NHS Health Checks

Abdalrahman, Bayad; Soljak, Michael

doi:10.1097/jac.0000000000000070

Cited by 11 publications

(6 citation statements)

References 16 publications

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“…Fourth, diversity cases from foreign countries, such as the WISEWOMEN project in the United States and the National Health Service Health Check Program (Putting Prevention First) in the United Kingdom, can be references for resolving health inequality issues. 27 28) …”

Section: Discussionmentioning

confidence: 99%

The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey

et al. 2018

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BackgroundWe investigated the association between socioeconomic status and adherence to health check-ups in a Korean population aged 40 years or older.MethodsThis cross-sectional study included 12,311 participants who participated in the 2010–2012 Korean National Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess each participant's socioeconomic status (household income, occupation, and education) and adherence to health check-ups.ResultsMen with a higher income (highest vs. lowest: odds ratio [OR], 1.799; 95% confidence interval [CI], 1.296–2.497) and men with a higher education level (≥12 vs. <6 years: OR, 1.488; 95% CI, 1.078–2.054) and office workers compared with manual workers (men: OR, 1.431; 95% CI, 1.077–1.902; women: OR, 1.783; 95% CI, 1.256–2.532) appeared to undergo more health check-ups. In particular, men and women with a higher income and education appeared more likely to undergo opportunistic health check-ups (men: highest vs. lowest income: OR, 2.380; 95% CI, 1.218–4.653; ≥12 vs. <6 years education: OR, 2.121; 95% CI, 1.142–3.936; women: highest vs. lowest income: OR, 4.042; 95% CI, 2.239–7.297; ≥12 vs. <6 years education: OR, 2.475; 95% CI, 1.283–4.775).ConclusionA higher socioeconomic status was associated with a higher rate of participation in health check-ups. More efforts are needed to identify the factors associated with disparity in adherence to health check-ups.

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Section: Discussionmentioning

confidence: 99%

The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey

et al. 2018

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“… 24 , 41 Since its inception in 2008, the Health Check programme has been criticized for failing to attain the originally projected participation rates upon which initial estimates of cost and clinical effectiveness were based. 42 Further exploration of how potential socio-demographic determinants of Health Check uptake may be modified by GP surgery-related factors is now required to ensure that the programme not only achieves its aim of reducing vascular disease incidence in the population but does so without increasing health inequities between population subgroups. 42 This latter priority has been highlighted in a number of existing publications examining uptake and response to the programme, with no clear conclusions on equity so far drawn.…”

Section: Discussionmentioning

confidence: 99%

Exploring equity in uptake of the NHS Health Check and a nested physical activity intervention trial

2015

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BackgroundSocio-demographic factors characterizing disadvantage may influence uptake of preventative health interventions such as the NHS Health Check and research trials informing their content.MethodsA cross-sectional study examining socio-demographic characteristics of participants and non-participants to the NHS Health Check and a nested trial of very brief physical activity interventions within this context. Age, gender, Index of Multiple Deprivation (IMD) and ethnicity were extracted from patient records of four General Practices (GP) in England.ResultsIn multivariate analyses controlling for GP surgery, the odds of participation in the Health Check were higher for older patients (OR 1.05, 95% CI 1.04–1.07) and lower from areas of greater deprivation (IMD Quintiles 4 versus 1, OR 0.37, 95% CI 0.18–0.76, 5 versus 1 OR 0.42, 95% CI 0.20–0.88). Older patients were more likely to participate in the physical activity trial (OR 1.04, 95% CI 1.02–1.06).ConclusionsYounger patients and those living in areas of greater deprivation may be at risk of non-participation in the NHS Health Check, while younger age also predicted non-participation in a nested research trial. The role that GP-surgery-specific factors play in influencing participation across different socio-demographic groups requires further exploration.

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“…Since its initiation in 2009, the policy of providing NHS Health Checks to 40–74 year olds every 5 years with the aim of reducing the risk factors associated with heart disease, stroke, type 2 diabetes, kidney disease and some types of dementia has proved controversial (Abdalrahman and Soljak 2015). Despite the Department of Health’s initial, hypothetical, cost-effectiveness analysis suggesting the policy was highly cost-effective, recent independent research has shown both a poor level of coverage (Robson et al 2016) and overall programme performance substantially below initial targets in terms of reduction in cardiovascular disease risk factors (Chang et al 2016).…”

Section: Introductionmentioning

confidence: 99%

The cost-effectiveness of population Health Checks: have the NHS Health Checks been unfairly maligned?

et al. 2017

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AimThe English NHS currently has a policy of providing Health Checks to all 40–74 year olds. Administered in primary care, they aim to identify patients at risk of a range of diseases, including diabetes and heart disease, and facilitate care. This study is the first to use observed data on the effectiveness of the Checks to consider whether they represent a cost-effective use of limited NHS resources.Subject and methodsUsing a publicly available evaluation tool we conducted an analysis of the Checks to establish the long-term cost and health-related outcomes of a cohort of patients. The primary focus of the analysis was to establish whether the impact of the Checks on BMI was sufficient to justify their cost.ResultsThe Checks were associated with a reduction in mean BMI of 0.27 (95% CI 0.20 to 0.34) compared to no Check. When applied to the evaluative tool, a small but positive QALY gain of 0.05 per participant was observed, coupled with a reduction in disease-related care costs of £170 ($210 USD). When the estimated cost per Check (£179, $220 USD) is taken into account, we estimate an incremental cost-effectiveness ratio of £900/QALY ($1109 USD/QALY).ConclusionsMuch of the criticism of the Health Checks has focussed on the relatively small average change in risk factors such as BMI. However, this analysis suggests that the significant health and cost-saving benefits from even a modest reduction in mean BMI, coupled with the low costs of the Checks, combine to result in a potentially highly cost-effective policy.Electronic supplementary materialThe online version of this article (doi:10.1007/s10389-017-0801-8) contains supplementary material, which is available to authorized users.

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NHS Health Checks

Cited by 11 publications

References 16 publications

The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey

The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey

Exploring equity in uptake of the NHS Health Check and a nested physical activity intervention trial

The cost-effectiveness of population Health Checks: have the NHS Health Checks been unfairly maligned?

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