Unlabelled: Összefoglaló. Bevezetés: A stroke kezelésének lehetőségei az utóbbi években jelentősen megváltoztak: a thrombolysis után bevezetésre került a mechanikus thrombectomia, és a terápiás időablak is jelentősen kitágult az utóbbi évek nagy multicentrikus tanulmányai alapján. Ezek a lehetőségek új igényeket fogalmaztak meg a képalkotó diagnosztikával szemben: az ischaemia okozta morfológiai elváltozások mellett az artériás és a kollaterális rendszer állapotát, valamint bizonyos esetekben az agy szöveti perfúzióját is szükséges meghatározni.
View Article and Find Full Text PDFUnlabelled: Összefoglaló. Bevezetés: A térd és a lábszár sérülései jelentős terhet jelentenek az egyén és a társadalom számára. Célkitűzés: Elemzésünk célja volt a térd- és lábszársérülés okozta éves epidemiológiai és egészségbiztosítási betegségteher vizsgálata Magyarországon.
View Article and Find Full Text PDFUnlabelled: Összefoglaló. Bevezetés: A pertrochanter töréssel kapcsolatos szolgáltatások igénybevétele jelentős terhet jelent a társadalom és az egészségügyi rendszerek számára. Célkitűzés: Elemzésünk célja volt a pertrochanter törés okozta éves epidemiológiai és egészségbiztosítási betegségteher meghatározása Magyarországon.
View Article and Find Full Text PDFUnlabelled: Összefoglaló. Bevezetés: A rheumatoid arthritisszel kapcsolatos szolgáltatások igénybevétele nagy teher az egészségügyi rendszerek számára. Célkitűzés: Elemzésünk célja volt a rheumatoid arthritis okozta éves epidemiológiai és egészségbiztosítási betegségteher meghatározása Magyarországon.
View Article and Find Full Text PDFIntroduction: Palliative, symptomatic and end-of-life care of advanced and metastatic cancer patients is a great challenge for every health care system. With the initiation and establishment of the multidisciplinary palliative tumor board (MPTB), our aims were the timely referral of patients to palliative care, and the avoidance of multiple unnecessary emergency visits and over-diagnostics without further treatment consequences.
Method And Results: The MPTB meetings were held biweekly.
After months of restrictive containment efforts to fight the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) epidemic, European countries are planning to reopen. To support the process, we conducted a cross-sectional survey among the Hungarian population to estimate the prevalence of infectious cases and prior SARS-CoV-2 exposure. A representative sample (n = 17,787) for the Hungarian population of 14 years or older living in private households (n = 8,283,810) was selected.
View Article and Find Full Text PDFIn order to provide appropriate prevention, diagnosztics, decision on therapy and monitoring the results of medical treatment, there is an increasing need for laboratory examinations. The aim of our study is the health-ecnomics analysis of laboratory budget of the Hungarian Health Insurance Fund. Data were derived from the financial database of the National Health Insurance Fund Administration.
View Article and Find Full Text PDFObjectives: The purpose of the study was to evaluate the efficacy of hemiarthroplasty with minimally invasive direct anterior approach (DAA) for the treatment of femoral neck fracture in elderly patients. We aimed to compare the DAA and the standard anterolateral approach (ALA), assessing multiple peri‑ and post-operative parameters.
Design And Setting: Between December of 2015 and May of 2017, patients operated with medial femoral neck fractures using bipolar hemiarthroplasty with DAA or ALA were evaluated.
Objectives: To investigate the correlation between non-operative prognostic factors and non-prosthetic fracture-related treatments following internal fixation of intracapsular femoral neck fractures in elderly patients.
Design And Setting: Retrospective observational cohort study. Comprehensive analysis of the Hungarian nationwide health insurance database.
Introduction: With the increasing number of the incidence of neuromusculoskeletal and brain circulation disorders, there is a higher demand for neuromusculoskeletal rehabilitation care.
Aims: The aim of our study is to analyse the performance indicators of neuromusculoskeletal rehabilitation care in Hungary financed by the statutory public health insurance system.
Methods: Data were derived from the financial database of the National Health Insurance Fund of Hungary.
Introduction: With the improvement of the survival of acute cardiac events and the increasing age, there is a higher demand for cardiac rehabilitation care.
Aim: The aim of our study is to analyse the performance indicators of cardiac inpatient rehabilitation care in Hungary financed by the statutory public health insurance system.
Data And Methods: Data were derived from the financial database of the National Health Insurance Fund of Hungary.
Introduction: The role of spa therapy is well defined and its importance has significantly increased in the healthcare but the utilization indicators of the implemented treatments are less known.
