{"id":"https://openalex.org/W4413296458","doi":"https://doi.org/10.1016/j.healthpol.2025.105417","title":"Evaluation of the implementation experiences of the Hungarian integrated care coordination pilot","display_name":"Evaluation of the implementation experiences of the Hungarian integrated care coordination pilot","publication_year":2025,"publication_date":"2025-08-18","ids":{"openalex":"https://openalex.org/W4413296458","doi":"https://doi.org/10.1016/j.healthpol.2025.105417","pmid":"https://pubmed.ncbi.nlm.nih.gov/40877069"},"language":"en","primary_location":{"id":"doi:10.1016/j.healthpol.2025.105417","doi":"https://doi.org/10.1016/j.healthpol.2025.105417","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2025.105417","pdf_url":null,"source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.healthpol.2025.105417","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087252082","display_name":"P\u00e9ter Ga\u00e1l","orcid":"https://orcid.org/0000-0002-6815-9021","observed_orcids":["https://orcid.org/0000-0002-6815-9021","https://orcid.org/0000-0003-4645-8001"]},"institutions":[{"id":"https://openalex.org/I101202996","display_name":"Semmelweis University","ror":"https://ror.org/01g9ty582","country_code":"HU","type":"education","lineage":["https://openalex.org/I101202996"]}],"countries":["HU"],"is_corresponding":false,"raw_author_name":"Peter Andras Gaal","raw_affiliation_strings":["Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: gaal.peter@emk.semmelweis.hu"],"raw_orcid":"https://orcid.org/0000-0002-6815-9021","affiliations":[{"raw_affiliation_string":"Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: gaal.peter@emk.semmelweis.hu","institution_ids":["https://openalex.org/I101202996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013698568","display_name":"Tam\u00e1s Evetovits","orcid":"https://orcid.org/0000-0003-2344-351X","observed_orcids":["https://orcid.org/0000-0003-2344-351X"]},"institutions":[{"id":"https://openalex.org/I101202996","display_name":"Semmelweis University","ror":"https://ror.org/01g9ty582","country_code":"HU","type":"education","lineage":["https://openalex.org/I101202996"]}],"countries":["HU"],"is_corresponding":false,"raw_author_name":"Tamas Evetovits","raw_affiliation_strings":["WHO Barcelona Office for Health Systems Financing, Sant Pau Art Nouveau Site (La Merc\u00e8 pavilion) Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain; Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: evetovitst@who.int"],"raw_orcid":"https://orcid.org/0000-0003-2344-351X","affiliations":[{"raw_affiliation_string":"WHO Barcelona Office for Health Systems Financing, Sant Pau Art Nouveau Site (La Merc\u00e8 pavilion) Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain; Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: evetovitst@who.int","institution_ids":["https://openalex.org/I101202996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061386429","display_name":"Eszter Sink\u00f3","orcid":"https://orcid.org/0000-0001-8527-6628","observed_orcids":["https://orcid.org/0000-0001-8527-6628"]},"institutions":[{"id":"https://openalex.org/I101202996","display_name":"Semmelweis University","ror":"https://ror.org/01g9ty582","country_code":"HU","type":"education","lineage":["https://openalex.org/I101202996"]}],"countries":["HU"],"is_corresponding":false,"raw_author_name":"Eszter Sinko","raw_affiliation_strings":["Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: sinko.eszter@emk.semmelweis.hu"],"raw_orcid":"https://orcid.org/0000-0001-8527-6628","affiliations":[{"raw_affiliation_string":"Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: sinko.eszter@emk.semmelweis.hu","institution_ids":["https://openalex.org/I101202996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049773454","display_name":"Krisztina Davidovics","orcid":"https://orcid.org/0000-0001-6081-3028","observed_orcids":["https://orcid.org/0000-0001-6081-3028"]},"institutions":[{"id":"https://openalex.org/I101202996","display_name":"Semmelweis University","ror":"https://ror.org/01g9ty582","country_code":"HU","type":"education","lineage":["https://openalex.org/I101202996"]}],"countries":["HU"],"is_corresponding":true,"raw_author_name":"Krisztina Davidovics","raw_affiliation_strings":["Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: davidovics.krisztina@emk.semmelweis.hu"],"raw_orcid":"https://orcid.org/0000-0001-6081-3028","affiliations":[{"raw_affiliation_string":"Semmelweis