A preliminary evaluation of a health monitoring programme in Hungary

G. Széles, Z. Vokó, Tibor Jenei, László Kardos, Z. Pocsai, András Bajtay, Elemér Papp, Gabriella Pásti, Zsigmond Kósa, Ilona Molnár, Katalin Lun, R. Ádány

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Background: In 1998 a joint initiative of the Hungarian School of Public Health and the National Public Health Service created a network of sentinel stations based in primary care facilities in four Hungarian counties. The aim was to establish a system that will provide valid data on morbidity of selected diseases in Hungary. Methods: Based on standardized protocols, the participating centres have continuously reported data on the prevalence of cardiovascular diseases, diabetes mellitus, liver cirrhosis, and some malignant diseases, as well as supplying denominator data. The four counties represent both eastern and western parts of Hungary, reflecting the known geographical disparities in health. Each county office enrolled general practitioners maintaining representation in terms of both geography and distribution of settlement size. Results: A total of 73 general practitioners agreed to participate, providing care for 15.6% (138,088 people) of the population in the counties. The population registered with the practices were representative in terms of age and sex of both the participating counties and the entire country. The prevalence of hypertension, diabetes mellitus and liver cirrhosis is high in each county but varies considerably, with higher levels in the western counties, especially among older age groups of both sexes. Conclusions: The establishment of sentinel stations to collect morbidity data is feasible and sustainable in Hungarian primary care. The data that have been generated provide a valid and comprehensive picture of important aspects of the Hungarian population's health, with important implications for health policy and health service planning. In regions where low prevalence rates of diseases and high mortality rates simultaneously exist special attention is required to explore the background of this caveat. Key points asterisk inside circle sign Till the end of 1998 no program operated in Hungary engaged with non-communicable disease morbidity data collection, except some hospital-based registries, which failed to produce reliable information. asterisk inside circle sign The establishment of sentinel stations to collect morbidity data is feasible and sustainable in Hungarian primary care, the valid morbidity data can be built into the decision making process in health service planning. asterisk inside circle sign Regular training, quality control and feedback are important contributors to the success of the program. asterisk inside circle sign The prevalence of hypertension, diabetes mellitus and liver cirrhosis is high in each county but varies considerably, with higher levels in the western counties, especially among older age groups of both sexes. asterisk inside circle sign More research needed to determine the possible contribution of unknown morbidity and health service utilisation to the different prevalence values in the two parts of Hungary.

Original languageEnglish
Pages (from-to)26-32
Number of pages7
JournalEuropean Journal of Public Health
Volume15
Issue number1
DOIs
Publication statusPublished - Feb 2005

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Hungary
Morbidity
Health
Liver Cirrhosis
Health Services
Primary Health Care
Diabetes Mellitus
Health Planning
General Practitioners
Age Groups
Population
Hypertension
Public Health Schools
Geography
United States Public Health Service
National Health Programs
Health Policy
Quality Control
Registries
Decision Making

Keywords

  • General practice
  • Hungary
  • Morbidity data
  • Sentinel stations network

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

A preliminary evaluation of a health monitoring programme in Hungary. / Széles, G.; Vokó, Z.; Jenei, Tibor; Kardos, László; Pocsai, Z.; Bajtay, András; Papp, Elemér; Pásti, Gabriella; Kósa, Zsigmond; Molnár, Ilona; Lun, Katalin; Ádány, R.

In: European Journal of Public Health, Vol. 15, No. 1, 02.2005, p. 26-32.

Research output: Contribution to journalArticle

Széles, G, Vokó, Z, Jenei, T, Kardos, L, Pocsai, Z, Bajtay, A, Papp, E, Pásti, G, Kósa, Z, Molnár, I, Lun, K & Ádány, R 2005, 'A preliminary evaluation of a health monitoring programme in Hungary', European Journal of Public Health, vol. 15, no. 1, pp. 26-32. https://doi.org/10.1093/eurpub/cki107
Széles, G. ; Vokó, Z. ; Jenei, Tibor ; Kardos, László ; Pocsai, Z. ; Bajtay, András ; Papp, Elemér ; Pásti, Gabriella ; Kósa, Zsigmond ; Molnár, Ilona ; Lun, Katalin ; Ádány, R. / A preliminary evaluation of a health monitoring programme in Hungary. In: European Journal of Public Health. 2005 ; Vol. 15, No. 1. pp. 26-32.
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