TY - JOUR AU - Kiss, András AU - Kiss, Norbert AU - Váradi, Balázs TI - Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary JF - INTERNATIONAL JOURNAL OF HEALTH ECONOMICS AND MANAGEMENT J2 - INT J HEALTH ECON MA VL - 23 PY - 2023 SP - 281 EP - 302 PG - 22 SN - 2199-9023 DO - 10.1007/s10754-023-09349-w UR - https://m2.mtmt.hu/api/publication/33789433 ID - 33789433 N1 - KYOS Energy Consulting, Haarlem, Netherlands Department of Economics, University of Amsterdam, Amsterdam, Netherlands Institute of Management, Corvinus University of Budapest, Budapest, Hungary Department of Economics, ELTE University, Budapest, Hungary Budapest Institute for Policy Analysis, Budapest, Hungary Export Date: 3 May 2023 Correspondence Address: Kiss, A.; Department of Economics, Netherlands; email: andras.kiss@tuta.io AB - 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). LA - English DB - MTMT ER - TY - JOUR AU - Elek, Péter AU - Csanádi, Marcell AU - Fadgyas-Freyler, Petra AU - Gervai, Nóra AU - Oross-Bécsi, Rita AU - Szécsényi-Nagy, Balázs AU - Tóth, Manna AU - Váradi, Balázs AU - Zemplényi, Antal Tamás TI - Heterogeneous impact of the COVID-19 pandemic on lung, colorectal and breast cancer incidence in Hungary. results from time series and panel data models TS - results from time series and panel data models JF - BMJ OPEN J2 - BMJ OPEN VL - 12 PY - 2022 IS - 8 PG - 10 SN - 2044-6055 DO - 10.1136/bmjopen-2022-061941 UR - https://m2.mtmt.hu/api/publication/33058054 ID - 33058054 N1 - Institute of Economics, Centre for Economic and Regional Studies, Budapest, Hungary Institute of Economics, Corvinus University of Budapest, Budapest, Hungary Syreon Research Institute, Budapest, Hungary Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary Independent Scholar, Budapest, Hungary Mediconcept, Budapest, Hungary Health Services Management Training Centre, Semmelweis University, Budapest, Hungary Community Health Centre, Gyal, Hungary Centre for Health Technology Assessment, Semmelweis University, Budapest, Hungary Budapest Institute for Policy Analysis, Budapest, Hungary Department of Economics, Eötvös Loránd Tudományegyetem, Budapest, Hungary Centre for Health Technology Assessment and Pharmacoeconomic Research, Pécsi Tudományegyetem, Pécs, Hungary Export Date: 15 May 2023 Correspondence Address: Elek, P.; Institute of Economics, Hungary; email: elek.peter@krtk.hu AB - 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. LA - English DB - MTMT ER - TY - GEN AU - Bárdits, Anna AU - Elek, Péter AU - Mayer, Balázs AU - Váradi, Balázs TI - Mennyire sínylettük meg a Covidot? PY - 2022 UR - https://m2.mtmt.hu/api/publication/32936528 ID - 32936528 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Elek, Péter AU - Fadgyas-Freyler, Petra AU - Váradi, Balázs AU - Mayer, Balázs AU - Zemplényi, Antal Tamás AU - Csanádi, Marcell TI - Effects of lower screening activity during the COVID-19 pandemic on breast cancer patient pathways. Evidence from the age cut-off of organized screening TS - Evidence from the age cut-off of organized screening JF - HEALTH POLICY J2 - HEALTH POLICY VL - 126 PY - 2022 IS - 8 SP - 763 EP - 769 PG - 7 SN - 0168-8510 DO - 10.1016/j.healthpol.2022.05.013 UR - https://m2.mtmt.hu/api/publication/32871116 ID - 32871116 LA - English DB - MTMT ER - TY - GEN AU - Reszkető, Petra AU - Váradi, Balázs AU - Hajnal, Áron TI - Local Governments and Types of Political Favouritism – Theoretical Approaches, Empirical Evidence, and Plan for an Empirical Analysis in Hungary PY - 2022 PG - 73 UR - https://m2.mtmt.hu/api/publication/32866060 ID - 32866060 LA - English DB - MTMT ER - TY - JOUR AU - Váradi, Balázs TI - Policy responses to the Coronavirus pandemic in hungary during the first half of 2020 JF - HUNGARIAN LABOUR MARKET: REVIEW AND ANALYSIS J2 - HUN LABOUR MARK VL - 2022 PY - 2021 SP - 204 EP - 210 PG - 7 SN - 1785-8062 UR - https://m2.mtmt.hu/api/publication/33652137 ID - 33652137 LA - English DB - MTMT ER - TY - CHAP AU - Elek, Péter AU - Mayer, Balázs AU - Váradi, Balázs ED - Fazekas, Károly ED - Kónya, István ED - Krekó, Judit TI - A koronavírus-járvány hatása a halálozásra és az egészségügyi ellátórendszerre T2 - Munkaerőpiaci tükör, 2020 PB - Közgazdaság- és Regionális Tudományi Kutatóközpont CY - Budapest T3 - Munkaerőpiaci Tükör, ISSN 1586-460X PY - 2021 SP - 233 EP - 242 PG - 10 UR - https://m2.mtmt.hu/api/publication/32616056 ID - 32616056 LA - Hungarian DB - MTMT ER - TY - GEN AU - Elek, Péter AU - Bécsi, Rita AU - Fadgyas-Freyler, Petra AU - Gervai, Nóra AU - Szécsényi-Nagy, Balázs AU - Tóth, Manna AU - Váradi, Balázs AU - Zemplényi, Antal Tamás TI - 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 PY - 2021 UR - https://m2.mtmt.hu/api/publication/32471917 ID - 32471917 LA - Hungarian DB - MTMT ER - TY - CHAP AU - Váradi, Balázs ED - Fazekas, Károly ED - Elek, Péter ED - Hajdu, Tamás TI - Magyarországi közpolitikai reakciók a koronavírus-járványra 2020 első félévében T2 - Munkaerőpiaci tükör 2019 PB - Közgazdaság- és Regionális Tudományi Kutatóközpont CY - Budapest T3 - Munkaerőpiaci Tükör, ISSN 1586-460X PY - 2020 SP - 213 EP - 219 PG - 7 UR - https://m2.mtmt.hu/api/publication/31819946 ID - 31819946 LA - Hungarian DB - MTMT ER - TY - GEN AU - Molnár, Tamás AU - Reszkető, Petra AU - Váradi, Balázs TI - Civil liberties and economic development in Central and Eastern Europe PY - 2019 PG - 17 UR - https://m2.mtmt.hu/api/publication/33652131 ID - 33652131 LA - English DB - MTMT ER -