BACKGROUND A Model Programme of primary care group practices was implemented in Hungary between 2013 and 2017 - where virtually all GPs had worked in single practices - aiming to increase preventive service uptake and reduce inequalities based on a bilateral agreement between the Swiss and Hungarian governments. Group practices employed a wide variety of health professionals as well as support workers called health mediators. Employment of the latter was based on two decades of European experience of health mediators who specifically facilitate access to and use of health services in Roma minority groups. Health mediators had been recruited from local communities, received training on the job, and were tasked to increase uptake of new preventive services provided by the group practices by personal contacts in the local minority populace. The paper describes the contribution of the work of health mediators to the uptake of two new services provided by group practices. METHODS Quantitative analysis of depersonalized administrative data mandatorily reported to the Management of the Programme during 43 months of operation was carried out on the employment of health mediators and their contribution to the uptake of two new preventive services (health status assessment and community health promoting programmes). RESULTS 80% of all clients registered with the GPs participated at health status assessment by invitation that was 1.3-1.7 times higher than participation at the most successful national screening programmes in the past 15 years. Both the number of mediator work minutes per client and participation rate at health status assessment, as well as total work time of mediators and participants at community health events showed high correlation. Twice as many Roma minority patients were motivated for service use by health mediators compared to all patients. The very high participation rate reflects the wide impact of health mediators who probably reached not only Roma minority, but vulnerable population groups in general. CONCLUSION The future of general practices lays in multidisciplinary teams in which health mediators recruited from the serviced communities can be valuable members, especially in deprived areas.

中文翻译：

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卫生调解员是多学科小组实践的成员：从匈牙利的初级卫生保健模式计划中汲取的经验教训。

背景技术匈牙利在2013年至2017年间实施了初级保健团体实践的标准计划-几乎所有全科医生都在单一实践中工作-旨在根据瑞士和匈牙利政府之间的双边协议，增加预防性服务的使用并减少不平等现象。团体实践聘用了各种各样的卫生专业人员以及称为卫生调解员的支持人员。后者的聘用是基于欧洲卫生调解员两十年的经验，他们专门为罗姆少数民族提供和使用卫生服务。已从当地社区招募了健康调解员，接受了有关工作的培训，他们的任务是通过在当地少数民族中的个人接触来增加采用团体做法提供的新预防服务。该文件描述了健康调解人的工作对采用团体实践提供的两项新服务的贡献。方法对健康调解员的雇用及其对采用两种新的预防服务（健康状况评估和社区健康促进方案）的贡献进行了量化分析，该分析是在运行43个月期间强制性向计划管理部门报告的非人事行政数据。 。结果在全科医生中注册的所有客户中，有80％应邀参加了健康状况评估，比过去15年中最成功的国家筛查计划的参与率高1.3-1.7倍。每个客户的调解员工作分钟数和健康状况评估中的参与率，以及社区健康事件中调解员和参与者的总工作时间显示出高度相关性。与所有患者相比，卫生调解员激励使用服务的罗姆族少数患者的人数是后者的两倍。很高的参与率反映了健康调解员的广泛影响，他们不仅可能影响到罗姆人少数群体，而且普遍影响了弱势群体。结论通用实践的未来在于多学科团队，从服务社区中招募的健康调解员可以成为有价值的成员，特别是在贫困地区。很高的参与率反映了健康调解员的广泛影响，他们不仅可能影响到罗姆人少数群体，而且普遍影响了弱势群体。结论一般实践的未来在于跨学科团队，其中从服务社区招聘的健康调解员可以成为有价值的成员，尤其是在贫困地区。很高的参与率反映了健康调解员的广泛影响，他们不仅可能影响到罗姆人少数群体，而且普遍影响了弱势群体。结论通用实践的未来在于多学科团队，从服务社区中招募的健康调解员可以成为有价值的成员，特别是在贫困地区。