At a board meeting of the Hungarian Hospice Palliative Association (HHPA) on 13th March 2007, it was revealed that, despite difficulties encountered in collecting data, 52/57 hospices had participated in the national statistical survey of the HHPA, Hospice in Hungary (2006). The figures for palliative care provision in Hungary presented here are based on this survey.5
In 2006 there were an estimated 57 palliative care services in Hungary, comprising of 21 inpatient palliative care services (one freestanding unit; ten hospital units; four hospital mobile teams; six nursing home units), 34 home care services, and two day care services. There were an estimated 215 palliative care beds allocated to adults: 10 beds in the one freestanding inpatient palliative care unit; 154 beds in the ten hospital units; and 51 beds in the six inpatient palliative care units in nursing homes. There are no paediatric palliative care services in Hungary - the palliative care service for children in Bethesda Hospital, Budapest worked from 1995 to 2003, but closed in 2003 because there were not enough patients. However, this service is expected to re-open during 2007.
There are a complex range of palliative care services offered in Hungary. For example, Budapest Hospice House provides an inpatient unit, hospice home care, hospital mobile team, day care centre, pain outpatient clinic, psycho-oncological outpatient clinic, telephone mental health service, bereavement service, and an education centre; Elisabeth Hospice, Miskolc, provides an inpatient unit, hospice home care, day care centre, telephone mental health service, bereavement service, and an education centre; Pécs Irgalmas Hospice provides an inpatient unit, hospice home care, hospice in the nursing home, and an education centre.6
Despite the fact that there are only two official bereavement support teams in Hungary, many psychologists and nurses working in palliative care have been trained in bereavement support, on courses of approximately 120 hours total duration.7 At Budapest Hospice House, bereavement support groups are provided for ‘normal’ grief, whilst individual psycho-social support is provided for more ‘complicated ‘grief.8
Hospice inpatient units and bed numbers 2006 (date of opening)
1. Gyula, Pándy Kálmán Hospital |
20 beds (1994) |
2. Budapest, Szent László Hospital |
20 beds (1995) |
3. Miskolc, Semmelweis Hospital |
20 beds (1995) |
4. Pécs, Irgalmas Hospice |
18 beds (2004) |
5. Pécs, county Hospital |
15 beds (2004) |
6. Eger county Hospital |
20 beds (2004) |
7. Esztergom county Hospital |
10 beds (2004) |
8. Budapest, MÁV Hospital |
10 beds (2004) |
9. Budapest, Jewish Charity Hospital |
10 beds (2004) |
10. Budapest Hospice House(freestanding) |
10 beds (2005) |
11. Nagykanizsa, Hospital |
11 beds (2006) |
Total number of beds |
164 beds |
Hospice beds in nursing homes 2006 (date of opening)
1. Sóstó, nursing home |
10 beds (1997) |
2. Pécs, nursing home |
4 beds (1998) |
3. Szederkény, nursing home |
5 beds (1999) |
4. Tatabánya, nursing home |
5 beds (1999) |
5. Hajdúböszörmény, nursing home |
15 beds (2002) |
6. Debrecen, Szent Erzsébet Hospice |
12 beds (2003) |
Total number of beds |
51 beds |
Hospice home care 2006 (date of opening)
1. Budapest, Hungarian Hospice Foundation |
(1991) |
2. Szombathely, Hospice Foundation |
(1992) |
3. Miskolc, Erzsébet Hospice Foundation |
(1994) |
4. Tatabánya, Hospice Szeretetszolgálat Foundation |
(1994) |
5. Debrecen, Szent Erzsébet Hospice |
(1994) |
6. Székesfehérvár, Help 17.Bt. Hospice Home Care |
(1995) |
7. Nagymaros, Pax Corporis Foundation |
(1995) |
8. Pécs, Social Net Association |
(1996) |
9. Óbuda-Békásmegyer Hospice Home Care |
(1997) |
10. Kecskemét, Ölelő Kéz Foundation |
(1995) |
11. Ruzsa, Bánfi Hospice Home Care |
(1999) |
12. Kaposvár, Nevitt Hospice Home Care |
(1999) |
13. Szegedi Hospice Foundation |
(2002) |
14. Pécs-Baranyai Hospice Foundation |
(2004) |
15. Békéscsaba, Csahó Hospice Home Care |
(2004) |
16. Mártély, Csernai Hospice Home Care |
(2004) |
17. Recsk, Rencia Hospice Home Care |
(2004) |
18. Eger, Agria 2000 Hospice Home Care |
(2004) |
19. Esztergom, Vaszary Kolos Hospice Home Care |
(2004) |
20. Mátraterenye, Koher Hospice Home Care |
(2004) |
21. Salgótarján, NRG-i Hospice Home Care |
(2004) |
22. Salgótarján, Tábita Hospice Home Care |
(2004) |
23. Nagykanizsa, Ápoló Kéz Hospice Home Care |
(2004) |
24. Zalaegerszeg, Mónika Hospice Home Care |
(2004) |
25. Budapest, Szent Rita Hospice Home Care |
(2004) |
26. Százhalombatta, Gondoskodás Hospice Home Care |
(2004) |
27. Szolnok, Morpheus Hospice Home Care |
(2005) |
28. Novaj, Menedékhely Foundation |
(2005) |
29. Szeged, Gondoskodás 2003 Hospice Home Care |
(2005) |
30. Ercsi, Benedikt 2001 Hospice Home Care |
(2005) |
31. Majosháza, Református Hospice Home Care |
(2005) |
32. Cegléd, Homecare 2002 |
(2005) |
33. Váci Homecare BT |
(2005) |
34. Veszprém, Fehér Galamb Foundation |
(2005) |
Hospital support teams 2006 (date of opening)
1. Dombóvár, „Életet az éveknek” Foundation |
(2001) |
2. Dombóvár, Alkony-Támasz Foundation |
(2001) |
3. Budapest, Hungarian Hospice Foundation |
(2001) |
4. Sopron, Hungarian Malthese Service |
(2006) |
Table 1 Palliative care provision in Hungary 2006
|
Existing services (2006) |
Adult/paediatric |
Inpatient palliative care units |
20 |
Inpatient hospices |
1 |
Consultant teams in hospitals |
0 |
Home care teams |
34 |
Day centres |
2 |
Adult/paediatric total |
57 |
Paediatric |
Inpatient palliative care units |
0 |
Inpatient hospices |
0 |
Consultant teams in hospitals |
0 |
Home care teams |
0 |
Day centres |
0 |
Paediatric total |
0 |
Grand total |
57 |
|
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