Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study.
Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; in order to be effective, high and equitable uptake is paramount. Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35–74 years estimate...
| Publicado en: | Journal of Public Health Vol. 33; no. 3; pp. 422 - 430 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Sep2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=64852824&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 64852824 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Sep2011 vid: 33 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 64852824 104675601 104675601 10.1093/pubmed/fdr034 64852824 ppf: 422 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study. aug: au: Dalton, Andrew R.H. Bottle, Alex Okoro, Cyprian Majeed, Azeem Millett, Christopher affil: Department of Primary Care and Public Health , Imperial College Faculty of Medicine , 3rd Floor, Reynolds Building, St Dunstan's Rd , London W6 8RP , UK sug: subj: Health Screening Utilization National Health Programs England Cultural Diversity Risk Assessment Methods Human Funding Source Cross Sectional Studies England Checklists Utilization Electronic Health Records Adult Middle Age Cardiovascular Risk Factors Logistic Regression Statins Therapeutic Use Age Factors Male Female Odds Ratio Sex Factors Confidence Intervals India Ethnology White Persons Health Services Accessibility Descriptive Statistics Family Practice Correlational Studies Variance Analysis Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; in order to be effective, high and equitable uptake is paramount. Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35–74 years estimated to be at a high risk of developing cardiovascular disease, to examine the uptake of the Health Checks using logistic regression and statin prescribing. Results A total of 44.8% of high risk patients invited for a Health Check attended. Uptake was lower among younger men but higher among patients from south Asian (AOR = 1.71 [1.29–2.27] compared with white) or mixed ethnic backgrounds (AOR = 2.42 [1.50–3.89]), and patients registered with smaller practices (AOR = 2.53 [1.09–5.84] <3000 patients compared with 3000–5999). The percentage of patients confirmed to be at high risk of CVD prescribed a statin increased from 24.7 to 44.8%. Conclusions Uptake of cardiovascular risk assessment and prescribing of statins in high risk patients was considerably lower than projected in the first year of NHS Health Checks programme. Targeting efforts to increase uptake and adherence to interventions in high risk populations and reinvesting resources into population wide strategies to reduce obesity, smoking and salt intake may prove more cost-effective in reducing the burden of cardiovascular disease in the UK. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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