PMID- 12731339
OWN - NLM
STAT- MEDLINE
DCOM- 20030625
LR  - 20181130
IS  - 0030-6002 (Print)
IS  - 0030-6002 (Linking)
VI  - 144
IP  - 11
DP  - 2003 Mar 16
TI  - [The role of medical schools in progressive health care].
PG  - 523-8
AB  - AIM: To analyse the predicted and observed role of medical schools in the 
      progressive health care. DATA AND METHODS: The data derives from the financial 
      database of the National Health Insurance Fund (NHIF) and covering the period 
      1998-2001. In this study the authors calculated the market share of the medical 
      schools within the financing of the NHIF in the field of out- and in-patient 
      care, renal dialysis, CT/MRI examinations, task financed services under special 
      rules and fee for progressive (tertier level) care. The authors performed a 
      detailed analysis concerning the Diagnosis Related Groups (DRG) of active 
      inpatient care, where the market share of medical schools was calculated within 
      the TOP-15 DRGs with highest and lowest point value, and within the TOP-15 most 
      common and most infrequent DRGs. RESULTS: The market share of medical schools 
      increased from 13.7% (1998) to 15.0% (2001). The increase was significant in the 
      active and chronic in-patient care and in renal dialysis. The market share of 
      medical schools from progressive fee decreased from 32.3% (1998) to 26.5% (2001). 
      Within the active in-patient care the medical schools provide health care for 
      37.7% of the most difficult cases with highest DRG value and for 30.1% of the 
      patients with rare diseases. The market share of the medical schools is much 
      lower in cases with lowest DRG value (10.2%) and in most common cases (9.8%). 
      CONCLUSION: The medical schools fulfilled their expected role in the progressive 
      (tertier) care, answering the public and professional expectations.
FAU - Boncz, Imre
AU  - Boncz I
AD  - Orszagos Egeszsegbiztositasi Penztar, Szakmapolitikai es Koordinalo Foosztaly, 
      Budapest. boncz.i@oep.hu
FAU - Sebestyen, Andor
AU  - Sebestyen A
LA  - hun
PT  - Journal Article
TT  - Az egyetemek szerepe a progressziv betegellatas rendszereben.
PL  - Hungary
TA  - Orv Hetil
JT  - Orvosi hetilap
JID - 0376412
SB  - IM
MH  - Academic Medical Centers/economics/*statistics & numerical data/trends
MH  - Diagnosis-Related Groups/classification
MH  - Health Care Sector/*statistics & numerical data/trends
MH  - Humans
MH  - Hungary
MH  - Schools, Medical/*economics/trends
MH  - Utilization Review/*statistics & numerical data
EDAT- 2003/05/07 05:00
MHDA- 2003/06/26 05:00
CRDT- 2003/05/07 05:00
PHST- 2003/05/07 05:00 [pubmed]
PHST- 2003/06/26 05:00 [medline]
PHST- 2003/05/07 05:00 [entrez]
PST - ppublish
SO  - Orv Hetil. 2003 Mar 16;144(11):523-8.