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lehetőségei a hazai fekvőbeteg-ellátásban I [Possibilities of Cost-Saving Strategies in Hungarian Inpatient Care, Part 1] . Informatika és Menedzsment az Egészségügyben 6 ( 8 ): 25 – 29

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WHO in the European Region. As input measures, he used the number of hospital beds, physicians and nurses. The number of inpatient care discharges and number of outpatient contacts represented the outputs. The author applied the DEA model with and

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The principle of free-of-charge health care services is written in the Ukrainian Constitution. However, the state fails to implement this principle in practice. Our analysis confirms that in spite of the proclaimed free-of-charge health care services, many Ukrainian patients pay for health care services and these payments are considerable. As much as 57% and 73% of patients using out-patient and in-patient services respectively reported having spent money for this. Among those who paid for health care services, the average annual expenditure is 636 UAH for out-patient services and 2,019 UAH for hospital services. Patients who paid formally on average spent 555 UAH for out-patient services per year, while those who paid informally, spent about 337 UAH. This unregulated patient payment system is a threat to the population’s health as it prevents many patients from obtaining the health care that they need. Hence, the current’ free-of-charge’ system does not work properly and cannot sustain the health of the nation any more. There is a need for a thoroughly designed official and transparent payment system as well as structural financial reforms.

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Authors: Óscar Brito Fernandes, Mukhethwa Netshiombo, László Gulácsi, Niek S. Klazinga, Márta Péntek and Petra Baji

first national survey on patient experiences in the inpatient and outpatient settings, and in mental health establishments ( Department of Health 2017 ). This very important document showed the Government's commitment to improving quality of care and

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