{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:58:02Z","timestamp":1785491882737,"version":"3.56.0"},"reference-count":31,"publisher":"Akademiai Kiado Zrt.","issue":"41","license":[{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,10,12]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A palliat\u00edv szakell\u00e1t\u00e1s korai, az akt\u00edv onkol\u00f3giai\n                    kezel\u00e9ssel p\u00e1rhuzamos bevezet\u00e9s\u00e9nek egyre t\u00f6bb el\u0151ny\u00e9t igazolj\u00e1k a kutat\u00e1sok.\n                    Sz\u00e1mos tanulm\u00e1ny bizony\u00edtotta a t\u00fal\u00e9l\u00e9s n\u00f6veked\u00e9s\u00e9t, a beteg \u00e9s a hozz\u00e1tartoz\u00f3k\n                    jobb \u00e9letmin\u0151s\u00e9g\u00e9t, az eg\u00e9szs\u00e9g\u00fcgyi szem\u00e9lyzet pszich\u00e9s kimer\u00fclts\u00e9g\u00e9nek\n                    cs\u00f6kken\u00e9s\u00e9t. A betegek ritk\u00e1bban ker\u00fclnek k\u00f3rh\u00e1zba, \u00e9s kevesebb id\u0151t t\u00f6ltenek\n                    akt\u00edv \u00e1gyakon. Az el\u0151rehaladott \u00e1llapot\u00fa daganatos betegek kezel\u00e9se nem teljes\n                    az integr\u00e1lt, szem\u00e9lyre szabott, t\u00e1mogat\u00f3 szolg\u00e1ltat\u00e1sok n\u00e9lk\u00fcl, ugyanakkor m\u00e9g\n                    tov\u00e1bbra sincs olyan, nemzetk\u00f6zileg is elfogadott krit\u00e9riumrendszer, amely\n                    alapj\u00e1n k\u00f6nnyen meghat\u00e1rozhat\u00f3 lenne, hogy pontosan mikor \u00e9s melyik betegnek van\n                    sz\u00fcks\u00e9ge speci\u00e1lis palliat\u00edv ell\u00e1t\u00e1sra.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    C\u00e9lunk a\n                    mindennapi betegell\u00e1t\u00e1sban is k\u00f6nnyen haszn\u00e1lhat\u00f3, a betegir\u00e1ny\u00edt\u00e1st t\u00e1mogat\u00f3\n                    szempontrendszer l\u00e9trehoz\u00e1sa volt, amely seg\u00edt annak meghat\u00e1roz\u00e1s\u00e1ban, hogy\n                    javasolt-e a beteget a speci\u00e1lis palliat\u00edv ell\u00e1t\u00f3rendszerbe refer\u00e1lni.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    A szakirodalom \u00e1ttekint\u00e9se ut\u00e1n l\u00e9trehoztunk egy 1\n                    + 8 k\u00e9rd\u00e9sb\u0151l \u00e1ll\u00f3 d\u00f6nt\u00e9st\u00e1mogat\u00f3 pontoz\u00e1si rendszert, majd h\u00e1rom f\u00f3kuszcsoport\n                    tartalomelemz\u00e9s\u00e9vel vizsg\u00e1ltuk meg h\u00e1ziorvosok, onkol\u00f3gusok \u00e9s palliat\u00edv orvosok\n                    r\u00e9szv\u00e9tel\u00e9vel.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    Az el\u0151rehaladott \u00e1llapot\u00fa daganatos\n                    betegek ell\u00e1t\u00e1s\u00e1ban legink\u00e1bb \u00e9rintett h\u00e1rom szakma k\u00e9pvisel\u0151i mind hasznosnak\n                    tal\u00e1lt\u00e1k a d\u00f6nt\u00e9st\u00e1mogat\u00f3 pontrendszert, \u00e9s a mindennapi betegell\u00e1t\u00e1sban val\u00f3\n                    felhaszn\u00e1l\u00e1s\u00e1t javasolt\u00e1k. A csal\u00e1dorvosok indik\u00e1tork\u00e9nt, az onkol\u00f3gusok pedig\n                    az onkoteam d\u00f6nt\u00e9sel\u0151k\u00e9sz\u00edt\u0151 anyagak\u00e9nt alkalmazn\u00e1k. Az adatlap k\u00e9rd\u00e9seit a\n                    szak\u00e9rt\u0151k javaslatai szerint m\u00f3dos\u00edtottuk, \u00e9s a v\u00e9gleges v\u00e1ltozatot a jelen\n                    cikkben mutatjuk be.