Hungarian healthcare system

Government to centralise Hungary’s healthcare system

hospitals

The government is submitting to parliament proposals aimed at reforming Hungary’s health-care system, the interior ministry said on Tuesday.

The proposals are aimed at improving basic care and the quality and accessibility of general practitioner care, the ministry said in a statement. Under the proposals, the state will assume greater responsibility in the organisation of general practices, filling vacant practices and creating a more even workload distribution among districts, it said. General practitioner care will be organised by the National Hospital Directorate-General in cooperation with local councils, it added.

Also, district nurses will be employed by the local hospitals, the ministry said. In the interest of improving hospital care, county hospitals will be given more power in organising care. Meanwhile, city hospitals will be given responsibilities in general practitioner on-call care and public health screenings.

Gergely Karácsony mayor Budapest
Read alsoBudapest mayor outraged on government proposal

The proposals also include moving hospital nursing departments to the welfare system in the interest of patient safety and the efficient organisation of nursing and social tasks, the ministry said. The government will also strengthen its commitment to shortening hospital waiting lists and improving transparency, it added. The government also plans to continue raising the wages of doctors, the ministry said, noting that funding allocated for health-care wages will increase more than four-fold next year.

Coronavirus hospital nurse doctor
Read alsoHere is how the Hungarian healthcare is changing

Budapest mayor outraged on government proposal

Gergely Karácsony mayor Budapest

Hungary’s local councils do not support the proposal by the government aimed at the full-scale and mandatory nationalisation of outpatient care, Budapest Mayor Gergely Karácsony said on Tuesday.

“We can’t support a proposal that hasn’t even been discussed with us,” Karácsony told a press conference after a meeting of the alliance of local governments MÖSZ. “Even though the state secretary didn’t even listen to the local government alliance’s position during the talks at the Interior Ministry, MOSZ is prepared for further consultations.” Karácsony said centralisation would not provide a solution to the health-care sector’s lack of resources or shortage of professionals. “The problem isn’t the lack of centralisation, but rather the lack of adequate wages and shortage of professionals,” the mayor said.

He said the proposal would also cut a significant amount of funding from health care, arguing that local councils currently supplement state funding for their own outpatient clinics, which in Budapest’s case can cost up to 20 billion forints (EUR 50.0m) a year. He noted that the government in 2019 signed an agreement with the Budapest city council under which Budapest had done everything it could for the construction of the stadium needed to host the 2023 World Athletics Championships in exchange for the government’s commitment to spending 50 billion forints on the upgrade of outpatient care in the city over a period of five years.

“We didn’t conclude the agreement to then have the government nationalise clinics,” Karácsony said. “The proposal is effectively a violation of this agreement.”

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Read alsoEnergy crisis: drastic measures, draconic decorative lighting rigour at Budapest university

Meanwhile, Gödöllő Mayor György Gémesi, who heads MÖSZ, announced that the alliance was calling for a national energy summit to be held at the end of November, adding that the summit should involve service providers as well as local council and government representatives.

The aim of the summit is to bring together proposals that could help local councils weather the current energy crisis, he said.

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Here is how the Hungarian healthcare is changing

Coronavirus hospital nurse doctor

According to a draft law, the central hospitals would be able to order the doctors out. In addition, the government promises a 55 percent wage increase for graduate heathcare workers. However, depending on their performance, the wages of doctors and nurses may increase or decrease.

According to Népszava, the Minister of the Interior, Sándor Pintér, is initiating the transformation of the health sector. At the beginning of next week, the leaders of the chambers will discuss the new laws with Péter Takács, the state secretary responsible for health.

Doctors in Hungary could be payed based on performance

The draft’s sensitive points include, among other things, that central hospitals as employers would be able to freely command doctors and healthcare workers, reports Index. Moreover, depending on their performance, the wages of doctors and nurses may improve by up to 40 percent, or decrease by a maximum of 20 percent.

Patients will have to travel more

Patients will have to travel more because the healthcare would be more concentrated. Professions that require many specialists would be moved to county center hospitals. The county reorganisation of services will be coordinated by the General Director of the National Hospital. According to the proposal, the Minister of the Interior will determine in a separate decree what services each hospital can provide. In addition, districts with less than 1,200 people would be abolished by 2028.

