Rurik Imre
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Népegészségügyi Kar, Családorvosi és Foglalkozás-egészségügyi Tanszék, Debrecen.
Orv Hetil. 2009 Aug 23;150(34):1615-22. doi: 10.1556/OH.2009.28680.
The progression from panel doctor's system towards family medicine in Hungary is reviewed, including professional, educational, financial and legal background. The main barriers for further development are insufficient human resources, inadequate financial foundation, administrative overload and the present legal regulation. Hungarian observations are compared to international experiences, as well. The author concludes that changing environment needs new structure of health care system with more focus on prevention, with services provided not only by physicians and also different attitudes from the citizens. Association of practices is suggested as a new model, involving other health specialists, as well. Based on the experiences of this model, new financial incentives can be introduced as tools for possible improvement in the future.
回顾了匈牙利从门诊医生体系向家庭医学的发展历程，包括专业、教育、财政和法律背景。进一步发展的主要障碍是人力资源不足、财政基础不充分、行政负担过重以及现行法律法规。还将匈牙利的观察结果与国际经验进行了比较。作者得出结论，不断变化的环境需要新的医疗保健体系结构，更加注重预防，不仅由医生提供服务，公民也需有不同的态度。建议将实践协会作为一种新模式，也让其他健康专家参与其中。基于该模式的经验，可以引入新的财政激励措施作为未来可能改进的工具。
