Abstract

The leadership of the Semmelweis University as a leading institution of higher education in Hungary and the Central Eastern European region within the area of medicine and health sciences has decided to reflect on the unfavorable public health situation in the country as well as the deteriorating health behavior and health status indicators in the Hungarian population by the development of an occupational setting-based personalized public health model program targeting its about 8500 employees. Based on its infrastructure and human resources the core element of the program is the establishment of the Center of Preventive Services (CPS) with units providing health risk assessment for each employee, and whenever necessary consultation with medical specialist in preventive medicine and public health, as well as counseling with dietician, physiotherapist and/or health psychologist. The service providers are the staff members of the relevant faculties in collaboration with partner primary and occupational care physicians. The units of the CPS can also serve as practical training sites for students at various levels of medical and health sciences training, and strongly contribute to the development and improvement of their skills to be able for working as a team in service provision. The employees are not only beneficiaries of health risk assessment and screening repeated on a regular basis and adequate interventions at the right time, but they also serve as a sample for a longitudinal cohort study and further ad hoc surveys for defining and implementing interventions to support health protection, disease prevention and healthy aging among them.

Highlights

  • Health status of the Hungarian population is among the least favorable in the European Union

  • The prevalence of metabolic syndrome (MetS), the most robust indicator of increased risk for cardiometabolic diseases was found as high as 39.8%, and that of insulin resistance characterized by HOMA-IR as 48.1% in the Hungarian population aged 20–64 years in a complex health survey in 2018 [8]

  • Preliminary risk assessment will be carried out by using a questionnaire based on the European Health Interview Survey (EHIS) wave 2 which consists of four modules on (a) health status, (b) health care use, (c) health determinants, and (d) socio-economic variables

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Summary

INTRODUCTION

Health status of the Hungarian population is among the least favorable in the European Union. Preliminary risk assessment will be carried out by using a questionnaire based on the European Health Interview Survey (EHIS) wave 2 which consists of four modules on (a) health status, (b) health care use, (c) health determinants, and (d) socio-economic variables In these modules, the following topics are covered: (a) self-perceived health, chronic diseases known by the respondents, limitation in activities, and mental health, (b) use of different types of health care services, including hospitalizations, consultations, preventive (among them screening) services, and medications, and unmet needs for health care, and (c) smoking and alcohol consumption, physical activity, and dietary habits and additional background variables on demographics and socio-economic status such as sex, age, living conditions, education, income, and Consultation With Medical Specialists in Preventive Medicine and Public. The units of the CPS serve as practical training sites for medical students, residents in a clinical residency program in Public Health and Preventive Medicine, as well as for students in BSc in Public Health, BSc and MSc in Physiotherapy, and BSc and MSc in Nursing courses, as well for PhD students working on relevant topics

DISCUSSION
Findings
18. Okanagan Charter

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