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Tables
Practice characteristics (n = 37) % Type of practice (%) Single-handed practice (1 GP) 27 Practice with 2 GPs 24 Group practice or healthcare centre (≥2 GPs) 49 Practice setting (%) Urban 46 Urban-rural fringe 16 Rural 38 Quality of care (% yes) Accreditation by NPA 73 Participation in chronic care group 89 Health professionals in general practice (% yes) Lifestyle coach 16 Dietician 51 Involved in chronic disease management (% yes) Cardiovascular risk management 82 Lifestyle support service within general practice (% yes) Weight management or healthy food sessions 30 Exercise programmes 14 Community-based lifestyle services (% yes) Practice is well informed about lifestyle services 59 Written overview of available lifestyle services 54 Access to information about lifestyle services during consultation 62 NPA = Netherlands Practice Accreditation.
- Table 2. Association between practice characteristics and percentage participants with improvement in CMD risk factors (adjusted ORs and 95% CI)
BMI Smoking Systolic blood pressure TC/HDL ratio n =967 % ↓a OR [95% CI] % ↓ OR [95% CI] % ↓ OR [95% CI] % ↓ OR [95% CI] Type of practice Single-handed practice (1 GP) (reference) 48 9 54 58 Practice with 2 GPs 50 1.10 [0.65 to 1.84] 3 0.31 [0.09 to 1.10] 47 0.78 [0.40 to 1.49] 48 0.65 [0.32 to 1.35] Group practice or healthcare centre (≥2 GPs) 53 1.23 [0.80 to 1.91] 4 0.44 [0.18 to 1.07] 52 0.98 [0.56 to 1.70] 53 0.80 [0.43 to 1.46] Practice setting Urban (reference) 53 3 51 52 Urban–rural fringe 52 0.96 [0.65 to 1.41] 4 1.42 [0.49 to 4.08] 58 1.48 [0.86 to 2.56] 47 0.86 [0.49 to1.55] Rural 50 0.90 [0.64 to 1.26] 6 2.25 [0.99 to 5.17] 48 0.92 [0.60 to 1.40] 59 1.31 [0.86 to 1.99] Quality of care Accreditation by NPA (no/yes) 50/52 1.09 [0.78 to 1.53] 5/4 0.69 [0.30 to 1.59] 54/50 0.88 [0.55 to 1.42] 48/54 1.18 [0.71 to 1.96] Participation in chronic care group (no/yes) 55/51 0.87 [0.60 to 1.25] 6/4 0.55 [0.24 to 1.29] 47/52 1.26 [0.74 to 2.14] 60/51 0.71 [0.41 to 1.21] Health professionals in general practice Lifestyle coach (no/yes) 52/51 0.96 [0.67 to 1.37] 4/4 0.81 [0.30 to 2.24] 49/59 1.59 [1.00 to 2.52] 53/53 1.08 [0.64 to 1.82] Dietician (no/yes) 49/53 1.19 [0.89 to 1.58] 5/4 0.70 [0.33 to 1.49] 47/54 1.36 [0.91 to 2.02] 59/49 0.70 [0.48 to 1.04] Involved in chronic disease management Cardiovascular risk management (no/yes) 49/53 1.15 [0.80 to 1.67] 5/4 0.94 [0.38 to 2.38] 49/52 1.10 [0.68 to 1.78] 54/53 0.97 [0.60 to 1.57] Lifestyle support service within general practice Weight management or healthy food sessions (no/yes) 51/54 1.15 [0.84 to 1.56] 4/4 0.98 [0.44 to 2.20] 49/55 1.32 [0.87 to 2.01] 53/52 0.97 [0.60 to 1.57] Exercise programmes (no/yes) 52/47 0.80 [0.43 to 1.49] 4/0 1.00 [1.00 to 1.00] 51/62 1.65 [0.79 to 3.43] 53/54 1.09 [0.47 to 2.54] Community-based lifestyle services Practice is well informed about lifestyle services (no/yes) 51/53 1.08 [0.81 to 1.45] 4/5 1.30 [0.61 to 2.79] 51/51 1.02 [0.67 to 1.57] 54/52 1.05 [0.66 to 1.66] Written overview of available lifestyle services (no/yes) 51/54 1.13 [0.85 to 1.49] 4/4 1.13 [0.52 to 2.44] 52/51 0.94 [0.62 to 1.42] 51/55 1.30 [0.83 to 2.02] Information lifestyle services during consultation (no/yes) 50/53 1.12 [0.84 to 1.50] 4/4 1.14 [0.53 to 2.48] 54/49 0.77 [0.52 to 1.15] 52/54 1.09 [0.79 to 1.52] ORs adjusted for age and sex at individual level and adjusted for clustering at practice level. CI = confidence intervals. OR = odds ratio. NPA = Netherlands Practice Accreditation.
↵a Percentage of participants who showed an improvement in CMD risk factor (for example, lower BMI).
- BMI
- body mass index
- OR
- odds ratio
- CMD
- cardiometabolic diseases
- CI
- confidence interval
- TC/HDL ratio
- TC/HDL ratio = total cholesterol/high density cholesterol ratio
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The association between GP organisational factors and the effectiveness of a prevention programme for cardiometabolic diseases: a prospective intervention study
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