{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:59:40Z","timestamp":1785491980876,"version":"3.56.0"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"44","license":[{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"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":[[2025,11,2]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A hospice-palliat\u00edv ell\u00e1t\u00e1s kiemelked\u0151 szerepet\n j\u00e1tszik a termin\u00e1lis \u00e1llapot\u00fa betegek m\u00e9lt\u00f3 \u00e9letv\u00e9gre val\u00f3 felk\u00e9sz\u00edt\u00e9s\u00e9ben \u00e9s\n \u00e9letmin\u0151s\u00e9g\u00fck jav\u00edt\u00e1s\u00e1ban. Magyarorsz\u00e1gon a hospice-szolg\u00e1ltat\u00e1sok szervezeti \u00e9s\n finansz\u00edroz\u00e1si strukt\u00far\u00e1ja az elm\u00falt \u00e9vtizedekben folyamatosan alakult a\n t\u00e1rsadalom \u00e9s az eg\u00e9szs\u00e9g\u00fcgyi rendszer ig\u00e9nyeire v\u00e1laszolva. Az \u00e9ves jelent\u00e9sek\n c\u00e9lja a hospice-palliat\u00edv ell\u00e1t\u00e1s fejl\u0151d\u00e9s\u00e9nek \u00e9s kih\u00edv\u00e1sainak elemz\u00e9se, k\u00fcl\u00f6n\u00f6s\n figyelmet ford\u00edtva a betegell\u00e1t\u00e1s min\u0151s\u00e9g\u00e9re.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Az\n egyik c\u00e9l a 2024-es \u00e9v otthoni hospice-palliat\u00edv ell\u00e1t\u00e1si helyzet\u00e9nek\n \u00e1ttekint\u00e9se volt, kiemelve a szervezeti strukt\u00far\u00e1knak, a betegell\u00e1t\u00e1s t\u00edpusainak\n \u00e9s a finansz\u00edroz\u00e1si modelleknek a v\u00e1ltoz\u00e1sait. C\u00e9lul t\u0171zt\u00fck ki tov\u00e1bb\u00e1 a\n szolg\u00e1ltat\u00e1sok ir\u00e1nti n\u00f6vekv\u0151 kereslet \u00e9s a szektor el\u0151tt \u00e1ll\u00f3 kih\u00edv\u00e1sok\n felt\u00e1r\u00e1s\u00e1t.\n M\u00f3dszer:<\/jats:italic>\n A kutat\u00e1s sor\u00e1n a Magyar Hospice-Palliat\u00edv\n Egyes\u00fclet \u00e9s a Nemzeti Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151 \u00e1ltal \u00e9vente k\u00f6zz\u00e9tett\n hivatalos statisztikai adatokat haszn\u00e1ltuk fel, amelyek a hospice-int\u00e9zm\u00e9nyek\n sz\u00e1m\u00e1r\u00f3l, az otthoni ell\u00e1t\u00e1s tev\u00e9kenys\u00e9geinek \u00f6sszet\u00e9tel\u00e9r\u0151l, valamint a\n kapcsol\u00f3d\u00f3 finansz\u00edroz\u00e1si mechanizmusokr\u00f3l ny\u00fajtanak r\u00e9szletes inform\u00e1ci\u00f3t. A\n Tartalmi Diverzit\u00e1s Indexet (CDI) alkalmazva sz\u00e1mszer\u0171s\u00edtett\u00fck a szolg\u00e1ltat\u00e1si\n szerkezet szakmai \u00f6sszetetts\u00e9g\u00e9t, felt\u00e1rtuk a v\u00e1rmegyei szint\u0171 k\u00fcl\u00f6nbs\u00e9geket. Az\n ell\u00e1t\u00e1sikomplexit\u00e1s-mutat\u00f3 eredm\u00e9nyeit \u00f6sszevetett\u00fck a nemzetk\u00f6zi\n Interdiszciplin\u00e1ris Ell\u00e1t\u00e1si Pontsz\u00e1m (ICS) mutat\u00f3ival \u00e9s az eur\u00f3pai\n eredm\u00e9nyekkel is.\n Eredm\u00e9nyek:<\/jats:italic>\n A 2024-es \u00e9vben tapasztalhat\u00f3\n v\u00e1ltoz\u00e1sok \u00e9s kih\u00edv\u00e1sok egy\u00e9rtelm\u0171en t\u00fckr\u00f6zik a szolg\u00e1ltat\u00e1sok ir\u00e1nti n\u00f6vekv\u0151\n keresletet. Az elemz\u00e9s szerint a hospice-int\u00e9zm\u00e9nyek sz\u00e1m\u00e1nak n\u00f6veked\u00e9s\u00e9vel az\n otthoni ell\u00e1t\u00e1s ar\u00e1nya sajnos cs\u00f6kken\u0151 tendenci\u00e1t mutat. A szakmai szerkezet\n v\u00e1rmegy\u00e9nk\u00e9nt jelent\u0151sen elt\u00e9r\u0151, a pszichoszoci\u00e1lis ell\u00e1t\u00e1sok jellemz\u0151en\n alulreprezent\u00e1ltak.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A hospice-palliat\u00edv ell\u00e1t\u00e1s\n folyamatosan fejl\u0151dik, de a v\u00e1ltoz\u00f3 ig\u00e9nyek \u00e9s a szakmai terhek\n figyelembev\u00e9tel\u00e9vel tov\u00e1bbi fejleszt\u00e9sre van sz\u00fcks\u00e9g, k\u00fcl\u00f6n\u00f6sen a finansz\u00edroz\u00e1s\n ter\u00e9n. A hospice-szolg\u00e1ltat\u00e1sok hossz\u00fa t\u00e1v\u00fa fenntarthat\u00f3s\u00e1ga \u00e9rdek\u00e9ben \u00e9s a\n min\u0151s\u00e9g jav\u00edt\u00e1sa c\u00e9lj\u00e1b\u00f3l kiemelten fontos a megfelel\u0151 er\u0151forr\u00e1sok biztos\u00edt\u00e1sa.