Where's the evidence for NHS health checks?

نویسنده

  • Margaret McCartney
چکیده

Back in January 2008, the then prime minister, Gordon Brown, announced “everyone in England will have access to the right preventative health check-up . . . there will soon be check-ups on offer to monitor for heart disease, strokes, diabetes, and kidney disease.” Brown went further, pledging a national screening committee, an independent clinical body, that “will look at the evidence and advise on what additional screening procedures would be genuinely useful in detecting other conditions.” Today these “check-ups” have arrived in the form of NHS health checks, available to all 40-74 year olds in England every five years. But does this policy, which every local authority is mandated by law to provide, have a sound basis in evidence? The health checks consist of an appointment with a healthcare professional at which people are asked about their family history and lifestyle and have their body mass index, blood pressure, and cholesterol concentration measured. Further investigations may then follow. In July 2013, Public Health England said that by systematically targeting hypertension, smoking, high cholesterol, obesity, diet, physical activity, and alcohol intake the health check programme provides a “fantastic opportunity” to help “prevent 1600 heart attacks yearly, saving at least 650 lives; prevent over 4000 people from developing diabetes; detect at least 20 000 cases of diabetes or kidney disease earlier.” But, although there is clear evidence that advice to stop smoking has a beneficial effect, what about the rest of the programme? Untested

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The provision of NHS health checks in a community setting: an ethnographic account

BACKGROUND The UK National Health Service Health Checks programme aims to reduce avoidable cardiovascular deaths, disability and health inequalities in England. However, due to the reported lower uptake of screening in specific black and minority ethnic communities who are recognised as being more at risk of cardiovascular disease, there are concerns that NHS Health Checks may increase inequali...

متن کامل

Interregional Patient Mobility in the Italian NHS: A Case of Badly-Managed Decentralization; Comment on “Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience”

The article by Brenna and Spandonaro on interregional mobility for acute hospital care in Italy raises important issues concerning social and territorial equity in a healthcare system. Based on Regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (CBM), demonstrated by statistical analysis, may be further explored using qualitative m...

متن کامل

The Slow, Lingering Death of the English NHS; Comment on “Who Killed the English National Health Service?”

The death of the English National Health Service (NHS) may be slow in coming but that does not mean that it is not the Conservative-led UK government’s desired end state. The government is displaying tactical cunning in achieving its long-term purpose to remould the British state. Powell seeks greater clarity amidst the confusion but the lack of clarity is a principal weapon in the government’s...

متن کامل

The impact of NHS Health Checks on the prevalence of disease in general practices: a controlled study.

BACKGROUND NHS Health Checks is a national case-finding and vascular risk assessment programme in England. No research has been published to assess the impact of NHS Health Checks on the prevalence of chronic disease in GP practices. AIM To examine the impact of NHS Health Checks on the prevalence of hypertension, coronary heart disease (CHD), chronic kidney disease (CKD), atrial fibrillation...

متن کامل

Enhanced invitation methods to increase uptake of NHS health checks: study protocol for a randomized controlled trial

BACKGROUND NHS Health Checks is a new program for primary prevention of heart disease, stroke, diabetes, chronic kidney disease, and vascular dementia in adults aged 40 to 74 years in England. Individuals without existing cardiovascular disease or diabetes are invited for a Health Check every 5 years. Uptake among those invited is lower than anticipated. METHOD The project is a three-arm rand...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • BMJ

دوره 347  شماره 

صفحات  -

تاریخ انتشار 2013