CCL

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

1.

001-es BibID:BIBFORM092154
035-os BibID:(scopus)85102963479 (wos)000631390100001
Első szerző:Bekele, Bayu Begashaw (PhD hallgató)
Cím:Is Prescription Nonredemption a Source of Poor Health Among the Roma? Cross-Sectional Analysis of Drug Consumption Data From the National Health Insurance Fund of Hungary / Bayu Begashaw Bekele, Nouh Harsha, László Korösi, Ferenc Vincze, Árpád Czifra, Róza Ádány, János Sándor
Dátum:2021
ISSN:1663-9812
Megjegyzések:Background: The health status of the Roma is inferior to that of the general population. The causes of poor health among this population are still ambiguous, but they include low utilization of healthcare services. Our study aimed to investigate prescription redemptions in segregated Roma colonies (SRC) where the most disadvantaged quartile of Roma people are living. Methods: A cross-sectional study was carried out with data obtained from the National Institute of Health Insurance Fund Management in the settlements belonging to the study area of the "Public Health-Focused Model Program for Organizing Primary Care Services." The study included 4,943 residents of SRC and 62,074 residents of the complementary area (CA) of the settlements where SRC were located. Crude and age- and sexstandardized redemption ratios for SRC and CA were calculated for each Anatomic Therapeutic Chemical (ATC) group and for the total practice by ATC group. Standardized relative redemptions (RR) with 95% confidence intervals were calculated for SRC, with CA as a reference. Results: The crude redemption ratios were 73.13% in the SRC and 71.15% in the CA. RRs were higher in the SRC than in the CA for cardiovascular, musculoskeletal system, and alimentary tract and metabolism drugs (11.5, 3.7, and 3.5%, respectively). In contrast, RRs were lower in the SRC than in the CA for anti-infective agents (22.9%) due to the poor redemption of medicines prescribed for children or young adults. Despite the overall modest differences in redemption ratios, some ATC groups showed remarkable differences. Those include cardiovascular, alimentary and musculoskeletal drugs. Conclusion: Redemption of prescriptions was significantly higher among Roma people living in SRC than among those living in CA. The better redemption of cardiovascular and alimentary tract drugs was mainly responsible for this effect. These findings contradict the stereotype that the Roma do not use health services properly and that prescription nonredemption is responsible for their poor health.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
prescription non-redemption
Roma people
cardiovascular drugs
alimentary tract drugs
anti-infective agents
Megjelenés:Frontiers in Pharmacology. - 12 (2021), p. 1-9. -
További szerzők:Harsha, Nouh (1979-) Kőrösi László Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Czifra Árpád (1983-) (belgyógyász) 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
SHE-15324-002/2018
Egyéb
SHE-124219
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

2.

