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001-es BibID:BIBFORM088695
035-os BibID:(cikkazonosító)7616 (Scopus)85092894572 (WOS)000585607100001
Első szerző:Boruzs Klára (környezetkutató vegyész és MBA)
Cím:Cross-Cultural Adaptation and Lingual Validation of the Beliefs about Medicines Questionnaire (BMQ) : Specific for Cholesterol Lowering Drugs in the Visegrad Countries / Klára Boruzs, Viktor Dombrádi, János Sándor, Gábor Bányai, Robert Horne, Klára Bíró, Attila Nagy
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:The goal of this study was to translate the Beliefs about Medicines Questionnaire ? Specific (BMQ-Specific) for cholesterol-lowering drugs, into the Hungarian, Slovak, Czech and Polish languages and test their reliability with statistical methods. For this purpose, Cronbach's alpha, confirmatory and exploratory factor analyses were conducted. The analyses included 235 Czech, 205 Hungarian, 200 Polish, and 200 Slovak respondents, all of whom were taking cholesterollowering drugs. The translations from English into the target languages were always done by two independent translators. As part of the validation process these translations were pilot tested and after the necessary alterations, they were translated back into English by a third translator. After the approval by the creator of the questionnaire, nationwide surveys were conducted in all four countries. The results of the confirmatory factor analysis were exceptionally good for the Czech and Slovak translations, while the Polish and Hungarian translations marginally crossed the predetermined thresholds. With the exception of a single Polish question, the results of the exploratory factor analysis were deemed acceptable. The translated versions of BMQ-Specific are reliable and valid tools to assess patients' beliefs about medication, especially medication adherence among patients taking cholesterol-lowering medication. A comparison between the four countries with this questionnaire is now possible.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
cardiology
epidemiology
preventive medicine
vascular medicine
Megjelenés:International Journal of Environmental Research and Public Health. - 17 : 20 (2020), p. 1-8. -
További szerzők:Dombrádi Viktor (1987-) (egészségpolitikai szakember) Sándor János (1966-) (orvos-epidemiológus) Bányai Gábor (1980-) (jogász) Horne, Robert Bíró Klára (1970-) (egészségügyi menedzsment) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus)
Pályázati támogatás:GINOP 2.3.2-15-2016-00005
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2.

001-es BibID:BIBFORM081769
035-os BibID:(scopus)85074827384 (wos)000497407500001
Első szerző:Harsha, Nouh
Cím:Determinants of Primary Nonadherence to Medications Prescribed by General Practitioners Among Adults in Hungary : cross-Sectional Evaluation of Health Insurance Data / Nouh Harsha, László Kőrösi, Anita Pálinkás, Klára Bíró, Klára Boruzs, Róza Ádány, János Sándor, Árpád Czifra
Dátum:2019
ISSN:1663-9812
Megjegyzések:Background: Primary nonadherence to prescribed medications occurs when patients do not fill or dispense prescriptions written by healthcare providers. Although it has become an important public health issue in recent years, little is known about its frequency, causes, and consequences. Moreover, the pattern of risk factors shows remarkable variability across countries according to the published results. Our study aimed to assess primary nonadherence to medications prescribed by general practitioners (GPs) and its associated factors among adults in Hungary for the period of 2012?2015. Methods: Data on all general medical practices (GMPs) of the country were obtained from the National Health Insurance Fund and the Central Statistical Office. The ratio of the number of dispensed medications to the number of prescriptions written by a GP for adults was used to determine the medication adherence, which was aggregated for GMPs. The effect of GMP characteristics (list size, GP vacancy, patients' education provided by a GMP, settlement type [urban or rural], and geographical location [by county] of the center) on adherence, standardized for patients' age, sex, and eligibility for an exemption certificate, were investigated through generalized linear regression modeling. Results: A total of 281,315,386 prescriptions were dispensed out of 438,614,000 written by a GP. Overall, 64.1% of prescriptions were filled. According to the generalized linear regression coefficients, there was a negative association between standardized adherence and urban settlement type (b = ?0.099, 95%CI = ?0.103 to ?0.094), higher level of education (b = ?0.440, 95%CI = ?0.468 to ?0.413), and vacancy of the general practices (b = ?0.193, 95%CI = ?0.204 to ?0.182). The larger GMP size proved to be a risk factor, and there was a significant geographical inequality for counties as well. Conclusions: More than one-third of the written prescriptions of GPs for adults in Hungary were not dispensed. This high level of nonadherence had great variability across GMPs, and can be explained by structural characteristics of GMPs, the socioeconomic status of patients provided, and the quality of cooperation between patients and GPs. Moreover, our findings suggest that the use of the dispensed-to-prescribed medication ratio in routine monitoring of primary health care could effectively support the necessary interventions.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
medication adherence
dispensed prescriptions
urbanization
level of education
GP vacancy
GMP size
geographical inequality
exemption certificate
Megjelenés:Frontiers in Pharmacology. - 10 (2019), p. 1-9. -
További szerzők:Kőrösi László Pálinkás Anita (1988-) (népegészségügyi szakember) Bíró Klára (1970-) (egészségügyi menedzsment) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus) Czifra Árpád (1983-) (belgyógyász)
Pályázati támogatás:"Public Health Focused Model Programme for Organising Primary Care Services Backed by a Virtual Care Service Centre" (SH/8/1)
Egyéb
GINOP-2.3.2-15-2016-00005
GINOP
Stipendium Hungaricum Scholarship Programme (grant 124219 to NH)
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3.

