PhD Scientific Days 2020

Mental Sciences I. Lectures

Analysis of the utilisation of health services at the end of life on the basis of social health insurance expenditures

Előadó neve

Dr. Szécsényi-Nagy, Balázs

Előadó munkahelye

Semmelweis University

Előadó telefonszáma

+36302573674

Előadó e-mail címe

szecsenyi@post.cz

Az előadás címe

Analysis of the utilisation of health services at the end of life on the basis of social health insurance expenditures

Szerző(k) neve és munkahelye

1 Balázs SZÉCSÉNYI-NAGY, Semmelweis University
2 Péter GAÁL, Semmelweis University

Szekció

Mental Sciences I. Lectures

Language of the presentation

Hungarian

Section, first choice

Health Sciences

Section, second choice

Health Sciences

Összefoglaló szövege

Introduction: It is well-known that health expenditures are significantly concentrated and some health services are used more frequently at the end of the life. However, evidence on the relationship between the two is scarce both regarding the total costs and their composition in terms of the type of health care – outpatient, inpatient, drug subsidies, hemodialysis.

Aims: Examining the concentraction of health expenditures on end-of-life care in comparison with health expenditures on the rest of the population.

Method: In our study we examined the social health insurance expenditures on inpatient treatment, outpatient care, drug subsidies, hemodialys based on national level aggregate data from the Hungarian National Institute of Health Insurance Fund Management (NEAK), the single payer of the Hungarian social health insurance scheme. We formed groups of 1000 people based on the total monetary value of all health expenditures (including outpatient, inpatient, outpatient pharamaceuticals and hemodialysis) spent on the certain individuals. The first group consists the first 1000 people with the highest total health expenditures, the next group consists of the next 1000 people with the second highest expenditures, etc. In each group the total expenditures were broken down to outpatient care, inpatient care, drug subsidies and hemodialysis. Within each group a separate subgroup was created including those, who died in the study year. We compared the expenditure data in the two subgroups (deceased vs. remained alive in the given year) and in two different years (2015, 2018).

Results: The deceased have a higher per capita expenditure in both years. This is mainly attributable to inpatient care and hemodialysis. While the top 2% of survivors used more than 45% of the health expenditures, the top 2% of the deceased only used about the 1/6 of that. The number of deceased were not the highest in the highest expenditure group. The findings in the two examined year were very similar.

Conclusion: As it could be expected, the deceased had higher expenditures on them, which was most typical for inpatient treatment. The concentration of health expenditures was lower among the deceased compared to the survivors. In the highest expenditure groups the survivors had higher drug expenditures compared to the drug subsidies spent on the deceased.

Additional Information

none

Bemutatás módja

Szóbeli

Kind

Szabad

Status

elfogadva

Accepted presentation method

szóbeli

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

2917

Start

10:10

End

10:25

Authors (legacy)

1 Balázs SZÉCSÉNYI-NAGY, Semmelweis University
2 Péter GAÁL, Semmelweis University