{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T09:50:15Z","timestamp":1716457815692},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"Supplement-1","license":[{"start":{"date-parts":[[2021,3,28]],"date-time":"2021-03-28T00:00:00Z","timestamp":1616889600000},"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":[[2021,3,28]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> A pertrochanter t\u00f6r\u00e9ssel kapcsolatos szolg\u00e1ltat\u00e1sok\n                    ig\u00e9nybev\u00e9tele jelent\u0151s terhet jelent a t\u00e1rsadalom \u00e9s az eg\u00e9szs\u00e9g\u00fcgyi rendszerek\n                    sz\u00e1m\u00e1ra. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Elemz\u00e9s\u00fcnk c\u00e9lja volt a pertrochanter\n                    t\u00f6r\u00e9s okozta \u00e9ves epidemiol\u00f3giai \u00e9s eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si betegs\u00e9gteher\n                    meghat\u00e1roz\u00e1sa Magyarorsz\u00e1gon. <jats:italic>Adatok \u00e9s m\u00f3dszerek:<\/jats:italic> A\n                    felhaszn\u00e1lt adatok a Nemzeti Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151 (NEAK)\n                    finansz\u00edroz\u00e1si adatb\u00e1zis\u00e1b\u00f3l sz\u00e1rmaznak 2018. \u00e9vre vonatkoz\u00f3an. A betegsz\u00e1mok\n                    alapj\u00e1n meghat\u00e1roztuk a 100\u00a0000 lakosra jut\u00f3 prevalenci\u00e1t, az \u00e9ves\n                    eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si kiad\u00e1sokat korcsoportos \u00e9s nemenk\u00e9nti bont\u00e1sban. Az\n                    elemz\u00e9sbe az \u00e9rintett eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si ell\u00e1t\u00e1sok teljes k\u00f6r\u00e9t bevontuk. A\n                    pertrochanter t\u00f6r\u00e9seket a Betegs\u00e9gek Nemzetk\u00f6zi Oszt\u00e1lyoz\u00e1sa (BNO, 10. rev\u00edzi\u00f3)\n                    szerinti S7210-es k\u00f3ddal azonos\u00edtottuk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A\n                    legnagyobb orsz\u00e1gos betegsz\u00e1mot a j\u00e1r\u00f3beteg-szakell\u00e1t\u00e1s eset\u00e9ben tal\u00e1ltuk: 2845\n                    f\u00e9rfi, 6312 n\u0151, egy\u00fctt 9157 f\u0151. Ezt k\u00f6vette az akt\u00edvfekv\u0151beteg-szakell\u00e1t\u00e1s (2388\n                    f\u00e9rfi \u00e9s 5858 n\u0151, egy\u00fctt 8246 f\u0151). A valamennyi \u00e9letkorra sz\u00e1m\u00edtott, 100\u00a0000\n                    lakosra vet\u00edtett prevalencia a f\u00e9rfiakn\u00e1l 51,1 beteg, a n\u0151kn\u00e9l 114,7 beteg,\n                    egy\u00fctt 84,3 beteg volt az akt\u00edvfekv\u0151beteg-szakell\u00e1t\u00e1sban. A pertrochanter t\u00f6r\u00e9s\n                    kezel\u00e9s\u00e9re 7,329 milli\u00e1rd Ft-ot k\u00f6lt\u00f6ttek 2018-ban (27,12 milli\u00f3 USD, illetve\n                    22,98 milli\u00f3 EUR). A kiad\u00e1sok 28,0%-a f\u00e9rfiakn\u00e1l, 72,0%-a n\u0151kn\u00e9l jelent meg. Az\n                    eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si kiad\u00e1sok 90,7%-a az akt\u00edvfekv\u0151beteg-szakell\u00e1t\u00e1sban\n                    jelentkezett. Az egy betegre jut\u00f3 \u00e1tlagos \u00e9ves \u00f6sszes\u00edtett eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si\n                    kiad\u00e1s 858\u00a0710 Ft (3177 USD\/2693 EUR) volt a f\u00e9rfiak \u00e9s 901\u00a0047 Ft (3334\n                    USD\/2826 EUR) a n\u0151k eset\u00e9ben. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A pertrochanter\n                    t\u00f6r\u00e9s el\u0151fordul\u00e1si gyakoris\u00e1ga 2,5-szer magasabb a n\u0151k eset\u00e9ben, mint a\n                    f\u00e9rfiakn\u00e1l. Az akt\u00edvfekv\u0151beteg-szakell\u00e1t\u00e1s ig\u00e9nybev\u00e9tele bizonyult a legf\u0151bb\n                    k\u00f6lts\u00e9gt\u00e9nyez\u0151nek. Orv Hetil. 2021; 162(Suppl 1): 46\u201353.