Primary care is an ideal spot to offer preventive care services along with chronic disease management. However, behind the scenes, these two areas often aren’t well connected limiting what, they could achieve if well united together, as matter of fact limiting the potential of early detection of risk. Recent research emphasizes that integration of prevention, screening and risk counselling included within chronic disease management is able to make primary care work better and improve system efficiency, while saving time and effort in a long-term perspective.To review and synthesize evidence from the last two years that looked at approaches, methods, and implementation obstacles for embedding preventive medicine into chronic disease management within primary care clinics.We conducted a narrative review of peer-reviewed literature, policy papers, and implementation research published during the last two years. Key sources included systematic reviews, meta-analyses, along with interviews focused on team-based health setups in local clinics.Multicomponent approaches have shown better results in fulfilling preventive services. Research in underserved areas and case studies show cultural collaborations is needed along with updated processes to the region and its habitants. However, obstacles including mismatched rules, poor leadership, short resources, and inconsistent regulations has impeded ongoing progress. Initiatives to reach agreement, such as directions on CGM implementation have proven that, with accurate training and assistance, primary care is able to effectively adopt preventive innovations.Privileging prevention while treating chronic disease may work perfectly. However, this still need several actions organized together, besides that, it also needs clear strategies from doctors. Hospitals and primary care clinics as well need to support this by providing better setups and rules in order to make it happen and work efficiently; failing to do so  would affect the progress.Integrating preventive medicine within chronic disease care in primary care is not only feasible, but also turns out to work perfectly. To make it happen, health systems should support multicomponent implementation strategies, build dedicated roles, as a matter of fact: prevention practitioners, at the same time respecting also cultural differences, by fostering culturally tailored models in underserved communities.

Sexual health is one of the objectives of France's national health policy. Condom use is declining and the incidence of sexually transmitted infections (STIs) is increasing. High school students are particularly concerned as they represent a high-risk population, their knowledge of the risks and means of prevention in relation to sexuality is insufficient. Sex education is part of the high school curriculum, but there is no validated intervention with proven effectiveness on behaviour and knowledge in relation to sexuality.In 2023, an intervention was carried out in vocational high schools in the french department of XXX. It consisted of 777 students completing a questionnaire about their knowledge and behaviours in terms of sexuality, followed by a discussion on this topic with a resident in general practice.  The aim of our study was to evaluate the effectiveness of this brief intervention in terms of sexual behaviour and knowledge.This was an observational study of vocational high school students who had previously participated in a sexuality intervention in 2023 with a resident in general practice. Condom use, emergency contraception use, number of unwanted pregnancies, STI screening, STI infection, and sources of information on sexuality were compared for the same group one year after the first intervention.In 2024, 492 vocational high school students responded to the questionnaire.  One year after the intervention, there was a statistically significant improvement in the number of STI screenings, emergency contraception use, HPV vaccination, and high school students' knowledge of sexuality. However, there was still low condom use and persistent gaps in knowledge about contraceptive methods.This study highlights an improvement in knowledge and a trend towards improved sexual behaviour one year after the intervention by a resident in general practice.   .Improving and standardising this intervention and studying it on a larger sample, including general secondary schools, would make it possible to design a brief, effective and reproducible intervention for high school students in the area of sexual health.

Overweight and obesity are well-established risk factors for metabolic syndrome (MetS) and cardiometabolic diseases. Although the National Health Insurance program in Taiwan offers health checkups to facilitate early disease detection, the specific effectiveness of these checkups in preventing disease progression among the high-risk obese population remains uncertain.This study aimed to evaluate whether utilizing health checkups reduces the incidence of MetS and related cardiometabolic risks (hypertension, hyperglycemia, and hyperlipidemia) in overweight/obese adults.We conducted a multicenter retrospective cohort study using a clinical research database in Taiwan from 2003 to 2015, with follow-up through 2024. The study population included adults aged ≥ 18 years with a BMI ≥ 24 kg/m² who had not been diagnosed with MetS or cardiometabolic diseases prior to the index date. Participants were divided into an intervention group (received preventive health checkup) and a control group. A 1:4 Propensity Score Matching was applied, adjusting for age, sex, and baseline BMI. Cox proportional hazards models were used to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs).A total of 14,615 matched participants were included (2,923 in intervention group and 11,692 in control group). Overweight/obese adults who utilized preventive health checkups had a significantly lower risk of developing metabolic syndrome (adjusted hazard ratio [aHR]: 0.69; 95% CI: 0.64–0.73; p<0.0001) compared to the control group. Moreover, participants who received health checkups experienced a significant reduction in the incidence of hypertension (aHR: 0.92; 95% CI: 0.87–0.97; p=0.002).These findings indicate that adult preventive health checkups provide benefits beyond disease detection along. The observed reduction in incident MetS and hypertension suggests that these health checkups may serve as effective primary care touchpoints for early life style counselling, and timely medical advice, thereby that effectively lower cardiometabolic risk among overweight and obese adults.Utilization of adult preventive health services was associated with a significant reduction in the incidence of metabolic syndrome and hypertension among overweight and obese adults. Public health policies should further encourage the utilization of these services to mitigate the burden of obesity-related chronic diseases. Keywords: Preventive Health Checkups; Obesity; Metabolic Syndrome; Cardiometabolic Risks

