Hungarian statistical data on morbidity

1
Hungarian statistical data on morbidity

• Éva Gárdos
• Hungarian Central Statistical Office
• Morbidity Seminar
• Eurostat
• London, January 27-29, 2003

2
Organisation

• Population, Health and Welfare Statistics
  Department
• Vital Statistics Section
• Births, foetal loss, induced abortion
• Mortality and Death Causes Statistics
• Health Statistics Section
• Health service, Morbidity Statistics

3
GPs Morbidity Survey

• Every other years, connected to the report on
  activity and patients turnover - 100 coverage
• Different lists of diseases for 0-18 year old
  and 19 year old and over
• The most important chronic (mostly)
  non-communicable diseases

4
GPs Morbidity Survey contd

• Break-down by sexes and age-groups
• 0-11 months, 12 months-4 years, 5-14 years,
  15-18 years
• 1924 years, 2534 years, 3544 years 4554
  years, 5564 years, 6574 years, 75 years old and
  over
• Shortcomings no standards, no regular training
  for GPs, computer programs cant directly
  provide the data

5
Hospital Morbidity

• Basis of financing hospitals
• Primary diseases have proved to be reliable
• On the health insurance number it is possible to
  merge the several hospital events relating to one
  person

6
Outpatient (Ambulatory Care) Morbidity

• Basis of financing outpatient care
• Primary diseases have proved to be reliable
• On the health insurance number it is possible to
  merge the several outpatient care events relating
  to one person

7
Dispensary Care Morbidity

• Pulmonary dispensaries
• Dermato-venereal dispensaries
• Psychiatric dispensaries
• Addictology dispensaries.

8
Pulmonary Dispensaries

• Pulmonary TB
• Extrapulmonary TB
• non-TB pulmonary diseases
• Obligatory for reporting
• tuberculosis
• primary bronchial cancer
• All patients are registered who attend a
  pulmonary dispensary
• Report incidence and prevalence of all diseases
  in a long list age, sex

9
Dermato-venereal Dispensaries

• Skin conditions
• STD
• Report incidence and prevalence of syphilis and
  gonorrhoea age, sex

10
Psychiatric Dispensaries

• Report incidence and prevalence of certain
  psychiatric diseases age, sex
• Limited to patients who attended a PD

11
Addictology Dispensaries

• Alcohol addicts and drug consumers
• Report incidence and prevalence of age, sex
• Limited to patients who attended a AD

12
Non-communicable chronic diseases

• GPs morbidity
• coronary heart disease
• hypertension
• stroke
• musculo-skeletal disorders
• diabetes
• asthma
• epilepsy
• mental health
• Special register
• congenital anomalies
• cancer

13
Pregnancy termination

• Births, foetal loss, induced abortion
• Reported by hospitals
• Coverage 100

14
Communicable chronic diseases

• National Public Health and Medical Officers
  Service
• Compulsory
• Salmonella enteritis
• Enteritis infectious
• Hepatitis epidemical
• Scarlet fever
• Varicella
• Epidemic parotitis (mumps)
• HIV/AIDS
• Flu

15
Surveys

• Health interview survey
• Microcensus with health component
• Population census
• Labour force survey
• Time-use survey

16
Publications

• Regular
• Health Statistics Yearbook
• Statistical Yearbook of Hungary
• Statistical Pocketbook of Hungary
• Reference Book of Morbidity
• Yearbook of the Ministry of Health
• special issue of the Public Health periodical

17
Publications contd

• Special
• Quality of life and health, 2002
• Under preparation
• A methodological study examining the
  applicability of outpatient and hospital
  morbidity data
• Health status of elderly people