Wage increase in the healthcare system

Although there have been wage increases in the Hungarian healthcare, the new proposal will further deal with wage issues. In the draft, an average increase of 32 percent is recommended for those with primary and secondary education, while an average increase of 55 percent is recommended for graduates. In parallel with the wage increase, several wage supplements would be abolished and a part of them would be integrated into the basic wage, reports Telex. Furthermore, the government would also end the state payment of the trade association membership fee in the future.

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Bad news for dental tourism: care is getting more expensive in Hungary

Dental care is becoming more expensive, and dentists are forced to pass on the cost increases to patients. By raising prices, they risk a significant drop in solvent demand, but dental practitioners have no choice.

Dental care is getting more expensive

Although dental tourism has bounced back, few doctors are affected, while Hungarians are neglecting treatment at an even more spectacular rate than before, 24.hu reports. As a result of the continued state of emergency and the rise in the euro exchange rate, dental treatments have become significantly more expensive in Hungary, said Dr. Mercedes Linninger, President of the Regional Organisation of Dentists of the Hungarian Medical Chamber, in response to an inquiry from 24.hu.

She said that the surge in energy prices is just the tip of the iceberg, as the economic crisis caused by Covid-19 has already caused a significant increase in dental costs.

“Supply costs have risen, and the global shortage of raw materials has pushed up the market prices of materials and equipment. In addition, current global sustainability efforts have phased out or changed many of our single-use assets, and the cost of producing and purchasing new assets with a more positive global impact is significantly higher. On top of this, rising energy prices have made it more difficult to sustain healthcare businesses,” she explained.

Small businesses are most affected

Linninger also pointed out that a distinction should be made between small and large enterprises and enterprises contracted with the National Health Insurance Fund (Nemzeti Egészségbiztosítási Alapkezelő, NEAK).

It is clear that in the first two cases, although all private businesses are affected to varying degrees by the energy crisis, the condition for operating is that prices for services must be adjusted to reflect the rise in costs. This can no longer be achieved through self-funding or rescheduling, so practices are forced to pass on the cost increases to patients, risking a significant drop in solvent demand.

The need to make new plans

Asked how much more expensive private practices are likely to become, she did not want to give an estimate at the start of the energy crisis, before the winter sets in. She said that businesses are recalculating everything, and that with the end of the small business tax (kata), small dentists are making new business plans.

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Monkey pox: rising number of infected in Hungary, first test has arrived

monkeypox usa vaccination

Hungary has so far confirmed 78 cases of monkeypox, with one new infection recorded in the past week, the national public health authority (NNK) said on Friday. At the same time, a pilot quantity of professional monkeypox antigen tests from three different manufacturers was ordered by a domestic distributor.

Monkeypox does not appear to be a threat in Europe yet

Although the monkeypox virus has suddenly become the focus of attention, it does not yet appear to be a threat in Europe and other parts of the world, writes Pénzcentrum. According to CDC (Centers for Disease Control and Prevention) data on 6 October, nearly 70,000 people in 107 countries around the world have been infected with the virus. In Hungary, the number of new infections has not yet reached 100. While there has not been a significant increase in Hungary, this could change at any time.

It is good to prepare

“The virus can mutate at any time, the mode and speed of spread and the virulence of the virus can change, so it is worth preparing now and getting to know the manufacturers and diagnostic tools,” says Attila Karvalics, CEO of A-Lab Pharma, one of the leading distributors of rapid diagnostic tools in Hungary. Karvalics also reminded that the quality of diagnostic devices is constantly improving.

While the sensitivity of the first coronavirus antigen tests was only 60 percent, that of the more sensitive nasal cavity test devices is now typically around 100% at high virus concentrations. These rapid tests represent the first line of defence for infection control worldwide, alongside PCR tests.

Tests can take the burden off healthcare providers

Among the professional tests now available are devices for cardiovascular and tumour markers, pregnancy hormones, infectious diseases, animal infections and even drugs. For home use, stool blood tests to predict colorectal cancer or even tests for Chlamydia and urinary tract infections are common. What is more, a food intolerance test will soon be available, which can detect antibody reactions to 100 different foods, napi.hu reports.

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Number of new monkeypox cases increased again

Hungary hospital doctor healthcare monkeypox

Hungary has so far confirmed 75 cases of monkeypox, with four new infections recorded in the past week, the national public health authority (NNK) said on Friday.

The new patients are males aged between 36 and 42, NNK said, adding that none of them required hospitalisation. Local authorities are investigating each recorded case, including contact tracing, NNK said.

