Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year

Knowledge of Coronary Heart Disease Risk Factors among a Community Sample in Oman: Pilot study

“…Culturally and ethnically diverse groups and rural communities have been a common focus for studies identifying CHD risk factors. 42,43 While ethnicity was beyond the scope of the current study, this factor may potentially be explored in later studies which include both the local and expatriate populations of Oman.…”

Impact of the National Health Service Health Check on cardiovascular disease risk: a difference-in-differences matching analysis

“…[10][11][12][13] Previous assessments have been limited to evaluations of local programs, have had only short follow-up and have not taken underlying trends in cardiovascular risk into account, although some of these analyses have identified significant but modest reductions in modelled risk for cardiovascular disease and individual risk factors. [14][15][16] Evaluation of cardiovascular risk assessment programs delivered in routine care settings internationally are sparse. The impact of the Health Check program, which is being delivered in the context of a universal health system with well-developed primary care and high penetration of electronic medical records, has international significance.…”

“…Our findings are also consistent with 2 previous evaluations of local Health Check programs in England, which showed significant reductions in modelled cardiovascular risk and individual risk factors (except for BMI) at 1 year after the intervention among those who attended a Health Check. 15,16 Our findings raise a question about the potential contribution of risk assessment and management programs to achieving international targets for cardiovascular mortality reduction, especially in low-resource settings and in countries where similar programs have not been deployed. The performance of the Health Check program has fallen well short of national and international performance targets for cardiovascular risk assessment programs.…”

“…25 Patient age was held constant (from the year 2009) throughout the intervention period, to isolate the effect of aging on risk scores. 16 We assigned ethnicity as "missing" if it was not recorded (which occurred for 32.8% of the study population), we assigned a smoking status of "nonsmoker" if there was no indication of the patient being a smoker in the past, 27 and we assumed no family history of premature coronary artery disease if such a history had never been recorded.…”

The impact of NHS Health Checks on the prevalence of disease in general practices: a controlled study

“…Previous researchers have assessed some other aspects of the NHS Health Check scheme such as the impact on cardiovascular risk reduction 10,11 and the variation in implementation of the programme and uptake among GP practices. 12,13 There is little available research, however, evaluating the effect of NHS Health Checks on particular conditions, although one study did note that the programme failed to identify one-third of people at high risk of developing diabetes.…”