Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Sommer, Isolde; Titscher, Viktoria; Teufer, Birgit; Klerings, Irma; Nußbaumer-Streit, Barbara; Szelag, Monika; Affengruber, Lisa; Wagner, Gernot; Glechner, Anna; Kien, Christina; Ebenberger, Agnes; Schiller-Frühwirth, I.; Dörner, Thomas; Siebenhofer, Andrea; Haditsch, Bernd; Bachler, Herbert; Siebert, Uwe; Gartlehner, Gerald

doi:10.1007/s10354-019-0699-6

Cited by 2 publications

(1 citation statement)

References 22 publications

(16 reference statements)

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“…4 PHE is a primary approach for general practitioners to perform clinical preventive services in China and delaying or avoiding unwanted outcomes through an organized PHE for people aged 60 years and older is a critical public health concern in China. 5 The Chinese government officially approved the health management technical protocol for elderly people based on the principles of equitable access and use of clinical preventive services. This protocol, which was implemented formally on April 1, 2016, aimed to address the care needs of people aged 60 years and older and improve their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Willingness to Receive Periodic Health Examination Based on the Health Belief Model Among the Elderly in Rural China: A Cross-Sectional Study

Zhuo

Yin

Bian

2021

PPA

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Purpose This study aimed to explore factors affecting behavioral intention of receiving periodic health examinations (hereafter, BIE) among people aged 60 and over in rural China, namely, Shandong Province, using the extended health belief model (EHBM). Patients and Methods Participants were selected using stratified multi-stage random sampling. Three cities were selected based on economic level. Subsequently, three counties and three villages were selected from each sample city and county. Finally, 30 respondents were selected from each sample village. Face-to-face surveys were conducted using a structured questionnaire between March and September 2017. Multiple linear regression was conducted to investigate the association between BIE and eight dimensions of EHBM: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, health knowledge, and social support. Results Of the 509 rural respondents aged 60 years and older, the average score of behavioral intention was 4.43±0.80. Multivariate linear regression analysis demonstrated poor BIE among participants who were men, were current smoker, were current drinker, were aged 70 years or over, had lower social support, and perceived lower self-efficacy, less benefits, and more barriers. Among them, barriers were found to have the strongest association with BIE (B’=−0.556; p<0.001). Qualitative interviews revealed that reasons for not receiving periodic health examinations (PHE) included pain, cost, difficulty in finding a health care provider, time and scheduling, potential lack of trust in the physician, and value of the PHE. Conclusion This study highlighted the importance of psychological variables in the acceptance of PHE among the elderly in rural China and provided insights for further intervention designs targeting identified groups and performed by general practitioners. Addressing medical mistrust, strengthening, and enhancing one’s social support network and health communication channels, such as bulletin boards, may serve to facilitate BIE.

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Section: Introductionmentioning

confidence: 99%

Willingness to Receive Periodic Health Examination Based on the Health Belief Model Among the Elderly in Rural China: A Cross-Sectional Study

Zhuo

Yin

Bian

2021

PPA

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Prevalence of undetected chronic kidney disease in high-risk middle-aged patients in primary care: a cross-sectional study

Siebenhofer,

Loder,

Avian

et al. 2024

Front. Med.

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IntroductionThe global health burden of chronic kidney disease (CKD) results from both the disease itself and the numerous health problems associated with it. The aim of this study was to estimate the prevalence of previously undetected CKD in middle-aged patients with risk factors for CKD. Identified patients were included in the Styrian nephrology awareness program “kidney.care 2.0” and data on their demographics, risk factors and kidney function were described.MethodsCross-sectional analysis of baseline data derived from the “kidney.care 2.0” study of 40–65 year old patients with at least one risk factor for CKD (hypertension, diabetes, cardiovascular disease, obesity or family history of end-stage kidney disease). Participants were considered to have previously undetected CKD if their estimated glomular filtration rate (eGFR) was less than 60 ml/min/1.73 m2 and/or albumin creatinine ratio (ACR) ≥ 30 mg/g. We calculated the prevalence of previously undetected CKD and performed multivariate analyses.ResultsA total of 749 participants were included in this analysis. The prevalence of previously undetected CKD in an at-risk population was estimated at 20.1% (95%CI: 17.1–23.6). Multivariable analysis showed age (OR 1.06, 95%CI: 1.02–1.09), diabetes mellitus (OR 1.65, 95%CI: 1.12–2.30) and obesity (OR: 1.55, 95%CI: 1.04–2.30) to be independent predictors of CKD. The majority of patients with previously undetected CKD had category A2-A3 albuminuria (121 out of 150). Most patients with previously undetected eGFR < 60 ml/min/1.73 m2 were in stage G3 (36 out of 39 patients).DiscussionPragmatic, targeted, risk-based screening for CKD in primary care successfully identified a significant number of middle-aged patients with previously undetected CKD and addressed the problem of these patients being overlooked for future optimized care. The intervention may slow progression to kidney failure and prevent related cardiovascular events.

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Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Cited by 2 publications

References 22 publications

Willingness to Receive Periodic Health Examination Based on the Health Belief Model Among the Elderly in Rural China: A Cross-Sectional Study

Willingness to Receive Periodic Health Examination Based on the Health Belief Model Among the Elderly in Rural China: A Cross-Sectional Study

Prevalence of undetected chronic kidney disease in high-risk middle-aged patients in primary care: a cross-sectional study

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