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2.4. PUBLIC HEALTH, ACCIDENTS

PUBLIC HEALTH

Expenditure on health

Expenditure on health data is based on the international health accounts methodology (A System of Health Accounts 2011 Edition ), and does not contain data on investments. The new methodology was revised with the start of year 2013, and to assure comparability data was revised back to year 2003.

Within the national health accounts of Hungary:

Human resources of health service

Filled medical job: the number of appointed employees' jobs (except external deputies) at the end of the year, calculated for the number of employees working full-time. Included in the number of filled employments are those taken up as additional and secondary jobs.

Source of data: NSDCP 1019: Report on personnel of health service.

Active physician: a doctor who is admitted in the national medical register and is active.

Source of data: NSDCP 1589: Statistics on the distribution of physicians by region, specialist qualification, age and sex.

GP's and family paediatrician's service

General practitioner: provides personal, continuous, wide scale, long term basic health care service (health promotion, prevention and treatment diseases) in a given area. In addition to providing treatment and rehabilitation, he/she carries out regular screening, inspection of patients' health status, provides health information, refers patients to further examination by specialized institutions or hospital and certifies the ability to work. The service is provided basically for adults, but at settlements where no local paediatrician service is available he/she treats also children. (4/2000. (II.25.)

Family paediatrician: provides basic care to children up to age of 14. Upon request he/she may continue to provide care to people aged 14-18 years (4/2000. (II.25.) Ministry of Health). A paediatrician with area duties is obliged to provide care to, besides those who are registered with him/her, insured people in the area who have chosen another doctor, if they are unable to visit their chosen doctor.

Source of data: NSDCP 1021: Report on general practitioners' and family paediatricians' activities.

Hospitals

Operating hospital bed: an approved hospital bed suitable for hospitalisation (ready to receive patients after preparations) for at least 6 months during the reference period.

Source of data: NSDCP 2155: Summary report on hospitals' nursing cases.

Dispensaries

A dispensary is a curative and preventive health care institution which provides care for outpatients suffering from certain specific diseases (pulmonary, psychiatric-mental, dermato-venereal diseases or tumours, etc.). Dispensaries register and provide regular care for patients found and referred to a dispensary during patient care, furthermore, referred for special examination, found at screening or attending voluntarily the institution.

New patient: a patient registered and taken under treatment in the reference year; a TB or STD (sexually transmitted diseases) patient who was discharged as cured after a previous treatment but relapsed; a patient with a malignant tumour who visited an oncological clinic or was found by screening and had not yet been treated with the given disease.

Patient registered in a dispensary: a patient registered in a dispensary at a specific time (generally at the end of the year) and undergoing regular medical treatment or care (control) in the dispensary

Tuberculosis and pulmonolarycare: Tuberculosis and pulmonary care comprises all curative and preventive pulmonary activities carried out in TB dispensaries. There is no obligation to report chronic pulmonary diseases other than tuberculosis and bronchical cancer, only those patients are registered who attend a pulmonary dispensary.

Pulmonary screening examination: A pulmonary screening examination is a medical examination by radiological and photographic methods carried out for the primary purpose of detecting pulmonary tuberculosis and pulmonary tumours.

Patient turnover: The number of patients who visited dispensaries during the reference year, considering every single visit.

New TB patients (incidence): The incidence of new patients (number, rate) in a certain period (one calendar year in general).

Registered non-TB pulmonary patients: patients who are under treatment in a pulmonary dispensary at a specific date (31 December) because of a chronic non-TB pulmonary disease.

Bronchitis patients with obstruction: A bronchitis patient with obstruction has a permanent impairment. She/he requires regular specialist care.

Source of data: “Korányi” National Institute of Tuberculosis and Pulmonology; annual reports on pulmonary dispensaries.

Dermato-venereal care

Dermato-venereal care covers the specialist treatment of patients with skin and sexually-transmitted diseases, the prevention of infections from spreading, by regular interventions, and the supervision of a patient for a specified time.

