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      Changes in the health status of the Hungarian Defence Forces in an ageing society

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          Abstract

          Introduction

          The continuous collection, monitoring, and analysis of morbidity data enable health professionals to plan the capacity of the care system, to organise and optimise care, to measure the burden of diseases resulting from each morbidity, and to estimate its expected evolution.

          Material and methods

          In our study, we analyse the data of patient flow reports for the period 2011 to 2020 for the healing and preventive basic service defined as the basic task of the primary health care system (troop health service) of the Hungarian Defence Forces.

          Results

          Over 850,000 doctor-patient encounters over the ten-year period were mostly due to some form of acute care need, infection, and respiratory illness. The morbidity structure has not changed significantly over the period. In all cases, the top three were diseases of the respiratory system (J00-J99), diseases of the circulatory system (I00-I99), as well as musculoskeletal and connective tissue diseases (M00-M99). In 2020, the highest number of people with restrictions for health reasons in the period under review was 131 for diseases of the circulatory system and 179 for musculoskeletal disorders. In recent years, the time spent on medical leave or on sick leave has increased significantly in terms of the number of cases of incapacity to work.

          Conclusions

          Accurate knowledge of morbidity and health data can also provide the military leadership with important information on combat fitness, especially when the ever-increasing task load (mission activity, border tasks, Covid-19) has to be met by an armed corps selected from an ageing population.

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          Most cited references11

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          Are patients at Veterans Affairs medical centers sicker? A comparative analysis of health status and medical resource use.

          The Veterans Affairs (VA) health system has been criticized for being inefficient based on comparisons of VA care with non-VA care. Whether such comparisons are biased by differences between the VA patient population and the non-VA patient population is not known. Our objective is to determine if VA patients are different from non-VA patients in terms of health status and medical resource use. We analyzed 128,099 records from the National Health Interview Survey for the years 1993 and 1994. We compared the VA patient population with the general patient population for self report on health status, number of medical conditions, number of outpatient physician visits, number of hospital admissions, and number of hospital days each year. The VA patient population had poorer health status (odds ratio [OR], 14.7; 95% confidence interval [CI], 10.7-20.2), more medical conditions (OR, 14; 95% CI, 10.5-18.7), and higher medical resource use compared with the general patient population (OR, 3.7 for 3 or more physician visits per year; OR 5.4 for 3 or more hospital admissions per year; OR, 7.7 for 21 or more days spent in a hospital per year). However, after controlling for health and sociodemographic differences, VA patients had similar resource use compared with the general patient population. Large differences in sociodemographic status, health status, and subsequent resource use exist between the VA and the general patient population. Therefore, comparisons of VA care with non-VA care need to take these differences into account. Furthermore, health care planning and resource allocation within the VA should not be based on data extrapolated from non-VA patient populations. Arch Intern Med. 2000;160:3252-3257.
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            Health and health behavior differences: U.S. Military, veteran, and civilian men.

            Little is known about health and health behavior differences among military service veterans, active duty service members, National Guard/Reserve members, and civilians. Several important differences were identified among U.S. women from these subpopulations; to identify areas for targeted intervention, studies comparing men from these subpopulations are needed.
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              The prevalence of overweight and obesity among U.S. military Veterans

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                Author and article information

                Contributors
                Journal
                2066
                Developments in Health Sciences
                DHS
                Akadémiai Kiadó (Budapest )
                2630-9378
                2630-936X
                09 March 2022
                16 March 2022
                : 4
                : 2
                : 42-47
                Affiliations
                [ 1 ] Department of Health Promotion, Hungarian Defence Forces Medical Center , Budapest, Hungary
                [2 ] School of Doctoral Studies, National University of Public Service , Budapest, Hungary
                [3 ] Faculty of Health Sciences, Semmelweis University , Budapest, Hungary
                [4 ] University of Physical Education , Budapest, Hungary
                Author notes
                [* ]Corresponding author. Department of Health Promotion, Hungarian Defence Forces Medical Center , Barackos út 88, Szentendre H-2000, Hungary. Tel.:+ 0036204292429; Work Tel.:+ 003614651800/73007. E-mail: novakattila09@ 123456gmail.com ; novak.attila@ 123456hm.gov.hu
                Author information
                https://orcid.org/0000-0002-7335-7735
                Article
                10.1556/2066.2022.00052
                c25fdea5-a691-4431-bff2-8189b6b52bb5
                © 2022 The Author(s)

                Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

                History
                : 07 July 2021
                : 28 December 2021
                : 31 January 2022
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 11, Pages: 06

                Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
                military health,morbidity structure,military health status

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