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001-es BibID:	BIBFORM129885
035-os BibID:	(Scopus)105006528216
Első szerző:	Kasabji, Feras (népegészségügy)
Cím:	COVID-19's effect on healthcare disparities : delivery, reimbursement, and premature mortality in residentially segregated populations / Feras Kasabji, Vincze Ferenc, Lakatos Kinga, Pálinkás Anita, Kőrösi László, Ulicska László, Kósa Karolina, Sándor János
Dátum:	2025
ISSN:	2296-2565
Megjegyzések:	Introduction: Spatially segregated, socio-economically deprived communities often face significant health disparities. This paper evaluates the impact of COVID-19 on healthcare delivery and reimbursement disparities in Hungary, particularly focusing on segregated populations. Aims: To examine healthcare utilization and reimbursement patterns among patients in segregated areas (SA) and non-segregated or complementary areas (CA) during the first year of the COVID-19 pandemic, compared to prepandemic levels, and to understand how these patterns influenced overall health outcomes. Methods: A cross-sectional study using 2019 and 2020 healthcare data from all Hungarian general medical practices (GMPs) was conducted. Segregated areas were identified based on governmental criteria, and healthcare indicators were standardized by age, sex, and socioeconomic status. Key indicators included General Practitioner (GP) visits, outpatient services, Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) usage, hospitalizations, healthcare reimbursement, and premature mortality. Results: In 2020, there was a notable reduction in healthcare services utilization due to COVID-19 restrictions, with GP visits declining by 10.43% in SAs and 4.13% in CAs. Outpatient services decreased by 19.16% in SAs and 12.45% in CAs, while hospitalizations dropped by over 23.52%. Despite these reductions, the relative risk (RR) of healthcare service use remained higher in SAs compared to CAs (RR = 1.22, 95% CI: 1.219;1.223). Healthcare reimbursement was significantly lower in SAs (RR = 0.940, 95% CI: 0.929;0.951), and premature mortality was higher (RR = 1.184, 95% CI: 1.087;1.289). Conclusion: The COVID-19 pandemic led to a significant reduction in healthcare utilization across Hungary. However, segregated populations in 2020 continued to have higher healthcare service use but received lower reimbursement, indicating persistent healthcare disparities. The consistently higher premature mortality rate in SAs underscores the need for targeted interventions and improved healthcare access and quality for vulnerable communities. Future policies should be built on data from comprehensive monitoring systems to address and mitigate these disparities, ensuring equitable healthcare access in and out of health crises.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk cross-sectional COVID-19 segregation inequality healthcare health reimbursement general medical practitioner Hungary
Megjelenés:	Frontiers in Public Health. - 13 (2025), p. 1-10. -
További szerzők:	Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Lakatos Kinga Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	BM/6327-3/2021 Egyéb FEIF/951/2021-ITM Egyéb SHE-26763-004/2020 Egyéb Eötvös Loránd Research Network (TKCS-2021/32) Egyéb
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001-es BibID:	BIBFORM118211
035-os BibID:	(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)
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001-es BibID:	BIBFORM131299
035-os BibID:	(scopus)105011861819 (wos)001537017000001
Első szerző:	Odeh, Aseel
Cím:	Breast cancer screening coverage is severely reduced among women who reside in segregated areas : a cross-sectional investigation in Hungary / Aseel Odeh, Kasabji Feras, Ferenc Vincze, Kinga Lakatos, Anita Pálinkás, László Kőrösi, László Ulicska, Karolina Kósa, János Sándor
Dátum:	2025
ISSN:	2296-2565
Megjegyzések:	Background: This study investigated disparities in breast cancer screening participation between living in residential segregations (SAs, segregated areas defined by clustering of low levels of income and education) and in nonsegregated, complementary areas (CAs) of Hungary. Methods: In a nationwide cross-sectional study, data from 2019 were obtained from the National Health Insurance Fund (NHIF). In accordance with the Hungarian recommendation, the target group was composed of women aged 45?65, and screening participation was evaluated as appropriate if the women participated in mammography within 2 years. Standardized participation ratios (sPRs) were calculated for each SA and CA. These ratios were adjusted for age and eligibility for exemption certificates. The calculations were done for each general medical practice (GMP) serving a population with at least one SA, as well as for the whole country. The level of inequality was quantified by the relative standardized participation ratio (rsPR) by comparing sPR in the segregated versus non-segregated areas. Results: The study identified 11,581 observed breast cancer screening cases in SAs, compared with 417,891 in CAs, with target populations of 45,185 in SAs and 984,198 in CAs. In general, crude participation rates were significantly lower in SAs (25.6%) than in CAs (42.5%), with a rsPR of 0.62 (95% CI: 0.61? 0.63). The impact of segregation on national screening coverage was negligible (population attributable risk: ?1.2%). The GMP-level rsPR varied widely with a median of 0.653 and interquartile range (IQR) of 0.464?0.867. Notably, 15.6% of the GMPs had significantly reduced rsPR. Conclusion: This study demonstrated that breast cancer screening coverage is considerably lower among women living in SAs than in those living in nonsegregated areas. GMPs showed substantial variability with respect to segregation related inequality. There was a remarkable proportion of GMPs without local inequality. The impact of segregation on national breast cancer screening participation was negligible. According to our observations, the segregation specific indicators should be included in screening monitoring, and its results should be feedback to local authorities and stakeholders in order to identify and address local problems of screening organization to reduce inequalities.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk residential segregation breast cancer screening cross-sectional study inequality monitoring
Megjelenés:	Frontiers in Public Health. - 13 (2025), p. 1-9. -
További szerzők:	Kasabji, Feras (1992-) (népegészségügy) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Lakatos Kinga Pálinkás Anita (1988-) (népegészségügyi szakember) Kőrösi László Ulicska László Kósa Karolina (1962-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	BM/6327-3/2021, FEIF/951/2021-ITM Egyéb SHE-26763-004/2020 to KF Egyéb Hungarian Research Network-HUN-REN (TKCS-2021/32) Egyéb
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