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- W2023889499 abstract "Objectives: The aim of this paper is to describe the organisation of the CINDI programme in Slovenia, to present the results of a survey of risk factors of chronic disease in the adult population and to describe the effects of political changes on the programme.Methods: Assessment of the health status of a random sample of 1692 adults from the Ljubljana population was performed in 1990. A series of medical and nonmedical interventions were introduced as a result of the survey and a follow-up assessment on a second representative sample of adults was performed in 1995.Results: Due to high prevalence of risk factors (hyperlipidaemia (64%), overweight (57%), hypertension (42%), smoking (39%), inactivity (15%)) found at the initial survey, almost all adults were entitled to some form of intervention. At the follow-up survey, reductions in the prevalence of overweight (48%) and smoking (28%) were noted along with increases in the prevalence of hyperlipidaemia (67%), hypertension (48%) and physical inactivity (26%). Initially, the main focus of the programme was on office-based interventions. With healthcare reform in Slovenia in 1993 and the introduction of a new financing scheme, the health-care system stopped payment for the majority of preventive medical activities. In 1998, prevention activities recommenced and negotiations began for reimbursement of general practitioners involved in prevention. In 2001, a new law obliged general practitioners to assess coronary risks in selected groups of patients.Conclusion: CINDI in Slovenia has faced unexpected political changes and managed to evolve towards more comprehensive health promotion activities at a national level." @default.
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- W2023889499 date "2001-01-01" @default.
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- W2023889499 title "The countrywide integrated non-communicable disease intervention programme (CINDI) and the effects of healthcare system reform in Slovenia" @default.
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- W2023889499 doi "https://doi.org/10.3109/13814780109094335" @default.
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