Primary Care Health Consultations Can Be Cost-Effective And May Help Reduce Cardiovascular Risk, Say Doctors

Main Category: Cardiovascular / Cardiology
Article Date: 21 Aug 2008 - 1:00 PDT

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Offering health tests and health consultations in primary care settings can be cost-effective and may help in the fight against the increased burden of lifestyle diseases, according to new research published today in the Scandinavian Journal of Public Health (August issue published this week by SAGE).

The findings are the result of a five-year randomized trial: the Ebeltoft Health Promotion Project (EHPP), conducted by the Department of General Practice, Institute of Public Health, University of Aarhus, Denmark.

More than two thousand 30-49 year olds, based in Ebeltoft, Denmark, were invited to take part in the trial, of which 85% participated. The general practitioners invited the population to take part in a random allocation to one of three groups:

- Acontrol group answering questionnaires
- An intervention group having questionnaires, a broad health test with written advice, followed by a normal 10-15 minute consultation on demand
- An intervention group as the former group, but with a planned 45 minute patient-centred consultation.

A key finding of the five year follow up was that patients participating in health tests and consultations demonstrated lower risk of heart and cardiovascular diseases: 19% in the control group had elevated risk factors compared to 10% in the two intervention groups.

The impact of testing was also found to be cost effective. The overall number of contacts to the health care system was not increased, and as such significantly better life expectancy was found without extra direct and total costs. Participants also reported an overall positive perception from having health tests and consultations.

The results demonstrate that the current scepticism towards screening and health testing among certain professional groups internationally is not supported.

"There has been a lot of doubt within the international community that there are health outcomes of health tests and patient centred consultations within primary care," said lead author Dr Torsten Lauritzen. "In Denmark general practitioners are gate keepers to the entire health system. Almost all Danes are ascribed to specific general practitioners. Such findings suggest that clinicians and policy makers should now consider implementing health tests and consultations more widely."

Health tests and health consultations reduced cardiovascular risk without psychological strain, increased utilization or increased costs by Torsten Lauritzen, Morten Sig Ager Jensen, Janus Laust Thomsen, Bo Christensen and Marianne Engberg is published today (Tuesday 19 August) in the Scandinavian Journal of Public Health. The article will be free online for twelve months.

To read the article visit http://sjp.sagepub.com/cgi/reprint/36/6/650.

Published eight times a year, Scandinavian Journal of Public Health is a forum for Nordic as well as international public health research and policy. Legislation in most countries in the Nordic region allows researchers to carry out studies linking various population registers by means of individual personal identification numbers. This provides a unique source of data which is invaluable for the public health community and SJPH aims to publish the excellent research that results from this. The journal is the official publication of the Associations of Public Health in Nordic Regions, comprising leading public health organizations in Denmark, Finland, Iceland, Norway and Sweden. http://sjp.sagepub.com/

SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets. Since 1965, SAGE has helped inform and educate a global community of scholars, practitioners, researchers, and students spanning a wide range of subject areas including business, humanities, social sciences, and science, technology and medicine. An independent company, SAGE has principal offices in Los Angeles, London, New Delhi, Singapore and Washington DC.

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