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001-es BibID:BIBFORM128130
035-os BibID:(WoS)001442343400001 (Scopus)86000510172
Első szerző:Jargalsaikhan, Undraa (PhD hallgató)
Cím:A Composite Indicator for Primary Diabetes Care : cross-Sectional Study in Hungary / Jargalsaikhan Undraa, Kasabji Feras, Vincze Ferenc, Pálinkás Anita, Kőrösi László, Sándor János
Dátum:2025
ISSN:2227-9032
Megjegyzések:Since the effectiveness of primary DM care (PDMC) is influenced by both health-care-related and external factors, its indicator set must include indicators that are easy-to-understand for all stakeholders, such as composite indicator-based ranking. Objectives: Our study aimed to prepare a composite PDMC indicator, which is adjusted with the GP-independent characteristics of a GMP, in order to evaluate the usefulness of composite indicators in performance-improving programs. Methods: Using indicators standardized by age, sex, and eligibility for exemption certificates (on hemoglobin A1C, lipid status, serum creatinine, and ophthalmological examination, and on influenza vacci- nation) for Hungarian adult DM care, factor analysis was applied to create a composite DM care quality indicator (CDMI). It was adjusted (ACDMI) by a multivariable linear regres- sion model of the association between structural characteristics of GMPs and the CDMI. Results: There were 516,052 DM patients provided for by 4784 GMPs. The CDMI exhibited significant associations with patients' lower education (? = ?0.139, 95%CI: ?0.182; ?0.095), GPs' age over 65 (? = ?0.083, 95%CI: ?0.109; ?0.056), GMPs with more than 2000 adult patients (? = ?0.059, 95%CI: ?0.090; ?0.027), and urban location (? = 0.096, 95%CI: 0.058; 0.134). The average difference in GMPs' ranks by the CDMI and ACDMI was 583. Extreme poor (N = 147) and extreme good (N = 176) performances of GMPs were identified, and those were categorized further by the role of GP-independent factors in causing the extreme performances (Nhealthcareunrelated = 84; Nhealthcarerelated = 239). Conclusions: Our findings suggest a stepwise and widely communicable process for PDMC monitoring, which starts with the evaluation of the CDMI and ACDMI to identify the GMPs requiring interventions, making a distinction between extreme GMPs requiring health-care-related interventions and those requiring non-health-care-related interventions.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary care
diabetes mellitus
composite indicator
performance indicators
general medical practice characteristics
A composite DM indicator in primary care
Megjelenés:Healthcare. - 13 : 5 (2025), p. 1-17. -
További szerzők:Kasabji, Feras (1992-) (népegészségügy) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:TKCS-2021/32
Egyéb
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM119715
035-os BibID:(WoS)001201006000001 (Scopus)85190378751
Első szerző:Jargalsaikhan, Undraa (PhD hallgató)
Cím:Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care / Undraa Jargalsaikhan, Feras Kasabji, Ferenc Vincze, Anita Pálinkás, László Kőrösi, János Sándor
Dátum:2024
ISSN:2227-9032
Megjegyzések:The implementation of monitoring for general medical practice (GMP) can contribute to improving the quality of diabetes mellitus (DM) care. Our study aimed to describe the associations of DM care performance indicators with the structural characteristics of GMPs and the socioeconomic status (SES) of patients. Using data from 2018 covering the whole country, GMP-specific indicators standardized by patient age, sex, and eligibility for exemption certificates were computed for adults. Linear regression models were applied to evaluate the relationships between GMP-specific parameters (list size, residence type, geographical location, general practitioner (GP) vacancy and their age) and patient SES (education, employment, proportion of Roma adults, housing density) and DM care indicators. Patients received 58.64% of the required medical interventions. A lower level of education (hemoglobin A1c test: beta = -0.108; ophthalmic examination: beta = -0.100; serum creatinine test: beta = -0.103; and serum lipid status test: beta = -0.108) and large GMP size (hemoglobin A1c test: beta = -0.068; ophthalmological examination beta = -0.031; serum creatinine measurement beta = -0.053; influenza immunization beta = -0.040; and serum lipid status test beta = -0.068) were associated with poor indicators. A GP age older than 65 years was associated with lower indicators (hemoglobin A1c test: beta = -0.082; serum creatinine measurement: beta = -0.086; serum lipid status test: beta = -0.082; and influenza immunization: beta = -0.032). Overall, the GMP-level DM care indicators were significantly influenced by GMP characteristics and patient SES. Therefore, proper diabetes care monitoring for the personal achievements of GPs should involve the application of adjusted performance indicators.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary care
diabetes mellitus
performance indicators
patient characteristics
general medical practice characteristics
monitoring
Megjelenés:Healthcare (Switzerland). - 12 : 7 (2024), p. 1-17. -
További szerzők:Kasabji, Feras (1992-) (népegészségügy) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:Swiss Government via the Swiss Contribution Program (SH/8/1)
Egyéb
Stipendium Hungaricum ScholarStipendium Hungaricum Scholarship Program (grant SHE-00714-004/2020 to U.J.)
