Allander E, Rosenqvist U
Scand J Soc Med. 1975;3(3):117-28. doi: 10.1177/140349487500300303.
A screening procedure based on physical examination alone was used in the outpatient unit of a department of endocrinology and metabolism. The volume effectiveness and efficiency of this diagnostic process was evaluated by studying the case-records and by mail questionnaire. The case-records of 296 patients admitted to the clinic during 1968 were analyzed. It was found that 103 of these patients were immediately referred back after a brief physical examination only. The pattern of diagnosis, its changes during the screening procedure, and the outpatient-investigation were also studied. 50% of the patients subjected to outpatient-investigation ended up with a new diagnosis. It was also possible to construct a diagnosis-specific cost estimate for outpatient-investigation, starting from a non-confident and arriving at a confident diagnosis. The distribution of these costs was very skew. The cost for the physician performing the screening was estimated to represent only 2.6% of the costs saved by the introduction of the screening.
在内分泌与代谢科门诊采用了仅基于体格检查的筛查程序。通过研究病例记录和邮寄调查问卷对该诊断过程的有效性和效率进行了评估。分析了1968年期间诊所收治的296例患者的病例记录。发现其中103例患者仅经过简短的体格检查后就被立即转回。还研究了诊断模式、其在筛查过程中的变化以及门诊检查情况。接受门诊检查的患者中有50%最终得到了新的诊断结果。从不确定诊断到确定诊断，还可以构建门诊检查的特定诊断成本估算。这些成本的分布非常不均衡。进行筛查的医生成本估计仅占因引入筛查而节省成本的2.6%。
