1. Hungarian Central Statistical Office

2. National Healthcare Service Center

1. Quality of Life Statistics Department

2. Department of Specialised Care Planning and Service Development

1. Hungary 1024 Budapest, Keleti K. u. 5-7.

2. Hungary 1117 Budapest, Buda-part tér 2.

Statistics on healthcare non-expenditure provide information on healthcare human resources, healthcare facilities, and healthcare utilisation.

- The people active in the healthcare sector (doctors, dentists, nurses, etc.) and their status (graduates, practising, migration of doctors and nurses, etc.);

- The available healthcare technical resources and facilities (hospital beds, beds in residential care facilities, medical technology, etc.);

- The health activities or patient contacts undertaken (hospital discharges, surgical procedures, ambulatory care data, etc.).

 Annual national and regional data are provided in absolute numbers or as a rate of a relevant population.

For the collection data on healthcare non-expenditure, the classifications used in the System of Health Accounts (SHA) and its related set of International Classification for the Health Accounts (https://www.oecd.org/health/health-systems/1841456.pdf ) are applied.

For hospital discharges, the International Shortlist for Hospital Morbidity Tabulation (ISHMT) is used. (https://circabc.europa.eu/ui/group/c1b49c83-24a7-4ff2-951c-621ac0a89fd8/library/6ff71dd5-8200-4fe4-a610-a7707cd47c4d )

For Health Employment, the Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications apply (https://eur-lex.europa.eu/eli/dir/2005/36/2020-04-24 ).

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

Where possible, the statistics are separated by sex (male/female), age group and NUTS2 region.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

National deviations: see Methodological information in Annex.

Public health.

The healthcare non-expenditure statistics describe the public health sector from a non-monetary perspective. The statistics explain the number or rate of different healthcare resources, facilities and utilisations. A wide range of indicators are collected from a multitude of sources and therefore, details pertaining to individual variables are given in the Annex.

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

Changes of statistical concepts and national definitions deviating from Regulation (EU) 2022/2294 and deviating from Eurostat manual (in case of voluntary variables): see Methodological information in Annex.

Registered health professionals or health care facility categories.

(1) all health care staff

(2) all available beds or equipment in hospitals or in nursing and residential care facilities

(3) all discharges or procedures performed in all hospitals

Complete national territory.

According to the Commission Regulation (EU) 2022/2294, the first mandatory transmission is for 2021 reference year. Historical data, subject to gentleman's agreement, is also reported, variable's availability varies. Ccoverage of each variable can be found in the annex.

Not applicable.

Absolute numbers at the end of reference period or during the reference period.

Rate of phenomenon per reference population.

Calendar year.

Regulation on Community statistics on public health and health and safety at work (EC) No 1338/2008 

Commission Regulation (EU) 2022/2294 on statistics on healthcare facilities, healthcare human resources and healthcare utilisation 

Gentlemen’s agreement 

Act CLIV of 1997 on Health

Formal agreements between authorities responsible for healthcare non-expenditure data based on the Act CLV of 2016 on Official Statistics  

Joint Questionnaire on Non-Monetary Health Care Statistics, which is carried by Eurostat, OECD and WHO-Europe

Co-operation of national institutions for Official Statistical Service based on the Act CLV of 2016 on Official Statistics 

In confidential data management and related activities, all institutions responsible for healthcare non-expenditure data act in compliance with the Act CLV of 2016 on Official Statistics and Act CXII of 2011 on the right to informational self-determination and on the freedom of information. Furthermore, the prescriptions of the Regulation (EU) No 679/2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) are took into consideration. Confidentiality Policy of HCSO contains the most important principles regarding statistical confidentiality:

http://www.ksh.hu/docs/bemutatkozas/eng/avpol_web_eng.pdf.

All institutions responsible for healthcare non-expenditure data apply strict physical and IT security measures with regard to the persons collecting the data as well as the IT systems that enable electronic data collection. The IT systems are protected against unauthorised internal or external access, therefore the data stored in these systems are kept completely safe. All data are checked for statistical disclosure before dissemination, in order to reduce the risk of disclosure of the statistical units to a possible minimum. When accepting requests for access to data, various tools of methodological, physical and legal protection are being applied depending on the nature of the request.

The HCSO Regulation on Data Protection is available here:

Hungarian Central Statistical Office (ksh.hu)

Most data on healthcare non-expenditure statistics are disseminated at national level after 4-8 months of the reference year, release dates are reported in publicly accessible release calendar. 

A KSH kiadványkatalógusa

Dissemination and Communication Policy of HCSO contains the most important principles regarding release policy:

Dissemination and Communication Policy (ksh.hu)

Yearly.

