{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:05:11Z","timestamp":1785423911395,"version":"3.56.0"},"reference-count":66,"publisher":"Akademiai Kiado Zrt.","issue":"29","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Eur\u00f3pai Uni\u00f3 Helyre\u00e1ll\u00edt\u00e1si \u00e9s Ellen\u00e1ll\u00f3k\u00e9pess\u00e9gi Eszk\u00f6z","award":["RRF-2.3.1-21-2022-00012"],"award-info":[{"award-number":["RRF-2.3.1-21-2022-00012"]}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,7,20]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az infertilit\u00e1s prevalenci\u00e1ja sz\u00e9les sk\u00e1l\u00e1n mozog:\n                    vilagszerte mintegy 186 milli\u00f3 embert \u00e9rint. A reprodukt\u00edv \u00e9letkorban l\u00e9v\u0151 p\u00e1rok\n                    12\u201317%-a k\u00fczd term\u00e9kenys\u00e9gi zavarral. A medd\u0151s\u00e9g nagy ar\u00e1ny\u00fa el\u0151fordul\u00e1sa\n                    n\u00f6vekv\u0151 ig\u00e9nyt t\u00e1maszt az assziszt\u00e1lt reprodukci\u00f3s technik\u00e1k alkalmaz\u00e1s\u00e1ra,\n                    amelyek k\u00f6z\u00fcl az\n                    <jats:italic>in vitro<\/jats:italic>\n                    fertiliz\u00e1ci\u00f3 az egyik legsz\u00e9lesebb\n                    k\u00f6rben alkalmazott technika.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Kutat\u00e1sunk c\u00e9lja, hogy\n                    a magyarorsz\u00e1gi k\u00f6zfinansz\u00edrozott eg\u00e9szs\u00e9g\u00fcgyi rendszerben elemezz\u00fck az\n                    <jats:italic>in vitro<\/jats:italic>\n                    fertiliz\u00e1ci\u00f3s elj\u00e1r\u00e1sok ig\u00e9nybev\u00e9teli mutat\u00f3it.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    A vizsg\u00e1lat retrospekt\u00edv, kvantitat\u00edv jelleg\u0171\n                    volt, amelyhez a sz\u00fcks\u00e9ges adatokat a Nemzeti Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151\n                    adatb\u00e1zis\u00e1b\u00f3l, valamint az Orsz\u00e1gos K\u00f3rh\u00e1zi F\u0151igazgat\u00f3s\u00e1g Pulvita Eg\u00e9szs\u00e9g\u00fcgyi\n                    Adatt\u00e1rh\u00e1z\u00e1b\u00f3l ig\u00e9nyelt\u00fck. A kutat\u00e1s sor\u00e1n elemezt\u00fck a 2010 \u00e9s 2023 k\u00f6z\u00f6tti\n                    id\u0151szakban az akt\u00edv fekv\u0151beteg-szakell\u00e1t\u00e1sban elsz\u00e1molt in vitro fertiliz\u00e1ci\u00f3s\n                    esetsz\u00e1mokat. Tov\u00e1bbi elemz\u00e9seket v\u00e9gezt\u00fcnk az ell\u00e1t\u00f3int\u00e9zm\u00e9nyek, a betegek\n                    v\u00e1rmegye szerinti lakhelye \u00e9s \u00e9letkora, valamint az elsz\u00e1molt homog\u00e9n\n                    betegs\u00e9gcsoportok alakul\u00e1s\u00e1r\u00f3l. A v\u00e1ltoz\u00f3k elemz\u00e9s\u00e9hez le\u00edr\u00f3 statisztikai \u00e9s\n                    line\u00e1ris regresszi\u00f3s pr\u00f3b\u00e1kat v\u00e9gezt\u00fcnk.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A\n                    vizsg\u00e1lati id\u0151szakban mind\u00f6sszesen 127\u00a0616 esetsz\u00e1mot teljes\u00edtettek a\n                    szolg\u00e1ltat\u00f3k k\u00f6zfinansz\u00edrozott, akt\u00edv fekv\u0151beteg-szakell\u00e1t\u00e1s keret\u00e9ben. 2019-t\u0151l\n                    jelent\u0151s esetsz\u00e1m-emelked\u00e9s figyelhet\u0151 meg. Az esetek 2023-ban t\u00f6bb mint k\u00e9t \u00e9s\n                    f\u00e9lszeres m\u00e9rt\u00e9kben haladt\u00e1k meg a 2010. \u00e9vi esetsz\u00e1mot. Az ig\u00e9nybev\u00e9telben\n                    ter\u00fcleti egyenl\u0151tlens\u00e9gek tal\u00e1lhat\u00f3k. A vizsg\u00e1lt betegk\u00f6r \u00e1tlag\u00e9letkora emelked\u0151\n                    tendenci\u00e1t mutatott 2010 \u00e9s 2020 k\u00f6z\u00f6tt.