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Eisner D, Zoller M, Rosemann T, et al. Screening and prevention in Swiss primary care: a systematic review. Int J Gen Med. 2011;4:853-70doi: 10.2147/ijgm.s26562.
Eisner, D., Zoller, M., Rosemann, T., Huber, C. A., Badertscher, N., & Tandjung, R. (2011). Screening and prevention in Swiss primary care: a systematic review. International journal of general medicine, 4853-70. https://doi.org/10.2147/ijgm.s26562
Eisner, David, et al. "Screening and prevention in Swiss primary care: a systematic review." International journal of general medicine vol. 4 (2011): 853-70. doi: https://doi.org/10.2147/ijgm.s26562
Eisner D, Zoller M, Rosemann T, Huber CA, Badertscher N, Tandjung R. Screening and prevention in Swiss primary care: a systematic review. Int J Gen Med. 2011;4:853-70. doi: 10.2147/ijgm.s26562. Epub 2011 Dec 16. PMID: 22267938; PMCID: PMC3258015.
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Int J Gen Med. 2011;4:853-70. doi: 10.2147/ijgm.s26562. Epub 2011 Dec 16.

Screening and prevention in Swiss primary care: a systematic review.

International journal of general medicine

David Eisner, Marco Zoller, Thomas Rosemann, Carola A Huber, Nina Badertscher, Ryan Tandjung

Affiliations

  1. Institute for General Practice and Health Services Research, University of Zurich, Zurich, Switzerland.

PMID: 22267938 PMCID: PMC3258015 DOI: 10.2147/ijgm.s26562

Abstract

BACKGROUND AND OBJECTIVES: Prevention is a challenging area of primary care. In Switzerland, little is known about attitudes to and performance of screening and prevention services in general practice. To implement prevention services in primary care it is important to know about not only potential facilitators but also barriers. Primary care encompasses the activities of general practitioners, including those with particular interest and/or specializations (eg, pediatrics, gynecology). The aim of this study was to review all studies with a focus on prevention services which have been conducted in Switzerland and to reveal barriers and facilitators for physicians to participate in any preventive measures.

METHODS: The Cochrane Library, PubMed, EMBASE and BIOSIS were searched from January 1990 through December 2010. Studies focussing on preventive activities in primary care settings were selected and reviewed. The methodological quality of the identified studies was classified according to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement.

RESULTS: We identified 49 studies including 45 descriptive studies and four randomised controlled trials (RCTs). Twelve studies addressed the prevention of epidemics, eleven out of them vaccinations. Further studies focused on lifestyle changes, physical activity counselling, smoking cessation, cardiovascular prevention and cancer screening. Perceived lack of knowledge/training and lack of time were the most commonly stated barriers. Motivation, feasibility and efficiency were the most frequently reported supporting factors for preventive activities. The methodological quality was weak, only one out of four RCTs met the applied quality criteria.

CONCLUSION: Most studies focussing on screening and prevention activities in primary care addressed vaccination, lifestyle modification or cardiovascular disease prevention. Identified barriers and facilitators indicate a need for primary-care-adapted education and training which are easy to handle, time-saving and reflect the specific needs of general practitioners. If new prevention programs are to be implemented in general practices, RCTs of high methodological quality are needed to assess their impact.

Keywords: Switzerland; descriptive study; disease prevention; education; epidemic; primary care; screening

