https://m2.mtmt.hu/ hun 2026-05-26 06:53 JournalArticle 34901327 VALIDATED true Department of Theoretical Medical Sciences, Doctoral School of Health Sciences, University of Pécs, Pécs, 7622, Hungary Department of Finance and Accounting, Tomori Pál College, Budapest, 1223, Hungary Doctoral School of Sport Sciences, Hungarian University of Sports Science, Budapest, 1123, Hungary Department of Tourism, Faculty of Economics and Social Sciences, Eszterházy Károly Catholic University, Eger, 3300, Hungary Department of Tourism and Hospitality, Faculty of Economics and Business, John von Neumann University, Kecskemét, 6000, Hungary Department of Sustainable Tourism, Institute of Rural Development and Sustainable Economy, Hungarian University of Agriculture and Life Sciences (MATE), Gödöllő, 2100, Hungary Savaria Department of Business Economics, Faculty of Social Sciences, Savaria University Centre, Eötvös Loránd University, Szombathely, 9700, Hungary Export Date: 03 May 2025; Cited By: 1; Correspondence Address: L.D. Dávid; Department of Tourism and Hospitality, Faculty of Economics and Business, John von Neumann University, Kecskemét, 6000, Hungary; email: david.lorant.denes@nje.hu 0 false 2026-05-05T13:36:29.887+0000 2024-12-06T18:09:04.373+0000 2024-06-04T08:52:39.660+0000 true 10002985 Dávid Lóránt Dénes /api/author/10002985 Author true 10002985 2025-10-17T15:48:16.191+0000 2025-10-17T15:48:16.191+0000 2024-12-06T18:09:04.663+0000 true 10039043 Milánkovics Róbert /api/admin/10039043 Admin true 10039043 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Etelka, Szivós Impact of changes of hospital integrations spanning a decade in Hungary Modern diagnostic services: CT care based on a Hungarian sample true true /api/journal/20102058 REVIEWED true false false 20102058 true 2572-7923 2572-7931 Journal FOREIGN 8 6 1 16 4215 1, 4215 16 2024 Introduction, purpose of the study: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R2 = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care. true 2024 true true true false true false NONE 2026-05-05 false 8 0 6 5 4 5 3 0 2 2 2 1 1 5 3 0 8 5 6 5 0 9 9 Folyóiratcikk Journal Article 24 4 Könyvrészlet Chapter in Book 25 1 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 1 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 1 Egyéb Miscellaneous 29 1 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2024 0 3 2 3 2 2025 0 5 3 5 3 B nemzetközi false 10030939 false false false 2024-09-02T08:58:54.022+0000 Doktori Iskola (MTSE); Egészségtudományi Doktori Iskola (PTE / DI); Fenntartható Turizmus Tanszék (MATE / VFGI); Pénzügy-számvitel Tanszék (TPF); Savaria Gazdálkodástudományi Tanszék (ELTE / TATK); Turizmus Tanszék (EKKE / GTK / GTI); Turizmus-vendéglátás Tanszék (NJE / GTK) 6 81 7 6 0 false Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 116906520 /api/authorship/116906520 1 0.16666667 true false Author 10062042 /api/author/10062042 Szívós Etelka true 10062042 true Etelka Szivós true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 116906521 /api/authorship/116906521 2 0.16666667 false false Author 10031551 /api/author/10031551 Hegedűs Mihály true 10031551 true Mihály Hegedűs true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 116906522 /api/authorship/116906522 3 0.16666667 false false Author 10030939 /api/author/10030939 Balogh Sándor true 10030939 true Sándor Balogh true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 116906523 /api/authorship/116906523 4 0.16666667 false false Author 10069179 /api/author/10069179 Zsarnóczky-Dulházi Fanni true true Fanni Zsarnóczky-Dulházi true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 116906524 /api/authorship/116906524 5 0.16666667 false false Author 10051001 /api/author/10051001 Gyurkó Ádám true 10051001 true Ádám Gyurkó true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 116906525 /api/authorship/116906525 6 0.167 false true true Author 10002985 /api/author/10002985 Dávid Lóránt Dénes true 10002985 true Lóránt Dénes Dávid true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 26308971 /api/publicationidentifier/26308971 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true IDENTICAL 10.24294/jipd.v8i6.4215 https://doi.org/10.24294/jipd.v8i6.4215 false true PublicationIdentifier 26734057 /api/publicationidentifier/26734057 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 85196364746 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85196364746 true true PublicationIdentifier 26308972 /api/publicationidentifier/26308972 PlainSource 40 /api/publicationsource/40 PublicationSourceType 10006 /api/publicationsourcetype/10006 true true true Egyéb URL Other URL @@@ true true 40 true https://systems.enpress-publisher.com/index.php/jipd/article/view/4215 https://systems.enpress-publisher.com/index.php/jipd/article/view/4215 false true MtaRating 11509610 /api/mtarating/11509610 RatingType 10015 /api/ratingtype/10015 PTB Institute 14099 /api/institute/14099 0 false true false Politikatudományi Bizottság Committee on Political Science true 14099 true true true B nemzetközi false true MtaRating 11508765 /api/mtarating/11508765 RatingType 10006 /api/ratingtype/10006 ÁJB Institute 14093 /api/institute/14093 0 false true false Állam- és Jogtudományi Bizottság Állam- és Jogtudományi Bizottság true 14093 true true true B nemzetközi false true MtaRating 11510903 /api/mtarating/11510903 RatingType 10012 /api/ratingtype/10012 GMB Institute 19066 /api/institute/19066 0 false true false Gazdaságtudományi Doktori