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dc.contributor.authorBaker, Colin
dc.contributor.authorLoughren, Elizabeth
dc.contributor.authorCrone, Diane
dc.contributor.authorKallfa, Nevila
dc.date.accessioned2019-02-12T08:51:12Z
dc.date.available2019-02-12T08:51:12Z
dc.date.issued2015-04-28
dc.identifier.citationBaker, C., Loughren, E.A., Crone, D. and Kallfa, N. (2015) 'A process evaluation of the NHS Health Check care pathway in a primary care setting', Journal of Public Health, 37(2), pp.202-209. DOI: 10.1093/pubmed/fdv053.en_US
dc.identifier.issn1741-3850
dc.identifier.urihttp://hdl.handle.net/10369/10298
dc.descriptionArticle published in Journal of Public Health on 28 April 2015 (online), available open access at: https://doi.org/10.1093/pubmed/fdv053.en_US
dc.description.abstractBackground: More evidence is needed concerning the implementation of the NHS Health Check programme in order to identify areas for improvement. The aim of the study was to investigate the way in which the Gloucestershire NHS Health Check programme care pathway was followed and interpreted compared with national programme indicators. Methods: A cross sectional review of Gloucestershire's Health Checks was undertaken to assess programme performance via a primary care audit of key indicators within a cohort of 83 GP practices and an eligible population of 210 513. Data were assessed to compare differences between practices and to compare county data with national indicators. Results: The annual programme uptake was 49.8% and a total of 1031 patients were diagnosed with cardiovascular disease (CVD). Variations in the detection of modifiable risk factors in relation to the NHS Ready Reckoner were identified: diabetes (−0.04%), CKD (−0.9%), hypertension (−19.9%); obesity (−7.1%); low physical activity (−57.7%) and smoking (−14.3%). Conclusions: Disparities in uptake and implementation of the care pathway demonstrate inconsistencies in the application of processes and knowledge. There appears to be an overestimation of CVD risk by the Ready Reckoner tool likely to be attributable to a failure to adjust for existing local early identification efforts in primary care and prevention.en_US
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.relation.ispartofseriesJournal of Public Health;
dc.titleA process evaluation of the NHS Health Check care pathway in a primary care settingen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1093/pubmed/fdv053
dcterms.dateAccepted2015-03-21
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/en_US
rioxxterms.licenseref.startdate2019-02-12


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