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This study investigated lifestyle factors among Hungarian and international students, utilizing lifestyle medicine principles to enhance overall well-being. Conducted at the University of Debrecen through a cross-sectional survey, we examined selected lifestyle factors, more specifically sleep patterns, weight management, nutrition, physical activity, mental well-being, and alcohol use. Hungarian (N = 122) and international (N = 139) students were compared, revealing significant differences. Hungarian students slept less (p = 0.041), desired weight loss (p = 0.040), ate more fruits and vegetables (p = 0.014), exercised longer (p = 0.002), and reported higher purpose and social support (p = 0.009), with higher alcohol use (p < 0.001). These findings highlight distinct experiences and challenges faced by these student groups including variations in sleep, weight management, diet, exercise, and social support. Targeted interventions and tailored support are essential to address their specific needs. To promote the well-being of both Hungarian and international students, educational programs addressing various facets of a healthy lifestyle are crucial. This study offers valuable insights into lifestyle factors and health outcomes among Hungarian and international students and underscores the importance of addressing the unique needs of each group through tailored interventions.
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INTRODUCTION: Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries. OBJECTIVE: Our study aims to describe and compare recent existing primary care indicators and related financing in European countries. METHODS: Literature search was performed and questionnaires were sent to primary care experts of different countries within the European General Practice Research Network. RESULTS: Ten countries have published primary care quality indicators (QI) associated with financial incentives. The number of QI varies from 1 to 134 and can modify the finances of physicians with up to 25% of their total income. CONCLUSIONS: The implementations of these schemes should be critically evaluated with continuous monitoring at national or regional level; comparison is required between targets and their achievements, health gains and use of resources as well
INTRODUCCIÓN: En muchos países europeos se aplican en atención primaria diferentes programas de pago de incentivos en función de objetivos alcanzados. OBJETIVO: El objetivo de nuestro estudio es describir y comparar los indicadores más recientes utilizados en estos programas. MÉTODOS: Se realiza una revisión bibliográfica sistemática recogiendo las principales publicaciones sobre el tema. De forma complementaria se remite un cuestionario a diferentes expertos en atención primaria de diferentes países de la red European General Practice Research Network'. RESULTADOS: Diez países tienen publicados sus indicadores de calidad (IDC) asociados a los incentives económicos. El número de indicadores varía entre 1 y 134. En 8 países los IDC y los incentivos están incluidos en el salario mensual del médico, suponiendo entre el 1 y el 25% del mismo. CONCLUSIONES: Los IDC se basan fundamentalmente en el registro de determinadas variables tanto por el médico como por el equipo directivo, aunque la validez de los mismos puede variar según la fuente de datos utilizada. Los programas se monitorizan de forma continua a nivel nacional o regional, de acuerdo con cada sistema de atención sanitaria y los recursos disponibles
Asunto(s)
Humanos , Médicos de Familia , Planes de Incentivos para los Médicos , Indicadores de Calidad de la Atención de Salud/tendencias , Atención Primaria de Salud/estadística & datos numéricos , RemuneraciónRESUMEN
Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field. The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women). Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values. The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication. A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.