\n Orv Hetil. 2025; 166(44): 1746\u20131753.\n <\/jats:p>","DOI":"10.1556\/650.2025.33416","type":"journal-article","created":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T15:24:51Z","timestamp":1762097091000},"page":"1746-1753","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az otthoni hospice-palliat\u00edv betegell\u00e1t\u00e1s a v\u00e1ltoz\u00f3 ig\u00e9nyek \u00e9s kih\u00edv\u00e1sok t\u00fckr\u00e9ben"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5557-3947","authenticated-orcid":true,"given":"Norbert","family":"Domonkos","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi \u00e9s Szoci\u00e1lis K\u00e9pz\u00e9si Kar, \u00c1pol\u00e1si Tansz\u00e9k Szeged, Temesv\u00e1ri krt. 31., 6726 Magyarorsz\u00e1g"},{"name":"Magyar Hospice-Palliat\u00edv Egyes\u00fclet Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"Heged\u0171s","sequence":"additional","affiliation":[{"name":"Magyar Hospice-Palliat\u00edv Egyes\u00fclet Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikl\u00f3s","family":"Luk\u00e1cs","sequence":"additional","affiliation":[{"name":"Magyar Hospice-Palliat\u00edv Egyes\u00fclet Budapest Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Bokorovics T, Heged\u0171s K. Frequently asked questions and answers\n about hospice. [Gyakori k\u00e9rd\u00e9sek \u00e9s v\u00e1laszok a hospice-r\u00f3l.] Oriold Kiad\u00f3,\n Budapest, 2025. [Hungarian]"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Radbruch L, De Lima L, Knaul F, et al. Redefining palliative care -\n a new consensus-based definition. J Pain Symptom Manage 2020; 60: 754-764.\n http:\/\/doi.org\/10.1016\/j.jpainsymman.2020.04.027","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"R3","unstructured":"Connor SR, Sepulveda C (eds.) The Global Atlas of palliative care at\n the end of life. 1st ed. Worldwide Hospice Palliative Care Alliance. World\n Health Organization, London, 2014."},{"key":"R4","unstructured":"Csik\u00f3s \u00c1 (ed.) Palliative care. [Csik\u00f3s \u00c1 (szerk.) Palliat\u00edv\n ell\u00e1t\u00e1s.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 2022. [Hungarian]"},{"key":"R5","unstructured":"WHO. Planning and implementing palliative care services: a guide for\n programme managers. World Health Organization, Geneva, 2016."},{"key":"R6","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-C\u00e1rdenas MA, Garralda E, Ben\u00edtez E, et al. Palliative care\n coverage across European national health systems: proposal of a synthetic\n indicator. Int J Environ Res Public Health 2021; 18: 10753.\n http:\/\/doi.org\/10.3390\/ijerph182010753","DOI":"10.3390\/ijerph182010753"},{"key":"R7","unstructured":"Luk\u00e1cs M, Heged\u0171s K. Overview of the hospice care system in Hungary\n today. [Hospice ell\u00e1t\u00f3rendszer \u00e1ttekint\u00e9se ma Magyarorsz\u00e1gon.] Med Univ. 2024;\n 57: 19-22. [Hungarian]"},{"key":"R8","unstructured":"Heged\u0171s K, Luk\u00e1cs M. Hospice patient care in 2023. [Hospice\n betegell\u00e1t\u00e1s 2023.] Khar\u00f3n Thanatol Szle. 2023; 28: 1-13.\n [Hungarian]"},{"key":"R9","unstructured":"Connor SR, Sepulveda Bermedo MC (eds.). Global atlas of palliative\n care. 2nd ed. Worldwide Hospice Palliative Care Alliance, World Health\n Organization, Geneva, 2020."},{"key":"R10","unstructured":"Garralda E, Tripodoro VA, Ling J, et al. EAPC Atlas of palliative\n care in the European region 2025. EUNSA, Pamplona, 2025."