Read alsoLabour shortage: you can’t give birth in one of Budapest’s biggest hospitals!

Labour shortage: you can’t give birth in one of Budapest’s biggest hospitals!

This weekend you will not be able to give birth at Budapest’s biggest hospital, the Szent Imre Hospital, due to labour shortage, Hungarian media writes. The institution suggests mothers-to-be visit other hospitals in Budapest, provided their labour starts.

Labour shortage hitting hard the Hungarian healthcare sector

From 16 September to 18 September, there will be no admissions to the department of obstetrics and gynaecology of the Szent Imre Hospital in Budapest. Mothers-to-be may go to the Szent János Hospital, the Clinical Centre of the Semmelweis University or the South-Pest Hospital Centre, blikk.hu reported.

Based on the information of HVG, a severe labour shortage is behind the decision of the Szent Imre Hospital. A former MP, Andrea Varga-Damm wrote on Facebook that the situation is similar in the hospitals of Veszprém and Szombathely, West Hungary.

One-jab Pfizer vaccine to be administered to health-care workers first

A new, one-jab coronavirus vaccine developed by Pfizer-BioNTech, of which Hungary has so far received 109,000 doses, will be first used as a booster for vaccinated health-care workers, the official website koronavirus.gov.hu said on Thursday. The vaccine will be available for the Hungarian public from next week, the website said.

Furthermore, government offices are also polling demand in elderly care homes, it said. Hungary has ordered 9.5 million doses of the vaccine in a European Union purchase programme launched in wake of the spread of the Omicron variant. It is expected to receive 3 million doses this year and 6.5 million in 2023. Of the latter, 1.5 million doses will be optimised for children, the website said.

Szeged hospital
Read alsoYouth disability centre opened in South Hungary — PHOTOS

Youth disability centre opened in South Hungary — PHOTOS

Szeged hospital

President Katalin Novák opened a new building of the Gemma centre for children and young people with disabilities in Szeged, in southern Hungary, on Wednesday.

“A disease is a burden, but a child is a gift,” Novák said in her opening speech. Addressing parents at the ceremony, the president said “we cannot bear your burden, but we are here and could be of help”.

Novák cited passages in the constitution aimed at protecting human life from conception, and said “let us take that seriously; let us actually protect life from the moment of conception… let us be there all along, standing by human life… both when it is not so obvious that we are not perfect, and when imperfections are more manifest”.

The project, using a budget of 500 million forints (EUR 1.2m), has increased the Gemma complex to 1,400 square metres. Ninety-one children study in its primary school, while another 40 youth go to its day-care facility.

Szeged hospital
Photo: MTI/Bruzák Noémi

Szeged hospital
Photo: MTI/Bruzák Noémi

Szeged hospital
Photo: MTI/Bruzák Noémi

It costs EUR 13,5 to visit a deceased relative in a Hungarian hospital

Coronavirus Patient Hospital Covid

In Győr, at the Petz Aladár University Teaching Hospital, it costs HUF 5500 (EUR 13,5) if someone wants to see the body of a relative before it is taken from the hospital. 

Doctor László Jávor, Director General of the Petz Aladár University Teaching Hospital in Győr, confirmed that there is indeed an obligation to pay the fee. Ugytudjuk.hu wrote that you have to pay HUF 5500 (EUR 13,5) to see your deceased relative. The obligation to pay the fee has been in force since 1 April 2019.

The justification for viewing the corpse is that it requires serious organisation. “It is not a publicly funded activity under the relevant legislation.” So it is an additional task for the autopsy surgeons. Currently, there is no uniform practice, local institutions decide for themselves whether or not to ask for money. However, the National General Directorate of Hospitals (OKFŐ) does not consider this ethical and wants to introduce a uniform practice, 444.hu reports.

Will restrictions return in Hungary again from autumn?

Coronavirus Hungary

The coronavirus pandemic has been defeated and is waning in Hungary, but the infection remains dangerous, Béla Merkely, the rector of the medical Semmelweis University, said on Sunday.

The number of Covid patients is declining again, with just 40 people being treated with the virus at Semmelweis University, only one of whom is in intensive care, Merkely told public broadcaster Kossuth Radio. At the same time, he said everyone should get two Covid vaccine doses as well as a booster. A fourth and fifth shot is worth considering for those more at risk, he added.

