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001-es BibID:BIBFORM118211
035-os BibID:(cikkazonosító)1152555 (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)
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Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM089542
035-os BibID:(cikkazonosító)8998 (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
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
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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