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Prevalence rates of chronic diseases: the Netherlands and the United Kingdom compared.

Schellevis, F.G., Fleming, D.M., Linden, M.W. van der, Westert, G.P. Prevalence rates of chronic diseases: the Netherlands and the United Kingdom compared. European Journal of Public Health: 2004, 14(4 Suppl.) 103. Abstract. 12 th Annual EUPHA meeting: Urbanisation and health: new challenges in health promotion and prevention in Oslo, Norway, 7-9 october 2004.
Background: Information about the European population’s health origins from different sources. For some chronic diseases general practice is the most useful source for prevalence data. On the European level comparability of data from general practice is complicated by differences in the position of GPs in the health care system. Aim: To compare the prevalence of elected chronic diseases reported in a general practice based morbidity survey in the Netherlands with those reported in a similar survey in England and Wales. The role of the general practitioner (GP) in the health care system is similar in both countries. Methods: Data from the second Dutch National Survey of General Practice N=399,068 patients of 195 GPs) and the Weekly Returns Service in England & Wales (N=325,850 patients of 185 GPs) from 2001 are used to compare 1-year period prevalence rates for a selected number of chronic diseases. Results: Preliminary analyses showed the prevalence rates of hypertension being equal (NL 57.1; E&W 57.8 per 1000), but prevalences of diabetes mellitus (NL 26.3; E&W 18.1 per 1000) and asthma (NL 26.1; E&W: 36.1 per 1000) are less comparable. Conclusions: Further studies are necessary to explore whether these differences can be explained by differences in health care seeking behaviour, recording procedures or whether they reflect true population differences.
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