Health promotion and disease prevention in general practice and primary care: a scoping study

Peckham, Stephen and Hann, Alison and Kendall, Sally and Gillam, Steve (2017) Health promotion and disease prevention in general practice and primary care: a scoping study. Primary Health Care Research and Development, . ISSN 1463-4236. (doi:https://doi.org/10.1017/S1463423617000494) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided)

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Abstract

This paper reports the findings of a scoping review on the organisation and delivery of health improvement activities in general practice and the primary healthcare team. The project was designed to examine who delivers these interventions, where they are located, what approaches are developed in practices and how individual practices and the primary healthcare team organise such public health activities and how these contribute to health improvement. Our focus was on health promotion and prevention activities and aimed to identify the current extent of knowledge about the health improvement activities in general practice and the wider primary healthcare team. Many of the research studies reviewed had some details about the type, process, location or who provided the intervention. Little attention is paid in the literature to examining the impact of the organisational context on the way services are delivered or how this affects the effectiveness of health improvement interventions in general practice. We found that the focus of attention is mainly on individual prevention approaches with practices engaging in both primary and secondary prevention. Although many GPs do not take a population approach and focus on individual patients some do see health promotion as an integral part of practice – whether as individual approaches to primary or secondary health improvement or as a practice-based approach to improving the health of their patients. Based on our analysis we conclude that there is insufficient good evidence to support many of the health improvement interventions undertaken in general practice and primary care.

Item Type: Article
Uncontrolled keywords: General Practice Health Improvement Primary Care
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
R Medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Stephen Peckham
Date Deposited: 17 Aug 2017 13:41 UTC
Last Modified: 20 Nov 2018 11:24 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/62875 (The current URI for this page, for reference purposes)
Peckham, Stephen: https://orcid.org/0000-0002-7002-2614
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