With the rapid aging of the global population extending healthy lifespan, reducing the burden of chronic diseases and preserving functional capacity in older age have become key priorities for health systems.Longevity is a multidisciplinary concept that emphasizes not only extending life expectancy but also ensuring that extended life is lived in good health.Primary health care lies at the core of longevity strategies due to its role in early risk detection and the implementation of behavioral change interventions.To define the concept of longevity, evaluate its importance within primary health care, examine current trends based on the most highly cited studies of the last decade and develop practice-oriented recommendations.A thematic literature analysis was conducted using Scopus, Web of Science and Google Scholar databases. Articles published between 2015 and 2025 with ≥300 citations or published in high-impact journals were included. Inclusion criteria focused on longevity, healthy aging, lifestyle interventions and the impact of primary health care.Strong evidence supports the effectiveness of lifestyle-based interventions in promoting longevity. Caloric restriction, intermittent fasting and regular physical activity improve metabolic markers and reduce mortality. Increased primary care physician density has been shown to be significantly associated with higher life expectancy. Early identification of age-related conditions such as multimorbidity and frailty in primary care yields favorable outcomes.Highly cited literature from the past decade reveals that longevity is not only a biological phenomenon but also a process closely linked to the structure of health care systems. Primary health care represents the most effective platform for longevity interventions due to its role in early risk detection, lifestyle modification, behavioral counseling and continuity of care.While the family medicine model in XXX provides a strong foundation, challenges remain, including high workload, limited age-specific protocols, insufficient data integration and lack of multidisciplinary teams.Enhancing longevity requires not only an understanding of biological aging but also a strong and well-structured primary health care system. In XXX, primary health care holds significant potential for the early management of age-related risks through cost-effective and high-impact lifestyle interventions.

Under-treated hypothyroidism can delay conception and impair fetal development. Despite primary care management, increased thyroid hormone needs in early pregnancy are often missed due to non–trimester-specific reference ranges, adherence issues, and delayed antenatal care. This highlights the need for optimal pre-conception control, closer pregnancy monitoring, and clear advice to increase replacement therapy as soon as pregnancy is confirmed.We conducted an iterative audit of hypothyroid women of reproductive age in a UK-representative general practice (population 24,000). An initial audit (2020–2023) showed poor annual TFT monitoring (27/70 patients), partly attributed to the COVID-19 pandemic. Following remedial measures, monitoring improved in 2024 (63/70). The 2025 audit identified 27/86 patients requiring further attention. Results of the 2026 audit will be presented to complete the study.Proactive monitoring, early dose adjustment, and education improve pregnancy outcomes. Advice from NICE, British Thyroid Foundation, and has recently been added to our local patient website. Laboratories are to be encouraged to state any replacement therapy with TFT results.This audit highlights important gaps in the routine management of hypothyroidism in patients of child-bearing potential. Of the 86 patients reviewed, 27 (31%) required further attention due to suboptimal thyroid function monitoring and the need for repeat blood tests and follow-up. This finding suggests that a substantial proportion of patients may enter pregnancy with inadequate thyroid control, placing both maternal and fetal outcomes at risk.Levothyroxine dose should be increased immediately on pregnancy recognition, ideally in primary care, with specialist referral if target levels are not achieved. Proactive monitoring, pre-conception counselling, and improved primary care awareness are essential to optimise maternal and fetal outcomes.

The “My Health” program is a preventive healthcare service for individuals aged 20 and older, implemented in Primary Care in Poland. The program includes health assessments, preventive tests, health education, and the creation of an Individual Health Plan. One of the key components of the Plan is vaccination recommendation. The program aims to improve vaccine uptake among adults.This study evaluates how the program influences the uptake of pneumococcal, COVID-19, seasonal flu, and RSV vaccinations. We hypothesize that patients receiving vaccination recommendations within their Care Plan are more likely to complete these vaccinations than those outside the program.This is an observational, comparative study. The intervention group includes patients aged ≥20 who have participated in the “My Health” program, which involves completing a health questionnaire, undergoing tests, attending a summarizing consultation, and receiving a Plan with vaccination recommendations. The control group consists of patients of the same age, registered in the same PC facilities, who have not participated in the program.  Data collection is based on a CAWI (Computer-Assisted Web Interview) survey administered to healthcare personnel, who will identify patients with vaccination recommendations and report the proportion of those who have received vaccinations for pneumococcal disease, COVID-19, seasonal flu, and RSV. Statistical analysis will compare vaccination rates between the two groups, adjusting for confounders such as age, sex, chronic diseases, and prior vaccinations.Preliminary data from two PC facilities include N=542 patients in the intervention group and N=302 in the control group. Early findings suggest that participation in the “Moje Zdrowie” program is associated with a higher vaccination uptake (for flu vaccine: 23% versus 11%, p<0.05). Full data will be presented.The preliminary results suggest that integrating vaccination recommendations into the “My Health” program may improve vaccination uptake among adults. Future research should focus on addressing barriers to vaccination and optimizing health system interventions to enhance adherence to vaccination recommendations in primary care.Participation in the “My Health” program appears to be an effective strategy for increasing adult vaccination rates. Full analysis will lead to recommendations for integrating vaccination recommendations into primary care programs.