Egyéb
Eötvös Loránd Research Network (TKCS-2021/32)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM129885
035-os BibID:(Scopus)105006528216
Első szerző:Kasabji, Feras (népegészségügy)
Cím:COVID-19's effect on healthcare disparities : delivery, reimbursement, and premature mortality in residentially segregated populations / Feras Kasabji, Vincze Ferenc, Lakatos Kinga, Pálinkás Anita, Kőrösi László, Ulicska László, Kósa Karolina, Sándor János
Dátum:2025
ISSN:2296-2565
Megjegyzések:Introduction: Spatially segregated, socio-economically deprived communities often face significant health disparities. This paper evaluates the impact of COVID-19 on healthcare delivery and reimbursement disparities in Hungary, particularly focusing on segregated populations. Aims: To examine healthcare utilization and reimbursement patterns among patients in segregated areas (SA) and non-segregated or complementary areas (CA) during the first year of the COVID-19 pandemic, compared to prepandemic levels, and to understand how these patterns influenced overall health outcomes. Methods: A cross-sectional study using 2019 and 2020 healthcare data from all Hungarian general medical practices (GMPs) was conducted. Segregated areas were identified based on governmental criteria, and healthcare indicators were standardized by age, sex, and socioeconomic status. Key indicators included General Practitioner (GP) visits, outpatient services, Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) usage, hospitalizations, healthcare reimbursement, and premature mortality. Results: In 2020, there was a notable reduction in healthcare services utilization due to COVID-19 restrictions, with GP visits declining by 10.43% in SAs and 4.13% in CAs. Outpatient services decreased by 19.16% in SAs and 12.45% in CAs, while hospitalizations dropped by over 23.52%. Despite these reductions, the relative risk (RR) of healthcare service use remained higher in SAs compared to CAs (RR = 1.22, 95% CI: 1.219;1.223). Healthcare reimbursement was significantly lower in SAs (RR = 0.940, 95% CI: 0.929;0.951), and premature mortality was higher (RR = 1.184, 95% CI: 1.087;1.289). Conclusion: The COVID-19 pandemic led to a significant reduction in healthcare utilization across Hungary. However, segregated populations in 2020 continued to have higher healthcare service use but received lower reimbursement, indicating persistent healthcare disparities. The consistently higher premature mortality rate in SAs underscores the need for targeted interventions and improved healthcare access and quality for vulnerable communities. Future policies should be built on data from comprehensive monitoring systems to address and mitigate these disparities, ensuring equitable healthcare access in and out of health crises.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
cross-sectional
COVID-19
segregation
inequality
healthcare
health reimbursement
general medical practitioner
Hungary
Megjelenés:Frontiers in Public Health. - 13 (2025), p. 1-10. -
További szerzők:Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Lakatos Kinga Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:BM/6327-3/2021
Egyéb
FEIF/951/2021-ITM
Egyéb
SHE-26763-004/2020
Egyéb
Eötvös Loránd Research Network (TKCS-2021/32)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM118211
035-os BibID:(WoS)001156593300001 (scopus)85184231536
Első szerző:Kasabji, Feras (népegészségügy)
Cím:Cross-sectional comparison of health care delivery and reimbursement between segregated and nonsegregated communities in Hungary / Feras Kasabji, Ferenc Vincze, Kinga Lakatos, Anita Pálinkás, László Kőrösi, László Ulicska, Karolina Kósa, Róza Ádány, János Sándor
Dátum:2024
ISSN:2296-2565
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
cross-sectional
segregation
inequality
healthcare
health reimbursement
Hungary
general medical practitioner
Megjelenés:Frontiers in Public Health. - 12 (2024), p. 1-9. -
További szerzők:Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Lakatos Kinga Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

5.

