Health checks in general practice: evidence first, not last

López-García-Franco, Alberto; Pardo-Hernández, Héctor; Navarro, David Fraile; Alonso‐Coello, Pablo

doi:10.20452/pamw.3303

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Sie beinhalten üblicherweise einen oder mehrere Untersuchungstermine, bei denen eine Reihe an Screening-Tests und Beratungsmaßnahmen durchgeführt werden mit dem Ziel, Risikofaktoren zu modifizieren und Krankheiten zu vermeiden bzw. im Frühstadium erkennen und behandeln zu können [3][4][5].…”

Section: Introductionunclassified

Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Sommer

Titscher

Teufer

et al. 2019

Wien Med Wochenschr

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Ziel dieser Arbeit war daher, die wissenschaftlichen Grundlagen der VU unter Verwendung des GRADE (Grading of Recommendations Assessment, Development and Evaluation) Ansatzes zu aktualisieren. Die wissenschaftliche Evidenz für Untersuchungen und Beratungen, die derzeit Teil der VU sind, wurde aktualisiert und um weitere potentiell relevante Untersuchungen erweitert. Vertreter/innen der Bevölkerung diskutierten in drei Fokusgruppen ihre Erwartungen an die VU. In einem strukturierten Prozess wurden von einem Beratungsgremium evidenzbasier-Zusatzmaterial online Zusätzliche Informationen sind in der Online-Version dieses Artikels (

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Section: Introductionunclassified

Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Sommer

Titscher

Teufer

et al. 2019

Wien Med Wochenschr

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“…Interpretation of the review findings are further limited by problems with generalisability: six trials were done 50 years ago—in the 1960s—an era when modern preventive drug therapy was not part of routine practice. There is also no accepted consensus on the definition and main components of health checks,3 and as a consequence, the studies differed significantly in the components of their checks.…”

mentioning

confidence: 99%

Is it time to end general health checks?

Heneghan

Mahtani

2019

BMJ EBM

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Participants’ expectations and experiences with periodic health examinations in Austria - a qualitative study

Sommer

Titscher

Gartlehner

2018

BMC Health Serv Res

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BackgroundThe engagement of citizens in the development of evidence-based screening programs is internationally supported. The aim of our research was to explore the motivations and reasons of adult citizens in Austria for attending periodic health examinations (PHE) as well as their satisfaction with the way PHE are organized.MethodsWe conducted three focus groups with a random sample of previous attenders of PHE. Participants were stratified by age, gender, and education. The discussions were recorded, transcribed, and analyzed using a thematic analysis approach.ResultsMain motivations of attenders (n = 30) were to detect diseases early, to prevent suffering, and to live a long, healthy life. They believed that PHE work as an incentive of health behavior change. As possible reasons not to attend PHE, participants mentioned lack of awareness, time constraints, unpleasant prior experiences, and fear of harm or negative consequences. They wanted the range of examinations to be selected based on individual risks and to be more comprehensive. Some participants expressed frustration with the lack of time doctors dedicated to the examination or discussion of the results. Throughout the discussion, participants realized there is a great diversity among doctors in the quality of health examinations and how content is delivered.ConclusionThe study showed that attenders of PHE have high expectations concerning the beneficial outcomes of PHE. They requested a comprehensive and individualized program that does not reflect the scientific evidence from effectiveness studies of PHE. These findings indicate serious shortcomings in the communication of benefits and harms of screening interventions and highlight the need for a more proactive communication about aims and content of the program.

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Health checks in general practice: evidence first, not last

Cited by 3 publications

References 24 publications

Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Evidenzbasierte Empfehlungen zur Überarbeitung der österreichischen Vorsorgeuntersuchung

Is it time to end general health checks?

Participants’ expectations and experiences with periodic health examinations in Austria - a qualitative study

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