Balance sheets and results during COVID, Management of public hospitals in Hungary in 2020
DOI:
https://doi.org/10.32976/stratfuz.2025.8Keywords:
Public hospitals, Financial statements, COVID-19Abstract
The Hungarian public health system has faced many problems over the past decade, ranging from social changes to economic impacts. It is forced to constantly renew and adapt. It was in this situation that the pandemic of 2020 hit it and it had to respond. In my research, I used a database based on financial statements from 2016-2020 to study hospitals in Hungary covered by the Public Finance Act and contracted with NEAK. In this study, I am looking for the answer to the question whether and how the pandemic situation is reflected in the balance sheets and profit and loss accounts of hospitals. Central measures have restricted many services to care for patients with COVID. This has had an impact on the number of days of care completed and the number of patients discharged from the wards in hospitals. There is a significant difference in both the performance indicators and the indicators calculated from the profit and loss account between the data for 2019 and 2020. Looking at the types of expenditure, there is also a significant difference in 2020 compared to 2016 and 2019 for both material and personnel costs. Based on these results, it can be concluded that the pandemic situation in 2020 had a statistically detectable impact on the activity of hospitals in terms of both financial and performance indicators.
References
'2021 évi XC törvény Magyarország 2022 évi központi költségvetéséről, Pub. L. No. XC, 2021 (2022).
AHANGAR, A., MOHAMMADI, F., TEHRANI-BANIHASHEMI, S. A., & NOJOMI, M. (2023). The Effects of Covid-19 on Financial-Economic and Performance Efficiency of Hospitals. Medical Journal of the Islamic Republic of Iran, 37(1), 339-346. https://doi.org/10.47176/mjiri.37.43
CAI, Y., KWEK, S., TANG, S. S. L., SAFFARI, S. E., LUM, E., YOON, S., ANSAH, J. P., MATCHAR, D. B., KWA, A. L., ANG, K. A., THUMBOO, J., ONG, M. E. H., & GRAVES, N. (2022). Impact of the COVID-19 pandemic on a tertiary care public hospital in Singapore: Resources and economic costs. Journal of Hospital Infection, 121, 1–8. Scopus. https://doi.org/10.1016/j.jhin.2021.12.007
EMMI. (2020). Egészségbiztosítási Alap 2019. Évi költségvetésének pénzforgalmi teljesítése. http://www.neak.gov.hu//data/cms1025438/E_Alap_2019_december.pdf
HORVÁTH, Á., TAKÁCS PAPP, A., LIPTÁK, K., MOLNÁR, L., SZŰCS MARKOVICS, K., IOANA, M., & MUSINSZKI, Z. (2022). Decarbonisation and financial performance of energy companies. Amfiteatru Economic, 24(61), 701–719. https://doi.org/10.24818/EA/2022/61/701
HORVÁTH, Á., TAKÁCSNÉ PAPP, A., LIPTÁK, K., MUSINSZKI, Z., & SZŰCSNÉ MARKOVICS, K. (2023). Climate and Energy Issues of Energy-Intensive Sectors. Amfiteatru Economic, 25(64), 813–829. https://doi.org/10.24818/EA/2023/64/813
JALALI, M., ZAREI, E., MAHER, A., & KHODAKARIM, S. (2022). The Impact of COVID-19 on Outcome Indicators of Hospitals of Shahid Beheshti University of Medical Sciences: An Interrupted Time Series Analysis. Payavard Salamat, 16(5), 435–445. http://payavard.tums.ac.ir/article-1-7284-en.html
JALILIAN, H., RIAHI, S. M., HEYDARI, S., & TAJI, M. (2023). Performance analysis of hospitals before and during the COVID-19 in Iran: A cross-sectional study. PLoS ONE, 18(6 June). Scopus. https://doi.org/10.1371/journal.pone.0286943
JÁNOSA, A. (2015). Adatelemzés IBM SPSS Statistics megoldások alkalmazásával. Magyar Könyvvizsgálói Kamara Oktatási Központ Kft.
MORAIS, A. A. DE, MALIK, A. M., & VECINA NETO, G. (2023). Impacts of the COVID-19 pandemic on private hospitals in Brazil. Einstein (Sao Paulo, Brazil), 21, eAO0174. https://doi.org/10.31744/einstein_journal/2023AO0174
MTI. (2020, június 5). Kásler: Július 1-jével kapják meg 500 ezer forintos juttatásukat az egészségügyi dolgozók. https://koronavirus.gov.hu/cikkek/kasler-julius-1-jevel-kapjak-meg-500-ezer-forintos-juttatasukat-az-egeszsegugyi-dolgozok
MUSINSZKI Z. (2013). Mit mutat a mérleg? A hányadoselemzés alapjai és buktatói. CONTROLLER INFO, I. évf(1), 20–26.
NEAK. (2020, november 3). Tájékoztatás átlagfinanszírozás bevezetéséről. http://www.neak.gov.hu/szakmai_kozlemenyek/koronavirus_kozlemeny_atlagfinanszirozas.html
RHODES, J. H., SANTOS, T., & YOUNG, G. (2023). The Early Impact of the COVID-19 Pandemic on Hospital Finances. Journal of Healthcare Management, 68(1), 38–55. Scopus. https://doi.org/10.1097/JHM-D-22-00037
SAJTOS, L., & MITEV, A. (2007). SPSS kutatási és adatelemzési kézikönyv. Alinea Kiadó.
SAMADI, S., & KHALILABAD, T. H. (2023). Economic and performance challenges caused by the COVID-19 epidemic in hospitals affiliated to Iran University of Medical Sciences. Journal of Health Administration. https://www.cabidigitallibrary.org/doi/pdf/10.5555/20230316706
SZÉKELYI, M., & BARNA, I. (2002). Túlélőkészlet az SPSS-hez Többváltozós elemzési technikákról társadalomkutatók számára. TYPOTEX KIADÓ.
VARGA, B., SZILÁGYI, R., & DOMÁN, C. (2009). Statisztikai elemzések alapjai II.
WANG, Y., BAI, G., & ANDERSON, G. (2022). COVID-19 and Hospital Financial Viability in the US. JAMA Health Forum, 3(5). Scopus. https://doi.org/10.1001/jamahealthforum.2022.1018
WANG, Y., WITMAN, A. E., CHO, D. D., & WATSON, E. D. (2022). Financial Outcomes Associated with the COVID-19 Pandemic in California Hospitals. JAMA Health Forum, 3(9), E223056. Scopus. https://doi.org/10.1001/jamahealthforum.2022.3056
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Erika Horváthné Csolák

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.