Warren M D
J R Coll Gen Pract. 1976 Nov;26(172):828-36.
This study used the age-sex register of a group medical practice as the population base for a postal and follow-up interview enquiry to locate handicapped people and examined the possibility of the combined use of a practice diagnostic index and the patients' medical records for the same purpose. The age-sex register was found to contain deficiencies and inaccuracies despite the substantial efforts of members of the practice team to maintain it, for example, 13.5 per cent of the forms were returned as the addressee was unknown at the address.The 81.5 per cent of householders who responded identified 353 impaired people who were subsequently interviewed about the nature of their impairment, the underlying condition, and the range of their activities. Depending upon the answers to these questions, a proportion of these people were classified as handicapped and were asked further questions. The number of impaired people and their distribution in sex and age-groups were broadly similar to the findings from other surveys. The diagnoses of the underlying conditions given by the impaired people were discussed with the general practitioners and confirmed or otherwise by the use of the patients' notes or the recollections of the general practitioners.It was concluded that while the use of a diagnostic index would be helpful for some conditions, there would remain a substantial number of people with a disease that is potentially disabling who would have to be approached for further screening and also a substantial number of people who are handicapped, but who would be missed.
本研究将一家团体医疗诊所的年龄性别登记册作为邮政和后续访谈调查的人口基数，以查找残障人士，并研究了为同一目的联合使用诊所诊断指数和患者病历的可能性。结果发现，尽管诊所团队成员付出了巨大努力来维护年龄性别登记册，但其中仍存在缺陷和不准确之处，例如，13.5% 的表格因收件人地址不明而被退回。81.5% 做出回应的住户确认了353名有损伤的人，随后针对其损伤的性质、潜在病症以及活动范围对他们进行了访谈。根据这些问题的答案，其中一部分人被归类为残障人士，并被进一步询问。有损伤的人的数量及其在性别和年龄组中的分布与其他调查结果大致相似。与全科医生讨论了有损伤的人给出的潜在病症诊断，并通过查阅患者病历或全科医生的回忆进行确认或核实。研究得出的结论是，虽然使用诊断指数对某些病症会有所帮助，但仍会有大量患有潜在致残疾病的人需要进一步筛查，而且还会有大量残障人士被遗漏。
