ArticlePrevention science : the official journal of the Society for Prevention Research2021
Promoting a Culture of Prevention in Albania: the "Si Je?" Program.
Article in Prevention science : the official journal of the Society for Prevention Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Addressing chronic diseases: a comparative study of policies towards type-2 diabetes and hypertension in selected European countries.European journal of public health · 2024Article
- Psychometric Characteristics of the Self-Care of Chronic Illness Inventory in Older Adults Living in a Middle-Income Country.International journal of environmental research and public health · 2023Article
- Severity and Mortality Predictors of COVID-19 Patients with Thrombotic Events-Evidence from theVaccines · 2022Article
- Decreased Hospital Visits and Increased Mortality Rate in Emergency Department during the COVID-19 Pandemic: Evidence from Albania.Acta medica Lituanic · 2022Article
- Health Literate Hawai'i: A Blueprint to Empower Health and Wellbeing.Hawai'i journal of health & social welfare · 2021Article
- Building a Culture of Prevention: Tasks for Multi-Taskers.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Introduction to the Special Issue on "Promoting a Culture of Prevention: an International Perspective".Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Commentary on the Culture of Prevention.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania.BMJ open · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Albania is a small country on the Balkan Peninsula that recently implemented an innovative primary healthcare program called "Si Je?" (How are you?) which allowed all Albanians aged 40-65 years to receive a free, yearly basic health examination at their local health center. Access to basic primary care is a critical component of a nationwide culture of prevention particularly for the non-communicable diseases that comprise 89% of total deaths in the country. Yet, as in many middle-income countries, a culture of prevention in Albania is often secondary to ensuring basic health infrastructure and healthcare access for those critically in need. Using the social-ecological model as our conceptual framework, this paper provides new insights into the culture of prevention in Albania by analyzing the need for, and implementation of, the Si Je? program using (1) findings from a critical literature review, (2) quantitative data from the database created from this program, and (3) qualitative data from key informant interviews from 15 health center directors. Positive developments towards a culture of prevention include the fact that the Si Je? program has been expanded to those 35-70 years, strengthened links between community and primary care, and participation among rural communities who traditionally have limited primary care access. Challenges include continued urgent health infrastructure needs, politicization of the Si Je? effort, limited participation by some groups (particularly urban men), and regional variations. Despite challenges, Albania appears to be building new infrastructure for a sustainable culture of prevention, particularly around chronic disease.
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