@article{MTMT:31399138, title = {Hospital reforms in 11 Central and Eastern European countries between 2008 and 2019: a comparative analysis}, url = {https://m2.mtmt.hu/api/publication/31399138}, author = {Dubas-Jakóbczyk, K. and Albreht, T. and Behmane, D. and Bryndova, L. and Dimova, A. and Džakula, A. and Habicht, T. and Murauskiene, L. and Scîntee, S.G. and Smatana, M. and Velkey, Zita and Quentin, W.}, doi = {10.1016/j.healthpol.2020.02.003}, journal-iso = {HEALTH POLICY}, journal = {HEALTH POLICY}, volume = {124}, unique-id = {31399138}, issn = {0168-8510}, abstract = {This paper aims to: (1) provide a brief overview of hospital sector characteristics in 11 Central and Eastern European countries (Bulgaria, Czech Republic, Estonia, Croatia, Latvia, Lithuania, Hungary, Poland, Romania, Slovakia, Slovenia); (2) compare recent (2008 – 2019) hospital reforms in these countries; and (3) identify common trends, success factors and challenges for reforms. Methods applied involved five stages: (1) a theoretical framework of hospital sector reforms was developed; (2) basic quantitative data characterizing hospital sectors were compared; (3) a scoping review was performed to identify an initial list of reforms per country; (4) the list was sent to national researchers who described the top three reforms based on a standardized questionnaire; (5) received questionnaires were analysed and validated with available literature. Results indicate that the scope of conducted reforms is very broad. Yet, reforms related to hospital sector governance and changes in purchasing and payment systems are much more frequent than reforms concerning relations with other providers. Most governance reforms aimed at transforming hospital infrastructure, improving financial management and/or improving quality of care, while purchasing and payment reforms focused on limiting hospital activities and/or on incentivising a shift to ambulatory/day care. Three common challenges included the lack of a comprehensive approach; unclear outcomes; and political influence. Given similar reform areas across countries, there is considerable potential for shared learning. © 2020 Elsevier B.V.}, keywords = {review; human; Hungary; questionnaire; quantitative analysis; human experiment; LITHUANIA; BULGARIA; Slovakia; Romania; Croatia; Czech Republic; Poland; hospital; SLOVENIA; purchasing; conceptual framework; collaborative learning; REFORM; Latvia; Cross-country comparison; Estonia; Day care; hospital governance; hospital payment}, year = {2020}, eissn = {1872-6054}, pages = {368-379}, orcid-numbers = {Velkey, Zita/0000-0003-2629-2489} } @CONFERENCE{MTMT:30389457, title = {The effect of complicated cases on the efficiency of musculoskeletal in-patient rehabilitation units in Hungarian healthcare systems}, url = {https://m2.mtmt.hu/api/publication/30389457}, author = {Dénes, Rita Veronika and Koltai, Tamás and Dénes, Zoltán}, booktitle = {25th Annual EurOMA Conference. To Serve, To Produce and to Servitize in the Era of Networks, Big Data and Analytics}, unique-id = {30389457}, year = {2018}, pages = {1-8}, orcid-numbers = {Dénes, Rita Veronika/0000-0003-1870-9942; Koltai, Tamás/0000-0001-6873-6944} }