It is very important that data and publications reach the widest range of users possible in a form that is comprehensible, can easily be processed and suits users’ expectations, therefore national press is regularly informed about new releases on healthcare non-expenditure data, press releases are available on the next website:

Hungarian Central Statistical Office (ksh.hu)

This comprehensive theme of healthcare non-expenditure statistics is published in a wide range of publications: in statistical yearbooks and pocketbooks, in summary tables and in written analysis, which are available on the next websites: 

Publication Repertory - Hungarian Central Statistical Office (ksh.hu) 

Publikus forgalmi adatok, elemzések - NEAK (gov.hu)

https://www.enkk.hu/hmr/index.php/hmr-beszamolok

Static data tables are available on the next websites:

KSH Statinfo v39 | Theme selection

Hungarian Central Statistical Office (ksh.hu)

Gyógyító-megelőző ellátások - NEAK (gov.hu)

Microdata are usually provided for some institutions determined by law for public health purpose. Individual data request for scientific purposes is also possible in accordance with confidentiality regulations. See section 7 'Confidentiality' for more information.

The data transmitted to international organisations are published by organisations with a statistical profile, especially Eurostat, WHO and OECD in various databases and publications (available on their websites) according to their own release calendars and practice.

Methodological information is available in Annex.

National metadata information is available on the websites of authorities responsible for healthcare non-expenditure data:

Hungarian Central Statistical Office - Metainformation (ksh.hu)

Gyógyító-megelőző ellátások - NEAK (gov.hu)

The quality standards are based on the principles of the European Statistics Code of Practice. The national Quality Policy is available on the next website:

http://www.ksh.hu/docs/bemutatkozas/eng/minpol_web_eng.pdf

Authorities responsible for healthcare non-expenditure data ensure that the statistical practices used to compile the data collection should be in compliance with European Statistics Code of Practice. Procedures are in place to plan and monitor the quality of the health care non-expenditure statistical production process. Checks are carried out for completeness, consistency and plausibility of the collected data.

Description on the quality assurance aspects is available here:

http://www.ksh.hu/docs/bemutatkozas/eng/minosegi_iranyelvek_eng.pdf

Data are reliable, mandatory variables described by the Commission Regulation (EU) 2022/2294 meet the quality and the comparability requirements.

Data on healthcare non-expenditure statistics are used mainly by ministries and their background institutions to elaborate policies, evaluate the health care system, make decisions and monitor the effect of their implementation. Further users are researchers, university students and the private sector including media.

There was no topic-specific satisfaction survey on healthcare non-expenditure data.

All mandatory variables according to the Commission Regulation (EU) 2022/2294 are reported.

All data, healthcare human resources, healthcare facilities and healthcare utilisation data are in general accurate and reliable.

Not applicable.

Not applicable.

Number of months between the end of the reference year and the publications at national level is T+4-8 months.

Healthcare non-expenditure data are delivered to Eurostat on time, according to the deadline determined in Commission Regulation (EU) 2022/2294.

Mandatory data from reference year 2021 described by the Commission Regulation (EU) 2022/2294 are comparable at international and at national level.

For potential breaks in voluntary variables see methodology in Annex.

Mandatory data from reference year 2021 described by the Commission Regulation (EU) 2022/2294 are comparable over time.

For potential breaks in voluntary variables see methodology in Annex.

None.

Internal coherence is achieved.

Not available.

Revision Policy of HCSO contains the most important principles regarding data revision:

http://www.ksh.hu/docs/bemutatkozas/eng/ksh_revizios_politikaja_2018_

There are routine, scheduled revisions when the preliminary data are finalized. Occasionally non-scheduled revisions are performed if an unforeseeable event (updated statistical information, errors discovered in the data compilation) makes them necessary.

For source of data on the different variables see methodology in Annex.

Annual.

Data are collected mostly through administrative sources, registers. Data information systems are available in ministries / departments responsible for health care system as well as other agencies involved in the health care (see methodology in Annex).

During the data processing quality and consistency checks are carried out by embedded programmes in order to handle logical contradictions and errors. Furthermore, the Joint Questionnaire on Non-Monetary Health Care Statistics includes a number of features, which allow national data correspondents to perform various quality checks (verification of consistency of the data between tables, the growth rates against the previous...) before submitting the data.

Data on the different topics (health employment, education, workforce migration, resources and activities) are collected, coded, edited, validated and the final, verified, aggregated data are loaded in the adequate table of Joint Questionnaire on Non-Monetary Health Care Statistics by the institutions responsible for the given health care matter. The data compilation is coordinated by the Statistical Office and a background institute of the Ministry.

Not applicable.

Not applicable.