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• Questions of research while examining the organizational development of health care

  144-163

  Views:

  171

  There are serious debates about the health crisis both in the public sector and the literature. Health care was the first service to be exempted from market law after the Second World War. General and free health care brought hope and relative results following the social shock. Due to equal access the established health networks were successful in improving health indicators, but this stalled by the end of the 1960s as modernization processes were significantly reduced and "the institutional network was confronted with new challenges ahead." (Szalai J. 1989:171) I begin my examination into the health care system by comparing the causes, phenomena, parallels, and disorganizations of past and present dissonances in primary and specialist care. I assume that having known the basic problems, a successful reform of the health care system can be started by modernization and the organizational development of primary and outpatient care.

• Health through the Eyes of the Romani minority

  16-22

  Views:

  132

  Aim: The aim of this study was to ascertain the subjective view of the Romani community on their own health, in the context of social integration and the effects of the environment, using the Transcultural Assessment Model.
  Methods: The collection of data was conducted via quantitative research using an unstructured questionnaire. The experimental group consisted of 600 members of the Romani minority.
  Results: The results showed that health is one of the main values that influence the life of the Romani minority. According to a substantial proportion of respondents, they are regularly concerned with matters of their own health; however, most of them do not attend medical check-ups.
  Conclusion: The concept of sickness and health is highly subjective for each person. Moreover, the culture to which an individual belongs is among the factors that influence an understanding of the concept of health. Thus, when providing medical care, one must also get to know a patient’s culture and their subjective view of health or sickness.

• Health state and health education

  138-162

  Views:

  480

  In our study, we present the results of a survey, presented among the roma local group living in settlement conditions; concerning their health state, health education and health awareness behaviour. The study explored the quality of life of these disadvantaged groups in several dimensions. According to our results health state and health education need a multilevel intervention, focused on emphasising the preventive functions of the primary health care; in order to gain a long term, positive change among the related social groups.

• Health behaviour of 18-29 year-old youngster living in settlement conditions in Nyíregyháza (Focus group interview)

  84-100

  Zsolt Ember

  Views:

  319

  Besides being at economic, educational and cultural disadvantage, Roma people prove to be a highly disadvantageous social layer in health care, as well. The most disadvantageous ones reside in settlements. Although health is a basic value and activity potential for everybody, it is unlikely to develop and function well without sufficient knowledge on health and individual responsibility, or when the right to access to health care and the principle of equal treatment are damaged, or when comprehensive social policy development programs are incomplete, but most of all when the majority does not show an inclusive attitude towards Roma people. The present study reveals the health behaviour of young Roma adults of 18-19 years of age through a focus group interview.

• Néhány szempont a magyar egészségügyi ágazat problématérképének összeállításához

  23-31

  Views:

  536

  Dysfunction of health care has been a hot issue recently. Financial and human resource problems have been perceived by many of us, although a pile of other interrelated problems also appears in this field. However, several of them could be improved with adequate management methods. In order to understand the changes previously carried out in health care, it is vital to get know the legislations documenting national and international tendencies. The multi-aspect research is based on documentations, comparative analysis and evaluation of statistics from the given field. Besides them, the financial system, the state’s participation, and the service systems also need to be taken into consideration. Due to former reorganizations of health care, many different types of organizational structures connect with one another, and for profit and non profit organizations are interwoven. The complicated situation suggests that our research into this topic is rather timely. By revealing the health care systems of different countries, two basic tendencies seem to prevail. There are systems, in several states, which make cooperation easier, while there are differences, caused by historical events, whose abolition would serve everybody’s interest.

• Egészségügyi dolgozók sportolási szokásai az Észak-alföldi régióban

  55-64

  Views:

  262

  The health of those working in health care institutions is at risk from several aspects. However regular physical activity may play a role in counteracting these adverse effects. During our research, we examined the sporting habits of employees in one of the largest healthcare providers in Hungary. The survey was conducted in a voluntary and anonymous manner using a questionnaire method. 45.1% of the 987 respondents does sport on a regular basis, at least twice a week. We also examined the differences between the various work groups – doctors, health workers, employees of other sort – and those related to gender.
  Based on the results it can be stated that health consciousness still needs to be improved in the region, and an especially important element of this can be the organized health promoting activity of the health care institutions.

• A COVID hatás okozta társadalmi változások becslése / Bódi Ferenc gondolatainak továbbfűzése

  26-43

  Views:

  214

  The article by Ferenc Bódi appeared in the spring issue of this journal in the spring of 2021. He undertook to estimate the impact of the changes caused by the pandemic on health care and the expected economic and social changes. His study, due to the scale of the pandemic, is a macro-level analysis. When the study came out, we all hoped that the COVID-19 epidemic was already coming to an end and that we needed to focus on starting again. Society has partly faded, partly realized that this epidemic is different from the previous ones. This encouraged me to continue to think about some of the Hungarian phenomena and to express my thoughts on the expected changes. I cannot undertake to analyze all areas of the crisis caused by the epidemic, but I will make an attempt to present its phenomena in health care, their interpretation, and the social effects of the current Hungarian health crisis so far. In my writing, I rely on my own research and that of my colleagues, and on the reports of my students in the health care system.