Minősítő Bizottság Committee on Economics true 19066 true true true C nemzetközi false true /api/publication/34901327 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10062042"><a href="/gui2/?type=authors&mode=browse&sel=10062042" target="_blank">Etelka Szivós (<span class="authorship-author-name">Szívós Etelka</span> <span class="authorAux-mtmt"> Egészségtudomány</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Doktori Iskolák">DI</span>/Egészségtudományi Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10031551"><a href="/gui2/?type=authors&mode=browse&sel=10031551" target="_blank">Mihály Hegedűs (<span class="authorship-author-name">Hegedűs Mihály</span> <span class="authorAux-mtmt"> számvitel, könyvvizsgálat, egészségügy</span>) </a> </span> <span class="author-affil"><span title="Tomori Pál Főiskola">TPF</span>/Pénzügy-számvitel Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10030939"><a href="/gui2/?type=authors&mode=browse&sel=10030939" target="_blank">Sándor Balogh (<span class="authorship-author-name">Balogh Sándor</span> <span class="authorAux-mtmt"> Háziorvostan</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Doktori Iskolák">DI</span>/Egészségtudományi Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10069179"><a href="/gui2/?type=authors&mode=browse&sel=10069179" target="_blank">Fanni Zsarnóczky-Dulházi (<span class="authorship-author-name">Zsarnóczky-Dulházi Fanni</span> <span class="authorAux-mtmt"> eHealth, Mozgásszervi rehabilitáció, Mozgáselemzés</span>) </a> </span> <span class="author-affil"><span title="Magyar Testnevelési és Sporttudományi Egyetem">MTSE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10051001"><a href="/gui2/?type=authors&mode=browse&sel=10051001" target="_blank">Ádám Gyurkó (<span class="authorship-author-name">Gyurkó Ádám</span> <span class="authorAux-mtmt"> Turizmusföldrajz, regionális gazdaságtan</span>) </a> </span> <span class="author-affil"><span title="Eszterházy Károly Katolikus Egyetem">EKKE</span>/<span title="Gazdaság- és Társadalomtudományi Kar">GTK</span>/<span title="Gazdaságtudományi Intézet">GTI</span>/Turizmus Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10002985"><a href="/gui2/?type=authors&mode=browse&sel=10002985" target="_blank">Lóránt Dénes Dávid ✉ (<span class="authorship-author-name">Dávid Lóránt Dénes</span> <span class="authorAux-mtmt"> Társadalomföldrajz</span>) </a> </span> <span class="author-affil"><span title="Neumann János Egyetem">NJE</span>/<span title="Gazdaságtudományi Kar">GTK</span>/Turizmus-vendéglátás Tanszék; <span title="Magyar Agrár- és Élettudományi Egyetem">MATE</span>/<span title="Vidékfejlesztés és Fenntartható Gazdaság Intézet">VFGI</span>/Fenntartható Turizmus Tanszék; <span title="Eötvös Loránd Tudományegyetem">ELTE</span>/<span title="Társadalomtudományi Kar">TATK</span>/<span title="Közgazdaságtudományi Intézet">Közgazdtud_Int</span>/<span title="Közgazdaságtudományi Tanszék">Közgazdtud_Tsz</span>/Savaria Gazdálkodástudományi Tanszék</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;34901327" target="_blank">Impact of changes of hospital integrations spanning a decade in Hungary : Modern diagnostic services: CT care based on a Hungarian sample.</a></div> <div> <span class="journal-title">JOURNAL OF INFRASTRUCTURE POLICY AND DEVELOPMENT</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/2572-7923">2572-7923</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/2572-7931">2572-7931</a>)</span>: <span class="journal-volume">8</span> <span class="journal-issue">6</span> <span class="page"> pp 1-16 Paper 4215. </span> <span class="year">(2024)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.24294/jipd.v8i6.4215" target="_blank" href="https://doi.org/10.24294/jipd.v8i6.4215"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85196364746" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85196364746"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="https://systems.enpress-publisher.com/index.php/jipd/article/view/4215" target="_blank" href="https://systems.enpress-publisher.com/index.php/jipd/article/view/4215"> Egyéb URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Politikatudományi Bizottság IXGJO PTB [1901-]&nbsp;&nbsp;&nbsp;B nemzetközi</div> <div class="journal-subject">Állam- és Jogtudományi Bizottság IXGJO ÁJB [1901-]&nbsp;&nbsp;&nbsp;B nemzetközi</div> <div class="journal-subject">Gazdaságtudományi Doktori Minősítő Bizottság IXGJO GMB [1901-]&nbsp;&nbsp;&nbsp;C nemzetközi</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 8</span> | Független: 5 | Függő: 3 | Nem jelölt: 0 | Scopus jelölt:&nbsp;2 | WoS/Scopus jelölt:&nbsp;2 | DOI jelölt:&nbsp;3 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;34901327&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 9 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 34901327</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="notDuplums"><a target="_blank" href="/api/publication/34901327/notduplums">5 Nem duplumnak jelölés</a> </div> <div class="lastModified">Utolsó módosítás: 2024.12.06. 19:09 Milánkovics Róbert (PTE ÁOK admin 4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Theoretical Medical Sciences, Doctoral School of Health Sciences, University of Pécs, Pécs, 7622, Hungary Department of Finance and Accounting, Tomori Pál College, Budapest, 1223, Hungary Doctoral School of Sport Sciences, Hungarian University of Sports Science, Budapest, 1123, Hungary Department of Tourism, F...</pre> </div></div>