CCL

Összesen 7 találat.
#/oldal:
Részletezés:
Rendezés:

1.

001-es BibID:BIBFORM074139
035-os BibID:(cikkazonosító)67 (WoS)000433242800001 (Scopus)85047204901
Első szerző:Gyulai Anikó (védőnő)
Cím:General practitioners can increase participation in cervical cancer screening - a model program in Hungary / Anikó Gyulai, Attila Nagy, Vera Pataki, Dóra Tonté, Róza Ádány, Zoltán Vokó
Dátum:2018
ISSN:1471-2296
Megjegyzések:Background: Cervical cancer is a preventable disease. Unfortunately, its mortality is high in Hungary: 9.2 deaths /100000 women/year in 2015. The Hungarian organized, nationwide cervical screening program was launched in 2003, but it could improve the coverage rate of cervical cancer screening only by a few percentage points. The vast majority of women still uses opportunistic screening and the organized screening program had little impact on participation by women who never or rarely consult their gynecologists. We assessed whether involving general practitioners in the cervical cancer screening process would increase participation. Methods: The study consisted of two parts: 1. A questionnaire-based health survey was conducted using a representative sample of women aged 25 to 65 years from 11 Hungarian counties, in which we studied where women obtained information about cervical cancer screening. 2. Additionally, a model program and its evaluation were implemented in the practices of general practitioners in one of the 11 counties (Zala county). In this program, general practitioners were informed of their patients' participation in the cervical cancer screening program, and they motivated those who refused the invitation. Results: Questionnaire-based health survey: A total of 74% (95% confidence interval (CI): 70-77%) of the target population had a screening examination within the previous 3 years. The majority (58, 95% CI: 54-62%) of the target population did not ask for information about cervical cancer screening at all. Only 21% (95% CI: 17-26%) consulted their general practitioners about cancer screening. Evaluation of the model program: the general practitioners effectively motivated 24 out of 88 women (27, 95% CI: 18-38%) who initially refused to participate in the screening program. Conclusion: The majority of Hungarian women are not informed about cervical cancer screening beyond the invitation letter. General practitioners could play a more important role in mobilizing the population to utilize preventive services. The involvement of general practitioners in the organization of the cervical cancer screening program could increase the participation of those women who generally refuse the services.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:BMC Family Practice. - 19 : 1 (2018), p. 1-8. -
További szerzők:Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Pataki Vera Tonté Dóra Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Vokó Zoltán (1968-) (epidemiológus)
Pályázati támogatás:NKFP-1/0003/2005
NKFP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

2.

001-es BibID:BIBFORM085538
Első szerző:Jancsó Zoltán (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos)
Cím:Care management of patients with high cardiovascular risk in Hungary an international and Hungarian longitudinal comparison of target level achievement / Jancsó Zoltán, Rurik Imre, Kolozsvári László, Mester Lajos, Nánási Anna, Oláh Csaba, Ungvári Tímea, Tóth Csabáné Vraukó Katalin, Kalabay László, Torzsa Péter
Dátum:2020
ISSN:1471-2296
Megjegyzések:Background: Patients with high cardiovascular risk are usually cared for in primary care settings. Assessment of the effectiveness of long-time care was a subject of many European studies in the last two decades. This paper aims to present two Hungarian primary care cross sectional surveys and to compare their results to the primary care arms of the European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) III. and IV. studies. Methods: Between 2010 and 2011, 679 patients with high cardiovascular risk were recruited in 20 Hungarian primary care practices and 628 patients were selected in 40 practices between 2015 and 2016. The actual national recommendations were used for classification, all based on European guidelines. Achievements of target levels for blood pressure, total-, LDL-and HDL-cholesterols, triglyceride, and HbA1c (in diabetics) were recorded and analyzed. Further cardiovascular risk factors, such as smoking, BMI, waist-circumference were also evaluated. Results: There was a statistically significant improvement in the management of blood-pressure and plasma LDLcholesterol levels among high risk patients, while there was no change in the plasma triglyceride values. The effectiveness of diabetes care deteriorated. In international relation, the management of blood pressure and plasma LDL-cholesterol values were better in Hungary when compared to the results of EUROASPIRE III-IV. studies, while the previous advantage in diabetes care disappeared. A higher proportion of diabetic patients was above the target values in Hungary than the means of the European surveys. There was a higher proportion of smokers in the Hungarian samples, while the proportion of obese and overweight patients was similar to the European sample. Conclusions: Primary care has a unique role in cardiovascular prevention. Although many of the patients are managed appropriately, there is a need to improve primary care services in Hungary, giving more competences to GPs in prescription and introducing structural changes in the healthcare system.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Cardiovascular risk
Cardiovascular prevention
Diabetes type 2
Dyslipidemia
EUROASPIRE
High risk patients
Hungary
Hypertension
Primary care
Target level
Megjelenés:BMC Family Practice. - 21 : 1 (2020), p. 1-8. -
További szerzők:Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Kolozsvári László Róbert (1977-) (háziorvos) Mester Lajos Nánási Anna (1995-) (háziorvos) Oláh Csaba (1972-) (idegsebész) Ungvári Tímea Tóth-Vraukó Katalin Kalabay László Torzsa Péter
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

