It has been well established that underserved groups have an increased risk of cardiometabolic
disease and are less likely to attend health checks. This differential uptake of health checks
leads to suboptimal health gains from cardiometabolic screening and contributes to the
widening of health inequalities in society. The cost-effectiveness of the Dutch
cardiometabolic health check is still under study, but with the knowledge we already have it
seems advisable to focus primarily on the underserved groups, as they have the most to gain
from systematic screening. The findings described in this thesis provide strategies to optimize
uptake and may be used to design future studies on this topic. In the general discussion we
also advocate that the Government should invest in population-based prevention and move
away from the trend of taking own responsibility as this may provide underserved groups the
best possible opportunities for a healthy life(style).
Hartstichting; Diabetesfonds en Nierstichting.LUMC / Geneeskund