The Nationwide Systematic Prevention of Cardiovascular Disease The UK's Health Check Programme

被引:17
作者
Dalton, Andrew R. H. [1 ]
Soljak, Michael [1 ]
机构
[1] Imperial Coll, Dept Primary Care & Publ Hlth, Sch Publ Hlth, London W6 8RP, England
关键词
cardiovascular diseases; inequalities; primary health care; primary prevention; public health;
D O I
10.1097/JAC.0b013e318240be9d
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
High-income countries have witnessed marked reductions in cardiovascular disease (CVD) in recent years. Aging populations, however, maintain CVD as amajor threat to public health and health system's financial stability. England has commenced on a population-wide screening and prevention program for CVD, the NHS Health Check program, the first national program of its type. We outline the program, its implications for public health and primary care, potential threats to the program, and its implications for the US health system. We conclude that the universal approach adopted contains a number of risks and uncertainties. The program's ongoing evaluation is vital and will provide internationally valuable data.
引用
收藏
页码:206 / 215
页数:10
相关论文
共 45 条
[1]   Cholesterol Control Beyond the Clinic: New York City's Trans Fat Restriction [J].
Angell, Sonia Y. ;
Silver, Lynn Dee ;
Goldstein, Gail P. ;
Johnson, Christine M. ;
Deitcher, Deborah R. ;
Frieden, Thomas R. ;
Bassett, Mary T. .
ANNALS OF INTERNAL MEDICINE, 2009, 151 (02) :129-W33
[2]   Twenty-year trends in serum cholesterol, hypercholesterolemia, and cholesterol medication use - The Minnesota Heart Survey, 1980-1982 to 2000-2002 [J].
Arnett, DK ;
Jacobs, DR ;
Luepker, RV ;
Blackburn, H ;
Armstrong, C ;
Claas, SA .
CIRCULATION, 2005, 112 (25) :3884-3891
[3]  
BACKLUND L, 2004, PRIM HEALTH CARE RES, V5, P145
[4]   Effectiveness and cost effectiveness of cardiovascular disease prevention in whole populations: modelling study [J].
Barton, Pelham ;
Andronis, Lazaros ;
Briggs, Andrew ;
McPherson, Klim ;
Capewell, Simon .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343
[5]  
Boyle R, 2010, HEART, V96, P901, DOI 10.1136/hrt.2010.195636
[6]  
Campbell D., 2011, GUARDIAN
[7]   Will Cardiovascular Disease Prevention Widen Health Inequalities? [J].
Capewell, Simon ;
Graham, Hilary .
PLOS MEDICINE, 2010, 7 (08)
[8]   Estimating the population impact of screening strategies for identifying and treating people at high risk of cardiovascular disease: modelling study [J].
Chamnan, Parinya ;
Simmons, Rebecca K. ;
Khaw, Kay-Tee ;
Wareham, Nicholas J. ;
Griffin, Simon J. .
BMJ-BRITISH MEDICAL JOURNAL, 2010, 340 :1016
[9]   Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study [J].
Dalton, Andrew R. H. ;
Bottle, Alex ;
Okoro, Cyprian ;
Majeed, Azeem ;
Millett, Christopher .
JOURNAL OF PUBLIC HEALTH, 2011, 33 (03) :422-429
[10]   NHS HEALTH CHECK Risk stratification could reduce costs in primary prevention of cardiovascular disease [J].
Dalton, Andrew R. H. ;
Bull, Richard J. .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343