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A\n                    2019-t\u0151l kezd\u0151d\u0151 fokozott \u00e1llami szerepv\u00e1llal\u00e1s \u00e9rz\u00e9kelhet\u0151 hat\u00e1st gyakorolt az\n                    esetsz\u00e1mok emelked\u00e9s\u00e9re. B\u00e1r az\n                    <jats:italic>in vitro<\/jats:italic>\n                    fertiliz\u00e1ci\u00f3s\n                    esetsz\u00e1mokban line\u00e1ris ir\u00e1ny\u00fa emelked\u00e9st l\u00e1thatunk \u00e9vr\u0151l \u00e9vre, a kor\u00e1bban\n                    megl\u00e9v\u0151 ter\u00fcleti egyenl\u0151tlens\u00e9gek tov\u00e1bbra is fenn\u00e1llnak. Orv Hetil. 2025;\n                    166(29): 1139\u20131152.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33330","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T04:43:52Z","timestamp":1753073032000},"page":"1139-1152","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["A k\u00f6zfinansz\u00edrozott in vitro fertiliz\u00e1ci\u00f3s elj\u00e1r\u00e1sok ig\u00e9nybev\u00e9teli mutat\u00f3i Magyarorsz\u00e1gon 2010 \u00e9s 2023 k\u00f6z\u00f6tt"],"prefix":"10.1556","volume":"166","author":[{"given":"Dalma","family":"P\u00f3nusz-Kov\u00e1cs","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Int\u00e9zet P\u00e9cs, V\u00f6r\u00f6smarty u. 3., 7621 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Real World 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From some to none? Fertility expectation dynamics of\n                    permanently childless women. Demography 2019; 56: 129\u2013149.","DOI":"10.1007\/s13524-018-0739-7"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Beaujouan E. Latest-late fertility? Decline and resurgence of late\n                    parenthood across the low-fertility countries. Popul Dev Rev. 2020; 46:\n                    219\u2013247.","DOI":"10.1111\/padr.12334"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Vesztergom D, Szomsz\u00e9d O, Balogh E, et al. Infertility care in\n                    Hungary in the light of a qualitative study. [A medd\u0151s\u00e9gi ell\u00e1t\u00e1s Magyarorsz\u00e1gon\n                    egy kvalitat\u00edv kutat\u00e1s t\u00fckr\u00e9ben.] Kapocs 2021; 4(3\u20134): 21\u201335\n                    [Hungarian]","DOI":"10.63582\/KAPOCS.2021.3-4.2"},{"key":"R4","unstructured":"Hungarian Central Statistical Office. Live births by main\n                    characteristics of mother and newborn. [K\u00f6zponti Statisztikai Hivatal.\n                    \u00c9lvesz\u00fclet\u00e9sek az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt f\u0151bb jellemz\u0151i szerint.] Available from:\n                        https:\/\/www.ksh.hu\/stadat_files\/nep\/hu\/nep0007.html [accessed:\n                    Feb 6, 2025]. [Hungarian]"},{"key":"R5","unstructured":"B\u00e1n Z, Papp Z. Prenatal and preimplantation diagnostics. [Prenat\u00e1lis\n                    \u00e9s preimplant\u00e1ci\u00f3s diagnosztika.] Magy Tud. 2006; 3: 322\u2013329.\n                    [Hungarian]"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Correa-de-Araujo R, Yoon SS. Clinical outcomes in high-risk\n                    pregnancies due to advanced maternal age. 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Ann N Y Acad Sci. 2008; 1127:\n                    92\u2013100.","DOI":"10.1196\/annals.1434.007"},{"key":"R15","unstructured":"Ministry of Human Resources. Guideline for the evaluation of\n                    infertility and subfertility, and of the asssited reproductive technologies. [Az\n                    Emberi Ero\u030bforra\u0301sok Miniszte\u0301riuma ege\u0301szse\u0301gu\u0308gyi szakmai ira\u0301nyelve az\n                    infertilitas e\u0301s subfertilitas kivizsga\u0301la\u0301sa\u0301ro\u0301l e\u0301s az assziszta\u0301lt\n                    reprodukcio\u0301s kezele\u0301sekro\u030bl.] E\u00fc