in 2019. The average annual health insurance expenditure per capita was EUR 189.45. In addition to early detection and diagnosis of endometriosis, it is of pivotal importance to provide adequate therapy to reduce costs and reduce the burden on the care system.
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Affiliation(s)
- Tímea Csákvári
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Dalma Pónusz-Kovács
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Luca Fanni Kajos
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Diána Elmer
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Róbert Pónusz
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Bettina Kovács
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
| | - Ákos Várnagy
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
- Department of Obstetrics and Gynecology, Clinical Center, Medical School, University of Pécs, 7622 Pécs, Hungary
| | - Kálmán Kovács
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
- Department of Obstetrics and Gynecology, Clinical Center, Medical School, University of Pécs, 7622 Pécs, Hungary
| | - József Bódis
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
- Department of Obstetrics and Gynecology, Clinical Center, Medical School, University of Pécs, 7622 Pécs, Hungary
| | - Imre Boncz
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7622 Pécs, Hungary
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Németh O, Simon F, Benhamida A, Kivovics M, Gaál P. eHealth, teledentistry and health workforce challenges: results of a pilot project. BMC Oral Health 2022; 22:552. [PMID: 36456948 PMCID: PMC9713149 DOI: 10.1186/s12903-022-02603-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 11/16/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND In the twenty-first century, health systems have to cope with the challenges posed by their rapidly changing environment. Among these changes, the emergence of digital health solutions is an opportunity to make health systems better, but also a compelling force to change. Community dentistry is one area of health care, where the rapid technological development has the potential for substantial performance improvement benefitting dental patients in terms of access to care and conveniance. METHODS This study is based on a survey of the dental care provided by three units (Oral Medicine, Periodontology, Orthodontics) of the Department of Community Dentistry, Semmelweis University, Budapest. During a period of 12 weeks, we have collected time balance data on 1131 patients, 539 in the traditional and 592 in a pilot teledentistry setting, in order to estimate how much time could be spared by monitoring patients through videoconferencing instead of face-to-face visits. RESULTS According to our findings, teledentistry has the potential to shorten the visit with an average of 5-10 min per patient, which adds up to 58-116 work hours in a year. If the pilot was rolled out to all the 13 chairs of the surveyed 3 specialties (orthodontics, periodontology and oral medicine) the time saving would sum up to 186 workdays in one shift alone, which would translate to close to 4500 additional patients per year, considering remote patient monitoring cases alone. Further, if inactive doctors and highly qualified dental hygienists were involved in delivering telecare, 2.67 times as many workdays could be spared, which would allow about 12,000 more patients treated per year. CONCLUSIONS The rapid development of digital health technologies coupled with the evolving task distribution between health professionals have a great potential to improve health system performance in pursuit of population health. Unfortunately, the adaptation to these technological changes is uneven, and without a national strategy, the poor will unlikely benefit from these opportunities in public dental care.
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Affiliation(s)
- Orsolya Németh
- grid.11804.3c0000 0001 0942 9821Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, 1088 Hungary
| | - Fanni Simon
- grid.11804.3c0000 0001 0942 9821Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, 1088 Hungary
| | - Abdallah Benhamida
- grid.440535.30000 0001 1092 7422Abdallah Benhamida BioTech Research Center, Óbuda University, Bécsi Út 96/B, Budapest, 1034 Hungary
| | - Márton Kivovics
- grid.11804.3c0000 0001 0942 9821Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, 1088 Hungary
| | - Péter Gaál
- grid.11804.3c0000 0001 0942 9821Health Services Management Training Centre, Faculty of Health and Public Administration, Semmelweis University, Budapest, 1125 Hungary ,grid.5120.60000 0001 2159 8361Department of Applied Social Sciences, Faculty of Technical and Human Sciences, Târgu-Mureș, Hungarian University of Transylvania, Transylvania, Romania
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Elek P, Csanádi M, Fadgyas-Freyler P, Gervai N, Oross-Bécsi R, Szécsényi-Nagy B, Tatár M, Váradi B, Zemplényi A. Heterogeneous impact of the COVID-19 pandemic on lung, colorectal and breast cancer incidence in Hungary: results from time series and panel data models. BMJ Open 2022; 12:e061941. [PMID: 35981776 PMCID: PMC9393855 DOI: 10.1136/bmjopen-2022-061941] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE During the COVID-19 pandemic, health system resources were reallocated to provide care for patients with COVID-19, limiting access for others. Patients themselves also constrained their visits to healthcare providers. In this study, we analysed the heterogeneous effects of the pandemic on the new diagnoses of lung, colorectal and breast cancer in Hungary. DESIGN Time series and panel models of quarterly administrative data, disaggregated by gender, age group and district of residence. PARTICIPANTS Data for the whole population of Hungary between the first quarter of 2017 and the second quarter of 2021. MAIN OUTCOME MEASURES Number of patients newly diagnosed with lung, colorectal and breast cancer, defined as those who were hospitalised with the appropriate primary International Classification of Diseases Tenth Revision diagnosis code but had not had hospital encounters with such a code within the previous 5 years. RESULTS The incidence of lung, colorectal and breast cancer decreased by 14.4% (95% CI 10.8% to 17.8%), 19.9% (95% CI 12.2% to 26.9%) and 15.5% (95% CI 2.5% to 27.0%), respectively, during the examined period of the pandemic, with different time patterns across cancer types. The incidence decreased more among people at least 65 years old than among the younger (p<0.05 for lung cancer and p<0.1 for colorectal cancer). At the district level, both the previously negative income gap in lung cancer incidence and the previously positive income gap in breast cancer incidence significantly narrowed during the pandemic (p<0.05). CONCLUSIONS The decline in new cancer diagnoses, caused by a combination of supply-side and demand-side factors, suggests that some cancer cases have remained hidden. It calls for action by policy makers to engage individuals with high risk of cancer more in accessing healthcare services, to diagnose the disease early and to prepare for effective management of patient pathways from diagnosis to survival or end-of-life care.