• Quality of Life of Patients with Arrhythmia

  32-42

  Views:

  146

  Introduction: Quality of life must be perceived in two levels - objective and subjective. Heart arrhythmia is a disease of the cardiovascular system that, by its subjective and objective symptoms, can affect the individual's life physically, mentally, and also socially. It can limit a person in his or her everyday activities or in activities that make them happy or satisfied.
  Objectives: The aim of the research was to map the quality of life of patients with arrhythmia and to verify whether the duration of arrhythmia has an effect on the quality of life of patients with arrhythmia.
  Methods: A standardized ASTA (Arrhythmia - Specific Questionnaire in Tachycardia and Arrhythmias) questionnaire was used to collect quantitative data. The research group consisted of adult patients diagnosed with hearth arrhythmia, hospitalized at the Department of Cardiology of the Ceske Budejovice Hospital (Nemocnice České Budějovice a.s.). A total of 127 valid questionnaires were used for data processing.
  Results: The research revealed that the most common symptom of arrhythmia in 58% cases was rapid heartbeat, irregular heartbeat, and a sense of heart failure. Most respondents agreed with the claim that heart rhythm disorder makes it impossible for them to perform work, study, and perform daily life activities. No statistically significant differences were found in the evaluation of the influence of the arrhythmia duration on the patients' quality of life.
  Conclusions: Arrhythmia duration in the selected sample does not affect the overall health status and quality of life measured by the ASTA series questionnaires. Arrhythmia restricts the patient to perform work tasks, study, and perform daily life activities.

• A szülői gondoskodás formái – az anyaság gyakorlatának elemzése a helyi társadalom kontextusában

  125-143

  Éva Nagy

  Anita Horkai

  Views:

  154

  A szülői tapasztalat és szülői identitás témáját növekvő figyelem övezi az elmúlt 20-25 évben a családszociológiai kutatások terén. A szülői gondoskodás gyakorlata mellett mind fontosabbá vált annak megismerése, hogy hogyan látják a szülők magukat szülőként, hogyan konstruálódik meg a szülőség tapasztalata. Számos egészségügyi, szociális, etikai, pszichológiai probléma, folyamat jelenhet meg ebben a keretben, s a különböző tudományterületekhez kapcsolódó kutatások mint egy nagyítóüveget használhatják a szülői tapasztalatot e jelenségek tanulmányozása során. A szülői szerepkör diverzitást mutat annak tükrében, hogy milyen értéket társítanak az eltérő szülői státuszokhoz. Az anyává válás például centrális pozíciót eredményezhet a családon belül, ám a társadalmi kontextusban inkább jár együtt izoláció megélésével és perifériára kerüléssel. Ez a szakadék hatással van a szülőség megélésének minőségére. Tanulmányunk célja az, hogy bemutassuk hogyan formálódik az anyaság tapasztalata és a szülői gondoskodás megélése különböző lokális terekben.

• Social media, telemedicine, artificial intelligence, robotization - How does the development of digital technology affect social work?

  189-218

  Views:

  308

  The use of ICT is widespread among social workers, many of them use digital technology and social media, keep in touch with their clients online and there are more and more people consulting online. There are also automated treatments that do not require the contribution of the social worker, robots have already appeared abroad in elderly care, use algorithms to prevent child abuse and suicide, and virtual reality in the treatment of addicts. How does all this affect social work as a profession, what professional and ethical issues does the use of technology raise? What kind of new skills do social workers need and how should they reinterpret their roles in the 21st century? In my study, I sought answers to these questions.

• A húsvéti járvány – a COVID-19 várható hatásai az Euro-atlanti tér társadalmaira

  5-23

  Views:

  159

  The purpose of this article is to estimate the changes caused by the COVID-19 pandemic for healthcare and the medical industry that serves it. Furthermore, an estimate of the expected impact of the epidemic onto economic and social change. In addition, to estimate the expected impact of the epidemic on economic and social changes. The article was written in two different periods. The first part ended in April 2020 and the second part in April 2021. The article is essentially a thought experiment. A reasoning enclosed in a bottled mail that the author rewrote after a year in the light of the changing facts. The article concludes that COVID-19 will help complete a long economic cycle. This crisis accelerates a technological shift in which creative destruction occurs in the economic subsystem as well as in other subsystems of the society. The new long economic cycle (Cycle K), just as it happened after World War II, builds a new social quality. At the beginning of the new K cycle, the former welfare state model is replaced by a wellbeing society concept. The basis of a wellbeing society will be solidarity, cooperation and quality. For the individual, health will no longer be just an optional lifestyle, but an effective form of survival.

• A technológiai fejlődés hatása a nemek közötti munkamegosztásra az egészségügyben, a robotasszisztált sebészet területén

  43-60

  Views:

  42

  Technological progress has always played a key role in the development of the economy and society throughout human history. Their impact on society is multifaceted and constantly transforming our world. One aspect of social impact is the impact on the sexual division of labour. As a result of these processes, the labour market may undergo significant changes. The impact of technological development on the division of labour between sexes or genders is complex and multifaceted, therefore it can be examined from several aspects. Although technology offers opportunities for gender equality between women and men, the extent and direction of this depends on many factors, including cultural, social and economic circumstances. The present study focuses on an important sector of the economy, healthcare, which is significantly affected by technological development. Among the technological changes taking place in the sector, it examines the emergence of robotic surgery, with a particular focus on its impact on the gender division of labour within the surgical professions.

• Social Exclusion of Pervitin Users

  60-66

  Views:

  195

  The article is based on a qualitative study using narrative interviews with 13 South Bohemian Pervitin users who visit the drug advisory centre. The goal of the article is to describe how social exclusion is subjectively experienced by Pervitin users. The data were processed with the help of grounded theory. The respondents feel to be excluded in a number of normal life areas: they are rejected by their family, friends, and also by public institutions - particularly by the police and by health care facilities. Social exclusion is accompanied by feelings of guilt and remorse for the users. They are also ashamed of their situation, feeling sorrow and disappointed themselves. In some cases, the users are angry with themselves, in other cases with their surroundings for rejecting them. In both variants, exclusion may constitute an important factor in reducing the users' chances of abstinence.