Merkely noted that 64 percent of Hungary’s population has received two vaccine doses and 40 percent a third. Those who are not vaccinated are not safe from the virus, he added. Though Omicron and other variants of the virus can continue to spread in the autumn, eventually this virus will be treated like other upper respiratory infections, he said.

Coronavirus infections will continue to decline each year and Covid will become a seasonal disease, Merkely said, noting that the same had happened with the Spanish flu in the early 20th century.

Concerning the monkeypox virus, Merkely said case numbers were expected to rise, but the outbreak was unlikely to turn into a global pandemic the way coronavirus had.

Read alsoHungarian virologist: mask wearing may soon return in Hungary

Monkeypox vaccine arrived in Hungary

Monkeypox vaccine Hungary

Fully 2,560 doses of monkeypox vaccine have arrived in Hungary, sufficient to inoculate 1,280 people, Hungary’s public health authority (NNK) said on Tuesday.

The two doses are administered one month apart and will be offered to the most vulnerable risk groups, the authority said in a statement. The exact criteria for use and the designation of vaccination sites will be released shortly, it added.

Between Aug. 1 and 14, twenty people were confirmed as infected with monkeypox, bringing the total to 62 registered cases in the country — all men between the ages of 23 and 50, most living in Budapest. None has been hospitalised and all are isolating at home.

Monkeypox vaccine Hungary
Read alsoMonkeypox vaccine arrived in Hungary

Ambulances on bicycles in Hungarian cities to be introduced

Ambulance-on-bicycle

“Bike ambulances” are to be introduced in several Hungarian cities: the National Ambulance Service wishes to get help to those in trouble faster with this new method. However, this idea is not entirely positive. Read our article to find out why paramedics and experts think it would not be efficient to implement.

Paramedics on two wheels

Since the beginning of July, station managers within the National Ambulance Service (OMSZ) have been tasked with assessing which paramedics would be willing to take on extra duties in a new cycling ambulance unit for extra pay, reports Népszava. Bike ambulances would be deployed mainly in cities, especially in areas with above-average call density, such as the capital and the Central Hungarian Region.

Ambulances can receive up to 3,000 calls a day across the country, with a third of calls coming from Budapest and the surrounding area. The ambulances on duty in the region are unable to keep up, so 10-15 ambulances a day are diverted to the capital from other parts of the country. But even so, there are still call congestions, with ambulances taking well over 15 minutes to arrive.

The communications manager of the National Ambulance Service, Pál Győrfi, confirmed that the programme will be piloted next spring. The conditions for bicycle rescue are currently being developed.

Not entirely a good idea

In big cities, the reason why ambulances do not arrive is not that they are stuck in traffic jams, but because they are short of human resources, writes health expert Zsombor Kunetz on his Facebook page. What is more, the ambulance workers’ association considers the deployment of bicycle units to be premature and unprofessional.

In his post, Kunetz highlighted: in the big cities, the reason why ambulances do not arrive in time is that the number of ambulance units is low compared to the number of calls. It will not solve the problem if they select paramedics from the existing staff, because then they will be missing from the ambulance cars. Either more ambulance units will be needed, i.e. extra human resources, or the OMSZ will have to respond to fewer calls, writes napi.hu.

Bike rescue does have its place, writes the expert. He adds: even in summer in parks, at major events and running races, but it will not be able to replace the ineptitude of management, the lack of organisation and the shortcomings of the care system.

Featured image: illustration, Paramedics of Queensland Ambulance Service Bicycle Response Team, Brisbane, Queensland, 2020

ryanair ceo Michael O’Leary
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Leftist DK: Shortage of GPs ‘alarming’

Hungary GPs

Opposition Democratic Coalition (DK) lawmaker Zoltán Komáromi said there was an “alarming” shortage of GPs in Hungary, on Tuesday.

Recent figures by the national hospital directorate showed that there were 1,093 unoccupied medical positions in the country, of which 687 were GPs.

A significant part of practicing doctors are above retirement age and the number of unoccupied GP practices has grown by 60 percent in the past three years, and the number of people left without a GP practice by 80 percent, he said.

Komáromi said the policies of the Orbán regime over the past 12 years resulted in a “huge health-care disaster”.

He criticised the fact that the area was not overseen by a dedicated ministry. He said interior minister Sándor Pintér would be unable to resolve the problem of missing doctors and entire regions were left without regular health service.

Fully 909,720 Hungarians live in areas without a GP and 725,430 people get no local dental care, he added.

