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001-es BibID:	BIBFORM086814
Első szerző:	Sándor János (orvos-epidemiológus)
Cím:	Organised and opportunistic prevention in primary health care : estimation of missed opportunities by population based health interview surveys in Hungary / János Sándor, Ildikó Tokaji, Nouh Harsha, Magor Papp, Róza Ádány, Árpád Czifra
Dátum:	2020
ISSN:	1471-2296
Megjegyzések:	Background: Improvement of preventive services for adults can be achieved by opportunistic or organised methods in primary care. The unexploited opportunities of these approaches were estimated by our investigation. Methods: Data from the Hungarian implementation of European Health Interview Surveys in 2009 (N = 4709) and 2014 (N = 5352) were analysed. Proportion of subjects used interventions in target group (screening for hypertension and diabetes mellitus, and influenza vaccination) within a year were calculated. Taking into consideration recommendations for the frequency of intervention, numbers of missed interventions among patients visited a general practitioner in a year and among patients did not visit a general practitioner in a year were calculated in order to describe missed opportunities that could be utilised by opportunistic or organised approaches. Numbers of missed interventions were estimated for the entire population of the country and for an average-sized general medical practice. Results: Implementation ratio were 66.8% for blood pressure measurement among subjects above 40 years and free of diagnosed hypertension; 63.5% for checking blood glucose among adults above 45 and overweighed and free of diagnosed diabetes mellitus; and 19.1% for vaccination against seasonal influenza. There were 4.1 million interventions implemented a year in Hungary, most of the (3.8 million) among adults visited general practitioner in a year. The number of missed interventions was 4.5 million a year; mostly (3.4 million) among persons visited general practitioner in a year. For Hungary, the opportunistic and organised missed opportunities were estimated to be 561,098, and 1,150,321 for hypertension screening; 363,270, and 227,543 for diabetes mellitus screening; 2,784,072, and 380,033 for influenza vaccination among the < 60 years old high risk subjects, and 3,029,700 and 494,150 for influenza vaccination among more than 60 years old adults, respectively. By implementing all missed services, the workload in an average-sized general medical practice would be increased by 12?13 opportunistic and 4?5 organised interventions a week. Conclusions: The studied interventions are much less used than recommended. The opportunistic missed opportunities is prevailing for influenza vaccination, and the organised one is for hypertension screening. The two approaches have similar significance for diabetes mellitus screening.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Organised prevention Opportunistic prevention Primary care Hypertension screening Diabetes mellitus screening Influenza vaccination
Megjelenés:	BMC Family Practice. - 21 : 1 (2020), p. 1-12. -
További szerzők:	Tokaji Ildikó Harsha, Nouh (1979-) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Czifra Árpád (1983-) (belgyógyász)
Pályázati támogatás:	Hungarian Academy of Sciences MTA 11003 Egyéb Hungarian Academy of Sciences 2006TKI227 Egyéb GINOP-2.3.2-15-2016-00005 GINOP
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM068196
Első szerző:	Sándor János (orvos-epidemiológus)
Cím:	The decade of Roma Inclusion: did it make a difference to health and use of health care services? / Sándor János, Kósa Zsigmond, Boruzs Klára, Boros Julianna, Tokaji Ildikó, McKee Martin, Ádány Róza
Dátum:	2017
Megjegyzések:	Objectives We investigated whether the severely disadvantagedhealth of Hungarian Roma adults living in segregatedsettlements changed by the Decade of Roma Inclusionprogram.Methods We compared the results of two paired healthinterview surveys that we carried out using the same methodologybefore and after the Decade, on the general Hungarianand Roma populations.Results Self-perceived health status of younger Romaworsened, while it improved among older Roma. Reported experience of discrimination reduced considerably andhealth care utilization improved in general. Positivechanges in smoking and nutrition, and negative changes inalcohol consumption and overweight were observed. Manyof observed changes can plausibly be linked to various governmentpolicies, including a quadrupling of public worksexpenditure, banning smoking in public places, restrictingmarketing of tobacco products, increasing cigarette prices,and a new tax on unhealthy foods. Liberalization of ruleson alcohol distillation coincided with worsening alcoholconsumption.Conclusions We have shown that Roma remain severelydisadvantaged and present an innovative sampling methodwhich can be used to monitor changes in groups whereidentification is a challenge.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban Roma Decade of Roma Inclusion Health behaviour survey Public policy
Megjelenés:	International Journal of Public Health 62 (2017), p. 1-13. -
További szerzők:	Kósa Zsigmond (1953-) (orvos) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Boros Julianna Tokaji Ildikó McKee, Martin Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat Szerző által megadott URL
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