3.

001-es BibID:BIBFORM083276
035-os BibID:(cikkazonosító)19
Első szerző:Kósa Karolina (népegészségügyi szakember)
Cím:Health mediators as members of multidisciplinary group practice : lessons learned from a primary health care model programme in Hungary / Karolina Kósa, Cintia Katona, Magor Papp, Gergely Fürjes, János Sándor, Klára Bíró, Róza Ádány
Dátum:2020
ISSN:1471-2296
Megjegyzések:Background A Model Programme of primary care group practices was implemented in Hungary between 2013 and 2017 - where virtually all GPs had worked in single practices - aiming to increase preventive service uptake and reduce inequalities based on a bilateral agreement between the Swiss and Hungarian governments. Group practices employed a wide variety of health professionals as well as support workers called health mediators. Employment of the latter was based on two decades of European experience of health mediators who specifically facilitate access to and use of health services in Roma minority groups. Health mediators had been recruited from local communities, received training on the job, and were tasked to increase uptake of new preventive services provided by the group practices by personal contacts in the local minority populace. The paper describes the contribution of the work of health mediators to the uptake of two new services provided by group practices. Methods Quantitative analysis of depersonalized administrative data mandatorily reported to the Management of the Programme during 43?months of operation was carried out on the employment of health mediators and their contribution to the uptake of two new preventive services (health status assessment and community health promoting programmes). Results 80% of all clients registered with the GPs participated at health status assessment by invitation that was 1.3-1.7 times higher than participation at the most successful national screening programmes in the past 15?years. Both the number of mediator work minutes per client and participation rate at health status assessment, as well as total work time of mediators and participants at community health events showed high correlation. Twice as many Roma minority patients were motivated for service use by health mediators compared to all patients. The very high participation rate reflects the wide impact of health mediators who probably reached not only Roma minority, but vulnerable population groups in general. Conclusion The future of general practices lays in multidisciplinary teams in which health mediators recruited from the serviced communities can be valuable members, especially in deprived areas.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Prevention
Inequalities
Professions allied to medicine (PAMs)
Community health workers
Health mediation,
Primary health care
Health status assessment
Megjelenés:BMC Family Practice. - 21 : 1 (2020), p. 1-9. -
További szerzők:Katona Cintia (1991-) (egészségpszichológus) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Fürjes Gergely Sándor János (1966-) (orvos-epidemiológus) Bíró Klára (1970-) (egészségügyi menedzsment) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:Swiss Contribution Programme SH/8/1
Egyéb
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

4.

