Hospice Palliative Care Development in Hungary

Csikós, Ágnes; Busa, Csilla; Muszbek, Katalin

doi:10.1016/j.jpainsymman.2017.03.034

Cited by 15 publications

(19 citation statements)

References 7 publications

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“…Hungarian data is most aptly compared to Belgian data, considering the size of the population. In Hungary, data from 2016 shows that out of 1255 hospice workers, 208 are volunteers (165 of whom are contractual volunteers) working in different services [9]. The international study shows that volunteers are deployed in a variety of fields and receive different trainings [7].…”

Section: Introductionmentioning

confidence: 99%

Differences in well-being and fear of death among female hospice employees and volunteers in Hungary

et al. 2020

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Background: Voluntary work plays a significant role in hospice care, but international research has mainly been conducted on the mental health and fear of death of paid hospice staff. The aim of the present study was to compare the Hungarian hospice volunteers with paid employees with regard to attitudes and fear of death, as well as mental health in order to see their role in hospice work and their psychological well-being more clearly. Methods: The target population of the cross-sectional questionnaire study was hospice care providers in Hungary (N = 1255). The response rate was 15.5% (N = 195); 91.8% (N = 179) of them were women. The mean age of female hospice workers was 45.8 years (SD = 10.46 years, range: 23-73 years). One-quarter (27.9%, N = 50) of the female respondents were volunteers. The instruments were: the Multidimensional Fear of Death Scale, the Perceived Stress Scale, the WHO-5 Well-Being Index, and a shortened versions of the Beck Depression Inventory and the Maastricht Vital Exhaustion Questionnaire. Results: Volunteers scored significantly lower on 5 dimensions of fear of death than paid employees, and showed significantly lower levels of vital exhaustion and significantly higher levels of psychological well-being than paid employees. Fear of the dying process was associated with an increased perceived stress, depressive symptoms, and vital exhaustion in both groups. Psychological well-being showed a significant negative, moderate correlation with four aspects of fear of death among paid staff; this pattern did not appear in the volunteer group. In addition, the association between fear of premature death and perceived stress, vital exhaustion, and depressive symptoms was more pronounced is case of paid workers. Conclusion: Higher levels of psychological well-being and lower levels of fear of death among hospice volunteers suggest that they are less exhausted than paid employees. Increasing the recruitment of volunteers in hospices may help reduce the overload and exhaustion of paid employees.

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Section: Introductionmentioning

confidence: 99%

Differences in well-being and fear of death among female hospice employees and volunteers in Hungary

et al. 2020

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“…Hungary is a Central Eastern European country with 9.8 million inhabitants [9] with increasing cancer morbidity [10] and poor cancer mortality statistics [8]. In Hungary 90% of hospice recipients are cancer patients [11].…”

Section: Introductionmentioning

confidence: 99%

“…The access to palliative care services in Hungary is reportedly limited due to the insu cient funding, as PCCS and outpatient clinics are not reimbursed by the National Health Insurance Fund. Further details on Hungarian health systems and palliative care are available elsewhere [11]- [14].…”

Section: Introductionmentioning

confidence: 99%

Care Integration Decreases Hospitalization Costs: Retrospective Cohort Study of Palliative Care Consult Service for Hospital Patients With Metastatic Cancer

Zemplényi

Csikós

Fadgyas-Freyler

et al. 2020

Preprint

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Background: Palliative Care Consult Service (PCCS) programme was established in Hungary to provide palliative care to hospitalized patients with complex needs and to manage the patients’ pathway when discharged from the hospital. The aim of this study was to measure the impact of PCCS on healthcare costs from the perspective of the payer.Methods: Study population consisted of patients with metastatic cancer (identified by TNM status or ICD-10 code), who were admitted to the Clinical Center of the University of Pécs between 1 January 2014 and 31 December 2016. Patients who did not die within 180-days from enrolment were excluded. Patients receiving services from PCCS team (intervention patients) were compared to patients receiving usual care (controls). The two populations were matched using propensity scores based on age, gender, number of tumor affected organs, Charlson comorbidity index, number of hospital admissions in the year prior to enrollment, outpatient visits in 90 days prior to hospitalization, and number of days to death. Data was obtained from electronic health records linked to claims data. Results: 197 matched pairs were identified with comparable characteristics. Mean number of hospital admissions was 2.1 and 2.5 (p =0.020); ratio of hospital deaths was 75% and 86% (p = 0.003); cost of inpatient care was 1,053 EUR and 1,300 EUR (p = 0.013); cost of home hospice care was 58 EUR and 21 EUR (p = 0.003); and total cost of care was 1,719 EUR and 1,982 EUR (p = 0.099) in the intervention and control groups, respectively. Conclusion: This study demonstrated that palliative care consult service for end-stage cancer patients with a very limited prognosis can add value to healthcare by reducing costs associated with hospital stays and unnecessary examinations and treatments. The data suggest that early initiation of palliative care could have even greater implications.

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“…Hungary is a Central Eastern European (CEE) country with 9.8 million inhabitants (Hungarian Central Statistical Office, 2019b) with increasing cancer morbidity (Hungarian Central Statistical Office, 2019a) and poor cancer mortality statistics (OECD/EU (2018)). In Hungary, 90% of hospice recipients are cancer patients (Csikos et al, 2018).…”

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confidence: 99%

Early palliative care associated with lower costs for adults with advanced cancer: evidence from Hungary

et al. 2021

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Despite the increasing recognition of palliative care throughout the world, the availability of these services is often insufficient to meet the needs of all patients requiring palliative care (Centeno et al., 2016;Woitha et al., 2016).According to a recent study (den Herder-van der Eerden, 2019), various barriers are associated with palliative care provision in Europe. Many patients receive palliative care at a very late stage, or are even not referred (Beernaert et al., 2013), there is a lack of coordination of referrals between medical specialties (Beernaert et al., 2013), there is a lack of knowledge about the benefits of palliative

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Hospice Palliative Care Development in Hungary

Cited by 15 publications

References 7 publications

Differences in well-being and fear of death among female hospice employees and volunteers in Hungary

Differences in well-being and fear of death among female hospice employees and volunteers in Hungary

Care Integration Decreases Hospitalization Costs: Retrospective Cohort Study of Palliative Care Consult Service for Hospital Patients With Metastatic Cancer

Early palliative care associated with lower costs for adults with advanced cancer: evidence from Hungary

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