Aim: The objective of our study was to analyze the utilization and the social insurance indicators of the healthcare publicly financed by health insurance in spa institutions.
Data And Methods: The data used for the analysis were derived from the funding database of the National Health Insurance Fund of Hungary.
Introduction: Although several national studies reported on the risk factors for contralateral hip fracture, there are no data about the prognostic factors of the time until contralateral hip fractures.
Aim: The aim of the study was to analyse the impact of different prognostic factors on the time until the development of contralateral fracture and to determine the incidence of contralateral hip fractures after femoral neck fractures.
Method: Patients aged 60 years and over with contralateral hip fracture between 01 Jan 2000 and 31 Dec 2008 were identified among those who suffered their femoral neck fracture in Hungary in 2000.
Introduction: There is a high mortality with not well understood risk factors after the second hip fracture.
Aim: Analysis of the 30- and 365-day mortality and its risk factors in patients with contralateral hip fracture.
Method: Patients with contralateral hip fracture between 01 Jan 2000 and 31 Dec 2008 were identified among those who suffered their primary hip fracture in Hungary in 2000.
Introduction: In Hungary, the number and structure of the maxillofacial surgery departments underwent significant changes in recent decades.
Aim: The aim of our study was to present the actual performance indicators of maxillofacial inpatient departments and based on the available data to compare the departments.
Method: The study was based on the number of beds founded by the National Health Insurance Fund.
Objectives: This study aims to investigate the significance of demographic and clinical factors on incidence of second (contralateral) hip fracture in elderly Hungarian population using the nationwide health insurance database in Hungary.
Patients And Methods: The study included a total of 3,783 patients (917 males, 2,866 females) treated for primary monotraumatic femoral neck fractures caused by low-energy trauma in the year 2000. Cox regression and Kaplan-Meier survival analyses, and log-rank test were performed to evaluate the following prognostic factors: age, gender, place of living, type of primary fracture and surgical intervention, hospital providing treatment for primary fracture, and comorbidities.
Introduction: Dental treatments have the highest rate among medical interventions and their reimbursement is also significant.
Aim: The aim of the study was to compare the outcome of the reformed healthcare system process on public dental services in four European countries.
Method: Assessment base for the comparison of reimbursement of dental treatments and dental fee schedules provided by the health insurance funds were used.
Background And Purpose: The aim of our study is to analyse the ambulatory rehabilitation care of patients with neurological disorders in the field of physiotherapy.
Methods: Data derive from the database of the Hungarian National Health Insurance Fund Administration (year 2009). The analyses covered patients with diagnosis "G00-G99 Diseases of the nervous system" according to the International Classification of Diseases and underwent physiotherapy treatment.
Objectives: The aim of this article was to provide a description of the Hungarian care managing organization (CMO) pilot program and its environment, incentive structure, and preliminary outcomes. The need to change the behavior of doctors to increase the effectiveness and cost-effectiveness of the system was the key rationale for the Hungarian CMO pilot program.
Methods: After an application process, nine CMOs were entitled to enter into the system in July 1999.
Objective: The aim of this study was to analyse change in the health status of the population in the countries of Central and Eastern Europe (CEE) since 1990, compared with the 'old' EU-15 member states of the European Union (EU).
Methods: We analysed data from the Health for All Database and the Global Burden of Disease report of the World Health Organization (WHO). Life expectancy at birth and disability-adjusted life years were analysed for 1990-2010.
Background And Aim: Long-term care (LTC) in Hungary is provided in four major ways: day care, nursing, chronic care, and rehabilitation. The aim of this study was to explore the financing of LTC in Hungary, with a disease-specific focus on rheumatoid arthritis (RA) patients.
Data And Methods: Data were derived from the National Health Insurance Fund Administration (NHIFA).
Introduction: Home nursing care was introduced in Hungary in 1996.
Aim: The aim of this study was to analyse health insurance data and utilization indicators of the Hungarian home nursing care.
Method: Data derived from the database of the National Health Insurance Fund Administration (2001-2012).
Introduction: Organised, nationwide screening for breast cancer with mammography in the age group between 45 and 65 years with 2 years screening interval started in Hungary in January 2002.
Aim: The aim of this study is to analyze the attendance rate of nationwide breast screening programme for the 2008-2009 years.
Method: The data derive from the database of the National Health Insurance Fund Administration.
Organised, nationwide screening for breast cancer with mammography in the age group of 45-65 years with 2 years screening interval started in Hungary in January 2002. The aim of this study is to analyse the attendance rate of breast screening programme for the 2006/2007 years, including the analysis of the ratio of screening and diagnostic mammography examinations. The data derive from the financial database of the National Health Insurance Fund Administration (NHIFA) covering the 8 years period between 2000 and 2007.
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