{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:10:11Z","timestamp":1784855411948,"version":"3.55.0"},"reference-count":43,"publisher":"Akademiai Kiado Zrt.","issue":"6","license":[{"start":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T00:00:00Z","timestamp":1612656000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,2,7]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Az \u00faj t\u00edpus\u00fa koronav\u00edrus-j\u00e1rv\u00e1ny (COVID\u201319) az\n                    eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00f3h\u00e1l\u00f3zatot egy eddig ismeretlen helyzet el\u00e9 \u00e1ll\u00edtotta. A\n                    nemzetk\u00f6zi adatok alapj\u00e1n a szem\u00e9szeti j\u00e1r\u00f3beteg-ell\u00e1t\u00e1sban jelent\u0151s v\u00e1ltoz\u00e1sok\n                    alakultak ki. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Felm\u00e9rni a COVID\u201319-j\u00e1rv\u00e1ny okozta\n                    kvantitat\u00edv \u00e9s kvalitat\u00edv v\u00e1ltoz\u00e1sokat az \u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent\n                    J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151 Szem\u00e9szeti Oszt\u00e1ly\u00e1nak j\u00e1r\u00f3beteg-szakell\u00e1t\u00e1s\u00e1ban.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> A pand\u00e9mia els\u0151 hull\u00e1m\u00e1ban (2020. \u00e1prilis 1\u201330.)\n                    m\u00e9rt j\u00e1r\u00f3beteg-forgalmi adatokat hasonl\u00edtottuk \u00f6ssze a megel\u0151z\u0151 \u00e9v azonos\n                    peri\u00f3dus\u00e1ban r\u00f6gz\u00edtett adatokkal. A betegek demogr\u00e1fiai jellemz\u0151i mellett\n                    megvizsg\u00e1ltuk a s\u00fcrg\u0151ss\u00e9gi besorol\u00e1sukat, valamint a panaszokhoz k\u00f6thet\u0151\n                    f\u0151diagn\u00f3zis-csoportok eloszl\u00e1s\u00e1t. R\u00f6gz\u00edtett\u00fck a telemedicina keretein bel\u00fcl\n                    t\u00f6rt\u00e9nt ell\u00e1t\u00e1sok sz\u00e1m\u00e1t. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 2020 vizsg\u00e1lt id\u0151szak\u00e1ban\n                    916, m\u00edg az el\u0151z\u0151 \u00e9v azonos h\u00f3napj\u00e1ban 2835 j\u00e1r\u00f3beteg-eset ker\u00fclt r\u00f6gz\u00edt\u00e9sre. A\n                    2020-as id\u0151szakban a t\u00f6rv\u00e9nyi szab\u00e1lyoz\u00e1s szerint s\u00fcrg\u0151s panaszokkal jelentkez\u0151\n                    betegek ar\u00e1nya nem v\u00e1ltozott (p = 0,38), azonban a szakorvosi meg\u00edt\u00e9l\u00e9s szerint\n                    s\u00fcrg\u0151s panaszokkal \u00e9rkez\u0151 betegek ar\u00e1nya n\u0151tt (p&lt;0,001) az el\u0151z\u0151 \u00e9vhez\n                    viszony\u00edtva. A z\u00f6ld h\u00e1lyog, k\u00f6t\u0151h\u00e1rtya-gyullad\u00e1s, \u00e1rpa, s\u00e9r\u00fcl\u00e9s \u00e9s nedves t\u00edpus\u00fa\n                    maculadegeneratio miatt ell\u00e1t\u00e1sra jelentkez\u0151 betegek ar\u00e1nya szignifik\u00e1nsan n\u0151tt\n                    (p&lt;0,001 mind), m\u00edg a sz\u00fcrke h\u00e1lyog, a sz\u00e1raz t\u00edpus\u00fa maculadegeneratio,\n                    egy\u00e9b, a szemh\u00e9j \u00e9s a k\u00f6nnyutak betegs\u00e9gei, ut\u00f3h\u00e1lyog miatt \u00e9s a szem\u00e9szeti\n                    betegs\u00e9g n\u00e9lk\u00fcl \u00e9rkez\u0151k ar\u00e1nya cs\u00f6kkent (p&lt;0,001 mind). A telemedicina\n                    keretei k\u00f6z\u00f6tt ell\u00e1tott betegek sz\u00e1ma 2020-ban k\u00f6zel a tizen\u00f6tsz\u00f6r\u00f6s\u00e9re\n                    emelkedett 2019-hez k\u00e9pest (p&lt;0,001). <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n                    COVID\u201319-pand\u00e9mia els\u0151 hull\u00e1ma sor\u00e1n mark\u00e1ns betegsz\u00e1mcs\u00f6kken\u00e9st regisztr\u00e1ltunk\n                    a szem\u00e9szeti j\u00e1r\u00f3beteg-szakell\u00e1t\u00e1sban. T\u00f6bb f\u0151diagn\u00f3zis-csoport eset\u00e9n\n                    sz\u00e1molhatunk jelent\u0151s ter\u00e1piaveszt\u00e9ssel \u00e9s halasztott ell\u00e1t\u00e1si ig\u00e9ny\n                    jelentkez\u00e9s\u00e9vel. Az adatok ki\u00e9rt\u00e9kel\u00e9se seg\u00edts\u00e9get ny\u00fajthat az elk\u00f6vetkez\u0151\n                    \u00e9vekben az ell\u00e1t\u00e1si folyamat proakt\u00edv \u00e1tszervez\u00e9s\u00e9ben, a\n                    hum\u00e1ner\u0151forr\u00e1s-sz\u00fcks\u00e9gletek jobb tervez\u00e9s\u00e9ben, valamint a teleoftalmol\u00f3giai\n                    ell\u00e1t\u00e1s fejleszt\u00e9s\u00e9ben. Orv Hetil. 