[Evaluation of the program for preventive measures and health promotion for adults in a health service area].

OBJECTIVE

To evaluate the Preventive Measures and Health Promotion Programme (PMHPP), in order to find its spread of influence and to identify consequent problems, with the aim of putting in place measures to improve effectiveness.

DESIGN

Observational, crossover and retrospective study, using random distribution.

SETTING

Primary Care teams (PCT) of Health Area 11, Madrid.

PARTICIPANTS

Ten clinical records from each general practitioner/nurse case-load of the 24 PCT in the Area: 1470 clinical records in all.

INTERVENTIONS

Clinical auditing carried out in October 1992.

MEASUREMENTS AND MAIN RESULTS

Prevalences obtained were: 19.3 +/- 1.03 for AHT, 34.4 +/- 1.24 for tobacco dependency, 17 +/- 0.84 for Hypercholesterolaemia and 20.7 +/- 1.02 for obesity-overweight. All the percentages were higher for patients who attended for the last time in 1992 (p < 0.001), except those concerning breast and cervical cancer screening.

CONCLUSIONS

1. The prevalences obtained from the FR.CV. are close to those theoretically expected. 2. Measures aimed at A.T., tobacco and alcohol were correctly carried out for more than 75% of the patients and were applied to over 50% of the relevant population. 3. Anti-tetanus and anti-rubella vaccinations and breast cancer screening were correctly performed only in just over 25% of cases. 4. Correct compliance with the majority of the measures was higher among users who attended for the last time after the Programme's introduction.