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Cardiovascular risk detection and intervention in general practice: the patients' views
B B van Drenth1, M E Hulscher, H G Mokkink
1Centre for Quality of Care Research, University of Nijmegen, The Netherlands. B.vanDrenth@mailbox.kun.nl
Objective:
To assess patients' views on the organization of (cardiovascular) preventive care.
Design:
Prospective questionnaire survey with measurements shortly after risk assessment (T1) and after 1 year of risk intervention (T2).
Setting:
Twenty-seven general practices participating in a project to enhance systematic cardiovascular disease prevention in two regions in The Netherlands.
Study Participants:
Two-hundred and ninety-eight successive patients aged 30-60 years identified with an elevated cardiovascular risk.
Main Outcome Measures:
Organizational aspects such as the acceptability of the care provider, practicality of special clinics, accessibility of the practice for routine care.
Results:
Most of the respondents (74%) had no preference for a care provider in cardiovascular preventive care and only a few patients (3%) reported having little confidence in the expertise of the practice assistant to provide such care. The vast majority (88%) considered special preventive clinics to be practical, especially at T1. Most of the respondents (76%) did not report a decline in the accessibility of their practice for routine care. These outcome measures were not affected by age, sex, educational level or the number of risk factors measured during 1 year of risk intervention.
Conclusion:
Most patients did not have any major objections against the organization of preventive care through opportunistic case finding and risk monitoring in special preventive clinics managed by the practice assistant.