001-es BibID:BIBFORM119715
035-os BibID:(WoS)001201006000001
Első szerző:Jargalsaikhan, Undraa
Cím:Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care / Undraa Jargalsaikhan, Feras Kasabji, Ferenc Vincze, Anita Pálinkás, László Kőrösi, János Sándor
Dátum:2024
ISSN:2227-9032
Megjegyzések:The implementation of monitoring for general medical practice (GMP) can contribute to improving the quality of diabetes mellitus (DM) care. Our study aimed to describe the associations of DM care performance indicators with the structural characteristics of GMPs and the socioeconomic status (SES) of patients. Using data from 2018 covering the whole country, GMP-specific indicators standardized by patient age, sex, and eligibility for exemption certificates were computed for adults. Linear regression models were applied to evaluate the relationships between GMP-specific parameters (list size, residence type, geographical location, general practitioner (GP) vacancy and their age) and patient SES (education, employment, proportion of Roma adults, housing density) and DM care indicators. Patients received 58.64% of the required medical interventions. A lower level of education (hemoglobin A1c test: ? = ?0.108; ophthalmic examination: ? = ?0.100; serum creatinine test: ? = ?0.103; and serum lipid status test: ? = ?0.108) and large GMP size (hemoglobin A1c test: ? = ?0.068; ophthalmological examination ? = ?0.031; serum creatinine measurement ? = ?0.053; influenza immunization ? = ?0.040; and serum lipid status test ? = ?0.068) were associated with poor indicators. A GP age older than 65 years was associated with lower indicators (hemoglobin A1c test: ? = ?0.082; serum creatinine measurement: ? = ?0.086; serum lipid status test: ? = ?0.082; and influenza immunization: ? = ?0.032). Overall, the GMP-level DM care indicators were significantly influenced by GMP characteristics and patient SES. Therefore, proper diabetes care monitoring for the personal achievements of GPs should involve the application of adjusted performance indicators.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary care
diabetes mellitus
performance indicators
patient characteristics
general medical practice characteristics
monitoring
Megjelenés:Healthcare (Switzerland). - 12 : 7 (2024), p. 1-17. -
További szerzők:Kasabji, Feras (1992-) (népegészségügy) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:Swiss Government via the Swiss Contribution Program (SH/8/1)
Egyéb
Stipendium Hungaricum ScholarStipendium Hungaricum Scholarship Program (grant SHE-00714-004/2020 to U.J.)
Egyéb
Eötvös Loránd Research Network (TKCS-2021/32)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

3.

001-es BibID:BIBFORM118211
035-os BibID:(cikkazonosító)1152555 (WoS)001156593300001 (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)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

4.

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
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

5.

001-es BibID:BIBFORM100561
035-os BibID:(cikkazonosító)e0264363 (WOS)000793394000019 (Scopus)85125477470
Első szerző:Sándor János (orvos-epidemiológus)
Cím:COVID-19 vaccination coverage in deprived populations living in segregated colonies : a nationwide cross-sectional study in Hungary / Sándor János, Vincze Ferenc, Shrikant Maya Liza, Kőrösi László, Ulicska László, Kósa Karolina, Ádány Róza
Dátum:2022
ISSN:1932-6203
Megjegyzések:The segregated colonies (SCs) in Hungary are populated mainly but not exclusively by Roma. Their health care use is restricted in many respects. It has not been studied yet, whether fair COVID-19 vaccination coverage achieved in Hungary is accompanied with fair effectiveness in SCs. Using census data, the vaccination coverage in SCs and the complementary areas (CAs) in the same settlements of the country was determined. To describe the settlement level differences, the vaccination coverage (until June 30, 2021) in SCs were compared to those in CAs by age, sex, and eligibility for exemption certificate standardized measures. Aggregating settlement level data, the level of geographic discrimination in Hungary was also determined. According to nationwide aggregates, crude vaccination coverage was significantly lower in SCs (40.05%, 95% CI 39.87%-40.23%) than in CAs (65.42%, 95% CI 65.37%-65.46%). The relative standardized vaccination coverage was 0.643 (95% CI 0.639?0.647) in SCs. A total of 437 of the 938 investigated settlements showed significant local vaccination disparities. Hungarian citizens living in SCs, mainly of Roma ethnicity, are a distinct high-risk group. Special intervention adapted to SCs is needed to mitigate inequality in vaccination coverage and further consequences of the pandemic.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Plos One. - 17 : 2 (2022), p. e0264363-. -
További szerzők:Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Shrikant, Maya Liza Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:BM/6327-3/2021, FEIF/951/2021-ITM
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM074749
035-os BibID:(Scopus)85052505330 (WOS)000445765600044 (cikkazonosító)1835
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Healthcare utilization and all-cause premature mortality in Hungarian segregated roma settlements : evaluation of specific indicators in a cross-sectional study / János Sándor, Anita Pálinkás, Ferenc Vincze, Nóra Kovács, Valéria Sipos, László Kőrösi, Zsófia Falusi, László Pál, Gergely Fürjes, Magor Papp, Róza Ádány
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:Roma is the largest ethnic minority of Europe with deprived health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health indicatorsfor adults living in segregated Roma settlements (SRS), representing the most vulnerable Roma subpopulation. SRSs were mapped in a study area populated by 54,682 adults. Records of alladults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators onhealthcare utilization and all-cause premature death along with the ratio of them (RR) were computed with 95% confidence intervals. The rate of GP appointments was significantly higher among SRS inhabitants (RR = 1.152, 95% CI: 1.136?1.167). The proportion of subjects hospitalized (RR = 1.286, 95% CI: 1.177?1.405) and the reimbursement for inpatient care (RR = 1.060, 95% CI: 1.057?1.064) were elevated for SRS. All-cause premature mortality was significantly higher in SRSs (RR = 1.711, 1.085?2.696). Our study demonstrated that it is possible to compute the SRS-specific version of routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue into a non-sensitive small-area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of all-cause premature death.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Roma minority
legal constraints
healthcare utilization
health status
geographical inequality
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 9 (2018), p. 1-13. -
További szerzők:Pálinkás Anita (1988-) (népegészségügyi szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Kovács Nóra (1989-) (népegészségügyi szakember) Sipos Valéria (1988-) (népegészségügyi szakember) Kőrösi László Falusi Zsófia Pál László Fürjes Gergely Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:MTA 11003
MTA
MTA 2006TKI227
MTA
TÁMOP-4.2.2.AA-11/1/KONV-2012-0031)
TÁMOP
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