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Affiliation(s)
- Peter Elek
- Institute of Economics, Centre for Economic and Regional Studies, Budapest, Hungary
- Institute of Economics, Corvinus University of Budapest, Budapest, Hungary
| | | | | | | | | | - Balázs Szécsényi-Nagy
- Health Services Management Training Centre, Semmelweis University, Budapest, Hungary
- Community Health Centre, Gyál, Hungary
| | - Manna Tatár
- Centre for Health Technology Assessment, Semmelweis University, Budapest, Hungary
| | - Balázs Váradi
- Budapest Institute for Policy Analysis, Budapest, Hungary
- Department of Economics, Eötvös Loránd Tudományegyetem, Budapest, Hungary
| | - Antal Zemplényi
- Centre for Health Technology Assessment and Pharmacoeconomic Research, Pécsi Tudományegyetem, Pécs, Hungary
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Winkelmann J, Webb E, Williams GA, Hernández-Quevedo C, Maier CB, Panteli D. European countries' responses in ensuring sufficient physical infrastructure and workforce capacity during the first COVID-19 wave. Health Policy 2022; 126:362-372. [PMID: 34311982 PMCID: PMC9187509 DOI: 10.1016/j.healthpol.2021.06.015] [Citation(s) in RCA: 46] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 06/01/2021] [Accepted: 06/30/2021] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic has placed unprecedented pressure on health systems' capacities. These capacities include physical infrastructure, such as bed capacities and medical equipment, and healthcare professionals. Based on information extracted from the COVID-19 Health System Reform Monitor, this paper analyses the strategies that 45 countries in Europe have taken to secure sufficient health care infrastructure and workforce capacities to tackle the crisis, focusing on the hospital sector. While pre-crisis capacities differed across countries, some strategies to boost surge capacity were very similar. All countries designated COVID-19 units and expanded hospital and ICU capacities. Additional staff were mobilised and the existing health workforce was redeployed to respond to the surge in demand for care. While procurement of personal protective equipment at the international and national levels proved difficult at the beginning due to global shortages, countries found innovative solutions to increase internal production and enacted temporary measures to mitigate shortages. The pandemic has shown that coordination mechanisms informed by real-time monitoring of available health care resources are a prerequisite for adaptive surge capacity in public health crises, and that closer cooperation between countries is essential to build resilient responses to COVID-19.
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Affiliation(s)
- Juliane Winkelmann
- Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623 Berlin, Germany.
| | - Erin Webb
- Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623 Berlin, Germany
| | - Gemma A Williams
- European Observatory on Health Systems and Policies, London School of Economics and Political Science, Cowdray House, Houghton Street, London WC2A 2AE, United Kingdom
| | - Cristina Hernández-Quevedo
- European Observatory on Health Systems and Policies, London School of Economics and Political Science, Cowdray House, Houghton Street, London WC2A 2AE, United Kingdom
| | - Claudia B Maier
- Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623 Berlin, Germany; Center for Health Outcomes and Policy Research, University of Pennsylvania, School of Nursing, Claire Fagin Hall, 418 Curie Blvd, Philadelphia, PA 19104, United States
| | - Dimitra Panteli
- European Observatory on Health Systems and Policies, Eurostation, Place Victor Horta/Victor Hortaplein, 40/30, 1060 Brussels, Belgium
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