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首页> 外文期刊>Health expectations: an international journal of public participation in health care and health policy >Patient experiences of telephone outreach to enhance uptake of NHS NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study
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Patient experiences of telephone outreach to enhance uptake of NHS NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study

机译：电话外展的患者经验加强NHS NHS健康检查的更贫困社区和少数民族：一个定性面试研究

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Abstract Background The NHS Health Checks preventative programme aims to reduce cardiovascular morbidity across England. To improve equity in uptake, telephone outreach was developed in Bristol, involving community workers telephoning patients amongst communities potentially at higher risk of cardiovascular disease and/or less likely to take up a written invitation, to engage them with NHS Health Checks. Where possible, caller cultural background/main language is matched with that of the patient called. The call includes an invitation to book an NHS Health Check appointment, lifestyle questions from the Health Check, and signposting to lifestyle services. Objective To explore the experiences of patients who received an outreach call. Design/Setting/Participants Thematic analysis of semi‐structured interviews with 24 patients (15 female), from seven primary care practices, who had received an outreach call. Results The call increased participants’ understanding of NHS Health Checks and overcame anticipated difficulties with making an appointment. Half reported that they would not have booked if only invited by letter. The cultural identity/language skills of the caller were important in facilitating the interaction for some who might otherwise encounter language or cultural barriers. The inclusion of lifestyle questions and signposting prompted a minority to make lifestyle changes. Conclusions Participants valued easily generalizable aspects of the intervention—a telephone invitation with ability to book during the call—and reported that it prompted acceptance of an NHS Health Check. A caller who shared their main language/cultural background was important for a minority of participants, and improved targeting of this would be beneficial.
机译：摘要背景NHS健康检查预防计划旨在减少英格兰的心血管发病率。为了提高摄取的权益，在布里斯托尔开发了电话外展，涉及社区工作人员在潜在的心血管疾病风险和/或不太可能占用书面邀请的患者中，以与NHS健康检查造成更高的风险。在可能的情况下，呼叫者文化背景/主要语言与患者的称为叫做。该呼吁包括预约NHS健康检查预约，生活方式问题的邀请，以及向生活服务的路标。目的探讨收到外展电话的患者的经验。设计/设定/参与者对24名患者（15名女性）的半结构性访谈的主题分析，来自七名初级保健实践，曾收到过展会。结果呼吁增加了参与者对NHS健康检查的理解，预约难以预期的困难。一半报告说，如果只有信函邀请，他们就没有预订。呼叫者的文化身份/语言技能对于促进某些可能遇到语言或文化障碍的人来说很重要。纳入生活方式问题和路标促使少数群体进行生活方式的变化。结论参与者在呼叫期间提供了可容易的干预的可概括方面 - 通过预订的能力，并报告其促使接受NHS健康检查。分享其主要语言/文化背景的呼叫者对少数参与者来说很重要，并改善对此的目标是有益的。

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