Source of data: NSDCP 2084 Operational report of skin and venereal dispensaries;

Psychiatric and addictological care

Psychiatric patient: A person admitted to a psychiatric institution because of mental or behavioural dysfunction

Estimated number of alcohol addicts: A datum derived from the number of deaths from liver cirrhosis, using the Jellinek formula (the number of deaths due to liver cirrhosis multiplied by 144).

A registered alcohol addict is a person who was treated or taken under care in an addictology or psychiatric dispensary because of alcoholism, and attended the dispensary at least once during the year

Patients registered in dispensaries: since 1999 rates concerning data on registered patients at the end of the year have been calculated by the number of population at 1 January of the next year.

Source of data: NSDCP 2086 Report on psychiatric dispensaries, NSDCP 2088 Report on care of addictological patients.

Treatment and morbidity of drug consumers

Drug user: is a persons using drugs regularly or occasionally and is registered at drug outpatients' departments or drug centres, psychiatric dispensaries, child and youth psychiatric dispensaries, psychiatric wards or outpatients' departments, crisis intervention wards, alcohology or addictology dispensaries, wards or outpatients' departments and drug therapy institutions.

Source of data: Ministry of Health, National Institute of Addictology.

Data have to be treated with the greatest possible care because of the uncertainty of data suppliers and other circumstances of data collection.

Special home nursing

Special home nursing: according to the 20/1996. (VII. 26.) Ministry of Welfare Decree on special home care, it's an activity performed at the order of the nsuree's medical attendant by a specialized nurse at the insuree's home or residence. The Section 2 § (3) of the Decree particularly deals with the special qualifications (physiotherapist, physical therapist assistant, speech therapist qualifications) necessary to provide the special therapy service.

Visit: nursing activity performed at the order of the patient's medical attendant by a specialized nurse at the patent's home or residence.

Case: number of patients, to whom home special nursing was ordered irrespective of the length of care.

Patient: number of patients cared during the year irrespective how many times the nursing was ordered to him/her.

Source of data: National Health Insurance Fund Administration (NHIFA), Report No. 1312 on special home nursing activity.

Dentistry

Dental primary care: tooth and root extraction, cavity filling, root canal treatment and prosthesis excluding dental surgery.

Source of data: National Institute of Stomatology; reports of orthodontic and dental outpatients' clinics.

National Ambulance Service

National Ambulance Service: The public ambulance service with a competency extended to the whole country, financed by the state. Its mission is the rescue and emergency care on land and in the air and the maintenance of the control system connected to the emergency calls.

Ambulance missions: Rescue and simple patient transport together.

Ambulance car - patient transport ambulance: A car put in action with an EMT ( Emergency Medical Technician) and a car driver, supplied with basic medical devices, working with a radio/mobile phone integrated into the central network of the National Ambulance Care radio system, supplied with warning light and sound devices, and at least one equipment built to stabilize a board able to transport a lying patient, with appropriate disinfectants and with wash proof, disinfectable or changeable seat covers.

Mobile intensive car unit: Mobile intensive car unit is a special ambulance, equipped with additional devices compared to emergency ambulance. It works with a doctor, and the stretcher board is placed in a manner that the patient can be approached from both sides and from the direction of the head, too. The special devices allow of the anaesthesis, monitoring, artificial respiration of the patients, local electrotherapy of some arithmia (pacemaker), thrombus dissolution. Some kind of intensive therapeutic intervention (e.g. thorax intubation, central vein preparation) can also be performed.

Emergency ambulance: An ambulance car working with ambulance officer or ambulance doctor, and equipped with additional diagnostic and therapeutical facilities (e.g. EKG, defibrillator, medicines, intubation devices.

Active/running ambulance: An ambulance determined to complete direct ambulance missions.

Total number of ambulance cars: The total number involves both the running and reserved cars.
(The total ambulance stock involves the brand new cars waiting for first deployment and the cars sorted out, too.)

