Befolkningsuppdraget, exemplet hälsoundersökningar – först misstrott, nu evidensbaserat
Sammanfattning
Västerbotten Intervention Programme and health dialogues in the Counties of Skaraborg and Jönköping represent a concept of targeted health dialogues for prevention of cardiovascular diseases. Evaluations show lower mortality both on a population level (participants and non-participants together) and to an even higher degree among participants compared to the national level. There are differences between general health checks and the model for targeted health dialogues which is characterized by:
Integration in primary care,
Population based,
Combines health promotive low risk strategy and disease preventive high risk strategy,
Focus on the health dialogue taking the individuals preferences, life situation and cardiovascular risk factors into consideration,
Person centred dialogue methods and visual pedagogic tools,
Based on medical evidence for cardiovascular prevention,
Adaptation to local conditions,
Systematic structure for competence and method support,