Lege Artis Medicinae

[Meeting of the International Social Security Association in Budapest]

JANUARY 01, 1991

Lege Artis Medicinae - 1991;1(01 KLSZ)

[From 28 October to 1 November, the 239-member International Social Security Association (ISSA) Standing Committee on Health and Sickness Insurance held its twenty-fifth meeting in Budapest.Experts from 33 countries (nearly 100 participants) discussed the most topical issues of health care in their countries over five days.]

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Lege Artis Medicinae

[Dear Editorial Team!]

GYENES Géza

[We respectfully send you the position paper of the FAKOOSZ on the "Action Programme", which we have prepared at the request of Dr. István Mikola, State Secretary. We would ask you, if possible, to publish an extract of this document in your newspaper. Our association aims to formulate, coordinate, defend, represent and constantly assert the interests of district doctors working in villages in accordance with their specific living and working conditions. It operates independently of political parties, denominations, the medical trade union and the MOK. In addition to advocacy, we also provide charitable and economic services to our members, the profits from which are donated to the FAKOOSZ Foundation. Our membership is open to all doctors of Hungarian nationality working in the rural districts and municipalities attached to the town, as well as to doctors of non-Hungarian nationality who are resident in Hungary or have a residence permit. ]

Lege Artis Medicinae

[Resolution of the plenary meeting of the Scientific Council for Health of 21 October 1991]

[The Plenary Session of the Scientific Council for Health has formulated the following opinion on the "Action Programme for the Renewal of our Health Care System" and the "Basic Concept of the Financing System of the Hungarian Health Care System".]

Lege Artis Medicinae

[Summary of comments]

[The Ministry of Public Welfare has published a working paper entitled Action Programme for the Renewal of our Health System for discussion in the Medical Weekly and in the pages of Lege Artis Medicinae. The programme has received many comments, opinions and suggestions. In addition to our medical colleagues, economists, sociologists, churchmen, lawyers, entrepreneurs, health professionals, politicians and parliamentarians have also contributed. The majority of the 269 analytical reflections - just over 5,000 pages - were written by institutions, university clinics, hospital doctors' groups, district medical associations, scientific associations, bodies of interest representation bodies (Hungarian Medical Chamber, EDDSZ), the Health Science Council, health and social committees of local authorities, regional and expert working groups of social security institutions and many others. The reflections have been examined in detail by experts from the Ministry and members of the working committee that drew up the programme. They provided many good ideas and useful suggestions for the final version of the programme. We thank all those who took the trouble to contribute with constructive comments and good intentions to the design of the new health care system and the new way of working. The most representative comments are published as promised and a summary of the lessons learnt from the processing of the material is presented in a bundle.]

Lege Artis Medicinae

[Old and new pitfalls: comments on health care reform]

OROSZ Éva

[The following is an extract from a forthcoming book, the manuscript of which closed at the beginning of September, so it does not respond to the Ministry of Public Welfare programme that has been published since then - although it is still relevant. ]

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[The connection between the socioeconomic status and stroke in Budapest]

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[The well-known gap bet­ween stroke mortality of Eastern and Western Euro­pean countries may reflect the effect of socioeconomic diffe­rences. Such a gap may be present between neighborhoods of different wealth within one city. We set forth to compare age distribution, incidence, case fatality, mortality, and risk factor profile of stroke patients of the poorest (District 8) and wealthiest (District 12) districts of Budapest. We synthesize the results of our former comparative epidemiological investigations focusing on the association of socioeconomic background and features of stroke in two districts of the capital city of Hungary. The “Budapest District 8–12 project” pointed out the younger age of stroke patients of the poorer district, and established that the prevalence of smoking, alcohol-consumption, and untreated hypertension is also higher in District 8. The “Six Years in Two Districts” project involving 4779 patients with a 10-year follow-up revealed higher incidence, case fatality and mortality of stroke in the less wealthy district. The younger patients of the poorer region show higher risk-factor prevalence, die younger and their fatality grows faster during long-term follow-up. The higher prevalence of risk factors and the higher fatality of the younger age groups in the socioeconomically deprived district reflect the higher vulnerability of the population in District 8. The missing link between poverty and stroke outcome seems to be lifestyle risk-factors and lack of adherence to primary preventive efforts. Public health campaigns on stroke prevention should focus on the young generation of socioeconomi­cally deprived neighborhoods. ]

Lege Artis Medicinae

[A short chronicle of three decades ]

KAPRONCZAY Katalin

[Hungarian professional periodicals started quite late in European context. Their publish­ing, editing and editorial philosophy were equally influenced by specific historical and political situations. Certain breaking points of history resulted in termina­tion of professional journals (War of In­de­pendence 1848-1849, First and Se­cond World Wars), however there were pe­riods, which instigated the progress of sciences and founding of new scientific journals. Both trends were apparent in years after the fall of former Hungarian regime in 1990. The structure of book and journal publishing has changed substantially, some publishers fell “victim” others started successfully as well. The latters include the then-established publishing house Literatura Medica and its own scientific journal, Lege Artis Me­di­cinae (according to its subtitle: New Hun­garian Medical Herald) issued first in 1990. Its appearance enhanced significantly the medical press market. Its scientific publications compete with articles of the well-established domestic medical journals however its philosophy set brand-new trends on the market. Concerning the medical community, it takes on its problems and provides a forum for them. These problems are emerging questions in health care, economy and prevention, in close interrelation with system of public health institutions, infrastructure and situation of those providing individual health services. In all of them, Lege Artis Medicinae follows consequently the ideas of traditional social medicine.]