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A kutat\u00e1s meger\u0151s\u00edtette,\n                    hogy egy egys\u00e9ges pontrendszer seg\u00edthet a betegek ig\u00e9nyeinek felm\u00e9r\u00e9s\u00e9ben, \u00e9s\n                    rendezheti a szakm\u00e1k k\u00f6z\u00f6tti egy\u00fcttm\u0171k\u00f6d\u00e9st, k\u00f6nny\u00edti a betegutakat, automatikus\n                    alkalmaz\u00e1sa sokban jav\u00edthatja a betegek megfelel\u0151 ell\u00e1t\u00e1shoz val\u00f3 hozz\u00e1jut\u00e1s\u00e1t.\n                    A bevezet\u00e9se el\u0151tt ugyanakkor mindenk\u00e9pp sz\u00fcks\u00e9g van a palliat\u00edv szakell\u00e1t\u00f3k\n                    sz\u00e1m\u00e1nak n\u00f6vel\u00e9s\u00e9re, hogy a v\u00e1rhat\u00f3an jelent\u0151sen megn\u00f6vekv\u0151 betegsz\u00e1m ne\n                    terhelje t\u00fal a megl\u00e9v\u0151 rendszert. Orv Hetil. 2025; 166(41): 1603\u20131610.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33408","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T07:33:46Z","timestamp":1760340826000},"page":"1603-1610","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A palliat\u00edv ell\u00e1t\u00e1s ind\u00edt\u00e1s\u00e1t seg\u00edt\u0151, d\u00f6nt\u00e9st\u00e1mogat\u00f3 pontrendszer kidolgoz\u00e1sa \u00e9s f\u00f3kuszcsoportos elemz\u00e9se"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8014-1003","authenticated-orcid":true,"given":"Orsolya","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1112 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Kegye","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"R\u00e1cz","sequence":"additional","affiliation":[{"name":"Kisr\u00e1czmed Kft. Budakal\u00e1sz Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"Heged\u0171s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"World Health Organization. Fact sheets, detail, palliative care.\n                    Available from:\n                        https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care\n                    [accessed: 5 august 2020]."},{"key":"R2","unstructured":"Heged\u0171s K, Luk\u00e1cs M. Hospice care 2023. [Hospice betegell\u00e1t\u00e1s 2023.]\n                    Khar\u00f3n Thanatol Szle. 2024; 28(3): 1\u201313. [Hungarian]"},{"key":"R3","unstructured":"Csik\u00f3s \u00c1. Approach of palliative care. In: Csik\u00f3s \u00c1. (ed.)\n                    Palliative care. [A palliat\u00edv ell\u00e1t\u00e1s szeml\u00e9lete. In: Csik\u00f3s \u00c1. (szerk.)\n                    Palliat\u00edv ell\u00e1t\u00e1s.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 2022; pp. 35\u201376.\n                    [Hungarian]"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Horv\u00e1th O, R\u00e1cz K, Jakus N, et al. Effective integration of hospice\n                    palliative care into national oncology and general practice. [A\n                    hospice-palliat\u00edv ell\u00e1t\u00e1s hat\u00e9kony integr\u00e1l\u00e1sa a hazai onkol\u00f3giai \u00e9s\n                    csal\u00e1dorvosi gyakorlatba.] Orv Hetil. 2022; 163: 1520\u20131527.\n                    [Hungarian]","DOI":"10.1556\/650.2022.32561"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Szigeti N, Wittmann I, Luk\u00e1cs M, et al. Palliative mobile care\n                    service as an integrated care model. 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