通过机会性招募在全科医疗中进行健康筛查。
Health screening in a general practice by opportunistic recruitment.
作者信息
McMenamin J P
出版信息
N Z Med J. 1992 Dec 9;105(947):495-7.
AIMS
this study aims to assess the effectiveness of opportunistic recruitment into a general practice health screening programme and subsequent improvement in screening rates.
METHODS
a study group of 754 patients aged 30-69 years (345 men, 409 women) in a Wanganui general practice were invited by the doctor when attending the surgery to return for a preventive health check. The check included a self administered screening questionnaire, selected examination items performed by the practice nurse, and a consultation with the doctor to review the findings.
RESULTS
over the three year study period 327 of the men and 392 of the women attended the surgery. An invitation to return for a health check was offered to 307 men and 329 women with completion of health checks by 294 men and 317 women, resulting in a screening rate in the study group of 85% for men and 78% for women. Selected screening indicators showed improvement with blood pressure recording increasing from 48% to 85% for men, and cervical cancer screening improving from 45% to 87% for women.
CONCLUSION
opportunistic recruitment by the doctor's personal invitation proved an effective approach to health screening in this practice with significant improvement in selected screening indicators.
目的
本研究旨在评估机会性招募进入全科医疗健康筛查计划的有效性以及随后筛查率的提高情况。
方法
旺阿努伊一家全科医疗诊所中754名年龄在30至69岁之间的患者（345名男性，409名女性）在就诊时被医生邀请回来进行预防性健康检查。检查包括一份自我填写的筛查问卷、由执业护士进行的选定检查项目，以及与医生进行的结果复查咨询。
结果
在三年的研究期间，327名男性和392名女性到诊所就诊。向307名男性和329名女性发出了回来进行健康检查的邀请，294名男性和317名女性完成了健康检查，研究组男性的筛查率为85%，女性为78%。选定的筛查指标有所改善，男性血压记录从48%增至85%，女性宫颈癌筛查从45%增至87%。
结论
通过医生个人邀请进行机会性招募在本诊所被证明是一种有效的健康筛查方法，选定的筛查指标有显著改善。
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