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NHS Health Check programme: a rapid review update.
L Tanner1, Rpw Kenny1, M Still1
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
BMJ Open
|February 17, 2022
Summary
The NHS Health Check programme increases the detection of health risks like diabetes and high blood pressure. Uptake is higher in women and older, more affluent individuals, but opportunistic invitations may improve access for others.
Area of Science:
- Public Health
- Preventive Medicine
- Health Services Research
Background:
- The NHS Health Check programme aims to prevent cardiovascular disease by identifying individuals at high risk.
- Previous reviews evaluated the programme's effectiveness, uptake, and patient experiences.
Purpose of the Study:
- To provide an updated evidence-based review of the NHS Health Check programme.
- To re-evaluate six research objectives concerning programme uptake, patient experiences, and effectiveness.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (MEDLINE, PubMed, Embase, etc.) from January 1996 to December 2019.
- Data extraction and quality appraisal were performed in duplicate using standardized checklists.
- Narrative synthesis was employed to analyze the collected data.
Main Results:
- The review included 29 new studies, adding to the 697 identified, showing a 43% increase in research since 2017.
- NHS Health Checks effectively increased the detection of risk factors (hypertension, high cholesterol) and conditions (diabetes, chronic kidney disease).
- Programme uptake was higher among women, individuals aged ≥60, and those from more socioeconomically advantaged backgrounds; opportunistic invitations improved uptake in men, younger individuals, and those from more deprived areas.
Conclusions:
- The NHS Health Check programme is linked to improved detection of cardiovascular disease risk factors and diagnoses, despite some study inconsistencies.
- Programme uptake varies across different population subgroups.
- Opportunistic invitation strategies show potential for increasing overall programme participation.
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