K\u00f6zl. 2021; 71(4): 399\u2013441. Available from:\n                        http:\/\/www.kozlonyok.hu\/kozlonyok\/Kozlonyok\/6\/PDF\/2021\/4.pdf\n                    [accessed: Feb 6, 2025]. [Hungarian]"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Montsk\u00f3 G, Zr\u00ednyi Z, Jan\u00e1ky T, et al. Noninvasive embryo viability\n                    assessment by quantitation of human haptoglobin alpha-1 fragment in the\n                        in vitro fertilization culture medium: an additional tool\n                    to increase success rate. Fertil Steril. 2015; 103: 687\u2013693.","DOI":"10.1016\/j.fertnstert.2014.11.031"},{"key":"R17","unstructured":"European Society of Human Reproduction and Embryology. Factsheets\n                    and infographics, 2022. Available from:\n                        https:\/\/www.eshre.eu\/Europe\/Factsheets-and-infographics\n                    [accessed: Feb 6, 2025]."},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Hart RJ, Wijs LA. The longer-term effects of IVF on offspring from\n                    childhood to adolescence. Front Reprod Health 2022; 4: 1045762.","DOI":"10.3389\/frph.2022.1045762"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"B\u00f3dis J, Sulyok E, V\u00e1rnagy \u00c1, et al. 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(XII. 20.) of Hungarian Government. [328\/2019.\n                    (XII. 20.) Korm. rendelet az egyes eg\u00e9szs\u00e9g\u00fcgyi \u00e9s eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si t\u00e1rgy\u00fa\n                    korm\u00e1nyrendeletek m\u00f3dos\u00edt\u00e1s\u00e1r\u00f3l.] [Hungarian]"},{"key":"R33","unstructured":"Decree 3\/2020. (I. 31.) of Ministry of Human Resources. [3\/2020 (I.\n                    31.) EMMI rendelet a t\u00f6rzsk\u00f6nyvezett gy\u00f3gyszerek \u00e9s a k\u00fcl\u00f6nleges t\u00e1pl\u00e1lkoz\u00e1si\n                    ig\u00e9nyt kiel\u00e9g\u00edt\u0151 t\u00e1pszerek t\u00e1rsadalombiztos\u00edt\u00e1si t\u00e1mogat\u00e1sba val\u00f3 befogad\u00e1s\u00e1nak\n                    szempontjair\u00f3l \u00e9s a befogad\u00e1s vagy a t\u00e1mogat\u00e1s megv\u00e1ltoztat\u00e1s\u00e1r\u00f3l sz\u00f3l\u00f3 32\/2004.\n                    (IV. 26.) ESZCSM rendelet m\u00f3dos\u00edt\u00e1s\u00e1r\u00f3l.] [Hungarian]"},{"key":"R34","unstructured":"Decree 2\/2020. (I. 30.) of Ministry of Human Resources. [2\/2020. (I.\n                    30.) EMMI rendelet egyes eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si t\u00e1rgy\u00fa miniszteri rendeletek\n                    m\u00f3dos\u00edt\u00e1s\u00e1r\u00f3l.] [Hungarian]"},{"key":"R35","unstructured":"2021. CI. law on certain property management issues and amending\n                    certain laws to strengthen the coherence of the legal system. [2021. \u00e9vi CI.\n                    t\u00f6rv\u00e9ny egyes vagyongazd\u00e1lkod\u00e1si k\u00e9rd\u00e9sekr\u0151l, illetve egyes t\u00f6rv\u00e9nyeknek a\n                    jogrendszer koherenci\u00e1j\u00e1nak er\u0151s\u00edt\u00e9se \u00e9rdek\u00e9ben t\u00f6rt\u00e9n\u0151 m\u00f3dos\u00edt\u00e1s\u00e1r\u00f3l.]\n                    [Hungarian]"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Rig\u00f3 J. 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[Hungarian]"},{"key":"R42","doi-asserted-by":"crossref","unstructured":"Smith AD, Gromski PS, Al Rashid KA, et al. Population implications\n                    of cessation of IVF during the COVID-19 pandemic. Reprod Biomed Online 2020; 41:\n                    428\u2013430.","DOI":"10.1016\/j.rbmo.2020.07.002"},{"key":"R43","unstructured":"Yilmaz N, Buyuk GN, Ersak D, et al. The impact of COVID 19 pandemic\n                    on pregnancy outcomes of ART cycles. J Infertil Reprod Biol. 2021; 9:\n                    155\u2013159."