Author/Editor		Bulc, Mateja; Švab, Igor; Yaphe, John
Title		The countrywide integrated noncommunicable disease intervention programme (CINDI) and the effects of healthcare system reform in Slovenia
Type		članek
Source		Eur J Gen Pract
Vol. and No.		Letnik 7
Publication year		2001
Volume		str. 154-6
Language		eng
Abstract		0bjectives: 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.
Descriptors		CHRONIC DISEASE POLITICAL SYSTEMS HEALTH STATUS HEALTH CARE REFORM INSURANCE, HEALTH ADULT RISK FACTORS PREVALENCE HYPERLIPIDEMIA OBESITY HYPERTENSION SMOKING EXERCISE HEALTH EDUCATION SLOVENIA