001-es BibID:BIBFORM049099
Első szerző:Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:Primary care obesity management in Hungary : evaluation of the knowledge, practice and attitudes of family physicians / Imre Rurik, Péter Torzsa, István Ilyés, Endre Szigethy, Eszter Halmy, Gabriella Iski, László Róbert Kolozsvári, Lajos Mester, Csaba Móczár, József Rinfel, Lajos Nagy, László Kalabay
Dátum:2013
ISSN:1471-2296
Megjegyzések:BACKGROUND:Obesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have a distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation is still an under-researched area.METHOD:The knowledge, attitudes and practice were reviewed in this questionnaire study involving a representative sample of 10% of all Hungarian family physicians. In different settings, 521 practitioners (448 GPs and 73 residents/vocational trainees) were questioned using a validated questionnaire.RESULTS:The knowledge about multimorbidity, a main consequence of obesity, was balanced.Only 51% of the GPs were aware of the diagnostic threshold for obesity; awareness being higher in cities (60%) and the highest among residents (90%). They also considered obesity an illness rather than an aesthetic issue.There were wider differences regarding attitudes and practice, influenced by the the doctors' age, gender, known BMI, previous qualification, less by working location.GPs with qualification in family medicine alone considered obesity management as higher professional satisfaction, compared to physicians who had previously other board qualification (77%vs68%). They measured their patients' waist circumference and waist/hip ratio (72%vs62%) more frequently, provided the obese with dietary advice more often, while this service was less frequent among capital-based doctors who accepted the self-reported body weight dates by patients more frequently / commonly. Similar reduced activity and weight-measurement in outdoor clothing were more typical among older doctors.Diagnosis based on BMI alone was the highest in cities (85%). Consultations were significantly shorter in practices with a higher number of enrolled patients and were longer by female providers who consulted longer with patients about the suspected causes of developing obesity (65%vs44%) and offered dietary records for patients significantly more frequently (65%vs52%). Most of the younger doctors agreed that obesity management was a primary care issue.Doctors in the normal BMI range were unanimous that they should be a model for their patients (94%vs81%).CONCLUSION:More education of primary care physicians, available practical guidelines and higher community involvement are needed to improve the obesity management in Hungary.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Attitudes
Family physician
General practitioner
Hungarian
Management
Obesity
Overweight
Megjelenés:BMC Family Practice. - 14 : 1 (2013), p. 156. -
További szerzők:Torzsa Péter Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos) Szigethy Endre (1980-) (szociológus, epidemiológus) Halmy Lászlóné (orvos, Budapest) Iski Gabriella (1985-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Mester Lajos Móczár Csaba (1966-) (háziorvos) Rinfel József Nagy Lajos Kalabay László
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

5.

001-es BibID:BIBFORM086814
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Organised and opportunistic prevention in primary health care : estimation of missed opportunities by population based health interview surveys in Hungary / János Sándor, Ildikó Tokaji, Nouh Harsha, Magor Papp, Róza Ádány, Árpád Czifra
Dátum:2020
ISSN:1471-2296
Megjegyzések:Background: Improvement of preventive services for adults can be achieved by opportunistic or organised methods in primary care. The unexploited opportunities of these approaches were estimated by our investigation. Methods: Data from the Hungarian implementation of European Health Interview Surveys in 2009 (N = 4709) and 2014 (N = 5352) were analysed. Proportion of subjects used interventions in target group (screening for hypertension and diabetes mellitus, and influenza vaccination) within a year were calculated. Taking into consideration recommendations for the frequency of intervention, numbers of missed interventions among patients visited a general practitioner in a year and among patients did not visit a general practitioner in a year were calculated in order to describe missed opportunities that could be utilised by opportunistic or organised approaches. Numbers of missed interventions were estimated for the entire population of the country and for an average-sized general medical practice. Results: Implementation ratio were 66.8% for blood pressure measurement among subjects above 40 years and free of diagnosed hypertension; 63.5% for checking blood glucose among adults above 45 and overweighed and free of diagnosed diabetes mellitus; and 19.1% for vaccination against seasonal influenza. There were 4.1 million interventions implemented a year in Hungary, most of the (3.8 million) among adults visited general practitioner in a year. The number of missed interventions was 4.5 million a year; mostly (3.4 million) among persons visited general practitioner in a year. For Hungary, the opportunistic and organised missed opportunities were estimated to be 561,098, and 1,150,321 for hypertension screening; 363,270, and 227,543 for diabetes mellitus screening; 2,784,072, and 380,033 for influenza vaccination among the < 60 years old high risk subjects, and 3,029,700 and 494,150 for influenza vaccination among more than 60 years old adults, respectively. By implementing all missed services, the workload in an average-sized general medical practice would be increased by 12?13 opportunistic and 4?5 organised interventions a week. Conclusions: The studied interventions are much less used than recommended. The opportunistic missed opportunities is prevailing for influenza vaccination, and the organised one is for hypertension screening. The two approaches have similar significance for diabetes mellitus screening.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Organised prevention
Opportunistic prevention
Primary care
Hypertension screening
Diabetes mellitus screening
Influenza vaccination
Megjelenés:BMC Family Practice. - 21 : 1 (2020), p. 1-12. -
További szerzők:Tokaji Ildikó Harsha, Nouh (1979-) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Czifra Árpád (1983-) (belgyógyász)
Pályázati támogatás:Hungarian Academy of Sciences MTA 11003
Egyéb
Hungarian Academy of Sciences 2006TKI227
Egyéb
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM066016
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata / János Sándor, Attila Nagy, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány
Dátum:2017
ISSN:0263-2136
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Family Practice. - 34 : 1 (2017), p. 83-89. -
További szerzők:Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Földvári Anett (1984-) (népegészségügyi felügyelő) Szabó Edit (1986-) (népegészségügyi felügyelő) Csenteri Orsolya Karola (1987-) (népegészségügyi ellenőr, rehabilitációs szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Sipos Valéria (1988-) (népegészségügyi szakember) Kovács Nóra (1989-) (népegészségügyi szakember) Pálinkás Anita (1988-) (népegészségügyi szakember) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Fürjes Gergely Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

