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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:	BIBFORM086719
Első szerző:	Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:	Evaluation of primary care services in Hungary / Imre Rurik, Zoltán Jancsó, László Kalabay, Levente Lánczi, Lajos Mester, Csaba Móczár, Anna Nánási, Csilla Semanova, Péter Schmidt, Judit Szidor, Hajnalka Tamás, Peter Torzsa, Tímea Ungvári, Mária Végh, Katalin Vraukó, László Kolozsvári
Dátum:	2020
Megjegyzések:	Abstract Background. It is a major challenge to show what configurations of primary care(PC) is associated with better outcomes, in terms of quality, equity and costs. The QUALICOPC Study tried to analyse and compare them within 35 countries, using validated questionnaires filled by family physicians/general practitioners (GPs). This paper aims to provide data of the Hungarian-arm of the QUALICOPC Study; to compare some findings to that of other participating countries; to give a comprehensive overview about the recent Hungarian PC system. Methods. Altogether 222 questionnaires were completed by Hungarian GPs, delivered by fieldworkers, in a geographically representative distribution. Results . Financing are based mostly on capitation, with smaller additional compensatory elements and minor quality incentives. The gate-keeping function is weak, although by referrals, the preference of patients is mostly considered. Communication between PC and specialists is often insufficient. Variety of available devices and equipment's are appropriate. Single handed practices were 87%. Appointment instead of queuing is a new option and become more popular, mainly among better educated and urban patients. GPs are involved in the management of almost all chronic condition of all generations. Half of them estimate their job as still interesting, burn-out symptoms were rarely found. Among the evaluated process indicators, access, continuity, comprehensiveness and coordination were rated as satisfactory, together with equity among health outcome indicators. Financing is not sufficient, therefore many GPs are involved in other earning activities. The increasing shortage of manpower is a major challenge. Conclusions. In the past 2 decades, there was visible improvement at service level and in economic circumstances. Cooperation and communication between different levels of health care provision should be improved, focusing better to community orientation and to preventive services. There is a need for specific primary care oriented guidelines to define the expected tasks of GPs
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Research Square. - 2020 (2020), p. 1-23. -
További szerzők:	Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Kalabay László Lánczi Levente (1990-) (általános orvos) Mester Lajos Móczár Csaba (1966-) (háziorvos) Nánási Anna (1995-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Schmidt Péter Szidor Judit Tamás Hajnalka Torzsa Péter Ungvári Tímea Végh Mária Tóth-Vraukó Katalin Kolozsvári László Róbert (1977-) (háziorvos)
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001-es BibID:	BIBFORM085540
Első szerző:	Virtanen, Eeva
Cím:	Feel4Diabetes healthy diet score : development and evaluation of clinical validity / Virtanen Eeva, Kivelä Jemina, Wikström Katja, Lambrinou Christina-Paulina, De Miguel-Etayo Pilar, Huys Nele, Vraukó-Tóth Katalin, Moreno Luis A., Usheva Natalya, Chakarova Nevena, Rado Sándorné A., Iotova Violeta, Makrilakis Konstantinos, Cardon Greet, Liatis Stavros, Manios Yannis, Lindström Jaana, Feel4Diabetes research group
Dátum:	2020
ISSN:	1472-6823
Megjegyzések:	Background: The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. Methods: Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson's correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson's correlations were studied between baseline and 1 year score, within the control group only. Results: The mean total score was 52.8 ? 12.8 among women and 46.6 ? 12.8 among men (p < 0.001). The total score and its components differed between countries. The change in the Healthy Diet Score was significantly correlated with changes in BMI, waist circumference, and total and LDL cholesterol. The Healthy Diet Score as well as its components at baseline were significantly correlated with the values at year 1, in the control group participants. (Continued from previous page) Conclusion: The Feel4Diabetes Healthy Diet Score is a reproducible method to capture the dietary information collected with the Feel4Diabetes questionnaire and measure the level of and changes in the adherence to the dietary goals of the intervention. It gives a simple parameter that associates with clinical risk factors in a meaningful manner.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Diet Diet score Evaluation Intervention Risk factors Type 2 diabetes Validity
Megjelenés:	BMC Endocrine Disorders. - 20 : Suppl. 2 (2020), p. 1-10. -
További szerzők:	Kivelä, Jemina Wikström, Katja Lambrinou, Christina-Paulina De Miguel-Etayo, Pilar Huys, Nele Tóth-Vraukó Katalin Moreno, Luis A. Usheva, Natalya Chakarova, Nevena Radó Sándor Istvánné (1976-) (diplomás ápoló) Iotova, Violeta Makrilakis, Konstantinos Cardon, Greet Liatis, Stavros Manios, Yannis Lindström, Jaana Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
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