Original scientific paper
IMPLEMENTATION OF THE PROGRAM OF PREVENTIVE EXAMINATIONS AT PRIMARY HEALTH CARE IN THE CITY OF ZAGREB 2009-2013
Maja Marić Bajs
; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Danijela Štimac
; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia ; University of Zagreb, School of medicine, Andrija Stampar Teaching Institute of Public Health, Department of Social Medicine and Organization of Health Care, Zagreb, Croatia
Nikolina Marić
; Sv. Duh Clinical Hospital, Department of Emergency and Internal Medicine, Zagreb, Croatia
Abstract
Background: The program covered all persons who had not been in contact with a physician for two years or had failed to
notice symptoms themselves or to timely respond to the symptoms observed. The aim of the present study was to analyze the results of
the program and try to draw conclusions regarding the necessity further implementation.
Subjects and methods: This paper analyzes data on a cohort of 1375 subjects aged 45+, collected on preventive examinations by
family physicians during the 2009-2013 period.
Results: Results show 24.4% smokers and 15.5% former smokers. Up to three alcoholic drinks per week consumed 18.5%
respondents (27.8% male and 11.2% female). Overweight (body mass index 25-30) was recorded in 50.6% and 38.6%, obesity (body
mass index >30) in 30.1% and 29.4%, hypertension in 14.6% and 11.8%, isolated systolic hypertension in 20.5% and 17.4%, and
isolated diastolic hypertension in 3.3% and 3.0% of male and female subjects, respectively. Suspicion of one or more newly
diagnosed disease was recorded in 52.9% (95% CI 50.2-55.5) of study subjects. Fifty-four subjects (7.4%; 95% CI 5.5-9.3) were
suspected to have neoplasm and they were immediately referred for further diagnostic evaluation.
Conclusions: Timely manner suspicion of malignant disease is of crucial influence on the course of treatment and outcome of the
disease. The study results confirm the importance of continuing the implementation of prevention programs.
Keywords
risk factors; chronic noncommunicable diseases; preventive examinations; cardiovascular diseases
Hrčak ID:
265281
URI
Publication date:
23.12.2014.
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