Cardiovascular disease prevention program's organizational features in Lithuania's primary health care facilities

Objective. To analyze cardiovascular disease prevention program’s organizational features in primary health care based on leader’s point of view. Objectives: 1. To analyze the different primary health care institutions’ cardiovascular disease prevention program’s execution scopes in 2014 in Lithuania; 2. Reveal and compare cardiovascular disease prevention program’s organizational features by program’s execution results in 2014. The research methodology. Qualitative case studies. The sample of the study - purposive. The study involved 21 primary healthcare facilities’ leaders. Data were collected in semi-structured interviews. The study was conducted in February-April 2015. Conclusions. 1. Cardiovascular disease prevention program’s execution in primary health care facilities in 2014 still has not reached the Council of Europe recommended prevention programs’ scale (80 percent.), in addition program’s execution limits are very wide (0.0 to 91.36 percent.). 2. Comparing cardiovascular disease prevention program’s execution results in different primary health care facilities it was found that the good results are achieved by the implementation of these work organization strategies: 2.1. teamwork, when the family doctor works with a nurse; 2.2. pre-selection of patients who own program according to indications; 2.3. electronic database installation; 2.4. additional active calling of patients; 2.5. employee motivation system setup when paid for performance. 3. It was found that the low results of implementation of the program led to the next reasons: 3.1. in the work of prevention programs was not the object of the institution's strategic objectives; 3.2. no focus on information to patients and active calling to participation in the program; 3.3 Lack of staff motivation system