Gaal Peter
Health Services Management Training Center, Semmelweis University, Budapest, Hungary.
Eur J Health Econ. 2005 Dec;Suppl(Suppl 1):37-45. doi: 10.1007/s10198-005-0317-y.
This contribution considers entitlements and benefits in the Hungarian health care system. After a brief introduction to the organizational structure of the system the decision-making processes are discussed in detail, including the most important actors, types and pieces of legislation, formal structures, decision-making criteria, and outputs in terms of benefit catalogues. Within the two main public financing systems (social insurance and tax-funded services) there are four types of regulatory regimes: (a) traditional political decision making, (b) price negotiations, (c) updating of classification systems for payment purposes, and (d) the procedure for the inclusion of registered medicines in the scope of the social health insurance system. As an example we discuss the benefit regulations and benefit catalogues in the category of services of curative care (HC.1) of the OECD classification of health services.
本文探讨了匈牙利医疗保健系统中的权利与福利。在简要介绍该系统的组织结构之后，详细讨论了决策过程，包括最重要的行为主体、立法类型和条款、正式结构、决策标准以及福利目录方面的产出。在两种主要的公共融资体系（社会保险和税收资助服务）中，存在四种监管制度：(a) 传统政治决策，(b) 价格谈判，(c) 用于支付目的的分类系统更新，以及 (d) 将注册药品纳入社会医疗保险系统范围的程序。我们以经合组织卫生服务分类中治疗护理服务（HC.1）类别的福利法规和福利目录为例进行讨论。
