Does better availability mean better accessibility? Spatial inequalities in the care of acute myocardial infarction in Hungary

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dc.author.affiliationKÉTOhu
dc.author.affiliationNONRKIhu
dc.author.mtmtid10011963
dc.author.mtmtid10022632
dc.author.mtmtid10031434
dc.author.mtmtid10012743
dc.contributor.authorUzzoli, Annamária
dc.contributor.authorEgri, Zoltán
dc.contributor.authorSzilágyi, Dániel
dc.contributor.authorPál, Viktor
dc.coverage.mtmtmtmthu
dc.date.accessioned2021-01-08T09:25:54Z
dc.date.available2021-01-08T09:25:54Z
dc.date.issued2020
dc.description.abstractThe availability of health care services is an important issue, however, improving availability of health care üservices does not necessarily mean better accessibility for everybody. The main aim of this study is to find out ühow better availability in the care of acute myocardial infarction vary with accessibility of patients’ geographical ülocation within Hungary. We applied statistical analysis and interview techniques to unfold the role of spatiality in the conditions of access to health care. Results of statistical analysis indicate significant health inequalities in Hungary. Decreasing national mortality rates of acute myocardial infarction, has been coupled by increasing üspatial inequalities within the country especially at micro-regional level. According to in-depth interviews with local health care stakeholders we defined factors that support access to health care as well as important barriers. The supporting factors are related to the improvement of availability (i.e. infrastructural developments), while geographical distance, lack of material and human resources, or low level of health literacy proved to be the most relevant barriers. Main conclusion is that barriers to accessibility and availability are not only spatial but are also based on individual stages of acute myocardial infarction care. The development of cardiac catheter centres in Hungary has improved the short-term chances of infarction survival, but long-term survival chances ühave worsened in recent years due to deficiencies in rehabilitation care as well as low level of health literacy.hu
dc.description.accessszabadon elérhető / Open accesshu
dc.format.extentfirstpage401hu
dc.format.extentlastpage418hu
dc.format.extentvolume69hu
dc.identifier.citationHungarian Geographical Bulletin 69:(4) pp. 401-418. (2020)hu
dc.identifier.doihttps://doi.org/10.15201%2Fhungeobull.69.4.5hu
dc.identifier.issn064-5031hu
dc.identifier.mtmt-recordid31787500
dc.identifier.urihttps://ojs.mtak.hu/index.php/hungeobull/article/view/3055/4021
dc.identifier.urihttp://hdl.handle.net/11155/2363
dc.languageangolhu
dc.relation.ispartofjournalHungarian Geographical Bulletinhu
dc.relation.ispartofjournalissue4hu
dc.rightsCreative Commons Attribution Non-Commercial No Derivatives (CC-BY-NC-ND-4.0) Nevezd meg!-Ne add el!-Ne változtasd!hu
dc.subjectegészségföldrajzhu
dc.subjectegészségügy - területi egyenlőtlenséghu
dc.subjectterületi egyenlőtlenségekhu
dc.subjectegészségügyi egyenlőtlenség - Magyarországhu
dc.subjectegészségügyi ellátáshu
dc.subjectegészségügyi ellátás - Magyarországhu
dc.subjectszívinfarktushu
dc.titleDoes better availability mean better accessibility? Spatial inequalities in the care of acute myocardial infarction in Hungaryen
dc.typejournalArticleen
dc.type.descriptionfolyóiratcikkhu
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