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How much can we learn from each other? Polish and Hungarian good practices in financing ophthalmology care as a proposal for implementation in Ukraine.
Wieckowska, Barbara; Byszek, Katarzyna; Rekas, Marek; Yurochko, Tetiana; Shevchenko, Maryna; Skrypnikova, Olena; Dozsa, Csaba; Toth, Melanie.
Afiliación
  • Wieckowska B; Healthcare Innovation Unit, Warsaw School of Economics, Warsaw, Poland.
  • Byszek K; Healthcare Innovation Unit, Warsaw School of Economics, Warsaw, Poland.
  • Rekas M; Wojskowy Instytut Medyczny, Panstwowy Instytut Badawczy, Warsaw, Poland.
  • Yurochko T; School of Public Health, National University of Kyiv-Mohyla Academy, Kiev, Ukraine.
  • Shevchenko M; School of Public Health, National University of Kyiv-Mohyla Academy, Kiev, Ukraine.
  • Skrypnikova O; School of Public Health, National University of Kyiv-Mohyla Academy, Kiev, Ukraine.
  • Dozsa C; Med-Econ Ltd, Budapest, Hungary.
  • Toth M; Med-Econ Ltd, Budapest, Hungary.
PLoS One ; 19(7): e0306562, 2024.
Article en En | MEDLINE | ID: mdl-38980859
ABSTRACT

OBJECTIVES:

The article aims to compare payment schemes for cataract, glaucoma, vitrectomy, cornea transplantations, DME, and AMD across Hungary, Poland, and Ukraine, and to identify implementable practices in Ukraine within the context of ongoing healthcare reforms.

METHODS:

Researchers used mixed-method research-with legal documents and data analysis on utilisation of ophthalmology services between 2010 and 2019 and in-depth semi structured interviews with fifteen health experts from Hungary, Poland, and Ukraine. Interviewees, five from each country, were representatives from healthcare providers and payers with at least 10 years' experience in ophthalmology care and knowledge about financing schemes in each country of residence.

RESULTS:

We identified significant differences in healthcare delivery and financing of ophthalmology services between Hungary and Poland, despite both countries rely on Diagnosis-Related Group (DRG) based systems for hospital care. Good practices for financing specific eye treatments like cataract, glaucoma, age-related macular degeneration (AMD), diabetic macular edema (DME), cornea transplantations, and vitrectomy are identified. The financing scheme, including financial products and incentives, can influence the volume of treatments. Access to ophthalmic care is a key concern, with differences in treatment schemes between Hungary (ambulatory care) and Poland (hospital care), leading to higher costs and the need for centralization of complex procedures like cornea transplantations.

CONCLUSIONS:

The article highlights the importance of incentivizing quality improvements and removing financial barriers in Poland, while Hungary should focus on continuous monitoring of treatment methods and flexibility in reimbursement. For Ukraine, the research findings are significant due to ongoing healthcare reform, and the country seeks optimal practices while considering the experiences of other countries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oftalmología Límite: Humans País/Región como asunto: Europa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oftalmología Límite: Humans País/Región como asunto: Europa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos