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What should selecti...
What should selective cardiometabolic prevention programmes in European primary care look like? : A consensus-based design by the SPIMEU group
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- Kral, Norbert (author)
- Charles Univ Prague, Fac Med 1, Inst Gen Practice, Albertov 7, Prague 12800, Czech Republic
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- de Waard, Anne-Karien M. (author)
- Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Gen Practice, Utrecht, Netherlands
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- Schellevis, Francois G. (author)
- Nivel Netherlands Inst Hlth Serv Res, Utrecht, Netherlands;Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Gen Practice & Elderly Care Med, Med Ctr, Amsterdam, Netherlands
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- Korevaar, Joke C. (author)
- Nivel Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
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- Lionis, Christos (author)
- Univ Crete, Sch Med, Clin Social & Family Med, Iraklion, Greece
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- Carlsson, Axel C (author)
- Karolinska Institutet,Uppsala universitet,Molekylär epidemiologi,Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Family Med & Primary Care, Stockholm, Sweden
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- Sönderlund, Anders Larrabee (author)
- Univ Southern DenmarkOdense, Dept Publ Hlth, Res Unit Gen Practice, Odense, Denmark
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- Söndergaard, Jens (author)
- Univ Southern DenmarkOdense, Dept Publ Hlth, Res Unit Gen Practice, Odense, Denmark
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- Larsen, Lars Bruun (author)
- Univ Southern DenmarkOdense, Dept Publ Hlth, Res Unit Gen Practice, Odense, Denmark
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- Hollander, Monika (author)
- Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Gen Practice, Utrecht, Netherlands
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- Thilsing, Trine (author)
- Univ Southern DenmarkOdense, Dept Publ Hlth, Res Unit Gen Practice, Odense, Denmark
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- Angelaki, Agapi (author)
- Univ Crete, Sch Med, Clin Social & Family Med, Iraklion, Greece
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- de Wit, Niek J. (author)
- Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Gen Practice, Utrecht, Netherlands
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- Seifert, Bohumil (author)
- Charles Univ Prague, Fac Med 1, Inst Gen Practice, Albertov 7, Prague 12800, Czech Republic
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(creator_code:org_t)
- 2019-08-14
- 2019
- English.
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In: European Journal of General Practice. - : TAYLOR & FRANCIS LTD. - 1381-4788 .- 1751-1402. ; 25:3, s. 101-108
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Abstract
Subject headings
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- Background: Selective prevention of cardiometabolic diseases (CMD)-that is, preventive measures specifically targeting the high-risk population-may represent the most effective approach for mitigating rising CMD rates.Objectives: To develop a universal concept of selective CMD prevention that can guide implementation within European primary care.Methods: Initially, 32 statements covering different aspects of selective CMD prevention programmes were identified based on a synthesis of evidence from two systematic literature reviews and surveys conducted within the SPIMEU project. The Rand/UCLA appropriateness method (RAM) was used to find consensus on these statements among an international panel consisting of 14 experts. Before the consensus meeting, statements were rated by the experts in a first round. In the next step, during a face-to-face meeting, experts were provided with the results of the first rating and were then invited to discuss and rescore the statements in a second round.Results: In the outcome of the RAM procedure, 28 of 31 statements were considered appropriate and three were rated uncertain. The panel deleted one statement. Selective CMD prevention was considered an effective approach for preventing CMD and a proactive approach was regarded as more effective compared to case-finding alone. The most efficient method to implement selective CMD prevention systematically in primary care relies on a stepwise approach: initial risk assessment followed by interventions if indicated.Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Selective prevention
- cardiometabolic disease
- primary care
- general practice
- consensus development
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Kral, Norbert
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de Waard, Anne-K ...
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Schellevis, Fran ...
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Korevaar, Joke C ...
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Lionis, Christos
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Carlsson, Axel C
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show more...
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Sönderlund, Ande ...
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Söndergaard, Jen ...
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Larsen, Lars Bru ...
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Hollander, Monik ...
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Thilsing, Trine
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Angelaki, Agapi
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de Wit, Niek J.
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Seifert, Bohumil
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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European Journal ...
- By the university
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Uppsala University
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Karolinska Institutet