001-es BibID:BIBFORM089542
035-os BibID:(Scopus)85097481352 (WOS)000598017000001
Első szerző:Kasabji, Feras (népegészségügy)
Cím:Self-Declared Roma Ethnicity and Health Insurance Expenditures : a Nationwide Cross-Sectional Investigation at the General Medical Practice Level in Hungary / Feras Kasabji, Alaa Alrajo, Ferenc Vincze, László Kőrösi, Róza Ádány, János Sándor
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:Introduction: The inevitable rising costs of health care and the accompanying risk of increasing inequalities raise concerns. In order to make tailored policies and interventions that can reduce this risk, it is necessary to investigate whether vulnerable groups (such as Roma, the largest ethnic minority in Europe) are being left out of access to medical advances. Objectives: The study aimed to describe the association between general medical practice (GMP) level of average per capita expenditure of the National Health Insurance Fund (NHIF), and the proportion of Roma people receiving GMP in Hungary, controlled for other socioeconomic and structural factors. Methods: A cross-sectional study that included all GMPs providing care for adults in Hungary (N = 4818) was conducted for the period 2012?2016. GMP specific data on health expenditures and structural indicators (GMP list size, providing care for adults only or children also, type and geographical location of settlement, age of GP, vacancy) for secondary analysis were obtained from the NHIF. Data for the socioeconomic variables were from the last census. Age and sex standardized specific socioeconomic status indicators (standardized relative education, srEDU; standardized relative employment, srEMP; relative housing density, rHD; relative Roma proportion based on self-reported data, rRP) and average per capita health expenditure (standardized relative health expenditure, srEXP) were computed. Multivariate linear regression model was applied to evaluate the relationship of socioeconomic and structural indicators with srEXP. Results: The srEDU had significant positive (b = 0.199, 95% CI: 0.128; 0.271) and the srEMP had significant negative (b = -0.282, 95% CI: -0.359; -0.204) effect on srEXP. GP age > 65 (b = -0.026, 95% CI: -0.036; -0.016), list size <800 (b = -0.043, 95% CI: -0.066; -0.020) and 800?1200 (b = -0.018, 95% CI: -0.031; -0.004]), had significant negative association with srEXP, and GMP providing adults only (b = 0.016, 95% CI: 0.001;0.032) had a positive effect. There was also significant expenditure variability across counties. However, rRP proved not to be a significant influencing factor (b = 0.002, 95% CI: -0.001; 0.005). Conclusion: As was expected, lower education, employment, and small practice size were associated with lower NHIF expenditures in Hungary, while the share of self-reported Roma did not significantly a ect health expenditures according to our GMP level study. These findings do not suggest the necessity for Roma specific indicators elaborating health policy to control for the risk of widening inequalities imposed by rising health expenses.
taa, km, tben
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
inequality
healthcare financing
general medical practice
health policy
self-reported Roma ethnicity
Megjelenés:International Journal of Environmental Research and Public Health. - 17 (2020), p. 1-17. -
További szerzők:Alrajo, Alaa Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Kőrösi László Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:Swiss Contribution Program (SH/8/1)
Egyéb
GINOP-2.3.2-15-2016-00005
Egyéb
Stipendium Hungaricum Scholarship Program (SHE-26763-004/2020)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM131299
035-os BibID:(scopus)105011861819 (wos)001537017000001
Első szerző:Odeh, Aseel
Cím:Breast cancer screening coverage is severely reduced among women who reside in segregated areas : a cross-sectional investigation in Hungary / Aseel Odeh, Kasabji Feras, Ferenc Vincze, Kinga Lakatos, Anita Pálinkás, László Kőrösi, László Ulicska, Karolina Kósa, János Sándor
Dátum:2025
ISSN:2296-2565
Megjegyzések:Background: This study investigated disparities in breast cancer screening participation between living in residential segregations (SAs, segregated areas defined by clustering of low levels of income and education) and in nonsegregated, complementary areas (CAs) of Hungary. Methods: In a nationwide cross-sectional study, data from 2019 were obtained from the National Health Insurance Fund (NHIF). In accordance with the Hungarian recommendation, the target group was composed of women aged 45?65, and screening participation was evaluated as appropriate if the women participated in mammography within 2 years. Standardized participation ratios (sPRs) were calculated for each SA and CA. These ratios were adjusted for age and eligibility for exemption certificates. The calculations were done for each general medical practice (GMP) serving a population with at least one SA, as well as for the whole country. The level of inequality was quantified by the relative standardized participation ratio (rsPR) by comparing sPR in the segregated versus non-segregated areas. Results: The study identified 11,581 observed breast cancer screening cases in SAs, compared with 417,891 in CAs, with target populations of 45,185 in SAs and 984,198 in CAs. In general, crude participation rates were significantly lower in SAs (25.6%) than in CAs (42.5%), with a rsPR of 0.62 (95% CI: 0.61? 0.63). The impact of segregation on national screening coverage was negligible (population attributable risk: ?1.2%). The GMP-level rsPR varied widely with a median of 0.653 and interquartile range (IQR) of 0.464?0.867. Notably, 15.6% of the GMPs had significantly reduced rsPR. Conclusion: This study demonstrated that breast cancer screening coverage is considerably lower among women living in SAs than in those living in nonsegregated areas. GMPs showed substantial variability with respect to segregation related inequality. There was a remarkable proportion of GMPs without local inequality. The impact of segregation on national breast cancer screening participation was negligible. According to our observations, the segregation specific indicators should be included in screening monitoring, and its results should be feedback to local authorities and stakeholders in order to identify and address local problems of screening organization to reduce inequalities.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
residential segregation
breast cancer screening
cross-sectional study
inequality
monitoring
Megjelenés:Frontiers in Public Health. - 13 (2025), p. 1-9. -
További szerzők:Kasabji, Feras (1992-) (népegészségügy) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Lakatos Kinga Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:BM/6327-3/2021, FEIF/951/2021-ITM
Egyéb
SHE-26763-004/2020 to KF
Egyéb
Hungarian Research Network-HUN-REN (TKCS-2021/32)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
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