HTA nella prevenzione primaria: indicatori “alert” di rischio cardiovascolare e pneumologico
Cosima Farilla, Michele Conversano, Simona Insogna, Antonio Pesare, Stefano Rossi, Matilde Carlucci
The Health Center Environment (CSA) of the ASL/TA, has launched a Cardiovascular Risk (CV) and Respiratory Health Screening Program. Realization of the extraordinary Health Environment Plan aimed at the “healthy” population, aged between 40 and 55 years old, residing in the Taranto and Statte area considered AREA SIN (sites of national interest) at environmental risk.
Screening was conducted in the areas at environmental risk in line with what was indicated in the project of the Ministry of Health “Terra dei fuochi”, in cohorts of population aged 40 to 55, for the health registry to be considered “healthy” (absence of ticket waiver), invited by means of a letter given by the General Practitioner (GP) and telephone contact of the Prevention Department team.
The monitoring of the results and the statistical analysis of the 70 clinical and social parameters showed “alert” indicators that correlated with the environmental risk zones define the healthy population “with medium-high risk” to be sent to preventive specialist controls.
The “alert” indicators point to a “in depth” strategy with transversal health and economic policies, where health strategies intertwine with the economy, culture and the world of work for “non-closed” investments. The under-utilization of prevention policies creates critical issues in the health system, while the policies of action on lifestyles go towards the sustainability of the system, generating a reduction in drug spending, acute and chronic health. Similar approaches that experiment with prevention models based on the analysis of large population cohorts will have to spread not only to improve clinical governance but also to provide data and elements for HTA evaluations.
Key words: cardiovascular screening, risk factors, categorization, lifestyles, therapeutic diagnostic pathways, risk card