},{"key":"R11","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: 1520-1527. [Hungarian]\n http:\/\/doi.org\/10.1556\/650.2022.32561","DOI":"10.1556\/650.2022.32561"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Szigeti N, Wittmann I, Luk\u00e1cs M, et al. Palliative mobile care\n service as an integrated care model. [Palliat\u00edv mobil team ell\u00e1t\u00e1s mint\n integr\u00e1lt betegell\u00e1t\u00e1si modell.] Orv Hetil. 2024; 165: 1186-1190. [Hungarian]\n http:\/\/doi.org\/10.1556\/650.2024.33104","DOI":"10.1556\/650.2024.33104"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Pasman HR, Brandt HE, Deliens L, et al. Quality indicators for\n palliative care: a systematic review. J Pain Symptom Manage 2009; 38: 145-156.\n http:\/\/doi.org\/10.1016\/j.jpainsymman.2008.07.008","DOI":"10.1016\/j.jpainsymman.2008.07.008"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Szigeti N, Kun Sz, Wittmann I. Palliative care in a department of\n internal medicine. [Palliat\u00edv betegell\u00e1t\u00e1s belgy\u00f3gy\u00e1szati oszt\u00e1lyon.] Orv Hetil.\n 2024; 165: 1010-1016. [Hungarian]\n http:\/\/doi.org\/10.1556\/650.2024.33070","DOI":"10.1556\/650.2024.33070"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Varga G, Horv\u00e1th R, Busa Cs. Assessment of anxiety, depression, and\n physical symptoms and understanding of their connections among cancer patients.\n [Szorong\u00e1s, depresszi\u00f3, valamint fizikai t\u00fcneti terhek felm\u00e9r\u00e9se \u00e9s\n \u00f6sszef\u00fcgg\u00e9seik megismer\u00e9se daganatos betegek k\u00f6r\u00e9ben.] Orv Hetil. 2024; 165:\n 309-317. [Hungarian] http:\/\/doi.org\/10.1556\/650.2024.32984","DOI":"10.1556\/650.2024.32984"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-C\u00e1rdenas MA, Garralda E, Arias-Casais NS, et al. Palliative\n care integration indicators: a European regional analysis. BMJ Support Palliat\n Care 2021; 14: e1041-e1048.\n http:\/\/doi.org\/10.1136\/bmjspcare-2021-003181","DOI":"10.1136\/bmjspcare-2021-003181"},{"key":"R17","unstructured":"The EAPC Atlas of Palliative Care in the European Region 2025.\n Available from:\n http:\/\/www.unav.edu\/web\/atlantes-global-observatory-of-palliative-care\n [accessed: August 20, 2025]. [Spanish]"},{"key":"R18","unstructured":"Muma A, Chung A, Nandi A, et al. Hospice care index technical\n report. NORC at the University of Chicago, 2022."},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Plotzke M, Christian T, Groover K, et al. Construction and\n performance of the Hospice Care Index claims-based quality measure. J Pain\n Symptom Manage 2022; 63: 876.\n http:\/\/doi.org\/10.1016\/j.jpainsymman.2022.02.072","DOI":"10.1016\/j.jpainsymman.2022.02.072"},{"key":"R20","unstructured":"Heged\u0171s K. Present and future of hospice care. [A hospice\n betegell\u00e1t\u00e1s jelene \u00e9s j\u00f6v\u0151je.] Hippocrates 2009; 11: 4-7.\n [Hungarian]"},{"key":"R21","unstructured":"Government of Hungary. Decree No. 43\/1999 (III. 3.) on the detailed\n rules of financing health services from the Health Insurance Fund. [43\/1999.\n (III. 3.) 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K\u00e9pz\u00e9si \u00e9s kimeneti\n k\u00f6vetelm\u00e9nyek.] Available from:\n http:\/\/kormany.hu\/dokumentumtar\/kepzesi-es-kimeneti-kovetelmenyek-2\n [accessed: June 20, 2025]."}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/44\/article-p1746.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/44\/article-p1746.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/44\/article-p1746.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:32:00Z","timestamp":1785490320000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/44\/article-p1746.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,2]]},"references-count":22,"journal-issue":{"issue":"44"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33416","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,2]]}}}