Evidence map›Paper›PMID 30149586›Full record

ArticleInternational journal of environmental research and public health2018

Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study.

János Sándor, Anita Pálinkás, Ferenc Vincze, Nóra Kovács, Valéria Sipos, László Kőrösi, Zsófia Falusi, László Pál, Gergely Fürjes, Magor Papp and 1 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Inequalities in Diabetes Mortality Between Microregions in Hungary.International journal of public health · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. To Comply or Not to Comply: Roma Approach to Health Laws.International journal of environmental research and public health · 2020
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

János SándorDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. sandor.janos@sph.unideb.hu.
Anita PálinkásDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. palinkas.anita@sph.unideb.hu.
Ferenc VinczeDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. vincze.ferenc@sph.unideb.hu.
Nóra KovácsDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. kovacs.nora@sph.unideb.hu.
Valéria SiposDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. sipos.valeria@sph.unideb.hu.
László KőrösiDepartment of Financing, National Health Insurance Fund, Váci Rd 73/A, H-1139 Budapest, Hungary. korosi.l@neak.gov.hu.
Zsófia FalusiDepartment of Financing, National Health Insurance Fund, Váci Rd 73/A, H-1139 Budapest, Hungary. falusi.zs@neak.gov.hu.
László PálDepartment of Financing, National Health Insurance Fund, Váci Rd 73/A, H-1139 Budapest, Hungary. pal.l@neak.gov.hu.
Gergely FürjesNational Institute for Health Development, Diószegi St 64, Budapest H-1113, Hungary. furjes.gergely@sph.unideb.hu.
Magor PappNational Institute for Health Development, Diószegi St 64, Budapest H-1113, Hungary. papp.magor@nefi.hu.
Róza ÁdányDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai St 26/B, H-4028 Debrecen, Hungary. adany.roza@sph.unideb.hu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Roma is the largest ethnic minority of Europe with deprived health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health indicators for adults living in segregated Roma settlements (SRS), representing the most vulnerable Roma subpopulation. SRSs were mapped in a study area populated by 54,682 adults. Records of all adults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators on healthcare utilization and all-cause premature death along with the ratio of them (RR) were computed with 95% confidence intervals. The rate of GP appointments was significantly higher among SRS inhabitants (RR = 1.152, 95% CI: 1.136⁻1.167). The proportion of subjects hospitalized (RR = 1.286, 95% CI: 1.177⁻1.405) and the reimbursement for inpatient care (RR = 1.060, 95% CI: 1.057⁻1.064) were elevated for SRS. All-cause premature mortality was significantly higher in SRSs (RR = 1.711, 1.085⁻2.696). Our study demonstrated that it is possible to compute the SRS-specific version of routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue into a non-sensitive small-area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of all-cause premature death.

Indexed as

Mortality, PrematurePatient Acceptance of Health CareRomani PeopleSocial SegregationAdultCross-Sectional StudiesFemaleHealth StatusHumansHungaryInsurance, HealthMaleMiddle AgedMinority Groupsgeographical inequalityhealthcare utilizationhealth statuslegal constraintsRoma minority

Identifiers

PMID30149586
PMCPMC6163424

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.