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Current targets: where are we today?

M Pringle1

  • 1School of Community Health Sciences, Division of General Practice, Floor 13 Tower Building, University of Nottingham, NG7 2RD, UK. mike.pringle@nottingham.ac.uk

Heart (British Cardiac Society)
|April 16, 2003
PubMed
Summary
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Primary care faces significant workload challenges implementing the National Service Framework (NSF) for coronary heart disease, requiring extensive interventions for smoking cessation and managing blood pressure, cholesterol, and blood sugar. Improvements are needed, especially in lipid management for high-risk patients.

Area of Science:

  • Public Health
  • Cardiovascular Medicine
  • Primary Care Medicine

Background:

  • The National Service Framework (NSF) for coronary heart disease presents substantial workload implications for primary care providers.
  • Cardiovascular disease is a major health concern, necessitating significant primary care activity and recording in response to the NSF.

Purpose of the Study:

  • To assess the workload implications of implementing the NSF for coronary heart disease in primary care.
  • To identify areas within cardiovascular care that require improvement, particularly concerning lipid management.

Main Methods:

  • Analysis of studies conducted in general practices representative of national practices.
  • Estimation of disease control measures required per general practitioner based on patient list size and current targets.

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Main Results:

  • An average general practitioner with 2000 patients needs to address 444 disease control measures for 210 patients to meet NSF targets.
  • Key intervention areas include smoking cessation, blood pressure, cholesterol, and blood sugar control.
  • Significant gaps exist in lipid management, with many high-risk patients not having lipids measured and those on medication not achieving targets.

Conclusions:

  • Primary care is actively engaged in cardiovascular care due to the NSF, but faces considerable workload demands.
  • Specific improvements are necessary in cardiovascular care, particularly in optimizing lipid management for high-risk individuals to achieve treatment targets.