001-es BibID:BIBFORM083647
035-os BibID:(cikkazonosító)1289 (Scopus)85079793280 (WOS)000522388500165
Első szerző:Mihailovic, Natasa
Cím:Alcohol consumption among the elderly citizens in Hungary and Serbia : comparative assessment / Natasa Mihailovic, Gergő József Szőllősi, Nemanja Rancic, Sándor János, Klára Boruzs, Attila Csaba Nagy, Yuriy Timofeyev, Viktorija Dragojevic-Simic, Marko Antunovic, Vladimir Reshetnikov, Róza Ádány, Mihajlo Jakovljevic
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
alcohol consumption
socio-demographic factors
Hungary
Serbia
Megjelenés:International Journal of Environmental Research and Public Health. - 17 : 4 (2020), p. 1-13. -
További szerzők:Szőllősi Gergő József (1991-) (népegészségügyi ellenőr, népegészségügyi szakember) Rancic, Nemanja Sándor János (1966-) (orvos-epidemiológus) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Timofeyev, Yuriy Dragojevic-Simic, Viktorija Antunovic, Marko Reshetnikov, Vladimir Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Jakovljevic, Mihajlo
Pályázati támogatás:TÉT_16-1-2016-014
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4.

001-es BibID:BIBFORM068196
Első szerző:Sándor János (orvos-epidemiológus)
Cím:The decade of Roma Inclusion: did it make a difference to health and use of health care services? / Sándor János, Kósa Zsigmond, Boruzs Klára, Boros Julianna, Tokaji Ildikó, McKee Martin, Ádány Róza
Dátum:2017
Megjegyzések:Objectives We investigated whether the severely disadvantagedhealth of Hungarian Roma adults living in segregatedsettlements changed by the Decade of Roma Inclusionprogram.Methods We compared the results of two paired healthinterview surveys that we carried out using the same methodologybefore and after the Decade, on the general Hungarianand Roma populations.Results Self-perceived health status of younger Romaworsened, while it improved among older Roma. Reported experience of discrimination reduced considerably andhealth care utilization improved in general. Positivechanges in smoking and nutrition, and negative changes inalcohol consumption and overweight were observed. Manyof observed changes can plausibly be linked to various governmentpolicies, including a quadrupling of public worksexpenditure, banning smoking in public places, restrictingmarketing of tobacco products, increasing cigarette prices,and a new tax on unhealthy foods. Liberalization of ruleson alcohol distillation coincided with worsening alcoholconsumption.Conclusions We have shown that Roma remain severelydisadvantaged and present an innovative sampling methodwhich can be used to monitor changes in groups whereidentification is a challenge.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Roma
Decade of Roma Inclusion
Health behaviour survey
Public policy
Megjelenés:International Journal of Public Health 62 (2017), p. 1-13. -
További szerzők:Kósa Zsigmond (1953-) (orvos) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Boros Julianna Tokaji Ildikó McKee, Martin Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
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