Description
The General Practitioner (GP) Indicator System operated by the National Health Insurance Fund of Hungary (NEAK) plays a pivotal role in cardiovascular disease (CVD) prevention within the country"s primary healthcare framework. This performance-based system incentivizes GPs to engage in preventive activities, early detection, and ongoing management of cardiovascular conditions. Cardiovascular Prevention Indicators in the NEAK System Several indicators within the NEAK system are directly related to cardiovascular health: Management of Hypertension: Regular monitoring and treatment of patients with high blood pressure. Lipid Profile Monitoring: Routine lipid testing for patients with diabetes mellitus and/or hypertension to assess and manage dyslipidemia. Care for Ischemic Heart Disease: Continuous follow-up and management of patients diagnosed with coronary artery disease. Diabetes Management: Monitoring of HbA1c levels and ophthalmologic examinations to prevent complications associated with diabetes. Prescription Monitoring: Tracking the prescription and redemption of lipid-lowering medications to ensure adherence to treatment protocols. These indicators are designed to promote proactive management of cardiovascular risk factors, aiming to reduce the incidence and severity of CVDs. Financial Incentives The NEAK Indicator System employs a performance-based financing model: Performance Scoring: GP practices are evaluated based on their adherence to the specified indicators, with scores reflecting the quality and effectiveness of care provided. Funding Allocation: Higher performance scores can lead to increased monthly funding for GP practices, thereby incentivizing the delivery of preventive and high-quality care. This model encourages GPs to prioritize preventive measures and chronic disease management, aligning financial incentives with public health goals. In summary, the NEAK Indicator System serves as a critical tool in Hungary"s strategy to combat cardiovascular diseases, fostering a healthcare environment that emphasizes prevention, early detection, and effective management of cardiovascular risk factors.Program launch date
The system was introduced in 2009, regularly updated, latest update July 2023.Responsible entity
National Health Insurance Fund of Hungary -- NEAK (free for the patient) https://www.neak.gov.hu/felso_menu/szakmai_oldalak/gyogyito_megeleozo_ellatas/alapellatas/indikatorrendszer-haziorvosi-fogorvosiAvailable results and quality metrics
Improvement of prevention and care indicators: Since the introduction of the system, positive changes have been observed in adult and mixed practices, especially in the areas of diabetes and hypertension care, as well as lipid profile examinations. In addition, the proportion of women participating in mammography screening has also increased. Progress in pediatric practices: The number of anaemia and blood lipid screenings in pediatric practices has increased, as has the administration of meningococcal vaccinations. https://medicalonline.hu/haziorvostan/cikk/milyen_valtozasokat_hozhat_a_teljesitmenyertekeles_az_alapellatasban?Limitations / comments
Data collection and feedback deficiencies: Filling out the patient records is often voluntary, which makes data collection and appropriate feedback difficult. In addition, deficiencies in the integration between medical software and informatic systems hinder the effective use of data. Funding inequalities between practices: During the introduction of the new system, significant differences were observed in the financing of practices, which necessitated compensatory measures. https://medicalonline.hu/haziorvostan/cikk/milyen_valtozasokat_hozhat_a_teljesitmenyertekeles_az_alapellatasban?