| 词条 | NHS health check |
| 释义 |
An NHS health check is a form of preventative healthcare offered by NHS England. Every local authority in England is obliged to secure the provision of health checks to be offered to eligible persons (aged from 40 to 74 years) in its area. Creation and criticismIn January 2008, UK Prime Minister Gordon Brown announced that preventative healthcare was planned to be offered throughout England to "monitor for heart disease, strokes, diabetes and kidney disease–conditions which affect the lives of 6.2 million people, cause 200,000 deaths each year and account for a fifth of all hospital admissions."[1] Some, such as the Glasgow GP Margaret McCartney, have criticised the programme of health checks as being without evidence of effectiveness.[2] However, the head of health and wellbeing at Public Health England Kevin Fenton defended the programme, claiming it was evidence-based.[3] A study published in 2014 in the British Journal of General Practice found no significant differences in the change to the prevalence of diabetes, hypertension, heart disease, chronic kidney disease or atrial fibrillation in general practices providing NHS Health Checks compared with control practices.[4] Costs and take-upPeter Walsh, deputy director of the Strategy Group at NHS England admitted that take-up of the checks was poor in January 2016, after a study showed that 20% of those eligible aged 60–74 attended and 9.0% of those between 40–59.[5] In May 2016 researchers from Imperial College London concluded that the checkup reduced the 10-year risk of cardiovascular disease by 0.21%, equivalent to one stroke or heart attack avoided every year for 4,762 people who attend. The programme cost £165 million a year.[6] A retrospective observational study by the Centre for Primary Care and Public Health, Queen Mary University of London found that take up in an ethnically diverse and socially deprived area of East London had increased from 7.3% of eligible patients in 2009 to 85.0% in 2013–2014. New diagnoses of diabetes were 30% more likely in attendees than nonattendees, hypertension 50%, and Chronic Kidney Disease 80%.[7] Elsewhere in the UKA similar provision under the "Life Begins at 40" programme was announced by the Public Health minister for Scotland Shona Robison in 2011.[8] However, the health checks have yet to be implemented in Scotland, with some GP See also
References1. ^{{cite news|title=In full: Brown speech on the NHS|url=http://news.bbc.co.uk/1/hi/uk_politics/7175083.stm|accessdate=11 November 2013|newspaper=BBC News|date=7 January 2008}} 2. ^{{cite news|title=Too Much Medicine Where’s the evidence for NHS health checks?|url=http://www.bmj.com/content/347/bmj.f5834.full?ijkey=Dpz11D0lz404W7L&keytype=ref|accessdate=11 November 2013|newspaper=British Medical Journal|date=2 October 2013}} 3. ^{{cite news|title=NHS Health Checks programme ‘evidence based’, public health chief insists|url=http://www.pulsetoday.co.uk/clinical/therapy-areas/cardiovascular/nhs-health-checks-programme-evidence-based-public-health-chief-insists/20007914.article|accessdate=18 September 2014|publisher=Pulse|date=17 September 2014}} 4. ^{{cite news|last1=Caley|first1=Michael|last2=Chohan|first2=Paradip|last3=Hooper|first3=James|last4=Wright|first4=Nicola|title=The impact of NHS Health Checks on the prevalence of disease in general practices: a controlled study|url=http://bjgp.org/content/64/625/e516.abstract|accessdate=18 September 2014|issue=Vol 64 no 625|publisher=British Journal of General Practice|date=1 August 2014}} 5. ^{{cite news|title=Take up of health checks are "not strong, to put it mildly"|url=http://www.nursinginpractice.com/article/take-health-checks-are-“not-strong-put-it-mildly”|accessdate=6 April 2016|publisher=Nursing in practice|date=15 January 2016}} 6. ^{{cite news|title=NHS "mid-life MOT" has marginal health benefits, say researchers|url=http://www3.imperial.ac.uk/newsandeventspggrp/imperialcollege/newssummary/news_2-5-2016-21-47-25|accessdate=3 May 2016|publisher=Imperial College|date=3 May 2016}} 7. ^{{cite journal|last1=Robson|first1=John|last2=Dostal|first2=Isabel|last3=Madurasinghe|first3=Vichithranie|last4=Sheikh|first4=Aziz|last5=Hull|first5=Sally|last6=Boomla|first6=Kambiz|last7=Griffiths|first7=Chris|last8=Eldridge|first8=Sandra|title=NHS Health Check comorbidity and management: an observational matched study in primary care|journal=British Journal of General Practice|date=2016|issue=Online first}} 8. ^{{Cite news|url=https://www.bbc.com/news/uk-scotland-12514181|title=Cyber health checks for over 40s|last=|first=|date=20 February 2011|work=BBC News|access-date=1 January 2019|language=en-GB}} 9. ^{{Cite web|url=https://www.heraldscotland.com/news/13158955.health-checks-for-over-40s-are-quietly-dropped/|title=Health checks for over-40s are quietly dropped|last=Puttick|first=Helen|date=5 May 2014|website=HeraldScotland|language=en|archive-url=|archive-date=|dead-url=|access-date=1 January 2019}} External links
2 : National Health Service (England)|Preventive medicine |
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