The GPs point out that the proper conditions have to be established in society and in the health service to increase the level of physical activity among patients and to support primary and secondary preventive work.
15 There is a need for simple instruments that provide more structure to preventive work at primary healthcare centres (PCCs), and that are suited to the primary healthcare context.
A pedagogical model including a self-administered health-profile and a health dialogue, combined with emphasising the individual's own resources, seems to be a feasible method for effective preventive work in primary healthcare.
12 From a population perspective low socioeconomic status is a risk factor and the greatest health benefits should consequently emanate from preventive work based in primary healthcare, in close cooperation with other public actors.
A primary preventive strategy for disease prevention is vaccination.
In sum: we propose an organizational level, primary preventive stress management intervention, aimed to alter the sources of work-related stress by changing the design, management and organization of work [ 46, 47] and to be evaluated by an effect evaluation including organizational outcomes and a process evaluation including process variables related to intervention outcomes.
Further studies are required to examine whether proper management of working hours can serve as a primary preventive measure for metabolic syndrome.
Primary preventive interventions aim to alter the sources of stress at work (e.g. [ 21]).
This is the first study to describe the test of a participatory, primary preventive organizational level intervention (i.e. a participatory action approach) on work-related stress and well-being that targets and engages all workers in the primary process of vocational education training schools.
This study estimates the costs of cardiovascular primary preventive activities including prescription of primary preventive cardiovascular medication (PPCM) in FPs in the Netherlands.