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> Health services utilization related to\n                    pertrochanteric fractures represents a significant burden for the society and\n                    health care systems. <jats:italic>Objective:<\/jats:italic> Our aim was to analyse the\n                    epidemiological and health insurance burden of pertrochanteric fractures in\n                    Hungary. <jats:italic>Data and methods:<\/jats:italic> Data were derived from the financial\n                    database of the National Health Insurance Fund Administration (NHIFA) of Hungary\n                    for the year 2018. The data analysed included annual patient numbers, prevalence\n                    per 100\u00a0000 population in acute inpatient care, health insurance costs\n                    calculated for age groups and sex for all types of care. Patients with\n                    pertrochanteric fracture were identified with the code S7210 of the\n                    International Classification of Diseases, 10th revision.\n                        <jats:italic>Results:<\/jats:italic> We found a significant patient turnover in\n                    outpatient care: 2845 men, 6312 women, in total 9157 patients, followed by acute\n                    inpatient care (2388 men, 5858 women, together: 8246 patients). Based on patient\n                    numbers in acute inpatient care, the prevalence per 100\u00a0000 among men was 51.1,\n                    among women 114.7, together 84.3 patients. In 2018, NHIFA spent 7.329 billion\n                    HUF (27.12 million USD, 22.98 million EUR) on the treatment of pertrochanteric\n                    fractures. 28.0% of the costs was spent on the treatment of male, 72.0% on\n                    female patients. Reimbursement of acute inpatient care was the main cost driver\n                    (90.7% of the total expenditure). The average annual treatment cost per patient\n                    was 858\u00a0710 HUF (3177 USD\/2693 EUR) for men and 901\u00a0047 HUF (3334 USD\/2826 EUR)\n                    for women. <jats:italic>Conclusion:<\/jats:italic> The prevalence of pertrochanteric\n                    fracture was 2.5 times higher in women compared to men. Acute inpatient care was\n                    the major cost driver in the treatment of pertrochanteric fracture. Orv Hetil.\n                    2021; 162(Suppl 1): 46\u201353.<\/jats:p>","DOI":"10.1556\/650.2021.32162","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T13:37:14Z","timestamp":1617025034000},"page":"46-53","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["A pertrochanter t\u00f6r\u00e9s okozta \u00e9ves epidemiol\u00f3giai \u00e9s eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si betegs\u00e9gteher elemz\u00e9se Magyarorsz\u00e1gon"],"prefix":"10.1556","volume":"162","author":[{"given":"Tibor","family":"Gazs\u00f3","sequence":"first","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"},{"name":"2 P\u00e9csi Tudom\u00e1nyegyetem, Kancell\u00e1ria, Eg\u00e9szs\u00e9g\u00fcgyi Gazd\u00e1lkod\u00e1si Igazgat\u00f3s\u00e1g, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Di\u00e1na","family":"Elmer","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"},{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Real World & Big Data Eg\u00e9szs\u00e9g-gazdas\u00e1gtani Kutat\u00f3k\u00f6zpont, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00f3ra","family":"Endrei","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"},{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Real World & Big Data Eg\u00e9szs\u00e9g-gazdas\u00e1gtani Kutat\u00f3k\u00f6zpont, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andor","family":"Sebesty\u00e9n","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"},{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Real World & Big Data Eg\u00e9szs\u00e9g-gazdas\u00e1gtani Kutat\u00f3k\u00f6zpont, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca Fanni","family":"Kajos","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Wiegand","sequence":"additional","affiliation":[{"name":"4 P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Traumatol\u00f3giai \u00e9s K\u00e9zseb\u00e9szeti Klinika, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"Boncz","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet, P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621"},{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Real World & Big Data Eg\u00e9szs\u00e9g-gazdas\u00e1gtani Kutat\u00f3k\u00f6zpont, P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 M\u00fcller M, Seitz A, Besch L, et al. 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