Jobbik: Orbán cabinet ‘ruining’ social-care sector

The government’s decision to dilute caps on household energy bills and restrict the circle of those who benefit from the cap on the price of fuel will “ruin” Hungary’s social-care system, opposition Jobbik said on Monday.

The price increases resulting from the recent changes will make it impossible for the country’s social-care institutions to function, Jobbik MP Ferenc Varga told a press conference, arguing that the institutions could soon see their expenditures rise by up to tens of millions of forints.

The government did not consult those affected by the changes, neither were there any impact studies carried out on how the social-care sector would be affected by them, Varga said.

Jobbik MP said it was also unclear to the sector’s workers whether they could expect the government to take steps to ensure the security of their operations, or what would happen to the existing clients of any service providers that are forced to or decide to close down.

“[Prime Minister] Viktor Orbán and his team are unfit to govern, as once again they’ve made decisions without consulting members of the profession in question or the organisations impacted by the decisions,” he said.

Number of monkeypox cases in Hungary rising

Hospital-Hungary-monkeypox

Hungary has so far confirmed 30 cases of monkeypox, with 6 recorded in the past week, the national public health authority (NNK) said on Friday.

All the patients are male, the youngest 23 and the oldest 50 years old, with most living in Budapest, the NNK said. None require hospitalisation, and each person is isolating at home, it added. Local authorities are investigating each case, including contact tracing, NNK said.

Norway swimmer Budapest hospital
Read alsoNorwegian swimmer almost died at a Budapest hospital: nobody spoke English

Norwegian swimmer almost died at a Budapest hospital: nobody spoke English

Norway swimmer Budapest hospital

“If my mother had not come to Budapest, I do not think I would have survived”, one of Norway’s best swimmers said after he was released from a Budapest hospital. Below you can read his shocking story highlighting why foreign language knowledge would be crucial in the Hungarian healthcare system.

Norwegian swimmer in trouble in Budapest

The best Norwegian breaststroke swimmer, André Klippenberg Grindheim, reported about a horrific calvary on his Instagram. He came to the FINA 2022 aquatics world championships in Budapest but could not compete in the tournament because he fell ill after he stepped on Hungarian ground. The 22-year-old athlete said in a recent Instagram post that he almost died in the hospital. But you would never guess the reason why.

Grindheim wrote that the Hungarian hospital released him last Monday, 24.hu reported. The Norwegian champion won his qualification last year. However, not long after his arrival, on June 24, he had to call the ambulance because of severe pain in his stomach. It swelled as much as if he was expecting twins.

Norway swimmer Budapest hospital
Photo: Instagram

Nobody told him whether he will survive

He was expecting the arrival of the ambulance, but hours passed. When they came, he was shocked that their English proficiency was almost zero. In the hospital, it became clear that a segment of his intestines was dead because an internal hernia-caused inflammation that spread to his appendix.

“I only remember before the surgery that the doctor says either they do the operation or I have only hours left. It was difficult to wait for the anaesthesia without being told whether I have a chance to wake up,”

he wrote.

Norway swimmer Budapest hospital
Photo: Instagram

Thankfully, the appendix surgery was successful, but the torture did not end. The swimmer got severe pneumonia at the hospital and was infected by the coronavirus. However,

the healthcare employees did not take the symptoms seriously.

Her mother’s thermomether saved his life

Fortunately, his mother brought a thermometer, so she told the unusually high body temperature to the staff. After a blood test, it was clear that the high CRP level is the result of an inflammation.

Afterwards, it was clear that the 22-year-old athlete had pneumonia. Grindheim said

he lost 6 kilograms in just 1.5 weeks.

Norway swimmer Budapest hospital
Photo: Instagram

He was released last Monday and flew back to Norway.

“Being at the hospital in Budapest was very difficult. I could barely communicate with those who treated me,” he complained. He said he was thankful that his mother could spend that time with him. She worked as a nurse for a while, and the Norwegian swimmer said he did not think he would not have survived without her. He experessed no gratitude towards the Hungarian nurses and doctors in his post.

Number of monkeypox cases in Hungary revealed

Hospital

Hungary has so far confirmed 24 cases of monkeypox, with 5 recorded in the past week, the national public health authority (NNK) said on Friday.

All the patients are male, the youngest 25 and the oldest 53 years old, with most living in Budapest, the NNK said. None require hospitalisation, and each person is isolating at home, it added. Local authorities are investigating each case, including contact tracing, NNK said.

Rawpixel laboratory test
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