References

  1. BMJ. 1994 Sep 24;309(6957):761-4 - PubMed
  2. N Engl J Med. 1994 Jun 2;330(22):1589-95 - PubMed
  3. Swiss Med Wkly. 2003 Feb 8;133(5-6):88-92 - PubMed
  4. Trop Med Int Health. 1997 Jan;2(1):6-12 - PubMed
  5. Praxis (Bern 1994). 2004 Jan 7;93(1-2):9-14 - PubMed
  6. Schweiz Rundsch Med Prax. 1993 Dec 7;82(49):1406-12 - PubMed
  7. J Cancer Educ. 1992;7(1):55-60 - PubMed
  8. Swiss Med Wkly. 2010 May;140(19-20):280-5 - PubMed
  9. Rev Med Suisse Romande. 1999 Feb;119(2):145-8 - PubMed
  10. Public Health Nutr. 2004 Apr;7(2):279-84 - PubMed
  11. Osteoporos Int. 2005 Nov;16(11):1353-62 - PubMed
  12. HIV Med. 2003 Jul;4(3):276-86 - PubMed
  13. Swiss Med Wkly. 2005 May 14;135(19-20):291-6 - PubMed
  14. BMC Fam Pract. 2007 Jan 03;8:1 - PubMed
  15. Mayo Clin Proc. 1993 Aug;68(8):785-91 - PubMed
  16. Fam Pract. 2000 Dec;17(6):535-40 - PubMed
  17. Soz Praventivmed. 2006;51(5):273-80 - PubMed
  18. Schweiz Med Wochenschr. 2000 Mar 11;130(10):349-55 - PubMed
  19. Schweiz Med Wochenschr. 1995 Sep 23;125(38):1772-8 - PubMed
  20. Am J Med. 2011 Sep;124(9):876-80.e2 - PubMed
  21. J Gen Intern Med. 2000 Jun;15(6):421-4 - PubMed
  22. Schweiz Monatsschr Zahnmed. 2005;115(5):404-8 - PubMed
  23. Cancer. 1993 Aug 1;72(3 Suppl):1093-9 - PubMed
  24. Alcohol Alcohol. 2011 Sep-Oct;46(5):570-7 - PubMed
  25. Vaccine. 2001 Sep 14;19(32):4760-7 - PubMed
  26. Swiss Med Wkly. 2009 Nov 14;139(45-46):665-71 - PubMed
  27. J Intern Med. 2005 Sep;258(3):238-43 - PubMed
  28. J Epidemiol Community Health. 1995 Aug;49 Suppl 1:4-8 - PubMed
  29. Br J Gen Pract. 2009 Mar;59(560):166-72 - PubMed
  30. Swiss Med Wkly. 2006 Sep 2;136(35-36):566-73 - PubMed
  31. Ther Umsch. 1990 Sep;47(9):753-8 - PubMed
  32. Swiss Med Wkly. 2006 Sep 2;136(35-36):561-5 - PubMed
  33. Arch Intern Med. 2011 Sep 26;171(17):1552-8 - PubMed
  34. Am J Cardiol. 1998 Jun 15;81(12):1433-8 - PubMed
  35. Eur Addict Res. 2005;11(2):99-106 - PubMed
  36. Am J Public Health. 1995 Jun;85(6):840-2 - PubMed
  37. Praxis (Bern 1994). 1996 Jun 11;85(24):792-7 - PubMed
  38. Prim Care. 1989 Mar;16(1):245-50 - PubMed
  39. Schweiz Med Wochenschr. 1992 Jun 27;122(26):993-1004 - PubMed
  40. Swiss Med Wkly. 2006 Jul 22;136(29-30):482-8 - PubMed
  41. Diabetes Care. 2004 Apr;27(4):901-7 - PubMed
  42. Ann Oncol. 2000 Sep;11(9):1131-5 - PubMed
  43. Swiss Med Wkly. 2002 Jul 13;132(27-28):363-73 - PubMed
  44. J Gen Intern Med. 1986 Sep-Oct;1(5):275-81 - PubMed
  45. Soz Praventivmed. 1998;43 Suppl 1:S47-56, S121-9 - PubMed
  46. Prev Med. 2010 Jan-Feb;50(1-2):3-10 - PubMed
  47. Risk Anal. 1995 Jun;15(3):369-90 - PubMed
  48. Rev Med Suisse. 2005 Dec 7;1(44):2840-2 - PubMed
  49. Fam Cancer. 2003;2(3-4):153-8 - PubMed
  50. Clin Microbiol Infect. 2003 Apr;9(4):295-300 - PubMed
  51. Patient Educ Couns. 2005 Mar;56(3):323-31 - PubMed
  52. Schweiz Med Wochenschr. 1990 Jan 27;120(4):98-104 - PubMed
  53. Swiss Med Wkly. 2007 Mar 24;137(11-12):173-81 - PubMed
  54. Rev Epidemiol Sante Publique. 2007 Apr;55(2):87-96 - PubMed
  55. Eur J Epidemiol. 2008;23(1):55-65 - PubMed
  56. J Travel Med. 1999 Sep;6(3):163-7 - PubMed
  57. J Fam Pract. 2002 Oct;51(10):856 - PubMed
  58. Swiss Med Wkly. 2001 Sep 8;131(35-36):521-6 - PubMed
  59. Schweiz Med Wochenschr. 1996 Aug 24;126(34):1423-32 - PubMed
  60. Soz Praventivmed. 1998;43 Suppl 1:S57-60, S130-3 - PubMed
  61. J Clin Epidemiol. 2010 Aug;63(8):e1-37 - PubMed
  62. Swiss Med Wkly. 2005 Apr 2;135(13-14):192-9 - PubMed
  63. Swiss Med Wkly. 2007 May 19;137(19-20):292-9 - PubMed

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