The 45 year old health check - feasibility and impact on practices and patient behaviour

Amoroso, Cheryl, Harris, Mark F., Ampt, Amando, Laws, Rachel A., McKenzie, Suzanne, Williams, Anna M., Jayasinghe, Upali W., Zwar, Nicholas A. and Powell-Davies, Gawaine 2009, The 45 year old health check - feasibility and impact on practices and patient behaviour, Australian family physician, vol. 38, no. 5, pp. 358-362.

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Title The 45 year old health check - feasibility and impact on practices and patient behaviour
Author(s) Amoroso, Cheryl
Harris, Mark F.
Ampt, Amando
Laws, Rachel A.ORCID iD for Laws, Rachel A.
McKenzie, Suzanne
Williams, Anna M.
Jayasinghe, Upali W.
Zwar, Nicholas A.
Powell-Davies, Gawaine
Journal name Australian family physician
Volume number 38
Issue number 5
Start page 358
End page 362
Total pages 5
Publisher Royal Australian College of General Practitioners
Place of publication Sydney, N.S.W.
Publication date 2009-05-04
ISSN 0300-8495
Summary Background: The 45 year old health check (MBS item 717) for patients aged 45-49 years was introduced in 2006. This study evaluated its impact on preventive care and patient reported risk factors. Methods: A quantitative and qualitative study was conducted in eight general practices in Sydney, New South Wales. It involved follow up surveys of 118 patients taken both before the check and 3 months after. Practice staff were trained and supported to conduct the health checks and appropriate interventions. Results: There was ambivalence among some of the general practitioners toward the health check, but most found it feasible. The reported frequency of GP advice relating to each of the SNAP (smoking, nutrition, alcohol, and physical activity) risk factors increased; patient referrals, however, were infrequent. Patients' readiness to change their diet and exercise habits improved as a result of the check, with respondents showing an increase in both the consumption of vegetables and the frequency of physical activity. There was no change in body mass index, smoking or alcohol consumption. Discussion: The health check was associated with a short term improvement in diet and physical activity behaviours. Mechanisms to enhance referral need to be developed.
Language eng
Field of Research 1117 Public Health And Health Services
1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, Royal Australian College of General Practitioners
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