[Results of stroke care in Hungary in the frame of international comparison]. / A stroke-ellátás hazai eredményei a nemzetközi adatok tükrében.

INTRODUCTION: The EuroHOPE FP7 project analysed the effectiveness and efficiency of stroke care between 2010 and 2014. AIM: The study introduces Hungarian data in comparison with international results and explores the causes of differences. METHOD: The analysis was performed on data available from regular data collection in Finland, The Netherlands, Hungary, Italy, Scotland, and Sweden, with standardized indicators. Hungarian data was analysed between 2005 and 2009, and the international benchmarking in 2008, with multivariate logistic regression analysis for risk adjustment. RESULTS: Stroke incidence in Hungary was the double of the Italian or Finnish results (43.3/10,000 inhabitants), while comorbidities did not differ among countries. In Hungary, 19.9% of patients purchased anti-coagulants, one-third of the rate in Finland. One-year mortality in Hungary was 30%, the worst among the countries. Possible causes are inadequate prevention, more severe status of patients, and deficiencies of hospital care and rehabilitation. CONCLUSION: Causal analysis of these results and corrective measurements are recommended. Orv. Hetil., 2016, 157(41), 1635-1641.

[Development of an indicator system for evaluating the quality of health care services]. / Indikátorrendszer kialakítása az egészségügyi szolgáltatások értékelésére.

Indicator system development for evaluating the quality of health services. The National Health Insurance Fund of Hungary introduces indicators for evaluating the quality of health services. The new system starts by the end of 2003 on the Internet and it will be updated and improved on a regular base. The quality indicators provide possibility to compare the health services and follow up the changes. The Hungarian indicators came from those indicators, which are described, tested and used in the international literature and practice. The data derive from the routinely collected financial data of the National Health Insurance Fund. The conclusions drawn form the results will be arranged and interpreted according to the types of indicators. Those providers whose have out of the ordinary values should fill in a standardized questionnaire--which was developed with the representatives of the certain profession--for explaining the results and define quality improvement plan. The aim of the programme is to increase transparency of health services, to enhance quality improvement and to support the certification and accreditation programmes.