Nephrol Dial Transplant (2003) 18: 1066-1071
© 2003 European Renal Association-European Dialysis and Transplant Association
Nephrology News
Renal replacement therapy in Hungary: the decade of transition
1 International Programme, Centre for Health Economics, University of York, UK, 2 First Department of Internal Medicine and 4 Department of Pathophysiology, Hungarian Academy of Sciences Nephrology Research Group and 3 Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University Budapest, Budapest, Hungary
Keywords: central Europe; end-stage renal disease; financing; health economics; health policy
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Introduction
Renal replacement therapy (RRT), i.e. haemodialysis (HD), peritoneal dialysis (PD) and transplantation, is an effective life-saving and life-sustaining treatment. On the other hand, it is one of the most expensive publicly financed health services. Ensuring universal coverage and offering a comprehensive package that includes treatments for end-stage renal disease (ESRD) is a real challenge for all OECD countries. This is especially true for the Central and Eastern European (CEE) countries that have faced severe social, economic and political difficulties during their transition and accession to the European Union (EU).
Here we summarize the main tendencies of the renal replacement programme in Hungary over the last decade. We also highlight some of the problems that have emerged. Finally, we suggest some themes for further urgent research.
The Hungarian health care system
In order to understand better the current context and practices of RRT in Hungary, let us first consider the key characteristics of the history of
The dialysis providers—dialysis capacity
Access to services
Health technology used
Outcome of dialysis treatment
Renal transplantation
Payment system for RRT in Hungary
Trends and the future
Conclusion
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Connotea 
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