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Hospice Movement in Hungary and Experiences With Hospital Supportive Teams

Katalin Hegedus ; Semmelweis Egyetem, Magatartástudományi Intézet

Puni tekst: hrvatski PDF 1.648 Kb

str. 293-300

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The first part of the paper summarizes the development of the Hungarian hospice-palliative movement in a typical Eastern European situation, after the political changes from the beginning of 1990's years. The process of integration into the healthcare system started in 1993 and it has not finished yet. At the end of 2001, Hungary had 4 hospice palliative (inpatient) units with 56 beds, 13 hospice home care teams, two day care centres and 2 hospice mobile supportive teams. There are also hospice/palliative teams in five nursing homes. Hospice inpatient units are financed as part of hospital budgets (as chronic departments). The home care teams are supported by the National Health Insurance Fund in compliance with the regulations for special home care, but they can survive only with help of the grants and donations. The second part of the paper introduces one of the special forms of hospice services: the hospital supportive team (mobile team), working in the Jewish Charity Hospital in Budapest. The mobile team is a preferable and cost-effective solution. Patients get care in their usual environment and the practice does not require setting up a separate ward or unit. At the same time the supportive care – offered by a specially trained staff – can generate positive changes of attitude in the traditional health care system.

Ključne riječi

hospice-palliative care; health care organization system; hospital supportive team; terminal cancer patients

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