| Autor: |
Russell Jago, Frank de Vocht, Rona Campbell, Hugh McLeod, Elisabeth Grey, Carlos Sillero-Rejon, Ruth Salway, Chloe Forte, Patricia Jessiman, Rebecca Harkes, Paul Stokes |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 14, Iss 11 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2024-091417 |
| Popis: |
Objectives To compare the uptake, effectiveness and costs of a digital version of the National Health Service (NHS) Health Check (DHC) to the standard face-to-face NHS Health Check (F2F).Participants and setting A random sample of 9000 patients aged 40–74 eligible for an NHS Health Check in Southwark, England, between January and April 2023.Intervention and design The DHC was an online tool with a health assessment section, an advice and support section, and a section on how to obtain and update follow-up physical measures (blood pressure, cholesterol, glycated haemoglobin (HbA1c)). 6000 patients from GP records were randomly allocated to receive a DHC invitation and 3000 to receive an F2F invitation. Those invited to DHC were able to choose F2F if they preferred.Outcomes The primary outcome was the uptake of any type of health check, either a completed F2F appointment or completion of the DHC health assessment section, along with demographics and data on appointments, medications and referrals within the study period. QRISK3 and QDiabetes risk scores were calculated. Management and operation costs were estimated for F2F and DHC pathways.Results Excluding participants who moved away or died, the DHC uptake to the health assessment section was 21% (1189/5705), with a further 3% (198/5705) choosing F2F, compared with 11% (305/2900) for F2F completion (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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