Source of data: National Ambulance Service.

Transfusion service

Unit of blood donation: in case of traditional blood donation, the donation of 450 ml (±10%) full blood in blood-preservative solution.

Source of data: National Blood Transfusion Service, reports on blood transfusion stations.

Public hygiene and epidemiology

Reported acute infectious diseases are all acute infectious diseases which have to be reported according to the decree, and when detected, demand epidemiological measures to be taken to prevent the diseases from further spreading.

Number of HIV-infected persons: includes the number of AIDS-patients, too.

Source of data:: Ministry of Human Capacities.

Medicine supply

Public pharmacy: institute providing primary the direct and complete medicine supply of sick people.

More information is available from the Meta database:

ACCIDENTS

Traffic accidents: Incidental, unintentional accidents, in connection with which death, personal injury or material loss incurred.

Following accidents are observed in statistics:

a)Road traffic accidents involving personal injury: see definitions at "Definitions of road traffic accidents".
b)Railway accidents: accidents involving at least one rail vehicle in motion, resulting in at least one killed or seriously injured person, or significant damage to stock, track, other installations or environment. Due to harmonisation to EU standards, there was a change in methodology in 2006. The threshold of the significant accidents is 40 million HUF instead of the earlier 10 million.
c)Accidents by waterway: any accident of water vehicles belonging to data providers with legal entity in the industry „water transport” and to the Budapest Transport Ltd. in inland waters and abroad, which resulted in personal injury or material loss.
d)Accidents by air: any accident of aircrafts belonging to data providers with legal entity in the industry „air transport” in Hungary and abroad, which resulted in personal injury or material loss. (They do not include for example accidents in the course of agricultural or sport activities.)

Both railway and road accidents data include public road and rail vehicles accidents at level crossing.

Accidents caused by drunken persons are observed and classified according to the analysis of alcohol level in blood.

Definitions of road traffic accidents

Road accidents: Any accident on a public road or a private road open to the public, in which at least one moving vehicle was involved, and in consequence of which at least one person was killed or injured.

1.Accidents by result
Fatal accident: an accident in consequence of which at least one person died at the spot or within 30 days following the accident.
Accident with serious injury: an accident in consequence of which at least one person suffered an injury healing over 8 days.
Accident with slight injury: an accident in consequence of which at least one person suffered an injury healing within 8 days.
2.Personal injuries
Persons killed: Any person, who was killed at the spot, or died within 30 days as a result of the accident.
Persons seriously injured: Any person, who, due to the accident, sustained one or more serious casualties, bruises or any other injury healing beyond 8 days or necessitating hospital care.
Persons slightly injured: Any person, who suffered slight injury and whose wound, dislocation, bruise recover within 8 days after the accident.

Accidents at work: a reported accident healing over three days, which occurred to a person in the course of his/her organised work or in relation to it, irrespective of the place and time of the accident. Fatal accidents at work: a labour accident the victim of which dies within 1 year as a result of the accident, as attested by a doctor's opinion.

Fatal home accident: death resulting from an accident which occurred in the victim's place of residence or place of stay. All fatal events caused directly by home accidents are registered as fatal home accidents, regardless of the time passed between the accident and the death. The place of residence is the address of the dwelling where the person lives. The place of stay is the address of the dwelling where the person stays for more than 3 months without intending to leave finally his/her place of residence.

Fire case: a process of burning which endangers life, bodily integrity or material property, or causes damage to these.

Source of data: figures of road traffic accidents are given in the statistical report sheets completed by traffic control departments of county (or Budapest) police forces, the other data are received from transport organisations (Hungarian State Railways, Hungarian Shipping Co. Ltd., Hungarian Airways).

Data on accidents at work are sent to the HCSO by the Ministry of National Economy.

The source of data for fire outbreaks and emergency cases is the National Directorate General for Disaster Management.

Fatal home accident figures are produced by the Central Statistical Office from mortality statistical records.

 

More information is available from the Meta database:


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