2021; 162(6): 203\u2013211.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> The COVID-19 pandemic put the healthcare network\n                    in a hitherto unknown situation. The ophthalmic outpatient care changed\n                    internationally. <jats:italic>Objective:<\/jats:italic> To assess the quantitative and\n                    qualitative changes of the outpatient specialty care at the Ophthalmology\n                    Department of the North-Central-Buda Center, New St. John\u2019s Hospital and Clinic,\n                    through the pandemic. <jats:italic>Method:<\/jats:italic> Outpatient service data during\n                    the first wave of the pandemic (April 2020) were compared with those in April\n                    2019. Patient demographics, emergency classification, distribution of the main\n                    diagnostic groups (associated with complaints) and services provided\n                        <jats:italic>via<\/jats:italic> telemedicine were collected. <jats:italic>Results:<\/jats:italic>\n                    There were 2835 patient visits in 2019 and 916 in 2020. For 2020, the proportion\n                    of patients with emergency classification according to legal regulations did not\n                    change (p = 0.38), however, using the ophthalmologist\u2019s classification increased\n                    (p&lt;0.001) significantly. The proportion of patients with glaucoma,\n                    conjunctivitis, chalazeon, injury and wet macular degeneration increased\n                    (p&lt;0.001 all), while the proportion of patients with cataract, dry macular\n                    degeneration, other diseases, other adnexal diseases, secondary cataract and\n                    without ophthalmic pathology decreased significantly (p&lt;0.001 for all).\n                    Patient number using telemedicine treatment was about 15\u00d7 of those treated in\n                    2019 (p&lt;0.001). <jats:italic>Conclusion:<\/jats:italic> During the first wave of the\n                    pandemic, a marked decrease in ophthalmic outpatient care volume was recorded.\n                    In the case of several main diagnosis groups, significant therapy loss and a\n                    delayed need for care could be expected. Evaluation of the data helps in the\n                    upcoming years in proactive reorganization of the care process, in better\n                    planning of human resource needs, and in improvement of teleophthalmology care.\n                    Orv Hetil. 2021; 162(6): 203\u2013211.<\/jats:p>","DOI":"10.1556\/650.2021.32102","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T12:09:50Z","timestamp":1617106190000},"page":"203-211","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["A COVID\u201319-pand\u00e9mia hat\u00e1sa a szem\u00e9szeti j\u00e1r\u00f3beteg-szakell\u00e1t\u00e1sra az \u00daj Szent J\u00e1nos K\u00f3rh\u00e1zban, Budapesten"],"prefix":"10.1556","volume":"162","author":[{"given":"Rebeka","family":"Sz\u00e9les","sequence":"first","affiliation":[{"name":"1 \u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"Szentm\u00e1ry","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest"},{"name":"3 Dr. Rolf M. Schwiete Zentrum f\u00fcr Limbusstammzellforschung und kongenitale Aniridie, Universit\u00e4t des Saarlandes, Homburg\/Saar, N\u00e9metorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Burka","sequence":"additional","affiliation":[{"name":"1 \u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n Zsolt","family":"Nagy","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"Gombos","sequence":"additional","affiliation":[{"name":"1 \u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos","family":"Hargitai","sequence":"additional","affiliation":[{"name":"1 \u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 World Health Organization. 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