7.

001-es BibID:BIBFORM074305
035-os BibID:(Scopus)85049535475 (WOS)000445543500094 (cikkazonosító)1388
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Association between the General Practitioner Workforce Crisis and Premature Mortality in Hungary : cross-Sectional Evaluation of Health Insurance Data from 2006 to 2014 / János Sándor, Anita Pálinkás, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Tibor Jenei, Zsófia Falusi, László Pál, László Kőrösi, Magor Papp, Róza Ádány
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:The workforce crisis of primary care is reflected in the increasing number of general medicalpractices (GMP) with vacant general practitioner (GP) positions, and the GPs' ageing. Our studyaimed to describe the association between this crisis and premature mortality. Age-sex-standardizedmortality for 18?64 years old adults was calculated for all Hungarian GMPs annually in the periodfrom 2006 to 2014. The relationship of premature mortality with GPs' age and vacant GP positionswas evaluated by standardized linear regression controlled for list size, urbanization, geographicallocation, clients' education, and type of the GMP. The clients' education was the strongest protectivefactor (beta = ??0175; p < 0.001), followed by urban residence (beta = ??0.149; p < 0.001), and bigger listsize (beta1601?2000 = ??0.054; p < 0.001; beta2001??X = ??0.096; p < 0.001). The geographical localizationalso significantly influenced the risk. Although GMPs with a GP aged older than 65 years (beta = 0;p = 0.995) did not affect the risk, GP vacancy was associated with higher risk (beta = 0.010; p = 0.033),although the corresponding number of attributable cases was 23.54 over 9 years. The vacant GPposition is associated with a significant but hardly detectable increased risk of premature mortalitywithout considerable public health importance. Nevertheless, employment of GPs aged more than65 does not impose premature mortality risk elevation.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary health care
workforce crisis
general practitioner vacancy
aging of general practitioners
premature mortality
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 7 (2018), p. 1388-. -
További szerzők:Pálinkás Anita (1988-) (népegészségügyi szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Sipos Valéria (1988-) (népegészségügyi szakember) Kovács Nóra (1989-) (népegészségügyi szakember) Jenei Tibor (1963-) (programtervező informatikus) Falusi Zsófia Pál László Kőrösi László Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:Swiss Contribution Programme
Egyéb
MTA 11003
OTKA
2006TKI227
OTKA
GINOP-2.3.2-15-2016-00005
GINOP
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.