},{"key":"R44","doi-asserted-by":"crossref","unstructured":"Scaravelli G, Levi Setti PE, Gennarelli G, et al. The actual impact\n                    of SARS-CoV-2\/COVID-19 pandemic on IVF activity: a survey across Italian ART\n                    centers. J Assist Reprod Gen. 2022; 39: 2373\u20132380.","DOI":"10.1007\/s10815-022-02600-2"},{"key":"R45","unstructured":"Page H. The increasing demand for infertility treatment. Health\n                    Trends 1988; 20: 115\u2013118."},{"key":"R46","doi-asserted-by":"crossref","unstructured":"Patrizio P, Albertini DF, Gleicher N, et al. The changing world of\n                    IVF: the pros and cons of new business models offering assisted reproductive\n                    technologies. J Assist Reprod Genet. 2022; 39: 305\u2013313. Erratum: J Assist Reprod\n                    Genet. 2022; 39: 315.","DOI":"10.1007\/s10815-022-02399-y"},{"key":"R47","doi-asserted-by":"crossref","unstructured":"Mills M, Rindfuss RR, McDonald P, et al. Why do people postpone\n                    parenthood? Reasons and social policy incentives. Hum Reprod Update 2011; 17:\n                    848\u2013860.","DOI":"10.1093\/humupd\/dmr026"},{"key":"R48","doi-asserted-by":"crossref","unstructured":"Schmidt L, Sobotka T, Bentzen JG, et al. Demographic and medical\n                    consequences of the postponement of parenthood. 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[A magyar fiatalok term\u00e9kenys\u00e9gtudatoss\u00e1ga.] Kapocs 2021;\n                    4(3\u20134): 3\u201320. [Hungarian]","DOI":"10.63582\/KAPOCS.2021.3-4.1"},{"key":"R60","doi-asserted-by":"crossref","unstructured":"Borumandnia N, Alavi Majd H, Khadembashi N, et al. Worldwide trend\n                    analysis of primary and secondary infertility rates over past decades: a\n                    cross-sectional study. Int J Reprod Biomed. 2022; 20: 37\u201346.","DOI":"10.18502\/ijrm.v20i1.10407"},{"key":"R61","doi-asserted-by":"crossref","unstructured":"Herman T, Csehely S, Orosz M, et al. Prevalence and association of\n                    endocrine disorders in women participating in an in vitro\n                    fertilization program. [Endokrin k\u00f3rk\u00e9pek el\u0151fordul\u00e1sa \u00e9s t\u00e1rsul\u00e1sa in vitro\n                    fertiliz\u00e1ci\u00f3s programban r\u00e9szt vev\u0151 n\u0151k k\u00f6r\u00e9ben.] Orv Hetil. 2022; 163: 712\u2013719.\n                    [Hungarian]","DOI":"10.1556\/650.2022.32372"},{"key":"R62","unstructured":"Vesztergom D, Vita E, Szekr\u00e9nyes \u00c1, et al. Why should we freeze?\n                    Considerations in oocyte cryopreservation. [Mi\u00e9rt fagyasszunk? A petesejtek\n                    krioprezerv\u00e1ci\u00f3j\u00e1val kapcsolatos megfontol\u00e1sok.] Magy N\u0151orv L. 2024; 87: 70\u201374.\n                    [Hungarian]"},{"key":"R63","doi-asserted-by":"crossref","unstructured":"Prabandani DA, Winarni S, Arso SP. Scoping review: marketing\n                    strategy of in vitro fertilization (IVF). 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Hum Reprod. 2022; 37: 488\u2013498.","DOI":"10.1093\/humrep\/deab278"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/29\/article-p1139.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/29\/article-p1139.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/29\/article-p1139.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:53:31Z","timestamp":1785423211000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/29\/article-p1139.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,20]]},"references-count":66,"journal-issue":{"issue":"29"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33330","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,20]]}}}