Selective prevention of cardiometabolic diseases: activities and attitudes of general practitioners across Europe

Autor: de Waard, Anne-Karien M, Hollander, Monika, Korevaar, Joke C, Nielen, Mark M J, Carlsson, Axel C, Lionis, Christos, Seifert, Bohumil, Thilsing, Trine, de Wit, Niek J, Schellevis, François G, Angelaki, Agapi, Holzmann, Martin J, Král, N, Søndergaard, Jens, Sønderlund, Anders L, Wändell, P
Přispěvatelé: APH - Quality of Care, APH - Aging & Later Life, General practice
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi
medicine.medical_specialty
Attitude of Health Personnel
Denmark
Psychological intervention
Context (language use)
Disease
03 medical and health sciences
0302 clinical medicine
General Practitioners
Risk Factors
Surveys and Questionnaires
Medicine
Humans
030212 general & internal medicine
Risk factor
Practice Patterns
Physicians'
Selective prevention
Cause of death
Czech Republic
Netherlands
Sweden
Greece
Primary Health Care
business.industry
030503 health policy & services
Public health
Environmental and Occupational Health
Public Health
Environmental and Occupational Health
Public Health
Global Health
Social Medicine and Epidemiology
Health Care Service and Management
Health Policy and Services and Health Economy
Middle Aged
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Cardiovascular Diseases
Family medicine
Chronic Disease
Female
Public Health
0305 other medical science
Risk assessment
business
Zdroj: European Journal of Public Health, 29(1), 88-93. Oxford University Press
de Waard, A-K M, Hollander, M, Korevaar, J C, Nielen, M M J, Carlsson, A C, Lionis, C, Seifert, B, Thilsing, T, de Wit, N J, Schellevis, F G & SPIMEU Project Group 2019, ' Selective prevention of cardiometabolic diseases: activities and attitudes of general practitioners across Europe ', European Journal of Public Health, vol. 29, no. 1, pp. 88-93 . https://doi.org/10.1093/eurpub/cky112
European Journal of Public Health, 29(1), 88. Oxford University Press
de Waard, A-K M, Hollander, M, Korevaar, J C, Nielen, M M J, Carlsson, A C, Lionis, C, Seifert, B, Thilsing, T, de Wit, N J, Schellevis, F G, Søndergaard, J, Larrabee Sonderlund, A & SPIMEU Project Group 2019, ' Selective prevention of cardiometabolic diseases : activities and attitudes of general practitioners across Europe ', European Journal of Public Health, vol. 29, no. 1, pp. 88–93 . https://doi.org/10.1093/eurpub/cky112
The European Journal of Public Health
ISSN: 1101-1262
DOI: 10.1093/eurpub/cky112
Popis: Background: Cardiometabolic diseases (CMDs) are the number one cause of death. Selective prevention of CMDs by general practitioners (GPs) could help reduce the burden of CMDs. This measure would entail the identification of individuals at high risk of CMDs-but currently asymptomatic-followed by interventions to reduce their risk. No data were available on the attitude and the extent to which European GPs have incorporated selective CMD prevention into daily practice.Methods: A survey among 575 GPs from the Czech Republic, Denmark, Greece, the Netherlands and Sweden was conducted between September 2016 and January 2017, within the framework of the SPIMEU-project.Results: On average, 71% of GPs invited their patients to attend for CMD risk assessment. Some used an active approach (47%) while others used an opportunistic approach (53%), but these values differed between countries. Most GPs considered selective CMD prevention as useful (82%) and saw it as part of their normal duties (84%). GPs who did find selective prevention useful were more likely to actively invite individuals compared with their counterparts who did not find prevention useful. Most GPs had a disease management programme for individuals with risk factor(s) for cardiovascular disease (71%) or diabetes (86%).Conclusions: Although most GPs considered selective CMD prevention as useful, it was not universally implemented. The biggest challenge was the process of inviting individuals for risk assessment. It is important to tailor the implementation of selective CMD prevention in primary care to the national context, involving stakeholders at different levels.
Databáze: OpenAIRE
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