Key result
The Deadly Trio cardiovascular screening programme achieved a 24.3% uptake among eligible men over 40, with higher uptake and disease diagnosis among minority ethnic men.
Why the study?
Does offering cardiovascular health checks via paid GPs versus alternative providers improve screening uptake and disease diagnosis in men over 40 in deprived areas?
Observational (n=24,166)
Yes
Does offering cardiovascular health checks via paid GPs versus alternative providers improve screening uptake and disease diagnosis in men over 40 in deprived areas?
A targeted cardiovascular screening program in a deprived, diverse area achieved higher uptake and disease diagnosis among minority ethnic men, particularly when delivered by single-handed GPs paid for the service.
May support equity-focused screening in deprived diverse areas; leaves open optimal delivery and payment models.
BACKGROUND: The Deadly Trio programme offered cardiovascular health checks to men over 40 in inner-city Birmingham. The aim was to increase diagnosis of diabetes, cardiovascular and kidney disease among this deprived and ethnically diverse population. Either patients' own general practitioners (GPs) were paid to provide health checks or patients were invited to an alternative provider. METHODS: Routine data were sought from 68 participating practices. Logistic regression analysis was undertaken to determine the patient and practice factors associated with being screened and with being added to a disease register. RESULTS: Data were obtained from 58 practices; 5871 (24.3%) of 24 166 eligible men were screened. Screening uptake was higher in those with a recorded phone number, South Asians and Blacks but lower in smokers. Compared to the alternative provider, uptake was higher among men registered with single-handed (but not multi-partner) GPs paid to provide health checks. South Asian, older and screened men were more often added to disease registers. Men with missing information and GP-screened men were less likely to be added to registers. CONCLUSIONS: The programme achieved higher screening uptake and diagnosis of disease among minority ethnic men. Single-handed GPs paid to provide screening (and their patients) were more responsive than multi-partner practices.
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Lambert et al. (2011) conducted an observational in Cardiovascular risk (n=24,166). Cardiovascular health checks (Deadly Trio programme) vs. Alternative provider was evaluated on Screening uptake. The Deadly Trio cardiovascular screening programme achieved a 24.3% uptake among eligible men over 40, with higher uptake and disease diagnosis among minority ethnic men.
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