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Time for a "vision zero" concerning premature death from ischaemic heart disease?
Hans Lingfors1, Lars-Göran Persson, Kjell Lindström
1Primary Health Care Centre of Habo, Department for Research and Development in Primary Health Care, Jönköping, Sweden. hans.lingfors@ltjkpg.se
Objective:
To study the trend in premature mortality (before 75 years of age) from ischaemic heart disease (IHD) in a Swedish primary health care district compared to communities of similar demographic situation and all Sweden.
Design:
Mortality from IHD in men and women was compared between the community of Habo and other Swedish communities of similar size and all Sweden for the period 1984-96.
Setting:
The community of Habo in Sweden with about 9600 inhabitants.
Intervention:
Intensified efforts by the local primary health care organisation, in co-operation with the community, in respect of primary and secondary cardiovascular prevention since the beginning of the 1980s.
Results:
Mortality from IHD has decreased significantly both in Habo and in Sweden during these years. The decrease has been more prominent in Habo than in Sweden as a whole and other Swedish communities of similar demographic situation.
Conclusion:
With increased and purposeful efforts in primary and secondary prevention, in co-operation between the community and primary health care, it is possible to substantially decrease mortality from IHD in the community.