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

Jens Søndergaard (Medlem af forfattergruppering), Anders Sønderlund (Medlem af forfattergruppering), SPIMEU Project Group

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Resumé

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.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Public Health
Vol/bind29
Udgave nummer1
Sider (fra-til)88–93
ISSN1101-1262
DOI
StatusUdgivet - feb. 2019

Fingeraftryk

General Practitioners
Czech Republic
Greece
Denmark
Disease Management
Netherlands
Cause of Death
Primary Health Care

Citer dette

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title = "Selective prevention of cardiometabolic diseases: activities and attitudes of general practitioners across Europe",
abstract = "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.",
author = "{de Waard}, {Anne-Karien M} and Monika Hollander and Korevaar, {Joke C} and Nielen, {Mark M J} and Carlsson, {Axel C} and Christos Lionis and Bohumil Seifert and Trine Thilsing and {de Wit}, {Niek J} and Schellevis, {Fran{\cc}ois G} and Jens S{\o}ndergaard and Anders S{\o}nderlund and {SPIMEU Project Group}",
year = "2019",
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T1 - Selective prevention of cardiometabolic diseases

T2 - activities and attitudes of general practitioners across Europe

AU - de Waard, Anne-Karien M

AU - Hollander, Monika

AU - Korevaar, Joke C

AU - Nielen, Mark M J

AU - Carlsson, Axel C

AU - Lionis, Christos

AU - Seifert, Bohumil

AU - Thilsing, Trine

AU - de Wit, Niek J

AU - Schellevis, François G

AU - SPIMEU Project Group

A2 - Søndergaard, Jens

A2 - Sønderlund, Anders

PY - 2019/2

Y1 - 2019/2

N2 - 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.

AB - 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.

U2 - 10.1093/eurpub/cky112

DO - 10.1093/eurpub/cky112

M3 - Journal article

C2 - 30016426

VL - 29

SP - 88

EP - 93

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 1

ER -