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首页> 外文期刊>BMC Family Practice >Patients’ willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study
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Patients’ willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study

机译：病人愿意参加初级保健中的NHS心血管健康检查：一项定性访谈研究

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Background The NHS Cardiovascular Health Check (NHSHC) programme was introduced in England in 2009 to reduce cardiovascular disease mortality and morbidity for all patients aged 40 to 74 years old. Programme cost-effectiveness was based on an assumed uptake of 75% but current estimates of uptake in primary care are less than 50%. The purpose of this study was to identify factors influencing patients’ willingness to attend an NHSHC. For those who attended, their views, experiences and their future willingness to engage in the programme were explored. Method Telephone or face-to-face interviews were conducted with patients who had recently been invited for an NHSHC by a letter from four general practices in Torbay, England. Patients were purposefully sampled (by gender, age, attendance status). Interviews were audio recorded, transcribed verbatim and analysed thematically. Results 17 attendees and 10 non-attendees were interviewed. Patients who attended an NHSHC viewed it as worthwhile. Proactive attitudes towards their health, a desire to prevent disease before they developed symptoms, and a willingness to accept screening and health check invitations motivated many individuals to attend. Non-attendees cited not seeing the NHSHC as a priority, or how it differed from regular monitoring already received for other conditions as barriers to attendance. Some non-attendees actively avoided GP practices when feeling well, while others did not want to waste health professionals’ time. Misunderstandings of what the NHSHC involved and negative views of what the likely outcome might be were common. Conclusion While a minority of non-attendees simply had made an informed choice not to have an NHSHC, improving the clarity and brevity of invitational materials, better advertising, and simple administrative interventions such as sending reminder letters, have considerable potential to improve NHSHC uptake.
机译：背景信息NHS心血管健康检查（NHSHC）计划于2009年在英格兰推出，旨在降低所有40至74岁患者的心血管疾病死亡率和发病率。计划的成本效益是基于假设的75％的接受率，但是目前估计的初级保健摄取率不到50％。这项研究的目的是确定影响患者参加NHSHC意愿的因素。对于那些参加者，他们探讨了他们的观点，经验和他们将来参与该计划的意愿。方法对来自最近在英国Torbay的四个普通诊所的来信邀请患者参加NHSHC的患者进行电话或面对面访谈。有目的地对患者进行了抽样（按性别，年龄，出勤状况）。采访被录音，逐字记录并进行专题分析。结果采访了17位与会者和10位非与会者。参加NHSHC的患者认为这是值得的。积极主动的态度，对疾病的预防，在症状发作前预防疾病的愿望以及愿意接受筛查和健康检查邀请的动机促使许多人参加。非与会者指出，NHSHC没有被列为优先事项，或者它与已经接受的针对其他情况的常规监测有何不同，成为出勤的障碍。一些未参加会议的人在感觉良好时积极地避免了全科医生的做法，而另一些人不想浪费卫生专业人员的时间。人们对NHSHC涉及的内容有误解，对可能的结果可能会有否定看法。结论虽然少数未参加会议的人只是做出了一个明智的选择，即不参加NHSHC，但提高邀请材料的清晰度和简洁性，更好的广告宣传以及诸如发出催函等简单的行政干预措施，都有很大的潜力来提高NHSHC的吸收率。

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