Page 3 - Orvosoktatás - Aki a szívizom incfartust túlélte

Cardiopulse 3 2689

doi:10.1093/eurheartj/ehw358
EACPR country of the month initiative:
EACPR country of the month initiative:

Hungary
Hungary

The current state of CVD prevention and rehabilitation in Hungary reported by Istva
The current state of CVD prevention and rehabilitation in Hungary reported byn
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Istvan Czuriga, National CVD Prevention Coordinator for Hungary
overcome. As regards such preventable risk factors as
increased carotid intima-media thickness and coronary calcium score
smoking and obesity, Hungary is among the highest
in asymptomatic adult participants.
risk countries in the EU. In recent national surveys,
a high prevalence of unrecognised hypertension, hy-
percholesterolaemia, and a high risk of diabetes mel-
Main actors and prevention
litus were also found, in line with the higher rate of in-
methods
creased carotid intima-media thickness and coronary
calcium score in asymptomatic adult participants. Downloaded from
The Public Health Department is responsible for creating a health
strategy in Hungary. There is a cardiovascular public prevention pro-
gramme developed by the National Institute for Health
Main actors and prevention methods
Development. Programmes and regulations are carried out by the
Health care National Public Health and Medical Officer Service.
Health care
As for cardiovascular prevention, the Hungarian Society of
The central government is responsible for the Hungarian health care The Public Health Department is responsible for cre-
ating a health strategy in Hungary. There is a cardio-
Cardiology (MKT) is responsible for creating health programmes
system, but there are other main actors: The National Assembly, the vascular public prevention programme developed http://eurheartj.oxfordjournals.org/
The central government is responsible for the Hun-
National Health Insurance Fund Administration (NHIFA), the State with the active involvement of the Hungarian Society of
garian health care system, but there are other main by the National Institute for Health Development.
Secretariat for Health Care (within the Ministry of National Resources), Hypertension, the Hungarian Atherosclerosis Society, the Hungarian
actors: The National Assembly, the National Health Programmes and regulations are carried out by the
Diabetes Association, and the National Institute of Primary Care.
the National Public Health and Medical Officer Service, as well as county National Public Health and Medical Officer Service.
Insurance Fund Administration (NHIFA), the State Sec-
and municipal governments. Municipalities are responsible for primary The main participant in post-graduate education is the
retariat for Health Care (within the Ministry of National As for cardiovascular prevention, the Hungarian So-
care services, which include family doctor services, family paediatricians, Department of Cardiovascular Prevention and Rehabilitation at the
University of Pecs Medical School, which was founded in 2015.g
´logy (MKT) is responsible for creatin
Resources), the National PublicHealth and Medical ciety of Cardio
dental care, out-of-hours services, mother and child nurse services, and health programmes with the active involvement of
Officer Service, as well as county and municipal gov-
school health services. The responsibility of secondary and tertiary care The latest complex health behaviour programme created in 2006
ernments. Municipalities are responsible for primary the Hungarian Society of Hypertension, the Hungar-
provision is shared among municipalities, counties, central government was entitled the ‘National Programme for Preventing and Treating
care services, which include family doctor services, ian Atherosclerosis Society, the Hungarian Diabetes
Cardiovascular Diseases’.
and, to a minor extent, private providers. Health care spending in Association, and the National Institute of Primary by guest on September 27, 2016
family paediatricians, dental care, out-of-hours ser-
Hungary reached USD 9.8 billion in 2012. This translates into 7.82% of Important data concerning cardiovascular prevention can also be
vices, mother and child nurse services, and school Care.
the GDP and approximately USD 1729 per capita. retrieved from the ‘National Registry of Myocardial Infarction’ run by
health services. The responsibility of secondary and The main participant in post-graduate edu
the Gottsegen Gyorgy National Cardiology Institute.cation is
¨
tertiary care provision is shared among municipalities, the Department of Cardiovascular Prevention and Re-
counties, central government and, to a minor extent, habilitation at the University of Pécs Medical School,
Prevention activities
private providers. Health care spending in Hungary which was founded in 2015.
reached USD 9.8 billion in 2012. This translates into The latest complex health behaviour programme cre-
Risk factors
Hungary’s health screening programme for 2010–2020, as part of the
7.82% of the GDP and approximately USD 1729 per ated in 2006 was entitled the ‘National Programme
During the last decades, a significant decrease in cardiovascular mortal- for Preventing and Treating Cardiovascular Diseases’.
European National Health Care Programme, concentrates in particu-
capita.
ity has been witnessed in Hungary, which has led to a dramatic increase Important data concerning cardiovascular prevention
lar on heart and vascular diseases and risk factors. The country also
participates in other European campaigns e.g. ‘World Heart Day’ and
in life expectancy. However, it still remains one of the lowest among can also be retrieved from the ‘National Registry of
‘Go Red for Women’; and 2015 was officially designated the year of
the OECD countries (see Figure 1). While there has been a decrease in Myocardial Infarction’ run by the Gottsegen György
Risk factors
cardiovascular mortality, it is still twice that of the European Union National Cardiology Institute.
stroke prevention in Hungary.
(EU) average. Moreover, despite a marked increase in the quality of A number of laws and regulations have been created in Hungary in
During the last decades, a significant decrease in car-
medical care, failing primary prevention strategies at the national level recent years to promote the cause of public health. One of the most
diovascularmortality has been witnessed in Hungary,
represent hurdles that need to be overcome. As regards such prevent- important amendments made was regarding the ‘Act on the
which has led to a dramatic increase in life expectan-
able risk factors as smoking and obesity, Hungary is among the highest Prevention activities
Protection of Non-smokers’. According to its main regulations,
cy. However, it still remains one of the lowest among
risk countries in the EU. In recent national surveys, a high prevalence smoking is strictly prohibited in public institutions as well as in open
the OECD countries (see Figure 1). While there has Hungary’s health screening programme for 2010–
of unrecognised hypertension, hypercholesterolaemia, and a high risk air spaces of public educational- and health-care service institutions.
been a decrease in cardiovascular mortality, it is 2020, as part of the European National Health Care
of diabetes mellitus were also found, in line with the higher rate of ‘Stop salt’ is a national salt lowering programme that seeks to reduce
still twice that of the European Union (EU) average. Programme, concentrates in particular on heart and
Moreover, despite a marked increase in the quality of vascular diseases and risk factors. The country also
medical care, failing primary prevention strategies at participates in other European campaigns e.g. ‘World
the national level represent hurdles that need to be Heart Day’ and ‘Go Red for Women’; and 2015 was