High variability in implementation of selective-prevention services for cardiometabolic diseases in five european primary care settings

Autor: Niek J. de Wit, Christos Lionis, Axel C. Carlsson, Anders Larrabee Sonderlund, Antonios Bertsias, Agapi Angelaki, Norbert Král, Joke C. Korevaar, Jens Søndergaard, François G. Schellevis, Monika Hollander, Trine Thilsing, Hrafnhildur Gudjonsdottir, Marilena Anastasaki, Bohumil Seifert, Per Wändell
Přispěvatelé: APH - Quality of Care, APH - Aging & Later Life, General practice
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Lionis, C, Anastasaki, M, Bertsias, A, Angelaki, A, Carlsson, A C, Gudjonsdottir, H, Wändell, P, Larrabee Sonderlund, A, Thilsing, T, Søndergaard, J, Seifert, B, Kral, N, De Wit, N J, Hollander, M, Korevaar, J & Schellevis, F 2020, ' High variability in implementation of selective-prevention services for cardiometabolic diseases in five european primary care settings ', International Journal of Environmental Research and Public Health, vol. 17, no. 23 . https://doi.org/10.3390/ijerph17239080
International Journal of Environmental Research and Public Health
Volume 17
Issue 23
International Journal of Environmental Research and Public Health, Vol 17, Iss 9080, p 9080 (2020)
Lionis, C, Anastasaki, M, Bertsias, A, Angelaki, A, Carlsson, A C, Gudjonsdottir, H, Wändell, P, Sonderlund, A L, Thilsing, T, Søndergaard, J, Seifert, B, Kral, N, De Wit, N J, Hollander, M, Korevaar, J & Schellevis, F 2020, ' High variability in implementation of selective-prevention services for cardiometabolic diseases in five european primary care settings ', International Journal of Environmental Research and Public Health, vol. 17, no. 23, 9080, pp. 1-15 . https://doi.org/10.3390/ijerph17239080
International Journal of Environmental Research and Public Health, 17(23):9080, 1-15. Multidisciplinary Digital Publishing Institute (MDPI)
ISSN: 1661-7827
DOI: 10.3390/ijerph17239080
Popis: (1) Background: Cardiometabolic diseases are the most common cause of death worldwide. As part of a collaborative European study, this paper aims to explore the implementation of primary care selective-prevention services in five European countries. We assessed the implementation process of the selective-prevention services, participants&rsquo
cardiometabolic profile and risk and participants&rsquo
evaluation of the services, in terms of feasibility and impact in promoting a healthy lifestyle. (2) Methods: Eligible participants were primary care patients, 40&ndash
65 years of age, without any diagnosis of cardiometabolic disease. Two hundred patients were invited to participate per country. The extent to which participants adopted and completed the implementation of selective-prevention services was recorded. Patient demographics, lifestyle-related cardiometabolic risk factors and opinions on the implementation&rsquo
s feasibility were also collected. (3) Results: Acceptance rates varied from 19.5% (n = 39/200) in Sweden to 100% (n = 200/200) in the Czech Republic. Risk assessment completion rates ranged from 65.4% (n = 70/107) in Greece to 100% (n = 39/39) in Sweden. On a ten-point scale, the median (25&ndash
75% quartile) of participant-reported implementation feasibility ranged from 7.4 (6.9&ndash
7.8) in Greece to 9.2 (8.2&ndash
9.9) in Sweden. Willingness to change lifestyle exceeded 80% in all countries. (4) Conclusions: A substantial variation in the implementation of selective-prevention receptiveness and patient risk profile was observed among countries. Our findings suggest that the design and implementation of behavior change cardiometabolic programmes in each country should be informed by the local context and provide some background evidence towards this direction, which can be even more relevant during the current pandemic period.
Databáze: OpenAIRE
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