@article{MTMT:33789433, title = {Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary}, url = {https://m2.mtmt.hu/api/publication/33789433}, author = {Kiss, András and Kiss, Norbert and Váradi, Balázs}, doi = {10.1007/s10754-023-09349-w}, journal-iso = {INT J HEALTH ECON MA}, journal = {INTERNATIONAL JOURNAL OF HEALTH ECONOMICS AND MANAGEMENT}, volume = {23}, unique-id = {33789433}, issn = {2199-9023}, abstract = {Under Hungary’s single payer health care system, hospitals face an annual budget cap on most of their diagnoses-related group based reimbursements. In July 2012, percutaneous coronary intervention (PCI) treatments of acute myocardial infarction were exempted from that hospital level budget cap. We use countrywide individual-level patient data from 2009 to 2015 to map the effect of such a quasi-experimental change in monetary incentives on health provider decisions and health outcomes. We find that direct admissions into PCI-capable hospitals increase, especially in central Hungary, where there are several hospitals which can compete for patients. The proportion of PCI treatments at PCI-capable hospitals, however, does not increase, and neither does the number of patient transfers from non-PCI hospitals to PCI-capable ones. We conclude that only patient pathways, plausibly influenced by hospital management, were affected by the shift in incentives, while physicians’ treatment decisions were not. While average length of stay decreased, we do not find any effect on 30-day readmissions or in-hospital mortality. © 2023, The Author(s).}, keywords = {Acute myocardial infarction; Budget cap; Hospital funding; Physician agency}, year = {2023}, eissn = {2199-9031}, pages = {281-302}, orcid-numbers = {Váradi, Balázs/0000-0002-3986-0097} } @article{MTMT:33058054, title = {Heterogeneous impact of the COVID-19 pandemic on lung, colorectal and breast cancer incidence in Hungary. results from time series and panel data models}, url = {https://m2.mtmt.hu/api/publication/33058054}, author = {Elek, Péter and Csanádi, Marcell and Fadgyas-Freyler, Petra and Gervai, Nóra and Oross-Bécsi, Rita and Szécsényi-Nagy, Balázs and Tóth, Manna and Váradi, Balázs and Zemplényi, Antal Tamás}, doi = {10.1136/bmjopen-2022-061941}, journal-iso = {BMJ OPEN}, journal = {BMJ OPEN}, volume = {12}, unique-id = {33058054}, issn = {2044-6055}, abstract = {Objective During the COVID-19 pandemic, health system resources were reallocated to provide care for patients with COVID-19, limiting access for others. Patients themselves also constrained their visits to healthcare providers. In this study, we analysed the heterogeneous effects of the pandemic on the new diagnoses of lung, colorectal and breast cancer in Hungary. Design Time series and panel models of quarterly administrative data, disaggregated by gender, age group and district of residence. Participants Data for the whole population of Hungary between the first quarter of 2017 and the second quarter of 2021. Main outcome measures Number of patients newly diagnosed with lung, colorectal and breast cancer, defined as those who were hospitalised with the appropriate primary International Classification of Diseases Tenth Revision diagnosis code but had not had hospital encounters with such a code within the previous 5 years. Results The incidence of lung, colorectal and breast cancer decreased by 14.4% (95% CI 10.8% to 17.8%), 19.9% (95% CI 12.2% to 26.9%) and 15.5% (95% CI 2.5% to 27.0%), respectively, during the examined period of the pandemic, with different time patterns across cancer types. The incidence decreased more among people at least 65 years old than among the younger (p<0.05 for lung cancer and p<0.1 for colorectal cancer). At the district level, both the previously negative income gap in lung cancer incidence and the previously positive income gap in breast cancer incidence significantly narrowed during the pandemic (p<0.05). Conclusions The decline in new cancer diagnoses, caused by a combination of supply-side and demand-side factors, suggests that some cancer cases have remained hidden. It calls for action by policy makers to engage individuals with high risk of cancer more in accessing healthcare services, to diagnose the disease early and to prepare for effective management of patient pathways from diagnosis to survival or end-of-life care.