University, Health Services Management Training Centre, Department of Health Policy, Economics and Systems Management, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: davidovics.krisztina@emk.semmelweis.hu","institution_ids":["https://openalex.org/I101202996"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053373380","display_name":"Judit L\u00e1m","orcid":"https://orcid.org/0000-0001-9621-1563","observed_orcids":["https://orcid.org/0000-0001-9621-1563"]},"institutions":[{"id":"https://openalex.org/I101202996","display_name":"Semmelweis University","ror":"https://ror.org/01g9ty582","country_code":"HU","type":"education","lineage":["https://openalex.org/I101202996"]}],"countries":["HU"],"is_corresponding":false,"raw_author_name":"Judit Lam","raw_affiliation_strings":["Semmelweis University, Health Services Management Training Centre, Department of Patient Safety, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: lam.judit@emk.semmelweis.hu"],"raw_orcid":"https://orcid.org/0000-0001-9621-1563","affiliations":[{"raw_affiliation_string":"Semmelweis University, Health Services Management Training Centre, Department of Patient Safety, Data-Driven Health Division of National Laboratory for Health Security, K\u00fatv\u00f6lgyi \u00fat 2, 1125 Budapest, Hungary. Electronic address: lam.judit@emk.semmelweis.hu","institution_ids":["https://openalex.org/I101202996"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5049773454"],"corresponding_institution_ids":["https://openalex.org/I101202996"],"apc_list":{"value":4220,"currency":"USD","value_usd":4220},"apc_paid":{"value":4220,"currency":"USD","value_usd":4220},"fwci":1.6274,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.83482384,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"160","issue":null,"first_page":"105417","last_page":"105417"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.46309998631477356,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.46309998631477356,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.218299999833107,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.11649999767541885,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.8429999947547913},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.7649999856948853},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.8309999704360962},{"id":"https://openalex.org/keywords/critical-success-factors","display_name":"success factors","score":0.8529999852180481},{"id":"https://openalex.org/keywords/implementation-feasibility","display_name":"implementation feasibility","score":0.5870000123977661},{"id":"https://openalex.org/keywords/provider-payment","display_name":"provider payment","score":0.42500001192092896},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.6840000152587891},{"id":"https://openalex.org/keywords/risk-selection","display_name":"risk selection","score":0.5070000290870667},{"id":"https://openalex.org/keywords/health-system-innovation","display_name":"health system innovation","score":0.49799999594688416},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.3199999928474426}],"concepts":[{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3858400881290436},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.36981725692749023},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.33968645334243774},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33790940046310425},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.335451602935791},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.24177947640419006}],"mesh":[{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006814","descriptor_name":"Hungary","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011050","descriptor_name":"Policy Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.healthpol.2025.105417","doi":"https://doi.org/10.1016/j.healthpol.2025.105417","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2025.105417","pdf_url":null,"source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},{"id":"pmid:40877069","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40877069","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health policy (Amsterdam, Netherlands)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.healthpol.2025.105417","doi":"https://doi.org/10.1016/j.healthpol.2025.105417","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2025.105417","pdf_url":null,"source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.7246000170707703,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G526467454","display_name":null,"funder_award_id":"RRF-2.3.1-21-202200006","funder_id":"https://openalex.org/F4320326762","funder_display_name":"Nemzeti Kutat\u00e1si Fejleszt\u00e9si \u00e9s Innov\u00e1ci\u00f3s Hivatal"}],"funders":[{"id":"https://openalex.org/F4320326762","display_name":"Nemzeti Kutat\u00e1si Fejleszt\u00e9si \u00e9s Innov\u00e1ci\u00f3s Hivatal","ror":null}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W2094796113","https://openalex.org/W2121824598","https://openalex.org/W2439059854","https://openalex.org/W2642216025","https://openalex.org/W2742451739","https://openalex.org/W2763418014","https://openalex.org/W2765233497","https://openalex.org/W2835095691","https://openalex.org/W2883728347","https://openalex.org/W3004106301","https://openalex.org/W4316363199","https://openalex.org/W4394894573"],"related_works":["https://openalex.org/W4205152897","https://openalex.org/W2469029799","https://openalex.org/W1969785818","https://openalex.org/W3128238791","https://openalex.org/W1825083807","https://openalex.org/W1162701451","https://openalex.org/W4362502117","https://openalex.org/W2765444856","https://openalex.org/W2201313985","https://openalex.org/W2967095022"],"abstract_inverted_index":{"BACKGROUND:":[0],"Caring":[1],"for":[2,125,228],"patients":[3],"with":[4],"multiple":[5],"chronic":[6],"conditions":[7],"requires":[8],"integration,":[9],"but":[10],"more":[11,165,170],"evidence":[12],"is":[13,45,84,214],"needed":[14],"on":[15,50],"what":[16],"makes":[17],"reform":[18],"initiatives":[19],"work.":[20],"This":[21],"study":[22],"aims":[23],"to":[24,104,146,231],"identify":[25],"and":[26,47,58,67,78,90,113,139,149,169,193,200,203,227],"analyse":[27],"the":[28,82,117,132,140,223],"critical":[29],"success":[30],"factors":[31],"of":[32,70,81,119,130,142,160,191],"a":[33,71,189,215],"Hungarian":[34,41,210,225],"care":[35,72,196],"coordination":[36,197],"experiment":[37,156],"(1999-2008).":[38],"METHODS:":[39],"The":[40,76,127,155,178,209],"Care":[42,211],"Coordination":[43,212],"System":[44,213],"described":[46],"analysed":[48],"based":[49,95],"three":[51],"feasibility":[52,80],"dimensions:":[53],"conceptual":[54,77,128],"(problem-based":[55],"policymaking),":[56],"technical,":[57],"political.":[59],"Data":[60],"are":[61],"from":[62],"documentary":[63],"analysis,":[64],"official":[65],"statistics":[66],"implementation":[68],"experiences":[69],"coordinator":[73],"organisation.":[74],"RESULTS:":[75],"technical":[79],"pilot":[83],"characterised":[85],"by":[86,198,205],"innovative":[87],"features:":[88],"provider":[89,121],"financial":[91],"incentive":[92],"(functional":[93],"integration)":[94],"implementation;":[96],"virtual":[97,133],"fundholding;":[98],"design":[99],"features,":[100],"which":[101],"counterbalance":[102],"incentives":[103],"undertreat,":[105],"eliminate":[106],"bankruptcy":[107],"risks,":[108],"exclude":[109],"risk":[110,141],"selection":[111],"practices":[112],"ensure":[114],"easy":[115],"upscalability;":[116],"utilisation":[118],"advanced":[120],"payment":[122],"information":[123],"systems":[124],"monitoring.":[126],"flaw":[129],"calculating":[131],"budget":[134],"should":[135],"have":[136,152,174],"been":[137,153,175],"corrected":[138],"cost":[143],"increase":[144],"due":[145],"better":[147],"access":[148],"quality":[150],"could":[151],"addressed.":[154],"failed":[157],"in":[158,222],"terms":[159],"political":[161],"feasibility.":[162],"Better":[163],"communication,":[164],"transparency,":[166],"systematic":[167],"monitoring":[168],"frequent":[171],"evaluation":[172],"would":[173],"needed.":[176],"DISCUSSION:":[177],"model":[179],"did":[180],"not":[181],"upset":[182],"existing":[183],"arrangements.":[184],"Efficiency":[185],"was":[186],"ensured":[187],"through":[188],"balance":[190],"decentralised":[192],"centralized":[194],"functions:":[195],"providers":[199],"revenue-generation,":[201],"pooling,":[202],"purchasing":[204],"central":[206],"agencies.":[207],"CONCLUSION:":[208],"unique":[216],"health":[217],"system":[218],"innovation,":[219],"still":[220],"relevant":[221],"current":[224],"context,":[226],"other":[229],"countries":[230],"learn":[232],"from.":[233]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2025-10-10T00:00:00"}