Evidence map›Paper›PMID 23377607›Full record

ArticleFamily practice2013

Uptake of the NHS Health Check programme in an urban setting.

Macide Artac, Andrew R H Dalton, Azeem Majeed, Josip Car, Kit Huckvale, Christopher Millett

Abstract read
In one paragraph

Article in Family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Delivery and impact of the NHS Health Check in the first 8 years: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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  9. Enhanced Invitations Using the Question-Behavior Effect and Financial Incentives to Promote Health Check Uptake in Primary Care.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
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  10. Targeted case finding in the prevention of cardiovascular disease: a stepped wedge cluster randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016 · on this map
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Macide ArtacDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, 3rd Floor, Reynolds Building, St. Dunstan's Road, London W6 8RP, UK. macide.artac08@imperial.ac.uk
Andrew R H Dalton
Azeem Majeed
Josip Car
Kit Huckvale
Christopher Millett

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe NHS Health Check programme aims to improve prevention, early diagnosis and management of cardiovascular disease (CVD) in England. High and equitable uptake is essential for the programme to effectively reduce the CVD burden.

objectivesAssessing the impact of a local financial incentive scheme on uptake and statin prescribing in the first 2 years of the programme.

methodsCross-sectional study using data from electronic medical records of general practices in Hammersmith and Fulham, London on all patients aged 40-74 years. We assessed uptake of complete Health Check, exclusion of patients from the programme (exception reporting) and statin prescriptions in patients confirmed with high CVD risk.

resultsThe Health Check uptake was 32.7% in Year 1 and 20.0% in Year 2. Older patients had higher uptake of Health Check than younger (65- to 74-year-old patients: Year 1 adjusted odds ratio (AOR) 2.05 (1.67-2.52) & Year 2 AOR 2.79 (2.49-3.12) compared with 40- to 54-year-old patients). The percentage of confirmed high risk patients prescribed a statin was 17.7% before and 52.9% after the programme. There was a marked variation in Health Check uptake, exception reporting and statin prescribing between practices.

conclusionsUptake of the Health Check was low in the first year in patients with estimated high risk despite financial incentives to general practices; although this matched the national required rate in second year. Further evaluations for cost and clinical effectiveness of the programme are needed to clarify whether this spending is appropriate, and to assess the impact of financial incentives on programme performance.

Indexed as

Cardiovascular DiseasesPractice Patterns, Physicians'AdultAgedAge FactorsCross-Sectional StudiesEarly DiagnosisFemaleGeneral PracticeHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMedication Therapy ManagementMiddle AgedPreventive Health ServicesProgram EvaluationHydroxymethylglutaryl-CoA Reductase InhibitorsCardiovascular diseaseprimary careprimary preventionrisk assessmentscreening.

Identifiers

PMID23377607
PMCPMC3722503

What OpenQuestion holds

Texttitle and abstract
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.