Evaluation of a cardiovascular disease opportunistic risk assessment pilot ('Heart MOT' service) in community pharmacies

J Public Health (Oxf). 2010 Mar;32(1):110-6. doi: 10.1093/pubmed/fdp092. Epub 2009 Oct 28.

Abstract

Background: Cardiovascular risk-based screening is proposed as a key intervention to reduce premature cardiovascular disease (CVD) in the UK and internationally. This study evaluated a targeted cardiovascular (CVD) assessment pilot in 23 community pharmacies in Birmingham, UK.

Methods: The CVD risk assessment service used near-patient testing and the Framingham risk equations administered by pharmacists to screen clients aged 40-70 without known CVD. Outcomes assessed included volume of activity, uptake by deprivation and ethnicity and onwards referral.

Results: Complete data were available for 1130 of 1141 clients; 679 (60%) male, 218 (19%) smokers and 124 (11%) had a family history of CVD. Overall, 792 (70%) of clients were referred to their general practice: 201 (18%) at CVD risk of 20% or more, remainder with individual risk factor(s). Greater representation from Black (7.4%) and Asian (24.8%) communities and from average and less deprived quintiles than the affluent and most deprived was observed.

Conclusions: Community pharmacies can provide a CVD risk assessment service in a UK urban setting that can attract males and provide access for deprived communities and Black and Asian communities. A pharmacy service can support GP practices in identifying and managing the workload of around 30% of clients.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cardiovascular Diseases / prevention & control*
  • Community Pharmacy Services*
  • Feasibility Studies
  • Female
  • Health Services Accessibility
  • Humans
  • Male
  • Mass Screening / methods*
  • Middle Aged
  • Outcome Assessment, Health Care
  • Pilot Projects
  • Primary Prevention / methods*
  • Risk Assessment / methods*
  • Risk Factors
  • Socioeconomic Factors
  • United Kingdom
  • Urban Health