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Br Med J (Clin Res Ed). 1987 April 25; 294(6579): 1080–1082.
PMCID: PMC1246229

Promoting prevention in primary care: controlled trial of low technology, low cost approach.


A study is described in which three general practices were provided with low cost, low technology support from a "facilitator" and were compared with control practices in the ascertainment of major risk factors for cardiovascular disease in middle aged patients. Patients who were attending for a consultation with their general practitioners were recruited to make an appointment with a practice nurse for a health check, and this was compared with ordinary consultations in the control practices. Practices were helped by the facilitator to develop the nurse's role. During the study the increase between intervention and control practices in blood pressure recording was doubled and in the recording of smoking habit it was quadrupled, and there was a fivefold increase in the recording of weight. This model can be applied to other aspects of prevention and general practice care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Stott NC, Davis RH. The exceptional potential in each primary care consultation. J R Coll Gen Pract. 1979 Apr;29(201):201–205. [PMC free article] [PubMed]
  • Boulton MG, Williams A. Health education in the general practice consultation: doctors' advice on diet, alcohol and smoking. Health Educ J. 1983;42(2):57–63. [PubMed]
  • Fleming DM, Lawrence MS. An evaluation of recorded information about preventive measures in 38 practices. J R Coll Gen Pract. 1981 Oct;31(231):615–620. [PMC free article] [PubMed]
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  • Anggard EE, Land JM, Lenihan CJ, Packard CJ, Percy MJ, Ritchie LD, Shepherd J. Prevention of cardiovascular disease in general practice: a proposed model. Br Med J (Clin Res Ed) 1986 Jul 19;293(6540):177–180. [PMC free article] [PubMed]
  • Shaper AG, Pocock SJ, Phillips AN, Walker M. Identifying men at high risk of heart attacks: strategy for use in general practice. Br Med J (Clin Res Ed) 1986 Aug 23;293(6545):474–479. [PMC free article] [PubMed]

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