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Copyright of Magyar Nőorvosok Lapja is the property of Hungarian Society of Obsterics & Gynaecology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Medicinae et Sociologica (AMS) is the property of University of Debrecen and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The paper is based on a case study which is the part of a research project (No. 119574). This research aims to analyse regional differences of health inequalities in Hungary addressed it to the role of access to health care. The examinations contain both of quantitative and qualitative techniques as mixed method. To measure health inequality and its regional differences morbidity and mortality data of acute myocardial infarction was used. To define the conditions of accessibility health care of infarction was applied. The theoretical background of this research is based on a model ‘5A’. The most important results of statistical analysis can strengthen a paradox situation: marked improvement of mortality has happened in the last 15 years, but the level of morbidity and mortality is still high internationally. On the other hand, there are notable regional differences within the country. Primary experiences of made semi-structured interviews can highlight the role of availability, lack of human capacity and weaknesses of patient education in the barriers of access to health care. Moreover, there is remarkable difference between the opinion of medical workers and patients about the relevant influencing factors of accessibility. All results and experiences are suitable to make some proposals for evidence based decision-making. Next step of the research is making expert interviews with important stakeholders of the Hungarian health policy. [ABSTRACT FROM AUTHOR]

Access to health care is one of determinative factors in understanding health inequalities. It is not an easy task to define it, because its conceptualisation and measuring depend on different approaches and socio-economic characteristics. In our three year course research project the main aim is to analyse the Hungarian health inequality and its regional differences related to the role of access to health care. The multi-factorial way in determination of barriers in access to health care means using mixed method with combination of quantitative and qualitative techniques. Acute myocardial infarction is one of non-communicable cardiovascular diseases, which was the example in the case study of our project. This was used to study the connection among accessibility, inequality and spatiality. The primary results of statistical analysis confirm a paradox situation in Hungary based on improving health with increasing inequalities. The most important experiences of making semi-structured interviews with medical stakeholders and patients can discover individual and institutional influencing factors in access to health care. The aim of this paper is to interpret basic theoretical and empirical framework of our research project with its most important results. In addition, many experiences of our examinations are suitable for making proposals for evidence based policy-making. [ABSTRACT FROM AUTHOR]

Difficulties in access to health care can influence health inequalities. In our three years course research project the main task is to analyse the connection between inequalities and accessibility and its determinative socio-economic factors with quantitative and qualitative methods. The aim of this paper is to discover the role of equal opportunities and its regional differences in the run of morbidity and mortality of acute myocardial infarction which is one of most important non-communicable chronical diseases. Majority of our results can strengthen the conditions of a paradox situation. Firstly, Hungary is significantly lagging behind the most developed European countries, in spite of the improving tendency of the mortality in infarction since the first years after 2000. Secondly, decreasing mortality in acute myocardial infarction went together with increasing regional differences in the past decade. Thirdly, improving conditions in health care of infarction did not necessarily result better chances in accessibility and availability. The further step in our research project is to make a local case study to examine the paradox situation with interviews (e.g. with patients and health care stakeholders) defining the local and institutional challenges in access to health care. [ABSTRACT FROM AUTHOR]