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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
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001-es BibID:	BIBFORM099498
Első szerző:	Mohos András
Cím:	Earning opportunities and informal payment as influencing factors in medical students' speciality choice / Mohos András, Frese Thomas, Kolozsvári László, Rinfel József, Varga Albert, Hargittay Csenge, Csatlós Dalma, Torzsa Péter
Dátum:	2021
ISSN:	1471-2296
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	BMC Family Practice. - 22 : 1 (2021), p. 1-10. -
További szerzők:	Frese, Thomas Kolozsvári László Róbert (1977-) (háziorvos) Rinfel József Varga Albert Hargittay Csenge Csatlós Dalma Torzsa Péter
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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
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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
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