Programme no. 503-WS
Public Health
How can we work efficiently in primary care to find those in the population in need of promotive and preventive measures.
Anders Halling*1, Elise Kosunen*2, Ann Blomstrand*3, Lars Bruun Larsen4, Maria Waller5, Trine Thilsing6
1Research Unit of General Practice ,Institute of Public Health, University of Southern Denmark,5000 Odense C,Denmark, 2General Practice School of Medicine,University of Tampere,Tampere,Finland, 3Department of Public Health and Community Medicine,University of Gothenburg,Gothenburg,Sweden, 4Research Unit of General Practice ,Institute of Public Health, University of Southern Denmark,5000 Odense C,Denmark, 5Department of Public Health and Community Medicine,University of Gothenburg,Gothenburg,Sweden, 6Research Unit of General Practice ,Institute of Public Health, University of Southern Denmark,5000 Odense C,Denmark
* = Presenting author
Workshop
Objectives: Based on preliminary experience from small-scale studies in the Nordic countries the objective is to discuss targeted early detection and prevention in general practice, with focus on:

How to identify and handle people at risk of lifestyle related diseases in general practice.

Acceptability among health care professionals and the general population and feasibility in ordinary primary care context in the Nordic countries.

Organizational challenges and drivers when implementing preventive programs.

An additional objective is to promote Nordic research collaboration on targeted prevention in general practice.

Background: The increasing prevalence of lifestyle related diseases (including cardiovascular disease, stroke, diabetes, and COPD) is a major problem in developed countries and is mainly caused by an unhealthy lifestyle and an ageing population. Important lifestyle related causes of morbidity and mortality are smoking, obesity and physical inactivity. Increasing rates of obesity and physical inactivity in combination with smoking will lead to an increase in the number of patients with lifestyle related diseases. At the same time health care systems are faced with the challenge of reducing costs while maintaining or even improving the quality of primary care and prevention/ promotion. This makes hard priorities necessary to where the GP should allocate the available resources.

In order to reduce the burden of chronic diseases and target the patients most in need, there is, therefore, an urgent need to identify and establish strategies and to implement interventions, allowing for the identification and management of persons at risk of these diseases.

Content: The first part of the workshop will focus on the content of a model for early detection and management of people at risk of lifestyle related diseases in general practice. The second part will focus on potential barriers and drivers of selective preventive programs in the Nordic countries.
Method: Three short presentations (20 min) with focus on the elements listed under Objectives. Each presentation will be followed by a discussion, and at the end of the workshop main points will be summarized.
Other considerations: We need a room that can cater for a participatory and creative process.