Lescouflair G
Arch Otolaryngol. 1975 Aug;101(8):469-73. doi: 10.1001/archotol.1975.00780370011005.
After examination of the factors affecting the validity of audiometric tests in schools, screening programs are seen as having little value as a preventive measure because of their failure to reach their primary purpose, the early discovery of hearing loss and ear disease. The philosophy of screening is challenged and an approach of total prevention proposed that puts much more emphasis on primary prevention measures such as the control of determinants of ear disease and hearing loss in school-children.
在对影响学校听力测试有效性的因素进行检查后，筛查项目被认为作为一种预防措施几乎没有价值，因为它们未能实现其主要目的，即早期发现听力损失和耳部疾病。筛查的理念受到质疑，并提出了一种全面预防的方法，该方法更加注重初级预防措施，如控制学童耳部疾病和听力损失的决定因素。
