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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
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001-es BibID:	BIBFORM113387
035-os BibID:	(cikkazonosító)1941 (WoS)001028539800001 (Scopus)85165101070
Első szerző:	Wasnik, Rahul Naresh
Cím:	Screening for Patients with Visual Acuity Loss in Primary Health Care : A Cross Sectional Study in a Deprived Hungarian Population / Wasnik Rahul Naresh, Győri-Dani Veronika, Vincze Ferenc, Papp Magor, Pálinkás Anita, Sándor János
Dátum:	2023
ISSN:	2227-9032
Megjegyzések:	Screening for visual acuity loss (VAL) is not applied systematically because of uncertain recommendations based on observations from affordable countries. Our study aimed to evaluate the effectiveness of primary health care-based screening. A cross-sectional investigation was carried out among adults who did not wear glasses and did not visit an ophthalmologist in a year (N = 2070). The risk factor role of sociodemographic factors and the cardiometabolic status for hidden VAL was determined by multivariable linear regression models. The prevalence of unknown VAL of at least 0.5 was 3.7% and 9.1% in adults and in the above-65 population. Female sex (b = 1.27, 95% CI: 0.35; 2.18), age (b = 0.15, 0.12; 0.19), and Roma ethnicity (b = 2.60, 95% CI: 1.22; 3.97) were significant risk factors. Higher than primary school (b(secondaryschoolwithoutgraduation) = -2.06, 95% CI: -3.64; -0.47; and b(secondaryschoolwithgraduation) = -2.08, 95% CI: -3.65; -0.51), employment (b = -1.33, 95% CI: -2.25; 0.40), and properly treated diabetes mellitus (b = -2.84, 95% CI: -5.08; -0.60) were protective factors. Above 65 years, female sex (b = 3.85, 95% CI: 0.50; 7.20), age (b = 0.39, 95% CI: 0.10; 0.67), Roma ethnicity (b = 24.79, 95% CI: 13.83; 35.76), and untreated diabetes (b = 7.30, 95% CI: 1.29; 13.31) were associated with VAL. Considering the huge differences between the health care and the population's social status of the recommendation-establishing countries and Hungary which represent non-high-income countries, the uncertain recommendation of VAL screening should not discourage general practitioners from organizing population-based screening for VAL in non-affordable populations.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk visual acuity loss screening primary care general health check deprivation
Megjelenés:	Healthcare (Switzerland). - 11 : 13 (2023), p. 1-12. -
További szerzők:	Győri-Dani, Veronika Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Pálinkás Anita (1988-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	Swiss Contribution Programme (SH/8/1) Egyéb GINOP-2.3.2-15-2016-00005 Egyéb Stipendium Hungaricum Scholarship Program (grant SHE-10324-004/2019 to RNW) Egyéb
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001-es BibID:	BIBFORM110953
035-os BibID:	(cikkazonosító)1220 (Scopus)85159131938 (WoS)000987318500001
Első szerző:	Wasnik, Rahul Naresh
Cím:	Effectiveness of and Inequalities in COVID-19 Epidemic Control Strategies in Hungary : A Nationwide Cross-Sectional Study / Rahul Naresh Wasnik, Ferenc Vincze, Anett Földvári, Anita Pálinkás, János Sándor
Dátum:	2023
ISSN:	2227-9032
Megjegyzések:	Introduction: Before the mass vaccination, epidemiological control measures were the only means of containing the COVID-19 epidemic. Their effectiveness determined the consequences of the COVID-19 epidemic. Our study evaluated the impact of sociodemographic, lifestyle, and clinical factors on patient-reported epidemiological control measures. Methods: A nationwide representative sample of 1008 randomly selected adults were interviewed in person between 15 March and 30 May 2021. The prevalence of test-confirmed SARS-CoV-2 infection was 12.1%, of testing was 33.7%, and of contact tracing among test-confirmed infected subjects was 67.9%. The vaccination coverage was 52.4%. Results: According to the multivariable logistic regression models, the occurrence of infection was not influenced by sociodemographic and lifestyle factors or by the presence of chronic disease. Testing was more frequent among middle-aged adults (aOR = 1.53, 95% CI 1.10?2.13) and employed adults (aOR = 2.06, 95% CI 1.42?3.00), and was more frequent among adults with a higher education (aORsecondary = 1.93, 95% CI 1.20?3.13; aORtertiary = 3.19, 95% CI 1.81?5.63). Contact tracing was more frequently implemented among middle-aged (aOR41-7y = 3.33, 95% CI 1.17?9.45) and employed (aOR = 4.58, 95% CI 1.38?15.22), and those with chronic diseases (aOR = 5.92, 95% CI 1.56?22.47). Positive correlation was observed between age groups and vaccination frequency (aOR41-70y = 2.94, 95% CI 2.09?4.15; aOR71+y = 14.52, 95% CI 7.33?28.77). Higher than primary education (aORsecondary = 1.69, 95% CI 1.08?2.63; aORtertiary = 4.36, 95% CI 2.46?7.73) and the presence of a chronic disease (aOR = 2.58, 95% CI 1.75?3.80) positively impacted vaccination. Regular smoking was inversely correlated with vaccination (aOR = 0.60; 95% CI 0.44?0.83). Conclusions: The survey indicated that testing, contact tracing, and vaccination were seriously influenced by socioeconomic position; less so by chronic disease prevalence and very minimally by lifestyle. The etiological role of socioeconomic inequalities in epidemic measure implementation likely generated socioeconomic inequality in COVID-19-related complication and death rates.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk COVID-19 epidemic epidemiological measures effectiveness social status inequalities
Megjelenés:	Healthcare (Switzerland). - 11 : 9 (2023), p. 1-12. -
További szerzők:	Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Földvári Anett (1984-) (népegészségügyi felügyelő) Pálinkás Anita (1988-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	Stipendium Hungaricum Scholarship Program (grant SHE-10324-004/2019 to R.N.W.) Egyéb Eötvös Loránd Research Network (TKCS-2021/32) Egyéb
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