Preventive activities in primary health care in Stockholm county;Sweden

Abstract

A survey was conducted, during November 1985, in 110 Stockholm Public Primary Health Care Centres (PHCC) to study ongoing preventive activities. In 71% of the Health Centres there was an awareness of special risk groups in the PHCC area, such as alcohol abusers, elderly people and single parents, and in 40% of more specific risk factors like unemployment and loneliness. Individualised preventive activities were provided in 25% and grouporiented activities in 50% of the health centres. There were great differences between the different regions of Stockholm County and, for example, quit-smoking groups were not distributed according to the geographical needs, i.e. to the areas with the highest prevalence of smokers. Involvement of PHC in community-based preventive activities is still rare but has started in the area of accident prevention in some PHCC. The study also underlines the need for more education as well as suport to increase the element of prevention in primary health care activities.

Keywords

Health systems research Primary health care Prevention

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References

1. The National Board of Health and Welfare . The Swedish Health Services in the 1990s. Stockholm: Liber, 1985.

2. Rosen MA , Logsdon DN , Demah M. Prevention and health promotion in primary care: Baseline results on Physicians from the INSURE Project on Lifecycle Preventive Health Services. Preventive Medicine. 1984;13: 535–48.

3. Haglund BJA , Haglund G , Mattson B , Scherstén B , Svanström L , Tibblin G. Presentation of the Nordic Countries and their Primary Health Care 4. Sweden. Scand J Prim Health Care, 1984; 2: 88–90.

4. Haglund BJA. Research and development work in primary health care in Sweden. Scand J Prim Health Care, 1985; 3: 107–12.

5. Boström G , Haglund BJA , Svanström L. Forskningsoch utvecklingsarbete i primärvården inom Stockholms läns landsting — redovisning av en enkätundersökning. (Research and development work in primary healthcare in Stockholm, author's translation). Allmän Medicine 1982; 3: 127–31. (In Swedish).

6. EGPRW: Statement on general practice research . European General Practice Research Workshop. October 1982. Scand J Prim Health Care, 1983; 1: 181–5.

7. Russel MAH , Wilson C , Taylor C , Baker CD. Effects of General Practitioners' advice against smoking. Brit. Med. J, 1979; 2: 231–5.

8. Carlsson A , Rosenquist U. Diabetes control program implementation. On the importance of staff involvement. Scand J Prim Health Care. 1988; 6: suppl. no 1 pp.

9. Björvell H , Rössner S. Long-term care of obese individuals in a community based primary health care program. Scand J Prim Health Care. 1988; 6: suppl. no 1 pp.

10.

10. Haglund BJA. Community Diagnosis and Prevention. Stockholm: Almquist & Wiksell International, 1985.

11.

11. Segall M. The Politics of Primary Health Care. Institute of Developmental Studies, Sussex. Bulletin. 1983; 14 (no 4): 57–61.

12.

12. Bjärås G. Intersectorial Coordination and Community Involvement in Primary Health Care as a means to Prevent Accidents. Sundbyberg: Karolinska Institute, Dept. of Social Medicine, Kronan Health Centre, 1987 (Memo).

13.

13. Bjärås G. Community Diagnosis as a Tool for a Planning Process in an Accident Prevention Work. Sundbyberg: Karolinska Institute, Dept. of Social Medicine, Kronan Health Center, 1987 (Memo).

14.

14. Vuori H. General Practitioners: Allies or Enemies of Primary Health Care. Scand J Prim Health Care, 1984; 2: 57–61.