[Primary care and providers in Hungary, 2018].

Area of Science:

• Healthcare Policy
• Primary Care Medicine
• Public Health

Background:

• The primary care (PC) system in Hungary was introduced in 1992.
• Since its introduction, the system has faced persistent challenges impacting its effectiveness and sustainability.

Purpose of the Study:

• To evaluate the trends and identify the main problems within Hungary's primary care system since its inception.
• To provide recommendations for improving the primary care system's structure, function, and outcomes.

Main Methods:

• The study involved an evaluation of the primary care system's performance and challenges.
• Analysis of trends, including human resources, professional competencies, administrative workload, and health policy.

Main Results:

• Key issues identified include shortages in human resources, reduced professional competencies, and a significant administrative burden.
• Lack of primary care guidelines and reliable quality indicators were noted. High patient visit numbers are attributed to low health literacy and administrative demands.
• Despite increased financing, it remains insufficient, and PC is not prioritized within the healthcare system.

Conclusions:

• Primary care in Hungary requires prioritization, with a need for higher provider income and attractive career paths.
• Recommendations include increased focus on PC in undergraduate education, evidence-based legislation, and improved quality assurance.
• Implementing rational administrative tasks, performance-based payments, and flexible service structures tailored to local needs are crucial for system enhancement.