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001-es BibID:	BIBFORM060505
Első szerző:	Móczár Csaba (háziorvos)
Cím:	Comparison of cardiovascular risk screening methds and mortality data among Hungarian primary care population : preliminary results of the first government-financed Managed Care Program / Csaba Móczár, Imre Rurik
Dátum:	2015
Megjegyzések:	Introduction. Besides participation in the primary prevention, screening as secondary prevention is an importantrequirement for primary care services. The effect of this work is influenced by the characteristics of individualprimary care practices and doctors' screening habits, as well as by the regulation of screening processes andavailable financial resources. Between 1999 and 2009, a managed care program was introduced and carried out inHungary, financed by the government. This financial support and motivation gave the opportunity to increase thenumber of screenings.Method. 4,462 patients of 40 primary care practices were screened on the basis of SCORE risk assessment.The results of the screening were compared on the basis of two groups of patients, namely: those who hadbeen pre-screened (pre-screening method) for known risk factors in their medical history (smoking, BMI, age,family cardiovascular history), and those randomly screened. The authors also compared the mortality data ofparticipating primary care practices with the regional and national data.Results. The average score was significantly higher in the pre-screened group of patients, regardless of whetherthe risk factors were considered one by one or in combination. Mortality was significantly lower in the participatingprimary practices than had been expected on the basis of the national mortality data.Conclusion. This government-financed program was a big step forward to establish a proper screening methodwithin Hungarian primary care. Performing cardiovascular screening of a selected target group is presumably moreappropriate than screening within a randomly selected population. Both methods resulted in a visible improvementin regional mortality data, though it is very likely that with pre-screening a more cost-effective selection forscreening may be obtained.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban cardiovascular screening mortality Hungary managed care primary health care
Megjelenés:	ZDRAVSTVENO VARSTVO. - 54 : 3 (2015), p. 154-160. -
További szerzők:	Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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