}, keywords = {EPIDEMIOLOGY; Oncology; health care; egészségügyi ellátás; onkológia; epidemiológia; COVID-19; koronavírus; koronavírus-járvány; COVID-19 and cancer}, year = {2022}, eissn = {2044-6055}, orcid-numbers = {Elek, Péter/0000-0001-6196-0767; Csanádi, Marcell/0000-0002-5724-639X; Fadgyas-Freyler, Petra/0000-0002-0858-8924; Szécsényi-Nagy, Balázs/0000-0001-8016-8679; Tóth, Manna/0000-0002-4924-4183; Váradi, Balázs/0000-0002-3986-0097; Zemplényi, Antal Tamás/0000-0002-0177-0264} } @misc{MTMT:32936528, title = {Mennyire sínylettük meg a Covidot?}, url = {https://m2.mtmt.hu/api/publication/32936528}, author = {Bárdits, Anna and Elek, Péter and Mayer, Balázs and Váradi, Balázs}, unique-id = {32936528}, year = {2022}, orcid-numbers = {Elek, Péter/0000-0001-6196-0767; Váradi, Balázs/0000-0002-3986-0097} } @article{MTMT:32871116, title = {Effects of lower screening activity during the COVID-19 pandemic on breast cancer patient pathways. Evidence from the age cut-off of organized screening}, url = {https://m2.mtmt.hu/api/publication/32871116}, author = {Elek, Péter and Fadgyas-Freyler, Petra and Váradi, Balázs and Mayer, Balázs and Zemplényi, Antal Tamás and Csanádi, Marcell}, doi = {10.1016/j.healthpol.2022.05.013}, journal-iso = {HEALTH POLICY}, journal = {HEALTH POLICY}, volume = {126}, unique-id = {32871116}, issn = {0168-8510}, year = {2022}, eissn = {1872-6054}, pages = {763-769}, orcid-numbers = {Elek, Péter/0000-0001-6196-0767; Fadgyas-Freyler, Petra/0000-0002-0858-8924; Váradi, Balázs/0000-0002-3986-0097; Zemplényi, Antal Tamás/0000-0002-0177-0264} } @techreport{MTMT:32866060, title = {Local Governments and Types of Political Favouritism – Theoretical Approaches, Empirical Evidence, and Plan for an Empirical Analysis in Hungary}, url = {https://m2.mtmt.hu/api/publication/32866060}, author = {Reszkető, Petra and Váradi, Balázs and Hajnal, Áron}, unique-id = {32866060}, year = {2022}, orcid-numbers = {Váradi, Balázs/0000-0002-3986-0097} } @article{MTMT:33652137, title = {Policy responses to the Coronavirus pandemic in hungary during the first half of 2020}, url = {https://m2.mtmt.hu/api/publication/33652137}, author = {Váradi, Balázs}, journal-iso = {HUN LABOUR MARK}, journal = {HUNGARIAN LABOUR MARKET: REVIEW AND ANALYSIS}, volume = {2022}, unique-id = {33652137}, issn = {1785-8062}, year = {2021}, eissn = {1785-8224}, pages = {204-210}, orcid-numbers = {Váradi, Balázs/0000-0002-3986-0097} } @inbook{MTMT:32616056, title = {A koronavírus-járvány hatása a halálozásra és az egészségügyi ellátórendszerre}, url = {https://m2.mtmt.hu/api/publication/32616056}, author = {Elek, Péter and Mayer, Balázs and Váradi, Balázs}, booktitle = {Munkaerőpiaci tükör, 2020}, unique-id = {32616056}, year = {2021}, pages = {233-242}, orcid-numbers = {Elek, Péter/0000-0001-6196-0767; Váradi, Balázs/0000-0002-3986-0097} } @misc{MTMT:32471917, title = {Daganatos betegek a COVID-19 járvány idején – A járvány hatása a tüdő-, az emlő-, a vastag- és végbéldaganatos, valamint a prosztatadaganatos esetek és műtéti beavatkozások számára}, url = {https://m2.mtmt.hu/api/publication/32471917}, author = {Elek, Péter and Bécsi, Rita and Fadgyas-Freyler, Petra and Gervai, Nóra and Szécsényi-Nagy, Balázs and Tóth, Manna and Váradi, Balázs and Zemplényi, Antal Tamás}, unique-id = {32471917}, year = {2021}, orcid-numbers = {Elek, Péter/0000-0001-6196-0767; Fadgyas-Freyler, Petra/0000-0002-0858-8924; Szécsényi-Nagy, Balázs/0000-0001-8016-8679; Tóth, Manna/0000-0002-4924-4183; Váradi, Balázs/0000-0002-3986-0097; Zemplényi, Antal Tamás/0000-0002-0177-0264} } @inbook{MTMT:31819946, title = {Magyarországi közpolitikai reakciók a koronavírus-járványra 2020 első félévében}, url = {https://m2.mtmt.hu/api/publication/31819946}, author = {Váradi, Balázs}, booktitle = {Munkaerőpiaci tükör 2019}, unique-id = {31819946}, year = {2020}, pages = {213-219}, orcid-numbers = {Váradi, Balázs/0000-0002-3986-0097} } @techreport{MTMT:33652131, title = {Civil liberties and economic development in Central and Eastern Europe}, url = {https://m2.mtmt.hu/api/publication/33652131}, author = {Molnár, Tamás and Reszkető, Petra and Váradi, Balázs}, unique-id = {33652131}, year = {2019}, orcid-numbers = {Váradi, Balázs/0000-0002-3986-0097} }