7.

001-es BibID:BIBFORM075033
Első szerző:Van Bijnen, Evelien M. E.
Cím:Primary care treatment guidelines for skin infections in Europe : congruence with antimicrobial resistance found in commensal Staphylococcus aureusin the community / Evelien M. E. van Bijnen, W. John Paget, Casper D. J. den Heijer, Ellen E. Stobberingh, Cathrien A. Bruggeman, François G. Schellevis, the APRES Study Team
Dátum:2014
ISSN:1471-2296
Megjegyzések:BackgroundOver 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons.MethodsThe prevalence of antimicrobial resistance in S. aureus was analysed by taking nose swabs from healthy primary care patients in nine European countries (total N = 32,032). Primary care treatment guidelines for bacterial skin infections were interpreted with respect to these antimicrobial resistance patterns. First- and second-choice recommendations were assessed and considered congruent if resistance to the antibiotic did not exceed 20%.ResultsWe included primary care treatment guidelines for impetigo, cellulitis, folliculitis and furuncle. Treatment recommendations in all countries were consistent: most of the first-choice recommendations were beta-lactams, both for children and adults. Antimicrobial resistance levels were low, except for penicillin (on average 73% resistance). Considerable variation in antimicrobial resistance levels was found between countries, with Sweden displaying the lowest levels and Spain the highest. In some countries resistance to penicillin and azithromycin was significantly higher in children (4-17 years) compared with adults.ConclusionsMost of the first- and second-choice recommendations in the treatment guidelines for skin infections were congruent with commensal S. aureus antimicrobial resistance patterns in the community, except for two recommendations for penicillin. Given the variation in antimicrobial resistance levels between countries, age groups and health care settings, national data regarding antimicrobial resistance in the community should be taken into account when updating or developing primary care treatment guidelines.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Antibiotic resistance
Treatment guidelines
Primary care
Skin infections
Megjelenés:BMC Family Practice. - 15 : 1 (2014), p. 175. -
További szerzők:Paget, W. John Den Heijer, Casper D. J. Stobberingh, Ellen E. Bruggeman, Cathrien A. Schellevis, Francois G. Kolozsvári László Róbert (1977-) (háziorvos) The APRES Study Team
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Rekordok letöltése1 
Corvina könyvtári katalógus v8.2.27 © 2023 Monguz kft. Minden jog fenntartva.